HomeMy Public PortalAbout5621 ROBINHOOD AVE_Plumbing__ APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
Y COUNTY OF LOS ANGELES PLUMBING '
`I WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
4,11f l7 2. 9 -y6
PLUMBER VALLEY BOULEVARD PLUMBING CO EE
RECEIVED BY READY FOR DATE ISGUD
FIRST INSPECTION
ADDRESS 900 E4Sf VALLEY BLVD.
F J
CITY ROaE�dEAD TEL. NO. AT. 2-2719 BUILDING ,-
COUNTY 93h1 6-30,57 LOCALITY L
C NSK No. IRKS
N EAR¢77't'
PERMIT EFS CROBB UT.
MUY6ER TYPE OF FIXTURE OR ITEM FEE OWNER �-Q
C/-17/WATER CLOSET TOILET ADDRUMB
MAIL O.80 O MAIL
MATH TUB 0.50 _115-4 C N
SHOWER 0.60 0 1 HEREBY KNOW'PrDGE' THAT 1 HAVE READ THIS
LAVATO WASH MABIN 0.80 APPLICATION AND f1TATE THAT THE ABOVE in CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCK8 AND
KITCHEN BINK O. STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POOSEB• THE ABOVE VALID Lot
LAUNDRY TUC OR TRAY 0.50 ANGELKs COUNTY LI SE. OR 1 AM THE LXGAL OWNER
OF THE RESIDENTI ERTY DEDCRICED ABOVE.
GAS OUTLSTB 0.80 SIGNATURE OR
WATER HEATER 0.80 PERMITT
•LAP OINK 0.50 INSPECTION RECORD
FLOOR BINK 0.80
FLOOR DRAIN 0.50
DISHWASHER 0.501
DRINKING FOUNTAIN 0.80
URINAL 0.150
HOUSE SEWER 0.150 Z
MIOCELLANEOUS G
0
APPROVALS
DATI I,KzpxcToR.s BAMS
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 1.00 CESSPOOL
SE3-TIC TANKi SEPTIC TANK
DRAIN ( ) FIT ( 0 1.001 SEWER
PERMIT . 1.00 GAO TEST --- `
UT
CO. NOTIFI¢ '{
TOTAL FEE • e�l0111 P
• FINAL '
0�,-71l.a fi APPLICATION FOR PLUMBING '. PERMIT
wimoN OF BUILDn(G AND SAFETY 1
Depwftmd of &..fy1-1
co=l7 o3 LO` AnQ'V' BU I LD I N G
WAI.J. PDX, COUNTY ENa1Nmt ADDREGG SG .4?001,VjOW•,D ✓�
CAA ATT D.GRIMM,SurT or tuwilMa
Lo TY Ar c. T
FOE'APPLICANT TO FILL nq N EAR[BT
c av�Lr[:
OWN
[R S LYf DISTRICT NO. GROUP ,,ZZONE lKADY FOR IMSPKCTION
ADDR O �/�� — _ c /„�r►
` INDUSTRIAL ' 1
crry .4I ur O 7� L W K RM
PLUMBER IN PECON RECORD
ADDRESS
CITY TW- NO.
UCKN13E NO. 40
NuMa[R TYr[OP FIXTURK 011 PTtY FIX
WATER CLOGET (TOILIKTJs -
IATH TUI
SHOWER
LAVATORY (W"H EAfIN)
KITCHEN SINK
DISHWAGHER
I .
I LAU DRY TUI OR
1
CLOTHES WASHER
I
1
TOTAL NO 0.80 APPROVALS
DAT INSPECTOR'S SIGNATURK
GAS SY>zTE oUT'LETs 1.00
nND sLwn woax
WATER HEATER 1.00
ROUbH PLUMDING
PERMIT 0 1 00 GAG PIPING
TOTAL FEE A GAG Vgit
I HEREBY ACKNOWLEDGE THAT- 1 HAVE READ THIP APPLICATION HOT WATER HEATER
AND STATE THAT THE.ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAVIS REGULATING PLUMCING-FIXTURES
PLUMBING.
I HEREBY CZRTIFY .TRAT I AM PROPERLY REGISTKRED AND/OR GAS TENT
LICENSED AS REQUIRED BY LOS ANGELES C AND *TATS ppF UTILITY CO NOTIFIED
CALIFORNIA OR THAT I AM THE LEG O OF THE ABOVE
DESCRIBED RESIDENTIAL
SIGNATURE
OF PERMITTE FINA
WILLIAM J. FOX,COUNTY ENGmmm VALIDATION
"T02-0 3 91SJM293
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DEPUTY