HomeMy Public PortalAbout10024 LA ROSA DR_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES
,8UIL01 NG
WILLIAM Ji. FC X, COUNTY ENGINEER - :ADDRESS Jnn 2 f�Ln �/SLL?i�
FOR APPLICANT TO FILL IN LOCALITv /✓i !Q> /�i
NEAREST
ADDRESS 1002 La Rosa CROSS ST.
DISTRICT N0. GROUP ZONE - PERMIT N0.
LOCALITY Temple City
NEAREST
CROSS ST. RECEIVED BY Reedy for Inspection DATE ISSUED
OWNER Spencer
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL.NO. �Q Z/--XINSPECTION RECORD
PLUMBER Belvedere Plumbing Co. 7;;T
ADDRESS 11900 E. Garvey Blvd.
clTv El Monte TEL.No. FO 89$36 �I // �Ae s7` %.t ®fy
STATE
LICENSE NO. 54932 - O COUNTY
J
PERMIT FEES i
�.MOER TYPE OF FIXTURE OR ITEM FEE ul
2 WATER CLOSET(TOILET) @ 0.80 $1 60
BATHTUB @ 0.80 180
SHOWER @ 0.80 80
2 LAVATORY (WASH BASIN) @ 0.80 1 .60 /,• P _
1 - KITCHEN SINK @ 0.80 80 �. / V A 'e
1 LAUNDRY TUB OR TRAY @ 0.80 80
SLOP SINK @ 0.80
FLOORSINK @ 0.80
FLOOR DRAIN
DISHWASHER @ '0.80
DRINKING FOUNTAIN @ 0.80
URINAL @0.80
GAS SYSTEM-6..------OUTI-EiS @ 1.00 1 .00 •v
WATER HEATER @ 1.00 1100
MISCELLANEOUS
1 disposal 80 APPROVALS
1-1 d 1—.80 DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT S 1 00 ROUGH PLUMBING D'Z Sr
TOTAL FEE 11 ,00 GAS PIPING
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI-- GASVENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES •yyS
I HEREBY CERTIFY THAT I. AM PROPERLY REGISTERED /
AHD/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN.
ER OF THE ABOVE DESCRIBED REBID TIAL PROP RTY. UTILITY CO..NOTIFIED y-1,0 If _Ie.n.✓f
SIGNATURE _ _ �•
OF PERMITTEE.....? FINAL
709687 DHS 17 r b 12.53 408