HomeMy Public PortalAbout4920 ROSEMEAD BLVD_Plumbing__ D.B.S.17 25M SETS 7-47 - APPLICATION FOR PERMIT�UEPARTMEN T OF BUILDING AND SAFETY _
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICTNo. GRouP ao rpERM�/T r/o.
ROUGH FIXTURES SEPTIC TANK COMPLETE
6_1 HEATER CESSPOOL RECEIVED-BY READY FOR DATE ISSUED
FIRST INSPECTION _
AS MISCELLANEOUS 1�/r/!
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APPLICANT FILL IN HEAVILY OUTLINED PDORTION ONLYJOB gyp!
E NAME 0. � �n� ADDRESS 8 ` Q ti��I
I ADDRESS ( 'p Q '`� LOCALITY A a
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OJ. CITY Fes" , TEL.No. CROSS ST. !!
COUNTY
CERT.NO. EXPIRES W NAME fir_-(it_,
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL `
3 ADDRESS
NORTH O
CITY TEL.NO.
AN!
AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFIC TION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
• W
a
OWNER
'1 CORRECTIONS
SOUTH J
DESCRIPTION OF WORK i
BATH TUB FURNACE M
SHOWER DISHWASHER ❑
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVA"IbRY
ROUGH PLUMBING
METER-GAS SODA FOUNTAIN
OUTL GAS PIPING I I
CCAS VENT i
CESSPOOL I/ ' � ff 'r, 'P c'y °moi
TOTAL NUMBER OF FIXTURES SEPTIC TANK
�CESSPOO. AEPTICTANK O® SEWER
3 UTILITY CO.NOTIFIED {
TOTAL FEE
FINAL
APPLICATION FOR PERMIT
OF"BUILDING AND SAFETY
. .jUNTY OF LOS ANGELES
,i'WM. J. FOX.CHIEF ENGINEER PLUMBING
NATURE OF INSTALLATION DISTRICT PLO. GROUP1 GROUPZONE PERMIT NO.
ROUGH I FIXTURES COMPLETE 7,
HEATER RECEIVED-BY READY FOR DATE ISSUED
__ CESSPOOL __I SEPTIC TANK ` a FIRST INSPECTION
GAS MISCELLANEOUS -2
APPLICANq T FILL IN HEAVILY OUTLINEDJA PORTION ONLY
JOB
E NAME C JOL-t, "4�) VF�///GAJ L ADDRESS 19
W 1
m ADDRESS 4P D ��,Q t
� �� .� i LOCALITY �� ///,a __, ,. '
J �. q NEAREST ' "�. L
0 CITY /Z{Q_rc TEL.Ng /� G ds CROSS ST.
COUNTY ,,rr�� s
CERT.No. �!� EXPIRES /&4 c.�+L
6' NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL (�
3 ADDRESS
NORTH O
CITY TEL.No.
I AM THE LEGAL. POSSESSOR OF THE ABOVE LOB
ANGELES COUNTY CERTIFICATE OR QUALIFIC TION.
I AM THE LEGAL OWNER OF THE ROPERTY DESCRIBED
ABOVE.
a
V) OWNER
\ CORRECTIONS
a
w y
SOUTH J
DESCRIPTION OF WORK z
_BATH TUB FURNACE
CY
SHOWER DISHWASHER 0
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE pINSPECTOR'S HAMS
__Z__WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER—r —GAS SODA FOUNTAIN
OUTL GAS PIPING I it I a
GAS VENT
CESSPOOL
(O.TOTAL NUMBER OF FIXTURES SEPTIC TANK I
CESSPOOL SEPTIC TANK SEWER I I
TOTAL FEE FINAL
o' UTILITY CO.NOTIFIED 13--&14 -/A to R
(� . FINAL