HomeMy Public PortalAbout9534 LONGDEN AVE_Plumbing__ 76A667 DOM 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COIINTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
R O R.D P D .
FOR APPLICANT TO FILL IN f C)
PLUMBER r1 pJ Q�� Q� RECEIyyED BY READY FOR DATE ISSUED
n� ,/1 _ FIRST INSPECTION
ADDRESS 3 �G�I.tv l.(��jjNPl / ?®�
BUILDING
CITY lLhJZ,
TEL No. ADDRESS
COUNTY I
LICENSE NO. LOCALITY
EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FE9—CITY
OWNER •�/•CL
MAIL C- A
WATER CLOSET(TOILET) @ 0.50 III ADDRES/nS C/ �� 3 "
BATH TUB Q 0.50 6A I TEL. No.
SHOWER 0 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
1
CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE 4LEGAL OWNER
GAS SYSTEM OUTLETS 0 0.50
OF THE RESIDENTIA RO ERTY DESC IBE ASOV
SIGNATURE OF
WATER HEATER 0 40:50' PERMITTE
SLOP SINK 0 0.513 INSPECTION RECORD
FLOOR SINK 0 0.50
FLOOR DRAIN Q 0.50
DISHWASHER 41 0.50
DRINKING FOUNTAIN 0.50
URINAL 0.50 J
Q
HOUSE SEWER 0.50 Z
MISCELLANEOUS III
O
APPROVALS
DATE INSPECTOR-8 NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 1:013 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE s oZ 0 , t(,J
FINAL1,5--2--7•S21 f <<L+Iprs'.L'e1
76A667 17 8.49® APPLICATION FOR PERMIT
DEPARTMNNT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PI'MIT/NO.
PLUMBERM. C. `'OT y ING I.Lt''�1i1 Co. RECEIVED BY READY FOR DATE ISSUED
!: FIRST INSPECTION
123 No. Clovealy Ave
ADDRESS TEMPLE
('�j� �'1
CITY
TYJM 9.�E ` IT. .CA ADDRESS �2. � �®
COUN
f S�
L CEN E NO. EXPIRES LOCALITY .hl�r�/ 7,/ ;/
NEAREST
OUNT
PERMIT FEES CROSS 8T.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) 0.50 $
ADDRESS
BATH TUB @ 0.50CITY
TEL. NO.
SHOWER 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) ® 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENT AL PROPERTY DES RI D L39VIL
GAS SYSTEM-OUTLETS Q 0.50 SIGItiIAT OF �s
WATER HEATER 0.50 ME TTEE.
SLOP SINK Q 0.50 INSPECTION RECORD
FLOOR SINK 0 0.50
FLOOR DRAIN Q 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN 0.50 CM
URINAL. ® 0.50 ✓�'UV J
HOUSESEWER 0.50
MISCELLANEOUS L F I
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL ® 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . 1•oo GAS TEST
TOTAL FEE g S-0 UTILITY CO. NOTIFIED ,
✓� FINAL