HomeMy Public PortalAbout10631 LOWER AZUSA RD_Plumbing__ COUNTY OF Los ANGELES APPLICATION FOR.PERMIT
Department.of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
DISTRICT NO. .GROUP . ZONE, .
FOR APPLICANT TO. FILL IN `t Zq
_ REAOY�FOR
PLUMBER )i V.D(11I1 r in n.. RE EIV�E/D���B��Y FIRST INSPECTION - DATE ISSUED
9ULLVr'RD.rl IVIEil (� .1 -9)y 'cv..
ADDRESS. P')O CA c+T �,,-• .
vrL_CT L�LYll, BUILDING
CITY. Fi(i1'1=Ar'Y TEL No. ADDRESS
COUNTY ..., H i. - 719,A.
LICENSE NO. "-• S- EXPIRES.. LOCALITY Oyu
--7 NEAREST
PERMIT FEES CROSS ST.
G C .
' NUMBER TYPE 6F FIXTURE OR ITEM - FEE OWN
MAIL
WATER CLOSET(TOILET)' @ O.SO S ADDRESS '
BATH TUB @ 0.SO CITY TEL. NO.
SHOWER @ 0.90 1 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
KITCHEN SINK@ 0.50 AND STATE. LAWS REGULATING PLUMBING.
.� 1 CERTIFY THAT I POSSESSTHEABOVE VALID LOS
LAUNDRY-TUB-•jyO,,R TRAY -@ 0.50 ANGELES COUNTY LICENSE, OR i AM THE LEGAL OWNER
GA9 SYSTEM—,�J OUTLETS @ 0.50 OF THE RESIDENTIAL PROPERTY DgBCRISED BOVE.
SIGNATURE OF
.WATER HEATER @ 0.50 PERMITTE - -
SLOP SINK @ 13.613 INSPECTION RECORD
FLOOR SINK @ 0.50 -
FLOOR. DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50 -
URINAL @ 0.50 –�
- a
HOUSE SEWER -@. 0.90 - Z
MISCELLANE13U8 - - C7
lx
O
APPROVALS
Al
- _ - D E IN5PECTO,R'S NAME
. - ROUGH PLUMBING /l� � �f�` .G..�-•..._
- GAS PIPING
- GASVENT.
'CESSPOOL @ 1.013 CESSPOOL i�'JF FZf �ilt
'SEPTIC TANK: - SEPTIC TANK
DRAIN ( ) PIT ( ) @ -1.00 a SEWER A�
PERMIT I 1.00 GAS TEST e@
UTILITY.Co.NOTIFIED
F
TOTAL FEE INAL
76A667 DBS#17. 6-52 ,