HomeMy Public PortalAbout5424 CAMBURY AVE_Plumbing__ 79AB67 iT S-SO 0 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS 'ANGELES (�gA
+ � WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICTNO. GROUP ZONE PERMITNO.
S 7603-7- 2r-
PLUMBER CO- RECEIVED BY READY FOR DATE ISSUED
FI RST INSPECTION
ADDRESS A100 EAST VAI FY RI yD_
CITY ROSEMEAD TEL. NO. AT. Z•ZI Ig BUILDING
ADDRESS
COUNTY
RES 6 C "S
LICENSE NO. 93M EXPI .30• / LOCALITY [r✓� /
NEAREST
PERMIT FEES CROSS ST. liy.y�
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNERMAIL
W.CTER CLOSET (TOILET) .SO ADDRESS 7� /'✓-r4-0 /� sJ -//!3//A
/ I BATHTUB @ 0.50 J -CITY
SHOWER @ 0.501- I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O.S. .�� APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
rKITCHENSTATE LAWS REGULATING PLUMBING.
SINK @ 0.50 1CERTIFY THAT i POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 6 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
`` 2.� OF TRESIDENTIAL/PROPERTY DESCRIBED ABOVE //GAS SYSTEM�OUTLETS @ 0.501 5_& SIGNATURE OF /✓/
/ WATER HEATER Q 0.501 5-6 PERMITSE �/r "`---�%% //����//��������//////[[[[[[Q/1.�/.Fl+f- L.G
:=SINK @ 0.501 INSPECTION RECORD
FLOOR SINK @ 0.501
FLOOR DRAIN Q 0.501
DISHWASHER Q 0.501
DRINKING FOUNTAIN @ 0.501
URINAL @ 0.50 J
HOUSESEWER @ 0.501 Q
MISCELLANEOUS
1 o
I I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING `
JGAS PIPING
GAS VENT
1 CESSPOOL @ 1 00 CESSPOOL
SEPTIC TANK' SEPTIC TANK
DRAIN ( ) PIT ( @ 1.001 SEWER
PERMIT 1.00 GAS TEST
TOTAL FEE
UTILITY CO. NOTIFIED
I $
FINAL