HomeMy Public PortalAbout10632 KEY WEST ST_Plumbing__ D83.17 12.54 APPLICATION FOR PLUMBING PERMIT
DIVISION OF BUILDING AND SAFETY c2o.�16
Deportment of County Engineer /
County of Loa Angeles BUILDING �� 3�7
WM. J. FOX, COUNTYTYENGINEER ADDRESS �oCG.
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY
OR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER a.4,JDISTRI _ NO. GROUP ZONE READY FOR INSPECTION
MAIL
ADDRESS Same NOW
INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
PLUMBER GENERAL INSTALLATION CO. INSPECTION RECORD
ADDRESS 6558 West Blvd.
CITY L.A. 43 TEL. NOPLeasant 3-2541
LICENSE NO. 787 C-36 123470
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
1 WATER SOFTENER 1 00
TOTAL NO. @ 0.80 APPROVALS
DATE INSPECTORS SIGNATURE
GAS SYSTEM OUTLETS @ 1.00
UNDER SLAB WORK
WATER HEATER @ 1.00
ROUGH PLUMBING
PERMIT $ I 1 00 GAS PIPING
TOTAL FEE 2 00 GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS-APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY .
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
1 HEREBY CERTIFY THAT 1.AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED
CALIFORNIA OR THAT I AM THE LEGAL OW R -OF(PHE A OVE
DESCRIBED RESIDENTIA ROPERTY.
.�firr sdn�
SIGNATURE
PERM TTEE' FINAL
WILLIAM J. FOX. COUN Y ENGINEER VALIDATION
;?,90..2S. APR21 3 2.0.0
BY
DEPUTY
'`
0
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
STRICT O. GROUP ONE .
FOR APPLICANT TO FILL IN
1-raig nm
PLUMBER VALLEY BOULEVARD 2L:
BY INSPECTION
FOR
OTION
ADDRESS DATE ISSUED
8300 EAST VALLEY . aG�
ST
CITY ROSEMEAD TEL No. ADDRESS
COUNTY9elr
LICENSE ND. EXPIRES 6-3LOCALITY /
NEAREST
PERMIT FEES CROSS ST.
c
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
/ WATER CLOSET(TOILET)' 0.50 $ ADDRESS
J BATH TUB Q 0.50 _CITY TEL. NO.
SHOWER a 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK Cd 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY a 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAS SYSTEM ❑UTLETS 0 0.50
OF THE RESIDENTIAL PROPERTY DESCRIBED BOVE.
SIO
WATER HEATER Q 0.50 P RMITT f
i
SLOP SINK 0.5o I INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER (it 0.513
DRINKING FOUNTAIN ® 0.50
URINAL (OZ 0.50 J
Q
HOUSE SEWER @ 0.50 _Z
MISCELLANEOUS E3
Q'
0
APPROVALS
DATE INSPECTOR'S NAME)
v
ROUGH PLUM13ING I XP;�
a
OAS PIPING �' ✓ ///�
GAS VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) (f4 1.00 SEWER
PERMIT 1.00-g GAS TESTL_
OUTILITY CO.NOTIFIED g V,
TOTAL FEE M y
FINAL �' -
76A667 DBS#17 6-52