HomeMy Public PortalAbout4940 ROSEMEAD BLVD_Plumbing__ 78667 MSS 17 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUNIBuim
(STRICT NO. GROUP I ZONE PERMIT NO.
FOR APPLICANT TO FILL IN /� Jr
PLUMB ,,� _+�- �J (,C CEtVED BY READY FOR DATE ISSUED
A N � FIRST INSPECTION
ADDRESS
BUILDING
CITY s , TEL No. ADDRESS
COUNTY9
LOCALITY
f _ SE No EXPIRES NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0.50 $ ADDRESS
BATH TUB O.SO CITY TEL. No.
j SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND I3TATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELEB COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAB SYBTEM OUTLETS ® 0.50 OF THE RESIDENTI PROPERTY SCRIBED ABOVE.
SIGNATURE OF � 1
WATER HEATER a 0.50 PERMITTET
SLOP SINK 0.50 ECTIO,N RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN 0.50 _
DISHWASHER 0.50
DRINKING FOUNTAIN 0.50
URINAL. 0.50
HOUSE SEWER 0.50 �y✓ �p f/ �,/f'?^->,/� _Z
MISCELLANE04JB
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 1;00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT ( 1.00 GAS TEST
•
TOTAL FEE $ 00 UTILITY CO.NOTIFIED �
FINAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT ,
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS 5L-0508-9807020009--
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE (4940 ROSEMEAD BL;
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP=CA=917800000
ASSESSOR INFORMATION NUMBER: NEAREST-CROSS-STREET,:
5388-021-001 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.35
TENANT: TOTAL FEES 44.10 ISSUED ON: PROCESSED BY: PLAN BY: XPIRES
07/02/98 UT 07/02/99
OWNER: TEL. N0: FINAL DAT 5 XINLY: CODE.:
KHALIL FAROUK;SAFAA (818) 244-0097- t
918 ELK AV
GLEN 912051839
�CHANGEOUT F TER HEATER
APPLICANT: TEL. NO:
MR ROOTER OF PASADENA (626) 445-8003-
P. 0. BOX 661843 SPECIAL CONDITIONS:
ARCADIA, CA 91006
CONTRACTOR: TEL. NO: \, APPROVALS DATE INSPECTOR SIGNATURE
MR ROOTER OF PASADENA (626) 445-8203-
38 E HUNGINGTON #3 LIC. NO - UN ER SLAB WORK
P 0 BOX 661843 706307 C36
ARCADIA CA 91006 - WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. N0: --
ROUGH PLUMBING
LIC. N0:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508