HomeMy Public PortalAbout6248 PRIMROSE AVE_Plumbing__ 76A667C!(CE-817B) -9/7S
APPLICATION FOR PLUMBING PERMIT
BUILD G AND'SAFET [VISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM @. FEE ADDRESS
WATER CLOSET LOCALITY /
BATH TUB NEAREST
CROSS ST.
SHOWER OWNER r�
LAVATORYMAI L
ADDRESS
SINK CITY TEL.p10.., �
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS �ar
SWIMMING POOL RECEPTOR
LAWN SPRINKLER SYSTEM CITY EL. NO.
STATE LIC
WATER HEATER LICENSE NO. Xt'4r-t-/ C&/ CLASS 0
CD
DI4�RICT NO. GROUP NE ESSE BY
GAS SYSTEM OUTLETS Q
OUTLETS OVER d�J O
H
5 PER SYSTEM INDUSTRIAL w
WASTE APPROVAL c-
G INSPECTION RECORD Z
Plan check fee
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
Plan check applicant
Name APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
Address ROUGH PLUMBING
City . Tel. NO. GAS PIPING
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGI ERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY L ANGELES COUNTY D STATE OF GAS TEST
CALIFORNIA OR THpT I T E EC
OWNER OF, A INTEND TO
RESIDE IN THE ABOVE DV'YCR4RESIDEN L PROP UTILITY CO. NOTIFIED
SIGNATU RE y IJ
OF PERMITTEE FINAL 70. 4?-
1 .
PLAN CHECK V ATION CK. M.O. CASH PERMIT VALIDATION cK. M.0.'
CASH
9°:1 .4
-APR. 26 5 D 1. ..5 0
76AGM 17 5'80 1 APPLICATION FOR PERMT
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.
UUM ROS. i�vc. �� �73 -41
PLUMBER I RETit,
VED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS ALHAMBRA, Clll1FnRHl,� `4 --*-1
BUILDING �1
CITY TEL. NO. - ADDRESS Qff PRIMROSE
COUNTY 1115 6-30-52 LOCALITY
LICENSE NO. EXPIRES
NEA T TEMPLE CITY BLVD.
PERMIT FEES CRROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MEEKER LAND CO.
MAIL 3612 E. LIVE OAK AVE.
WATER CLOSET (TOILET) a 0.50 ffi ADDRESS
I BATH TUB @ 0.50 50 CITY NRCADTEL. N0.
SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
I LAVATORY (WASH BASIN) a 0.50Rn APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE.TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING.
KITCHEN SINK Q 0.50 . I CERTIFY TbIAT I POSSESS HE ABOVE VALID LOS
LAUNDRY TUB OR TRAY O.50 ANGELES COU L NSE. OR' AM THE EGAL OWNER
E/ '
i GAS SYSTEM 3 (8 OUTLETS O.50 OF I TI. RO PE-
E OVE
i WATER HEATER 6 0.50 PERMI
SLOP SINK 0 0.50 777 INSPECTION RECORD
FLOOR SINK 0 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN 0.50' t? / SI (.!,s7�1 YIJ'fAA'��ILO•!Y 4Z• �'I/f� .{
��
URINAL Q 0.50 Z �� (/ /N 223,2=-La tl`r 2M a
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS (9
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING. IJq-1 I (W 1
r
GAS PIPING
GAS VENT
CESSPOOL Q 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.00SEWER
PERMIT 1.00 GAS TEST 0. BZ•-
• 00' UTILITY CO. NOTIFIED / a,
TOTAL FEE ' ffi Iry tilt,
FINAL