HomeMy Public PortalAbout5524 MCCULLOCH AVE_Plumbing__ PLUMBING - 1
DEPARTMENT OF COUNTY ENGINEER
DI-VISION OF BUILDING AND SAFETY -PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY_ ENGINEER. ADDRESS-
FOR APPLICANT ILL LOCALITY
BUILDING NEAREST'
ADDRESS 6-�• CROSS ST.
I . DISTRICT GROUP ZONE -PERMIT_NO.
LOCALITY /.
NEAREST
CROSS ST. RE E1 $� Ready for Inspection D E 1 SUE
OWNER 3131-574-1
MAIL
"ADD �� INDUSTRIAL
-ADDRESS WASTE APPROVAL
CITYTEL. o, INSPECTION RECORD
PLUMBER /
ADDRESS de J 10174
V.
CITY TEL NO.
LICENSE NO.
/.?evs-,3 k-(/.---eG 7.2 :5C UNTY J
PERMIT FEES z
NUMDER TYPE OF FIXTURE OR ITEM S FEE
WATER CLOSET(TOILET) A 0.80 $ O
BATH TUB 0.80 LJ
SHOWER 0.80 _
LAVATORY(WASH BASIN)
KITCHEN SINK 0.60
LAUNDRY TUB OR TRAY-. . (aZ 0.80••
SLOP SINK 0.80.
FLOORSINK x'.0.80' -
FLOOR DRAIN Q 0.80•-
DISHWASHER @_0.80
DRINKING FOUNTAIN -0.80 '
URINAL @ 0.80
GAS SYSTEM--- ----OUTLETS-"-' @:'1.00 y�
WATER HEATER. Q 1.00
MISCELLANEOUS
APPROVALS
DATE 'INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING -
• TOTAL FEE- .`
1 HEREBY ACKNOWLEDGE THAT I'HAVE READ T9I8 ARP
LI- GAS VENT
CATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE' HOT WATER HEATER.
TO COMPLY WITH ALL-COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING-FIXTURES
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND D STATE OF CALIFORNIA OR THAT I AM THE LEGAL 0 N- y -
ER OF THE ABOVE SCRIB REESIDE IAL PROPERTY mile.,
UTILITY CO.NOTIFIED / '� yt n Lt11 L,�
- SIGNATURE -'
OF PERMITTEE�& ....-.f
FINAL- V- Y
76AO67 DBS 17 1/53