HomeMy Public PortalAbout10643 FAIRHALL ST_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J FOX, County Engineer
FOR APPLICANT TO FILL IN STRICT NO. GROUP I ZONE .
PLUMBER VALLEY BOULEVARD PLUMBING CO. RECEIVED BY READY FOR DATE ISSUED
` e FIRST INSPECTION /
ADDRESS 8300 EAST LALLEY BLVD. ,t�1��4V1`X3Un'1_.
BUILDING �y
CITY ROSEMEAD TEL ND AT. 2-2719 ADDRESS C/
COUNTY
LICENSE NO 93M EXPIRES` 61.30- LOCALITY -
NEAREST
PERMIT FEES CR S8 ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) O 513 $ ADDRESS
BATH TUB O SO CITY TEL. No
SHOWER e O SO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 050 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 1350 AND STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY (a 050 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAS SYSTEMOUTLETS l$ 050 OF THE REBIDENTIA PROPERTY DFrBCRIBE ABOVE
SIGNATURE
WATER HEATER Q 050 PERMTTEF
SLOP SINK 0 050 INSPECTION RECORD
FLOOR SINK Ob DSO
FLOOR DRAIN @ 050
DISHWASHER @ 050
DRINKING FOUNTAIN 050
URINAL O 50 Q
x
HOUSE SEWER a 050 ° Z
MISCELLANEOUS L'1
O
APPROVALS
DATE �INS�PECTO�R'S NAME
�/
ROUGH PLUMBING
GAS PIPING , { r
GAS VENT 1 rV, ,Y y'
CESSPOOL CESSPOOL L fr
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 SEWER
PERMIT 1 OG GAS TEST , 1 ,�
— c
Q' UTILITY CO NOTIFIED e1e
K At7D� 4
TOTAL FEE `�
FINAL
76A667 DBS#17 6-52