HomeMy Public PortalAbout5028 MCCLINTOCK AVE_Plumbing__ Belles', 17 0-50 IBJ APPLICATION FOR PERMIT
` DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF' ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO: GROUP ZONE PERMIT NO.
ry
PLUMBER elb Jam/ s RECEIVE READY-FOR DATE IS UED
.� FIRST INSPECTION Jr
ADDRESS I l
0 ,�y BUILDING
CITY - 7 DTEL. NO ADDRESS CF/u-Q
COUNTY LOCALITY
LICENSE NO. EXPIRES .
NEAREST " ���p ••�—
PERMIT FEES ceoss sT. �,o� Yw[/C4PJ
NUMBA
ER TYPE OF FIXTURE OR ITEM FEE OWNER /
MAIL
WATER CLOSET (TOILET) @ 0.60 S ADDRESS QQ 4
BATH TUB @ 0.56 CITY e ,M„ ,/r(ri YL(.{O,A TEL.'NO.
SHOWER ® 0.50 1 HEREBY ACKNOWLEDGE THAT t 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
STATE LAWS REGULATING PLUMBING.
KITCHEN SINK 0.50 I CERTIFY THAT 1. .POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY. 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED. ABOVE.
GAS SYSTEM OUTLETS @ 0.50 i
SIGNATURE OF [,p=
f WATER HEATER 0.50 PERMITTEE ��(+� •"y
SLOP SINK @ 0.'90 INSPECTION RECORD
FLOOR SINK a 0.50.
FLOOR DRAIN 0.50
DISHWASHER Q 0.50
DRINKING FOUNTAIN 0.90
URINAL 0:50 J
HOUSE SEWER @ 0.190 a
Z_
MISCELLANEOUS
a'
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT /
CESSPOOL '1'.00 CESSPOOL y !'
SEPTIC TANK: SEPTIC TANK /
DRAIN ( ) PIT ( ) W T.00 SEWER
PERMIT . 1.00 GAS.TEST
UTILITY.CO. NOTIFIED �•'
TOTAL FEE IFINALdI ��_
7SA667 27 99 ® APPLICATION.FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES.
WILLIAM J. FOX, CI4IEF ENGINEER
FOR APPLICANT TO FILL- IN DISTRIC'TNO. GROUP I ZONE PEER�MITIVO.
GING CONTRACTOR'IN w. .-7 REC IV BY READY FOR DATE ISSUED
PLUM
FIRST INSPECTION
alvey - Monterey Park, Cel;;,
ADDR etlC� �53� - Ii ��y e.. p �
111 •lOADDRESS eISS v V�
CITY TEL. NO. 4�W
COUNTY
C� p
LICENSE NO. ® EXPIRES 61-3 1/&If LOCALITY
If NEAREST
PERMIT FEES CROSS ST. .
e
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER r ,1
MAIL
WATER CLOSET (TOILET) @ O,50 $ 0. ADDRESS.
BATH TUB @ 0.50 +I L CITY 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
STATE LAWS REGULATING PLUMBING.
KITCHEN SINK O.SO I CERTIFY THAT 1 PO ABOVE._VALID. LOS -
LAUNDRY TUB OR TRAY @ 0.50. ANGELES COUNTY LICEN OR 1 EGAL OWNER
_ OF THE RESIDENTIAL P P CRIBED A VE.
GAS SYSTEM• OUTLETS.. @ O.SO SIGNATURE OF
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK O.So INSPECTION RECORD
FLOORSINK @ 0.50I
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50 C C
URINAL @ 0.50.
J
HOUSE SEWER @ 0.50 a
Z
MISCELLANEOUS (�
0
I ,
APPROVALS
E INSPECTORT NAME
ROUGH PLUMBING -
GAS PIPING
GAS VENT
CESSPOOL @ 1.00I CESSPOOL
✓�
SEPTIC TANK: I SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . 1.00 GAS TEST
i 50
TOTAL FEE S UTILITY CO. NOTIFIED
FINAL
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