HomeMy Public PortalAbout4926 PERSIMMON AVE_Plumbing__ 76A667 DBS 77 7-51 APPLICATION FOR PERMIT
Dr^+PARTMENT OF BUILDING AND SAFETY
COUNTY OPL LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER P L U MEmb 114 G
AOR APPLICANT TO FILL IN D R GR P ZONE P .
PLUMBER ) , RE EIVED BY READY FOR DATE ISSUED
l P I •B po - / �/� FIRST INSPECTION
ADDRESS 'P ✓r� /jam o�].���, / l rr"�,r c�--j ry e`,
• ADDRESS !` VSA A CA IV
NG
CITY TEL Na. p �p
LOON E NO. EXPIRES LOCALITY I r,.h(l1 do L�_// cs/�l
CROSS 8T. ��. /� ,er1Y NfJ
PERMIT FEES ^
NUMBER TYPE OF FIXTURE OR ITEM FEE OnWNER 6 e
MAIL
WATER CLOSET(TOILET) 0.50 $ ADDRESS
BATH TUB 0.50 CITY TEL NO.
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 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.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O.SO ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
GAS SYSTEM nUTLETB @ 0.50 SIGNATURE OF
OF THE RESIDENTI PROPERTY DESCRIBED—ABOVE.
WATER NEATER @ 0.50 PERMITTER
SLOP BINK 411 0.513 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER O.'SO
DRINKING FOUNTAIN 0.50
URINAL 0,50 J
HOUSE SEWER 0.50 Z_
MISCELLANEOUS L7
!Y
O
I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAB PIPING
GAS VENT
I 'CESSPOOL 1,00 CESSPOOL
4 SEPTIC TANK: SEPTIC TANK d' � � /C�//t RJ 4
DRAIN ( ) PIT ( ) 1.00 SEWER
I; PERMIT 1.00 GAB TEST
UTILITY CO.NOTIFIED
TOTAL FEE FINAL �/fij ,�/e/C,,,,o.+
>allmar 1s Bowo • s>dPLIC TIOR FOR PEDUT
DEPliBTllBM OF SQa.DIIM A1ND SAFE'PY
Ooum OF PLUMBING
LUMBING 7
LOS "MES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DIFMIC NO. GROUP ZONE PERMITNO.
PLUM■ERv v O !��A - +J /�� RECE 1 ,■Y READY FOR DATE ISSUED
u w l` , , FIRST IN.PECTIOI�
��
ADDRESS G= /4XJ�// 4f
CITY TEL NO./ c''n 1
COUNTY , O LOCALITY• • i
LICENSE NceES
NKAREST
Ppm Fm CROSS ST.
• i7/f/
NYYREB TYtR OF 17iiURR OR 17RY FEE OWNS 8
MAILj
WATER CLOSET TOILET O.BO 8 .i.J ADDRESS 3 cY1lI eL0
■ATH TUB 0 0.5k CITY t./ TEL NO. .•y /i�
BHOWER 0.00 1 HERESY ACKNOWLEDGE TNA; 1 HAVE READ THIS
LAVATORY WASH BASIN 0.BO V APPLICATION AND STATE THAT THE ABOVE 1■CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK 0.80 4 STATE LAWS REGULATING P . B1
I CERTIFY THAT 1 2111 ,17- ABOVE VALID IAS
LAUNDRY TUN THAT 0.00 r a OF THE RESIDE Lf ORDESCRI■THE LEGAL
ED A■OYE. OWNER
GAS SYSTE UTLETS 0.00 SIGNATURE OF
WATER NEATER 0 0.50 PERMITTE
SLOP BINK 0.00 bMkCTION RECORD
FLOOR BINK 0.50
FLOOR DRAIN 0.50 -
DISHWASHER 0.80
DRINKING FOUNTAIN 0.00 � v- , v c
URINAL 0.00 ,J
HOUSE SEWER O.BO - J Z
MISCELLANEOUS (�
O
APPROVALS
DATE INBPRCTOR'R NAMR
ROUGH PLUMBING mI
GAB PIPING • r L s. +
GAB VENT
CESSPOOL 1.00CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) ® 1.00SEWER
PERMIT . GAs TEST
UTILITY CO. NOTIFIED
TOTAL FEE 797FINAL
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