HomeMy Public PortalAbout9744 WOOLLEY ST_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING ] - r
WILLIAM J. FOX, COUNTY ENGINEER .ADDRESS '�l 7 L �� �� !". _ �'• t
FOR APPLICANT TO FILL IN LOCALITY �-
BUILDINGNEAREST
ADDRESS CROSS ST. �
DISTRI T N0. G UP20N PERMIT NO.
LOCALITY I�' �r�
NEAREST
CROSS ST. 5E6EIVE0 BY Ready for Inspection DATE ISSUED
OWNERF{lll ��/
EMIL INDUSTRIAL �r®°
ADDRESS
�/O��• /�lGl i2 C� /a��� WASTE APPROVAL
CITY Q_Q�F<rA�ri - TEL.NO.0--t l�6 75o INSPECTION RECORD
PLUMBER edo" --yl.A .i
ADDRESS
CITY TEL NO.
O STATE
LICENSE NO. C7 COUNTY J
PERMIT FEES <-24 ''O F t N Ek t- G A c 2,'
1•r�Ft� z
4UM9ER TYPE OF FIXTURE OR ITEM FEE ('
WATER CLOSET(TOILET) @ 0.80 E I
/ BATH TUB @ 0.80 r.
SHOWER @ 0.80 ? - �, a Ak
_� LAVATORY(WASH BASIN) @ 0.80 ��f" ,[ S/y 6T /
KITCHEN SINK @ 0.80 V -IP w/,/'rF-0 14
LAUNDRY TUB OR TRAY @ "0.80 D
SLOP SINK @ 0.80
FLOOR SINK @ 0.80 y
FLOOR DRAIN @ 0.80 �7' -2-!_ st- :& tae k'r
/ DISHWASHER @ 0.80 WU A UIE AZ Mr-
DRINKING FOUNTAIN @ 0.80
URINAL ,rr,}} @ 0.80
I GAS SYSTEM....-7..'....OUTLETS @ 1.00 1
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE- INSPECTOR'S SIGNATURE
UNDERSLAB WORK - 941,
PERMITs 1 00 ROUGH PLUMBING
T
TOTAL FEE 9 GAS PIPING --- -
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- /
GAS VENT 2
l.AT10N AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER ��I.' •Yl'i/./
REGULATING PLUMSIY WITH NGOUNTY ORDINANCES AND STATE LAWS PLUMBING FIXTURES 7
1 HEREBY CERTIFY THAT i AM PROPERLY REGISTERED tllF!lEDq
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TESTAND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OFTHE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NO
f
SOF PERMITTEE ..-�:.�1.�.�s `�� " FINAL
76A087 DBS 17
~' TLEMPLIE (CITY
76A667XE812 12/59.
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES -
DEPARTMENT OF COUNTY ENGINEER
BUII.DI R AID 51 FETY JMSION BUu.DnNG
JOHN A. M 1 OUNTY NGINEEa ADDRESSzr
WILLIAM A.JENSEN,SUPT OF BUILDING P
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET
BATHTUB ADDRESS
CITY TEL.
SHOWER
LAVATORY CONTRACT R
SIIVB ADDRESS
DISHWASHER CITY TEL NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT N GRO ZO E PW9 BY
WATER HEATER f V
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INIMECTION RECORD
O
V
• Ri
0
F
V
W
a
w
W $1.00 PER ITM
OR FDClURE S I APPROVALS D TE INSPE„G R'Sp SIGNATURE
PERMIT 51 00 UNDER SLAB WORK -
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 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[ PROPERTY UTILITY CO.NOTIFIED r\
SIGN
OFPERMITTF �� A" FINAL
®a VALIDATIO ROBERT A.WOOD.
CK. M.C. / J SUPERVISING MECHANICAL ENG'R
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