HomeMy Public PortalAbout10708 LORA ST_Plumbing__ 01lA8�7
DBii=17 10.89- " APPLICATION FOR PLUMBING PERMIT y
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING P y.
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,SUPT OF BUILDING
LOCALITY 19 4 T C e
FOR APPLICANT TO FILL IN I NEAREST a
CROSS ST. p/ ®,A
OWNERoc DISTRICT NO. GROUP Z
ONE IREADY FOR INSPECTION
MAIL I
ADDRESS �
CITY7ff INDUSTRIAL
.
WASTE APPROVAL
PLUMBER L INSPECTION RECORD
ADDRESS
CITY TEL.NO.
LICENS
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1,00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK �1 f
PERMITS 1 OO ROUGH PLUMBING 7 -;v4 15
GAS PIPING -
TOTAL FEE U GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF r _
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED ✓�-�ti�. - ----
DESCRIBED RESIDENT PROPERTY. ' y
SIGNATURE
OF PERMITTEE 9 FINAL
IOHN A.LAMBIE,COUNTY ENGINEER VALIDATION ROBERT A.WOOD.CHIEF F LBG. INSPECTOR
ep U.0. CASH
U,c 7 3 3 7- RPR 19 3 3.0 0
�~ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT _
' Department of County Engineer 1
DIVISION OF BUILDING & SAFETY !'
WILLIAM J. FOX, County Engineer PLUMEBING
FOR APPLICANT TO FILL INDISTRIi O. GROUP ZONE
READY FOR
PLUMBER 1.' nn, „-. Co. RECEIVEDATE_ D BY FIRST INSPECTION �8SlJED
ADDRESS +�
_LVL). BUILDING e; eJ
CITY TEL Na. ADDRESS
COUNTY !"' 2-2.719 LOCALITY
LICENSE N0, i EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE or FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0.50 M ADDRESS
BATH TUB 0.50 CITY TEL No.
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) a 0.50 APPLICATION AND STATE THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK a O_.50 AND STATE LAWS REGULATING PLUMBINGL
1 CERTIFY THAT 1 P08BE88 THE VALID LOB
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR 1 AMLEGAL OWNER
OF THE RESIDENTI P OPERTY • D ABOV
GAS SYSTEM OUTLETS 0 0.50
SIGNATURE
WATER HEATER a D.SO PERMTF
SLOP BINK D.SD INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER JB1 0.50
DRINKING FOUNTAIN 0.50
URINAL O.SO J
Q
HOUSE SEWER 0.50 Z
MISCELLANEOUS
lY
O
APPROVALS
DATE INSPECTORIS NAME
ROUGH PLUMBING i
GAB PIPING a
OAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANKC SEPTIC TANK
DRAIN ( ) PIT ( ) (IQ 1.00 SEWER
PERMIT 1.00 GAS TEST .+. /�r,�lrEmci/
UTILITY CO.NOTIFIED A q
TOTAL FEE 9 GG Jfj
FINAL
76A667 DBS#17 6-52