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HomeMy Public PortalAbout9522 WOODRUFF AVE_Plumbing__ 781887 APPLICATION FOR PLUMBING PERMIT FE eI7 8-56BUILDING AND SAFETY DMSION �• Department of County Engineer County of Los Angeles BUILDING JOHN A.LAMBIE,COUNTY ENGINEER ADDRESS L v(J CASSATT.D,GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT FILL IN NEAREST CROSS ST. OWNER . DISTRICT NO. GR-41�1OUP 1 ZONE I READY FOR INSPECTION MAIL ADDRESS ~�/ �) e.�� INDUSTRIAL CITY• V TEL.NO. WASTE APPROVAL PLUMBER INSPECTION RECORD ADDRESS CITY r TEL.Q. LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1,00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM .00 — i an APPROVALS DATE INSPECTORS SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 1 HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELS COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LE OWNER QF TH ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL P 2ER Y. G , SIGNATURE I OF PERMITTEE FINAL J J J •"'"�` " ROBF-RTA.WOOCF. JOHN A.LAMBIE.COUNTY ENGINEER VALIDATION SUPERVISING MECHANICAL ENG'R CK. M.O. CASH �; 03302 0014 3 2.00 R COUNTY OF LOS ANGELES APPLICATION FOR PERT= Department of County EngineerPLUMBING DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Enolneer FDjt APPLICANT TO FILL IN -D TRI CT a. GROUP I ZONE S rl©� � PLU BERoo READY FOR R CEIVED BY DATE1 188 FIRST INSPECTION U ` ADDRESS D Ar BUILDING ZO CITY TEL No �Ar d ADDRESS COUNTY LICENSE O. EXPIRE - —I LOCALITY � NEAREST VIKMTT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER i MAIL WATER OLOSET(TOILET) .0 X.50 IN ADDR BATH TUB Q .50 CITY TEL N SHOWER .50 I HER ACKNOWL THAT I HAVE READ THIS LAVATORY (WASH BASIN) Q O APPLICA N AND STA HAT THE ABOVE IS CORRECT AND AGREE TO COMPL ITH ALL COUNTY ORDINANCES KITCHEN SINK a .5o AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT i POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ O. O ANGELES COUNTY LIC NBE, OR 1 AM THE LEGAL OWNER GAS SYSTEM OUTLETS @O OF THE RESIDE_NTIA ROPERTY ESCRIB D ABOV SIGNATURE OF WATER HEATER Q O PERMITTEE GLOP SINK 0 o. o INSPECTION RECORD FLOOR BINK @ O O FLOOR DRAIN CAD DISHWASHER O O DRINKING FOUNTAIN Q O. O URINAL CAD I 1 Q HOUSE SEWER 0 .50 Z MISCELLANEOUS M a O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL 1,00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) 1.00 SEWER PERMIT 1.00 GAB TEST TOTAL FEE 8 ' UTILITY CO.NOTIFIED ° FINAL V � Tl,'�'.P p.<�,G l.i 7GA667 DRS#17 10/5E