HomeMy Public PortalAbout9655 WOODRUFF AVE_Plumbing__ 76A667 DRB 17 11-60 APPLICATION FOR PERMIT
DEPARTMENT OF LOS NG AND SAFETY PLUMBING
I G
COUNTY OFF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
MIT NO.
FOR APPLICANT TO ILL IN D T G P I •O R
PLUMBER 13�CEIVED BY READY FOR DATE ISSUED
. I I � /�'� FIRST INSPECTION
ADDRESS � r
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CITY CZ S EGL TEL No.� . AD sZ //
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ENSE NO. v�/fif"
EXPIRES
PERMIT FEES CR SS ST. cm I7h
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER t. W.
MAI L
WATER OL13BET(TOILET) @ 0.50 S ADDRESS
BATH TUB 0 0.50 DITY TEL. No.
SHOWER (il 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 13.50 APPLICXTIGN AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
F CERTIFY THAT I POSSESS THE ABEPVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANEELE13 BOUNTY OF THE RES DENT LICEPNSE
P,
OR I DASC UC LEGAL OWNER
GAB SYSTEM ="UTLETS a 0.50
WATER HEATER 0 0.513 BIGNPATR�RiT O� eVwC
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK a 0.50
FLOOR DRAIN Q 13.50
DISHWASHER @ 0.50 ,
DRINKING FOUNTAIN 0.50
URINAL (B 0.50 f. . I7_ !�� / ~/,ti ice !•" Q
HOUSE SEWER 0.50 �� J)-5` /"/ 7 �1� Z
MISCELLANEOUS I�C. rLL''�7 F ' 9c„ O
APPROVALS
DATE INBPEOTOM
R-B NAE
OWNROUGH PLUMBING J Ol1
.-GAS PIPING 1
GAS VENT
CESSPOOL 1,,013 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIED r Z�
TOTAL FEE � C�! 10,0
FINAL e)
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER- FIXTURE OR ITEM EACH FEET
- OWNER c; (i e
WATER CLOSET $1.25
BATH TUB 1.25 ADDRESS- t
SHOWER 1.25 CITY r TEL. N �-
LAVATORY 1.25 CONTRAC
SINS1.25 ADDRESS ® +l
DISHWASHER 1.25 CITY TEL.N �57�
LAUNDRY TUB 1.25 CON CT S STATE
REGISTRAT N NO. �� COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P SSED BY
WATER HEATER 1.50 if r
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTIO,NJ RECORD
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
LL
L COUNTY ORDINANCES AND STATE LAWS REGULATING 'HOT WATER HEATER
G. -
EBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
NIA OR THAT 1 AM HE EGAL OWNER OF,AND INTEND TO
N,THE ABOVE DE RI RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIEDURERMITTE FINAL r��
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VALIDATION--, ROBERT A.WOOD r '
CK. M.O. qCC PC BHH SUPERVISING MECHANICAL ENG'R
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