HomeMy Public PortalAbout5827 PRIMROSE AVE_Plumbing__ 76A667 DOS 17 77-50 � APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY �°
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
DIST
�jFOR �APPLICANT TO FILL IN R. OU
PLUMBEii��y j� (j��x RE IVED BY RED FOR DATE ISSUED
FIR I�NBPECTIDNBUILDING
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ADDRESS � r •
CITY / /% ��.• �L� TEL Na SJe�j®,�.� ADDREBS- e� �I'/
COUNTY
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LICENSE NO.Jefl 9110 �EXPIRES f�s�8� LOCALITY
`PERMIT FEES CR SS 9T.
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NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
�q�
MAIL 6�'►(�q jt7 /.�.�° f�''c•1'�
WATER CLOSET(TOILET) 0 0.50 1$ ADDRESS
1
BATHTUB 0 0.50
CITY TEL No.
SHOWER 0 0.50 1 EBY AO.KN WLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0 0.50 APPLI ATION AI@D�TATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSEEBB THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LIC SE. OR 1 AM THE-LEGAL OWNER
GAS SYSTEM-OUTLETS 0.50 OF THE RESIDENTIA OP RTY DESCRIBED ABO E.
SIGNATURE O
WATER HEATER a 0.50 PERMITTEE'
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ O.SO
FLOOR DRAIN 0.50
DISHWASHER (B 0.50
DRINKING FOUNTAIN 0.50
URINAL 0.50 A
Q
HOUSE SEWER a O.Sp _Z
MISCELLANEOUS L9
IY
O
APPROVALS
DAT INOPECTORIS MA E
ROUGH PLUMBING 'S
SAB PIPING
GAS VENT
CESSPOOL 1:0p CESSPOOL
SEPTIC TANK, SEPTIC TANK
DRAIN ( ) PIT ( ) (Ell 1.00 SEWER
PERMIT I 1.00 GAB TEST i
TOTAL FEE
UTILITY CO.NOTIFIED /
�
FINAL .. �,...E� E 1 J_
78Pi887-CE817 9-58 ' -
APPLICATION FOR PLJMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING � 0
TrORN A. LAMBIE, County Engineer ADDRESS
CASSATT D. GRIFFIN,Supt of Building LOCALITY
FOR APPLICANT TO Fa.I. IN NRI p g gT, ,moi✓'
NUMBER FIXTURE OR ITEM
OWNER �!y
WATER CLOSET MAIL
BATE TUB ADDRESS
SHOWER CITY TEI-NO. 7 /O
LAVATORY CONTRACTOR
mm ADDRESS
DISHWASHER • CITY ^•TEL. NO.
CONTRACTOR'S STATE 0-
LAUNDRY TUB REGISTRATION NO. 17 -COUNTY ❑
CLOTHES WASHER. DISTRIGTNO. GROUP I ZON�Ep PIMMSED BY
WATER BEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
Q' I.00 PES ITSM
.0R FEQ1rRl3 $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 ` UNDER SLAB WORK
TOTAL FEE 6 p ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE.READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY .
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR PLUMBING FIXTURES '
LICENSENIA OR THAT I AM TD AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFOROWN OF THE ABOVE
DESCRIBED RESIDENTIAL PROP. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEIr
FINAL 3
OF MMATION ROBERT A.WOOD, '
C8. ' M.0. CAM SUPERVISING MECHANICAL ENG'R
LCD 7 6.0 8 So 4it►ft 3.00 M