HomeMy Public PortalAbout10218 NADINE ST_Plumbing__ 7"aff 17 9-40 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTWeTlqo GROUP ZONE l7g[T N;)
PLUMBER (%�j IVED BY READY FOR DATE ISSUED
J� FIRST INSPECTION
ADDRESS �V
BUILDING
CITY TEL NO y 3 ADDRESS
•
COUNTY ` D � LOCALITY
LICENSE NO BXPIR
NEAREST
PERMIT FEES CROSSST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
` 1
MAIL
WATER CLOSET (TOILET) dD O SO 8 ADDRESS G�
BATH TUB a O Bo CITY TEL NO Ottb
SHOWER a O So 1 HEREBY ACKNOWL11609 THAT I HAVE READ THIS
LAVATORY (WASH BASIN) ® O SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O So STATE LAWS REGULATING PLUMBING
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY 0 O SO ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
GAS SYSTEM-J—OUTLFTSOF THE RESIDE TIAL PROPERTY DESCRIBED ABOVE
O SO SIGNATURE OF '
WATER HEATER dD O So PERMITTE
SLOPSINK a O 80 INSPECTION RECORD
FLOOR SINK 9D O BO
FLOOR DRAIN a O SO
DISHWASHER a o So
DRINKING FOUNTAIN ® 050
URINAL 080 J
I HOUSESEWER ® 050 Z
MISCELLANEOUS a
E
I
APPROVALS
DATE NBPECTOR B NAME
ROUGH PLUMBING
GAS PIPING 4
GAS VENT
II CESSPOOL dD 1 00I CESSPOOL
1 SEPTIC TANK I SEPTIC TANK
DRAIN ( ) PIT ( ) ® 100 SEWER
PERMIT 1 00 GAS TEST
UTILITY CO NOTIFIED •'
TOTAL FEE $ t
FINAL I
APPLICATION FOR PERM
DEPARTMENT OF BUTI.DTrTG AND SAFETY PLUMBING
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COUNTY OF LOS ANGELES P
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICTJVO GROUP ZONE PERMIT NO
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o-
PLUMBER ECEIVED BY READY FOR DATE ISSUED
ADDRE88 RIRBT INSPECTION
BUILDING 91/
CITY TEL NO ADDRESS
COUNTY LOCALITY
LICENSE NO EXPIRES
NEAREST
PERMIT FEES CROSS ST
r
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL if
WATER CLOSET (TOILET) O 80 S ADDRESS
BATH TUB O SO CITY TEL NO
SHOWER 9b O 80 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ O 80 APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK G O SO STATE LAWS REGULATING PLUMBING
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY a O 80 ANGELES COUNTYLI ENSE OR I AM THE LEGAL OWNER
OF THE RESIDENTI OPERTY ESCRIBED ABOVE
GAS SYSTEM OUTLETS ® O SO SIGNATURE OF
L_40
WATER HEATER a O 60 PERMITTE
SLOPSINK @ O SO INSPECTION RECORD
FLOOR SINK O So
FLOOR DRAIN Ib O 8o
DISHWASHER O 80I
DRINKING FOUNTAIN O 80
URINAL Oso-- J
HOUSESEWER @ 050 Z
MISCELLANEOUS 19
d'
G
J APPROVALS
DATE INSPECTOR 8 NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL too CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) too SEWER
PERMIT too GAS TEST
S Ia UTILITY CO NOTIFIED •
TOTAL FEE / FINAL