HomeMy Public PortalAbout4911 PERSIMMON AVE_Plumbing__ 76A667 Dee» 1:-80 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY PLUMBING
= COIINTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
.FOR' APPLICANT TO FILL IN - DISTRI t. GROUP ZONE U.
PLUMBER L u �f RECEIVED BY READY FOR ATE ISSUED
FIRST INSPECTION
ADORE 8
CITYBUILDIN
i/Y/V �fl�/� TEL.No. � �,.. G l � �/,,
ADDRESS a� /L :J..ei�✓vi
COUNTY LOCALITY 7J
LICENSE NO. EXPIRES
NEAREST [''� �7a-c-�-v"�
PERMIT FEES CROSS ST. z /F�
NUMBER- TYPE OF FIXTURE OR ITEM FEE OWNER Craves`
'
WATER CLOSET(TOILET) 0.50 16 AIL
A MAIL
BATH TUB O.SD CITY CC& y494-- TEL No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LICENSE, OR I AM THE•LEGAL OWNER
OF THE REBIDENTI///���iiL�Pj}OPE T(Y�DLESOC�RIBED ABOVE.
GAS BYSTEM OUTLETS 0 0.50 / .` v_� - �
SIGNATURE OF G(,x"
WATER HEATER 19 0.50 PERMITTEE
SLOP BINK 0.50 INSPECTION RECORD
FLOOR BINK 0.50 /
FLOOR DRAIN @ 0.50
DISHWASHER 13.513 A / A?ej1/5�EL rly
DRINKING FOUNTAIN 0.50 �rrfJ/4.op e— A X 64,Jh
URINAL 0.50 .G]R./ ����ffG. �`' A �� J
HOUSE SEWER O.BC
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT /
CESSPOOL l;OO CESSPOOL
' PTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT .
1,00 GAS TEST
l UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
M
m'all. " °'dO le APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
j' fLt f G c,
FADDRESS
G( / /�/ RECEIVED BY READY FOR DATE ISSUED
1 FIRST INSPECTION
/a / l !' �t.. R d ��
��jj Rj ADDREBUILDSNG S
iI
CITY a O/e 1 TEL. NO. /i 7 cs p/
LICENSE NO. EXPIRES cY r COUNTY
LOCALITY T /
CROSS ST. E.Y� !`'r I 5 A
PERMIT FEES
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNER
O WATER CLOSET (TOILET) (e� 0.50 $ 7Q MAIL M 1 / f,� /�
ADDRESS I t LI C� /'d•
BATH TUB Q 0.50 I .4 61 CITY d TEL. NO.,� I a '77
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 AAVE READ THIS
® LAVATORY (WASH BASIN) �i 0.50 _�+ APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
® KITCHEN SINK (d 0.50 Q STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY (� 0.50 ANGELES COUNTY LICE E. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL P2OPEjtTY DES$rRIBED ABOVE.
GAS SYSTEM—At-OUTLETS (Rl 0.501
SIGNATURE OF
WATER HEATER Ca 0.50 6/ PERMITTEE
SLOP SINK Cal o.so I INSPECTION RECORD
FLOOR SINK as 0.501
i
FLOOR DRAIN 0.50
DISHWASHER Cal 0.501
DRINKING FOUNTAIN (d 0.501
URINAL Cal 0.50_1 f� �_`:7 iC-7.- A 4J
I HOUSESEWER Cal 0.501 Q
MISCELLANEOUS
Z
O
1I
1
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING �`
_GAS PIPING 4
1 GAS VENT y
CESSPOOL 1.001 _CESSPOOL
SEPTIC TANK: SEPTIC TANK
j I DRAIN ( ) PIT ( ) ® 1.00 -SEWER
GAS TEST /
PERMIT . 1.00 "
• _ UTILITY CO. NOTIFIED �f
TOTAL FEE I $ �IC6
FINAL
�y i� s-50 = . f;`` APPLICATION FOR PERNIIT
DEPARTMENT OF BUILDING AND SAFETx% PLUMBING
COUNTY-OF LOS.ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP 1. ZONE PERMIT NO.
PLUMBER �,_/ /�/ RECEIV.ED BY READY FOR DATE ISSUED
'FIRST INSPECTION
ADDRESS' I a /� N. Rd
' t, •BUI•LDING .
CITY D/� TEL.. NO. s ADDRESS �. ft
COUNTY LOCALITY T• .� I
LICENSE NO. ' EXPIRES_ `• CJ
NEAREST
PERMIT FEES CROS ST.
NUMBER TYPB.OF FIXTURE ORITEM FEE OWNER 4—
-
MAIL
9 WATER CLOSET (TOILET) 0.50 ffi t9 ADDRESS i N tfwx I'l
4 . BATHTUB' (t/' 0.50' D OITY TEL. NOT 7-AD 4 r,
SHOWER- ® 0.50 I HEREBY ACKNOWLEDGE THAT 1 AAvE READ THIS'
® LAVATORY YWASH 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 1 CERTIFY. THAT I POSSESS THE •ABOVE VALID LOS
LAUNDRY TUB OR TRAY . O.so; 4 ANGELES-COUNTY LICE SE. .OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL OPEFTTY D IBED ABOVE. ,
1 GAS SYSTEM-3-OUTLETS (Bb 0.50.
-%. 1
SIGNATURE OF
WATER HEATER 6 .0.50 PER__
SLOP SINK @ o.so INSPECTION RECORD '
FLOOR SINK C:1 0.80
FLOOR DRAIN Q. 0.50'
DISHWASHER 0.50 �!'Z
DRINKING FOUNTAIN @."0.s0. f"1iE� c �-
URINAL Q 0.50 �(j 5-7` -
HOUSESEWER 0.50I 7Z
/• �Cr _
MISCELLANEOUS
O
APPROVALS
D TE' IN806CTOR'S NAME
ROUGH PLUMBING
• _ GAS PIPING Of'
GATS VENT
CESSPOOL .® 1:00. CESSPOOL .
SEPTIC TANK: SEPTIC TANK -
DRAIN ( ). PIT (, ), @ 1.00 SEWER
PERMIT.. 1.00 GAS TEST
UTILITY CO. NOTIFIED J 4 ,
i
TOTAL FEE I.ffi d FINAL U