HomeMy Public PortalAbout9917 NADINE ST_Plumbing__ TOAMM 17 E-49® APPLICATION FOR PERMIT
I
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT O. GROUP ZONE PERMIT NO.
1 O— /3
PLUMBER U D PLt► �bl�`#u CO. RECEIVED 13Y READY FOR DATB ISSUED
FIRST INSPECTION
ADDRESS .346
OST VALLEY BLVD.
CITY ROSEMEAD TEL. NO.
AT. 2.2719 AD REBS
CO .30- ) LOCALITY NEXPI ES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL t
WATER CLOSET TOILET 0.50 ADD E88 46'BATH TUB O.SO �SC TY 6LNO
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY WASH BASIN O.SO Q .APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK 0.30 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY T B OR TRAY ® O.SO [� ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
v OF THE RESIDENTIAL R PERTY DESCRIBED ASOVB.
GAS SYBTE OUTLETS @ O.SOOF
WATER HEATER @ 0.50 ,5�� SIGN PESIGNATURE
SLOP SINK a 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
D1814WASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL 0 0.50 ;:J
HOUSESEWER 0.8 Z
MISCELLANEOUS a
O
APPROVALS
DATE 1 PECTOR•S NAME
ROUGH PLUMBING
GAS PIPING g
GAS VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE syr !s
FINAL
P
P:S-1710.55 APPLICATION x0' PLUM IN.". PE MIT
DIVISION OF BUILDING AND SAFETY
Depo:I ent of County Engineer ty
Co of Los Angeles BUILDING
JOHN A. LAAMBIE . COUNTY ENGINEER ADDRE S 9917 Na c1 i ne
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY Temgle C
ity
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER Mr. Ottoman DISTRICT O. � I ZONE I REA FOR INSPECTION
AMAIL
DDRESS 7 Nadine
CITY Temple CifY TEL. NO. At 13570 INDUSTRIAL
WASTE APPROVAL
PLUMBER Chambers PlumbingService INSPECTION RECORD
ADDRESS 909 W. L a.s Tunas
CITY San Ga b r i e I TEL.NO.A t 251 17
LICENSE NO. 191735 e
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @. $1.00 $ 00
BATH TUB @ $1.00
SHOWER @ $1.00
1 LAVATORY (WASH BASIN) @ $1.00 1 00 J
KITCHEN SINK @ $1.00
Mo ve
DISHWASHER @ $1.00 1'rV1
LAUNDRY TUB OR TRAY @ $1.00 t /`To W-R ARR 11V�.
CLOTHES WASHER 1@ $1.00
WATER HEATER @ $1.00 +� e
GAS SYSTEM @ 1.00 rf T(9, z N.sJ o
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
s ` )
PERMIT $ ROUGH PLUMBING
GAS PIPING
TOTAL FEE GAS VENT
I HEREBY AFKNOWLEDGE THAT I HAVE READ THIS APPLICATNJ
HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATPLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDGAS TEST
LICENSED AS REQUIRED B OS ANGEL COUNTY D STATE
CALIFORNIA OR THAT I THE L OWNER F THE ABUTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PERTY.
SIGNATURE �r
OF PERMITTEE FINAL
JOHN A. LAMBIE.COON 61NEER / yALMATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR
CK. M.0. CASH
L03 3 3 0 'r�t,R 3 5 D 5.4
r