HomeMy Public PortalAbout6338 BARELA AVE_Plumbing__ J,667 17 5-60 ® APPLICATION FOR PERMIT
.. '15t-PARTMENT OF BUILDING AND SAFETY PLUMBING
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COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRIG3 NO. GROUP ZONE PEMIT NO.
VALLEY BOULEVARD PLUMBING CO.
PLUMBER RECEIVED BY READY FOR DATE ISSUED
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8300 EAST VALLEY BLVD. FIRST INSPECTION
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ADDRESS /
ROSEMEAD AT. 2-2719 BUILDIADDRESS
CITY TEL. NO.
COUNTY 93M - LOCALITY
LICENSE NO. EXPIRES '-
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ 0.50 $ I ADDRESS41
BATH TUB Q 0.501 CITY , ! TEL. NO,. � _
1 SHOWER Q 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
J KITCHEN SINK @ 0.50I STATE LAWS REGULATING PLUMBING.
1 I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL.RROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.501 SIGNATURE OF
WATER HEATER @ 0.501 PERMITTE$:_" _
SLOPSINK @ 0.501 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.501
DISHWASHER @ 0.501
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50I
J
HOUSE SEWER @ 0.501 '� Z
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S NAME
I� ROUGH PLUMBING
GAS PIPING
�. GAS VENT
CESSPOOL @ 1.00 O 40 CESSPOOL
SEPTIC TANK: I -I SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.00 SEWER 1
PERMIT . 1,00 GAS TEST
TOTAL FEE $ r. UTILITY CO. NOTIFIED
G/ FINAL
7QA667 17 °"SO ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRyT NO. GROU�ZONE PERMIT NO.
y,
PLUMBER VALLEY BOULEVARD PLUMBING CO. RECEIVED BY READY FOR DATE ISSUED
Cs' FIRST INSPECTION
ADDRESS 9C0 EAST VALLEY BLVD. `
RO::EMEAD P.T. 2'2719 ADDLD
REISS l
CITY TEL. NO. C
COUNTY ���•� 6 30' SI LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
1 WATER CLOSET (TOILET) @ 0.50 $ ADDRESS -
IBATH TUB Q 0.50 CITY TEL. NO.
SHOWER Q 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
%
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND LAVATORY (WASH BASIN) Q 0.50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50 SIGNATURE OF
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK Q 0.50
INSPECTION RECORD
FLOOR SINK @ 0.501
FLOOR DRAIN Q 0.50
DISHWASHER Q 0.501
DRINKING FOUNTAIN @ 0.501
URINAL @ 0.501 I J
1 HOUSESEWER @ 0.5010 Q
MISCELLANEOUS 1 I D
I�
I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.001 CESSPOOL
SEPTIC TANK: I SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . . I I.00 GAS TEST /A/ 1-
TOTAL FEE 2'S
UTILITY CO. NOTIFIED
$
FINAL I i,�