HomeMy Public PortalAbout9922 NADINE ST_Plumbing__ 76AB67-CES17 12/59
.APPLICATION FOR PLUMBI G PERMIT �
COUNTY OF LOS ANG
D�ARTMENT OF COUNTY U
� Y J mss
J 1 OUNTY NGINEER
WILLIAM A.JENBEN, SuwT oR BUILCINa OWNER
IMAM
w
FOR AMCANT TO Ml IN ef
NNEEARREENEARESTST. A
NUMBER FIXTURE OR ITEM .
O
WATER CLOSET IMAM
BATH TUB ADDRESS
TEL NO.441
SHOWE@
LAVATORY CONTRACTOR
Slux ADDRESS
DISHWASHER CRY TEL NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASIM DISTRICT NO. GROUP ZONE P ED BY
WATER HEATER
1
GIAS SYSTEM INDUSTRIAL
WASTE APPROV
INSPECTION N
O
/ U
0
ORF � 17
APPROVALS DA 1NSPEC OR'S SIGNATURE
PERMIT $ -Q 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUrMBING
GAS PIPING
I HEREBY ACKNOWLEDGE .THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ? a _
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT AM T LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDE P UTILITY CO.NOTIFIED
SIGNATURE.
OF PERMI FINAL 7
42
�� j ALIDATIO�I�L-� ROBERT A. WOOD,
SUPERVISING MECHANICAL ENG'R
( 58 5 7 - APR 2 4 5 D 5_.00
. v1 "
78AB97 17 5-00 It APPLICATION FOR PERIIRIT .
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRI NO. GROUP I ZONE PERMIT NO.
PLUMBER VALLEY BOULEVARDRECEIVED BY READY FOR DATE 18SURD
FIRST INSPECTION
ADDRESS 8300 EAST VA
r BUILDING
T
.
CITY as/
ROSEMEAD TEL. NO. 1 ADDRESS
COUNTY a. c
LOCAL
NEARE
LICENSE NO. 93M EXPIRES 6.30• '�/ TY
NEAREST
PERIV.IT FEES CROSS ST.
NUMBER TYPE OF FIXTI RE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TO ) 0.50 SO ADDRESS 47
BATH TUB 0.50 CITY TEL NO. r 3
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY WASH BASIN 0.50 APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY. THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY T BOR TRAY @ O.50 (� ANGELES COUNTY LIC NSE. OR 1 AM THE LEGAL OWNER
/ OF THE RESIDENTIAL PERTY DESCRIBED ABOVEe
GAS SYSTEMOUTLETS @ 0.50 SIGNATURE OF
WATER HEATER @ 0.50 �d PERMITTE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.80
DRINKING FOUNTAIN 0.50 --
URINAL
.SOURINAL @ 0.50 J
HOUSESEWER @ 0.50 a
Z
MISCELLANEOUS
a
0
APPROVALS
DATE INSPs R'e NAME
ROUGH PLUMBING 2�
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTICTANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE t O FINAL