HomeMy Public PortalAbout9628 WOODRUFF AVE_Plumbing__ 76A667 DES 17 11-60 APPLICATION FOR PERMIT
DEPARTMENT OFBUILDING AND SAFETY PLUMBING
COIINTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
SRO PERMIT N93-
FOR APPLICANT TO FILL IN DISTRICT N.D.
PLUMBER �� RECEIVED BY READY FOR D TE ISSUED
4. FIRST INSPECTION �—
ApDRE88 Am
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BUILDING P
CITY 9 C9� TEL.No. ADDRESS �9 PHEJ
LICENSE NO.COUNTY r2-13
EXPIRES LOCALITYNIZA .
PERMIT FEES CR09 S. c.'Z m.,-@®P
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER LVp �a
MAIL
WATER CLOSET(TOILET) a 'O.SO # ADDRESS
BATH TUB a 0.50 -El CITY TEL No.
SHOWER Q 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE A80VE18 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POME13B THE A8OVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAB SYSTEMOUTLETS 0.50 OF THE RESIDENTIAL PRDPER77 DESCRIBED ABOVE.
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SIGNATURE OF y�
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK 0.50 INSPECTION RECORD �I
FLOOR BINK Q 0.50 X7--,
FLOOR DRAIN 0.50 u 1� ri �
DISHWASHER 0.50
DRINKING FOUNTAIN Q O.SO `
URINAL O.SO A `
HOUSE SEWER 0.50 3 .S� N L P�•• (��- Z
MIBCELLANEOUB
a �1
QA 176 GlN EH o WrD �
APPROVALS
DATE INBPEifrows NAME
ROUGH PLUMBING
v
GAS PIPING
GAB VENT l�) �� •'G_
CESSPOOL 1:00 CESBPOOL
SEPTIC TANK. SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 llp. SEWER
PERMIT •-
1.013 GAS TEST F////-? L L-L/--P
3r� UTILITY CO.NOTIFIED /1
TOTAL FEE �..-- v17
FINAL
4
70MB7-CE817 12/S TMIE"MARLE CHT
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING
AND�,SAFETY IVISION KDDRESS
_Qyr
JOHN A. LAM 1 COUNTY NGINEER
WILLIAM A.JENSEN,SUPT of BUILDING
FOR APPLICANT TO FILL IN
NUMBER FIXTURE OR ITEM
WATER CLOSET
RATS TUB �^f3�
TEL.NO
SHOWER
LAVATORY CONTRACTOR
sm ADDRESS Q Q
DISHWASHER CSA� NO. ®�I
CONTRACTO 'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DIS ICT NO GRQU ZONE PR '/SE/D�BY
WATER HEATER d C.J �' c �C CSC '
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
O
V
OG
O
w
a
rA
Q $1.00 PER ITEM
OH FDCTU88 $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ $ 00 UNDER SLAB WORK
TOTAL FEE 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT i AM THE LEGAL OWNER 'OF THE ABOVE
DESCRIBED RESIDENT[ PR RTY. UTILITY CO.NOTIFIED
SIGNATURE f
OF PERMITTE FINAL Z'2t��� j^p��`A Zvi
®a VALIDATION ROBERT A.WOOD,
M.O, CASH SUPERVISING MECHANICAL ENG'R
t. LhU 2 u 7 &Z8 DEC 7 5 D 3.50- 01 Ic