HomeMy Public PortalAbout9020 PENTLAND ST_Plumbing__ 7l 6" n e-so m APPLICATION FOR PERMIT
- 'DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMITNO
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FLOOR SINK 0 O 80
FLOOR DRAIN O 50
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DRAIN ( ) PIT ( 1 ® 1 00 SEWER
PERMIT 1 00 GAS TEST
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TOTAL FEE
FINAL ,/ 4
>eeeex v e-aE ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO
PLUMBER K RECEIVED BY READY FOR DATE ISSUED
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ADDRESS
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CITY TEL NO
-I 14,4ZI ADDRESS e K
COUNTY LOCALITY LJ
LICENSE NO EXPIRES
NEAREST
PERMIT FEES CROSSST Y
NUMD69 TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) Q O EO 111 ADDRESS
BATH TUB ® O EO CITY 0 TEL NO os y
SHOWER O EO 1 HEREBY ACKNOWLEDGE THAT 1 HAVE 'READ THIS
LAVATORY WASH BASIN) ® O EO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q O EO STATE LAWS REGULATING PLUMBING
I CERTIFY THAT 1 POSSESS THE ABOVE V ID W
LAUNDRY TUB OR TRAY O EO ANGELES COUNTY LICENSE OR I AM THE LEGA O ER
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GAS SYSTEM-OUTLETS O EO
SIGNATURE OF
WATER HEATCR CSI O EO I PERMITTE
SLOP BINK ® O ED MPECTION RECORD
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FLOOR DRAIN O EO
DISHWASHER @ O EO
DRINKING FOUNTAIN ® O EO
URINAL O EO „J
HOUSESEWER ® O EO Q
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MISCELLANEOUS _U'
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APPROVALS
DATE INSPECTORS NAMC
ROUGH PLUMBING
GAS PIPING
GAS'VENT /
CESSPOOL 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN I ) PIT I ) Q 1 00 SEWER
PERMIT 1 00 GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE B -
r� FINAL
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>eAea> APPLICATION FOR PERMIT
DEPARTMENT OF BUILDND BUILDING ASAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM I FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT N,O GRO P ZONE PERMIT NO
y ri( S'7G,S ),
PLUMBER VALLEY BOULEVARD FLUN'BING Lu RECE17/7 READY FOR DATEISSUED
PIRSTINSPECTION
ADDRESS
900 EAST VALLEY BLVD �L
CITY ROSEMEAD TEL NO AT 2.2719 9UILDINO G
ADDR¢SB
COUNTY 93M 630- LOCALITY
LICfiNBfi NO EXPIRES NEAREST
PERMIT FEES CROSS ST
r
NUNa¢11 TYPE OF FIXTURE OR IieN FEE OWNER
MAIL
MAIL
WATER CLOSET (TOILET) O 60 ADDRESS
BATH TUB ® O 50 CITY TEL NO
SHOWER O 50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY WASH BASIN) O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK ® O 30 STATE LAWS REGULATING PLUMBING
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRYTUBORTRAY 0 O 50 ANGELES COUNTY LICENSE OR i AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM-OUTLETS ® O 60
SIGNATURE OR
WATER HEATER ® O 30 PERMITTE
SLOPSINK O 50 INSPECTION RECORD
FLOOR SINK O 30
FLOOR DRAIN @ O SO
DISHWASHER a O SO
DRINKING FOUNTAIN O 50
URINAL O EO �J
Q
HOUSE SEWER O 60 Z
MISCELLANEOUS O
m
O
APPROVALS
DATE INSPECTOR NAME
ROUGH PLUMBING
GAB PIPING
GAS VENT
CESSPOOL Q 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) ® 1 00 1 SEWER
PERMIT 1 OD GAB TEST
UTILITY CO NOTIFIED
TOTAL FEE B
FINAL
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