HomeMy Public PortalAbout9422 LOWER AZUSA RD_Plumbing__ 6^667'oBB 17 „-SO APPLICATION FOR PERMIT
,,,4Dfi_pAIi.TMENT QF BUILDING AND SAFETY PLUMBING
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COUNTY OF LOS ANGELES
,WILLIAM J. FOX, CHIEF ENGINEER
O P
FOR APPLICANT TO FILL IN DISTRICT
Co. s- 179-36
PLUMBER Belvedere PlumbingCRECEIVED BY' READY FOR -DATE ISSUED
I�Yrt FIRST INSPECTION '
ADDRESS 136 S. Palm Ave. //1.v.
CITY Alhambra AT95025 A.DREBR
TEL.No. 22 Lower Azusa Rd
COUNTY
LICENSE NO. 808M EXPIRES 6- 0-52 LOCALITY Rosemead
NEAREST
PERMIT FEES CR088 ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE DWNER Joseph C. Wilt
MAIL
1 WATER CLOSET(TOILET) 0 0.50 s S O ADDRESS
BATH TUB ® 0.50 O CITY TEL No.
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.500 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCEB
KITCHEN SINK @ 0.50O AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I P088ES13 THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY .0 0.50 'ANOELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
GAS SYSTEM OUTLETS 0.50 50 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
SIGNATURE
C&%—�� O^�C��=='
1. mopmim 1 WATER NEATER � 0.50 O
bendix 00.50 50 INSPECTION RECORD
FLOOR BINK 0.50
FLOOR DRAIN 0.50 _'%_Z71�L lmww W dV Q
DISHWASHER @ 0.50
DRINKING FOUNTAIN 0.50 #1
URINAL 00.5 J
Q
HOUSE SEWER 0.50 5;+: 7 I Z_
MISCELLANEOUS I9
O
APPROVALS
DATE INNBBP`ECTORIB NAME
ROUGH PLUMBING / -! '
GAS PIPING
GAB VENT
CESSPOOL 0 7:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.130 SEWER
PERMIT I 1.130 GAS TEST -
UTILITY CO.NOTIFIED
TOTAL FEE 50FINAL
879 M
76AS67 DBS 17 11-50 APPLICATION FOR PERMIT
DEPARTkIENT OF BUILDING AND SAFETY �'
COU1�T$ OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL INDISTR'CT O. GROUP I ZONE
PERMIT .''
PLUMBER Belvedere Plumbing Co. REOE ED BY READY FOR DATE ISSUED
S
FIRST INSPECTION
ADDRESS 1 6 Soo Palm Ave a 7,--6BUILDING
�
CITY Alhambra TEL.No-AT:95025 ADDRESS 22 Lower Azusa Rd .
COUNTY $O$ EXPIRES 6= LOCALITY Rosemead
LICENf3E Nm
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNER Joseph C. Wilt
MAIL
WATER CLOSET(TOILET) a 0.50 10 ADDRESS.
BATH TUB 411 0.50 CITY TEL No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 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 @ 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANBELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED A VE.
BAS SYSTEM OUTLETS 0.50
SIGNATURE OF
WATER HEATER 0.50 PERMITTER
SLOP BINK 0.50 INSPECTION RECORD
FLOOR BINK 0.50
FLOOR DRAIN 0.50
1 DISHWASHER 0.50 50
DRINKING FOUNTAIN O.SO
URINAL 0.50 J
Q
HOUSE SEWER 0.50 Z
MISCELLANEOUS L7
disposal 50
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
BAS PIPING
GAB VENT
CESSPOOL @ 7:00 CESSPOOL
SEPTIC TANK. SEPTIC TANK
DRAIN ( ) PIT ( ) @ 7.00 SEWER
PERMIT I 1.00 BAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE � 2 00
1FINAL
V
dr70 M
PLUMBING 1
R L�i9dYilYBJCLLY X OF COUNTY L`1\1A11V L'GYY
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
CONN!.'S OF LOS ANGELES
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS � � L o w P '
FOR APPLICANT TO FILL IN LOCALITY
BUILDING NEAREST 1/�,• ' ,Q
ADDRESS t,✓�C .Z
CROSS ST. r��iY. �J C� r/
DIST ICT N0. ON P RMIT NO.
s LOCALITY
�. NEAREST / /fl
CROSS ST. /J51VED B Ready for laepaetton ��DATE ISSUED,,•.
OWNER Als '// .Y��i01 �•1 ��� T
MAIL INDUSTRIA
ADDRESS 2 fes WASTE APPROVAL
CITY TEL.NO. INSPECTION RECORD
PLUMBER �. �7 &i A.,
ADDRESS LAf Ze CGt
CITY ylV j A i'/� j*r ..„
«�/ --STATE
LICENSE NO. 24%4 --3 $3COUNTY J
PERMIT FEES z
•IUM9ER TYPE OF FIXTURE OR ITEM FEE
_z WATER CLOSET(TOILET) 0.80 S A9
BATH TUB @ 0.80 O
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOPSINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM..._.._..._OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 •00 ROUGH PLUMBING 1.0 1j S
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWSI
REGULATING PLUMBING. PLUMBING FIXTURES 61
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN-
ER OF THE ABOV DESCRIBED RESIDENTIA PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE f1
OF PERMITTEE.. .I•'a�._ _......_.._.._....
- FINAL bli U,:4
78A087 DBS 17 c