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HomeMy Public PortalAbout9026 LONGDEN AVE_Plumbing__ 76A667A ICE 111577121)- 11/76 'APPL9CATON FOR PLUMBING PERM 9°T° ��ibbb BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM CSD FEE ADDRESS WATER CLOSET LOCALITY BNEAREST ATH TUB / L CROSS ST' �- SHOWER OWNER S LAVATORY MID > ADDRESS SINK CITY TEL NO DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL NO LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER LICENSE NO CLASS GAS SYSTEM OUTLETS DISTRICT NO GROUP ZONE PRqqSSED BY .OUTLETS OVER >- 5 PER SYSTEM INDUSTRIAL 96 WASTE APPROVAL V INSPECTION RECORD c C W� - {A Plan check fee " PLUMBING PERMIT ISSUING FEE$ j—LJ ' TOTAL FEE Sv Plan check applicant APPROVALS DATE INSPECTOR'S SIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING City Tel No GAS PIPING V I HEREBY ACKNOWLEDGE THAT ['HAVE READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITYCO NOTIFIED SIGNATURE OF PERM ITTE FINAL PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION / CK M o CASH N 5 .8, 8,Lc--3EG g 5 © 7.55 Q A-j� @)3 76A667 17 5-49® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING I WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT N PLUMBER VALLEY BOULEVARD PLUMSING CO. � ✓� RECEIVED BY READY FOR DATE ISSUE FIRST INSPECTION ADDRESS' 900 EAST VALLEY BLVD. BUILDING CITY ROSEMEAD TEL. NO. AT. 2-2719 ADDRESS COUNTY93M 6-30-.6V LOCALITY r ti LICENSE NO EXPIRES - NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OW ER MAIL WATER CLOSET (TOILET) O 50 $ ADDRESS BATH TUB Q O 50 CITY TEL. NO. SHOWER Q 0.60 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) Q O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT Al. AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK Q 050 STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL P OPERTY DESCRIBED ABOVE. GAS SYSTE OUTLETS Q 0.50 SIGNATURE OF WATER HEATER Q 0.50 PERMITTEE � Cl SLOP SINK Q 0.50 INSPECTION RECORD FLOOR SINK Q 0.50 FLOOR DRAIN Q 0.50 DISHWASHER Q 0.50 DRINKING FOUNTAIN Q O 50 / URINAL Q 0.50 HOUSESEWER Q O 50 MISCELLANEOUS , 1 _ o APPROVALS DATE INSSP7ECTORR'S�NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL. @ 1 00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( Q 1 00 SEWER PERMIT . . 1.00 GAS TEST //✓ TOTAL FEE UTILITY CO NOTIFIED -16) $ I _� FINAL 't D.B.B. I7 25M SETS 12-44 - - APPLICATION FOR PERMIT DEPARTMENT OF BUILDING, AND SAFETY' COUNTY OF LOS ANGELES PLUMBING Wm.J. FOX.CHIEF ENGINEER t NATURE_OF INSTALLATION DISTRICT NO. GROUP ONE. i NO.- s-- WAIT ROUGH FIXTURES COMPLETE C/ o + u4 * HEATER CESSPOOL SEPTIC TANK RECEIVED BY READY FOR DATB ISSUED _� PI ST INSPECTION GAS MISCELLANEOUS ✓� APPLICANT FILL IN HEAVILY OUTLINED.PORTIlON -ONLY JOB C NAME B_ A. •GORE.�■` `M. ADDRESY m A1DRrS4ESSP00L- SERVICE LOCALITY A CITY 2022 EMPERONEAREST RL.No. CROSS ST.COUNTY CERT.No. EXPIRES CI EXPIRES 6 NAME LOCATION OF SEPTIC TANK, OR CESSPOOL' Z Z -MAIL • - - NORTH O ADDRESS �./.�j`/�/fjl�{-.000, . _ - - - CITY TEL.NO. I AM THE LEGAL- POSSESSOR OF ,THE ABOVE LOS ANGELES COUNTY CERTIFICAjX9 OF QUALIFICATION. j .PLUMBER _ 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ppqq ABOVE. OWNER CORRECTIONS SOUTH DESCRIPTION OF WORK ATH TUB -FURNACE' 4 SHOWER DISHWASHER 0 LAVATORY REFRIGERATOR � --KITCHEN SINK WATER SOFTENER . FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPQCTOR'E NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING }--METER-GAS- SODA FOUNTAIN ' GAS PIPING OUTL GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOL------SEPTIC TANK " SEWER ; UTILITY CO.NOTIFIED i r I TOTAL FEE �p (rJ I � {I FINAL ,ZP