HomeMy Public PortalAbout9667 LONGDEN AVE_Plumbing__ 76A687 17 B-as ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES L IRrl#AmG
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT O. GROUP ZONE PERMIT NO.
I. 3 (9I
PLUMBRECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRES,S.e Monterey Park, Calif. 7i r s�j
-��� Ga�Ve� �♦
CITY ATlantic 2-4654 - CUmberland.3-1040 BUILDING / /�
TEL. NO. ADDRESS
COUNTY �/ �j /J LOCALITY �".r�i•,,tr.•/.i.�C �r�G•L/
LICENSE NO. �J Q_J"/ EXPIRES1012 a9� .f NEAREST ♦- ' +, l
PERMIT FEES CROSS ST. -7 !�r7 .�.r c C_--c.L •�-"`
OWNER / ;� Cr C/�•��it 1� .7 ' [s'�•�.•r�
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) 0.50 g MAIL
U ADDRESS
BATH TUB @ 0.50 ) CITY TEL. NO.
SHOWER @ 0.50 .1 HEREBYACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN). @ 0.50 I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK. @ 0.50 r�(I STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.501 ANGELES COUNTY LICEENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIALr13ROPERTY DESCRIBED ABOVE.
GAS SYSTEM r OUTLETS @ 0.50 G G
SIGNATURE OF /r♦
WATER HEATER @ 0.50 4 ;` PERMITTEE
SLOP SINK @ 0.50 I INSPECTION RECORD
FLOOR SINK a- 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 J
HOUSE SEWER @ 0.50. Q
Z
MISCELLANEOUS (�
r
O
APPROVALS
.DATE INSPECTOR'S NAME
ROUGH PLUMBING .,
v
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK. SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 0 GAS TEST
UTILITY CO. NOTIFIED i ♦ }.
I TOTAL FEE 7;�,,,
�� / (�r�
' FINAL
I V/ .
7GA667 17 9-49 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF'ENGINEER PLUMBING 1
FOR APPLICANT TO FILL IN DISTRICO. GROUPI ZONE PERMIT NO.
�3 (-o17
PLUMBRECEIVED BY READY FOR. DATE ISSUED
PLUMBINGFbNTANA FIRST INSPECTION
ADORE W. Monterey Park, Calif. !C--
CITY ATlantic 2-4654 - CLNJO.m
ILDING
TEL. berland 3-1040 ADDRESS 4 6 f /�ZeLt` '"'SCOUNTY
p _
LICENSE NO. I �J !�/ EXPIRES &L-A IS LOCALITY
/ NEAREST
PERMIT FEES CROSS ST. t:-t�l t �:.E L._ L%
OWNER. !�w i..�. (.-.r i r+
NUMBER TYPE OF FIXTURE OR ITEM FEE
�+�
WATER CLOSET (TOILET) @ 0.50 s d MAIL
U ADDRESS
BATH TUB @ 0.50 I CITY TEL.NO.
SHOWER ® 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN). @ 0.50 I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND.
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN,SINK @ 0.50 ,: STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 �,t y ANGELES COUNTY LICNSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL ROPERTY DESCRIBED ABOVE.
GAS SYSTEM--d-OUTLETS @ 0.SO G G
SIGNATURE OF ^f
WATER HEATER @ 0.50 F. PERMITTER
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK a• 0.50
FLOOR DRAIN G 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50.
URINAL @. 0.50 ..1
HOUSESEWER @ 0.50 Q
Z
MISCELLANEOUS (�.
a
RI
APPROVALS
DATE INSPECTORS NAME
I� ROUGH PLUMBING
GAS PIPING
I I GAS VENT 7 ' 13
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) G 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO. NOTIFIED i "� 10501.
TOTAL FEE I $ ,�I j1 I Y.�
r* FINAL
V