HomeMy Public PortalAbout9518 LOWER AZUSA RD_Plumbing__ 76A667 DOS 17 11-50 APPLICATION FOR PERMIT
=MftMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
r_ WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN n ISTR . DRO P N PERMIT N -
PLUMBER Belvedere Plumbing Coo RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS 136 S, Palm Ave. D
CITY Alhambra TEL N0.AT95025 ADDREISS 20 Lower Azusa Rd,
COUN
LICEN E NO. A�� EXPIRES 6-30-52 LOCALITY Rosem$ad
NEAREST
PERMIT FEES
CROSS ST. Cloverly
NUMBER TYPE OR FIXTl1RE OR ITEM FEE
OWNER Lingle
MAIL
Z WATER CLOSET(TOILET) 0 0.50 $ 150 ADDRESS
/r BATH TUB @ 0.50 50 CITY TEL. Na.
�• l SHOWER @ 0.50 50 1 E
HREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 ' 50 APPLICATION AND•STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 O AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1' POSSESS THE ABOVE VALID LOS'
LAUNDRY TUB OR TRAY @ 0.50 50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
GAB SYSTEM OUTLETS @ 0.50 CO OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
SIGNATURE OF
WATER HEATER 0.50 O PERMITTE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK Q 0.50 / C -Ulf , /&v�
FLOOR DRAIN 0.50 ('/
DISHWASHER @ 0:50
DRINKING FOUNTAIN 0 0.50
URINAL @ 0.50
HOUSE SEWER 0.50z
c�raa i
MISCELLANEOUS i
S �g 1]
d Ems!/ ® ism
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAB PIPING
/l
GAB VENT
CESSPOOL @ 1.130 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
op
PERMIT I 1,00 a GAS TEST _Jq .sem
UTILITY CO.NOTIFIED
TOTAL FEE A/5
e0 s 5F
OO FINAL
✓$0$ M
78A667-CE817 12/59 .TEMPLE'.,CITE'
APPLICATIO1 TOR LU S I f :� R �"` '
COUNTY OF LOS.ANGELES ��7
DEPARTMENT'OF COUNTY ENGINEER. FRUDID
BUILDING ND�S FETY I�ISION.. . r
JOHN A. LAM131 OUNTY NGINEER .
WILLIAM A.JENSEN.SUPT DO BUILDING ,
P"M3::
FOR APPLICANT TO FILL IN - :
..-NUMBER FIXTURE'OR ITEM
. OWNER . -
WATES.CLOSET may.
BATH TO ADDRESS
SHOWER
CITY% T-M.NO. .c., 73 7J
LAVATORY CONTRACTOR
SINS ADDRESS
DISHWASHER CITY TEL NO..
- CONTRALTO STATE 0r
LAUNDRY TUB REGISTRA NO. COUNTY ❑
CLOTHES WASHER' DISTRICT NO. G ..... BY q
WATER HEATER
GAS SYSTEM INDUSTRIAL
' WASTE APPROVAL_
INSPPE�C�TION RECORD
V
0
- - a
` .
0 1$1.00.PER TTEm
OR FIXTURE , $ I APPROVALS DATE _ INSPECTOR'S.SIGNATU:RE
PERMIT $ E 00: d UNDER SLAB WORK
"TOTAL FEE ROUGH PI.iJMHING
PIPING
I HEREBY ACKNOWLEDGE THAT I..HAVE READ THIS APPLICATION
.AND. STATE THAT THE ABOVE IS.CORRECT AND.:AGREE TO COMPLY
WITH ALL COUNTY 'ORDINANCES AND 'STATE, LAWS-REGULATINGVENT-
FGWATER.HEATER
PLUMBING. _
I HEREBY CERTIFY THAT LAM PROPERLY REGISTERED AND/ORMBING FIXTURES
`. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE,OFTEST.
CALIFORNIA OR THAT 1. AM. THE LEGAL OWNER F•THE ABOVE `.-
DESCRIBED RESIDENTIAL PROP TY. ITY
'Co.NOTIFIE
SIGNATURE' I/
OF PERMITTElliFINAL
®e V=DATI. - ROBERT A.,WOOD.
cs. m.0. CASR SUPERVISING MECHANICAL ENG'R `
3.0
y �p
76A667.CE817 12/.%,,' TEMPLE CITY
S n
APF'LICATION FOR PLUMMNG . �;R1V6I'�" •: :�•
COUNTY OF-LOS .ANGELES ��
DEPARTN ENT -OF COUNTY ENGRMR
BJOHNIA. LAM6DiE, CFBUILDING
OEuNTYTY NGINEOEB _ G �'�'C '
WILLIAM A.JENSEN,.SUP•T OF BUILDING /F
- fADDRESS
LOCALITY
FOR APPLICANT TO FILL IN NEAREST T . �
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSED MAIL
BATHTUB
ADDRESS �._r8`�r "
SHOWER CITY 144. '&4 a TEL.NO.d�+� cl-;'.!.. J
LAVATORY - CONTRACTOR
/ ADDRESS
DISHWASHER CITY TEL NO.
CONTRACTOR'S STATE' ❑
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHO WASHER DISTRICT NO. GR9UP j ZONE ..,..P f SED BY
WATER HEATER
GAS SYSTEM INDUSTRIALWASTE APPROVAL
INSPE.TION RECORD. A
0
P.
3 0 OR FD(TURE
IR
APPROVALS /VjC*W- PDI INSPECTOR%S S](RhATURE
PERMIT $ 2 00 UNDER'SLAB WORK - I i
TOTAL FEE ' I ,�' I — EGA
LUMBING
G
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT.THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES 'AND STATE LAWS REGULATING.- R HEATER
PLUMBING.1 HEREBY CERTIFY THAT I ARS PROPERLY REGISTERED AND/OR FIXTURES
LICENBED•AS REQUIRED BY LOS ANGELES•COUNTY AND STATE OF .CALIFORNIA ES THAT TH GAL 019HE ABOVEDESCRIBED RE8IDENTIAL OPERT �/ O:NOTIFIED
SIGNATUROF PERMITTE
�v VA=ATI ROBERT A.WOOD,
CC M.0. pAgg SUPERVISING MECHANICAL EkG'R
LA .0 0 3 5 GOT 18' .5 D 5.00