HomeMy Public PortalAbout9673 LONGDEN AVE_Plumbing__ 79A987 27 9=49 - APPLICATION FOR PERMT . • ..
DEPARTbIENT' OF:BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM. J. FOX, -CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE P RMIT NO. '
F
Tr' NAIP�UIMBING CONTRACTORS '; RECEIVEDBY READY F.OR DATE:ISSUED
FIRST INSPECTION
' Garvey' - 1Vloliterey Par , a' ��"__ n .� nr.Y_.1.:_�L_+ 9'iZ]e�_ ._.
J'Z�Vl F. BUILDING
CITY TEL. NO. ADDRESS
COUNTY LOCALITYY�
LICENSE NO. �.J O / EXPIRES �� NEARESTe. �- -'+
PERMIT FEES CROSS ST.. ../��./ La•6� fi -�`
I, V
OWNER.
NUMBER- TYPE OF FIXTURE OR ITEM FEE
.' f� _ MAIL_
WATERCLOSET(TOIL-ET)-'- - Q Oc50 $ is 4�.� ADDRESS -
BATH TUB 0.50 CITY TEL. NO.
SHOWER Q 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q O.SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT,AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
J
.'KITCHEN SINK' 0.50 STATE LAWS REGULATING PLUMBING.. Q '
1' .CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 G' : I ANGELES COUNTYLIC N,SE. OR I AM THE LEGAL 'OWNER.
PORTY DESCRI
GAS SYSTEM 'S
OUTLETS Q O. 0OF THE RESIDENTIALOBED ABOVE.
. V SIGNy�/l
WATER HEATER Q O.SO PERMITTEE SIGNATURE
'
E/ (�f3_
1 SLOP SINK Q 0.50 I INSPECTION RECORD
FLOOR SINK Q '0.50
FLOOR DRAIN Q 0.50
DISHWASHER Q 0.501
DRINKING FOUNTAIN Q 0.50
URINAL Q 0.50
HOUSE SEWER Q O.50 Q
z
MISCELLANEOUS (�
` - a
0
APPROVALS
1 DATE INSPECTOR'S'NAME
ROUGH PLUMBING
'GAS PIPING. .
GAS VENT s ka
i
EFERIMIT
POOL Q 1.00 CESSPOOL
C TANK: SEPTIC TANK
RAIN ( ) PIT ( - ) Q .1.00 SEWER
. I.00 GAS TEST ' b1 -c� Af'V'^
UTILITY CO. NOTIFIED
I TOTAL' FEE I
FINAL
76A667-CE81712/59 TEMPLE CRTY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTIIENT OF COUNTY ENGINEER
B�rILDnvc AND SAFETY ISION ADDRESS a
OHN A. MBI COUNTY NGINEER
WILLIAM A.JENSEN,SUPT of BUILDING LOCALITY51,
FOR APPLICANT TO FMLN IN NEA88$T
CROSS ST.
NUMBER FIXTURE OR ITEM j
OWNER lr•
"WATER CLOSET
BATE TUB AADDDBESS l ty
SEOWES CITY •+ N '� f1
LAVATORY CONTRACTOR
SING: ADDRESS
DISEWASEER CITY TEL NO.
CONTRAC 'S STATE
LAUNDRY TUB REGI ION NO. COUNTY ❑
x.
CLOTEES WARIER DISTRICT NO.
GR
Of ZONE P ' SSED BY y
WATER NEATER
GAS SYSTEM INDUSTRIHL
WASTE APPROVAL
INSPECTION RECORD
O
' U
PC
0
• w
ip
IF
l w
$1.00 PER ITEM
OR FDITURE $ I fv APPROVALS DATE INSPECTOR'S SIGNATURE
PER MIT $ 2 00 UNDER SLAB WORK
TOTAL FEE
ROUGH PLUMBING
I �. GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ iHIB APPLICATION . GAS VENT /� r
AND STATE THAT THE ABOVE IS CORRECT AND AGR fifi 10 COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ' HOT WATER HEATER .s ��
PLUMBING. �
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES f
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ; GAS TEST
CALIFORNIA OR THAT I M THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL OP TY. 1�
SIGNATURE 4j t 41
OF PER MITCE
_:....�,::... .: * FINAL 111116 L j! .
�v BAI.IDATIO ROBERT A.1vb6D.
CK. N.0. cpsR SUPERVISING MECHANICAL ENG'R
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