HomeMy Public PortalAbout5112 ROSEMEAD BLVD_Plumbing__ 8 5:1.7 25M.SETS 11-46 ' -APPLICATION FOR' PERMIT
PWARTMENT OF BUILDING AND SAFE
COUNTY OF LOS ANGELESPLUMBING
WM.J. FOX. CHIEF ENGINEER _
NATURE OF INSTALLATION '-DISTRICT NO:-"GROUP ZONE P RIV11T NO..
ROUGH •FIXTURES COMPLETE
READY FOR
HEATER ,.CESSPOOL -I'SEPTIC TANK �, R6EC{ElVEDy BY ST INSPECTION
` DATE 188UggD
AS MISCELLANEOUS . FIR INBP 10
APPLICANT-'FILLIN HEAVILY'��9UTLdINED .PORTION ONLY' -!G.�
NAME JOB /�yyg
E __ . �� / Y ADDRESS 'ir>
W _
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M
. -ADDRESS. gp !1
® d LOCALITY
NEAREST
IL CITY �� - TEL.-No.::." •. - - CROSS ST.
_COUNTYy - -
CER;GS°�10. .� EXPIRES' "m NAME - .: .Y? Fe'+.�I
LOCATION.OF SEPTIC TANS, OR CESSPOOL; z MAIL
NORTH !.'3: ADDRESS '
_. .. .. CITY. .'.:,!' •irAww �s�iiT.EL tNla -
M. - 1 AM THE LEGAL POSSESSORg OF THE- ABOVE LOS.,
ANGELES COUNTY CERTIFICATE OF,QUALIFICATION.
- - PLUMBER
I AM THE LEGAL.OWNER OF THE.PROPERTY DESCRIBED
ABOVE.
OWNER
•
CORRECTIONS' -
SOUTH
ORRECTIONS' -SOUTH
J
DESCRIPTION-OF WORK 7 z
BATHTUB FURNACE "
SHOWER DISHWASHER
LAVATORY REFRIGERATOR ' '
KITCHEN SINK WATER SOFTENER
FLOOR BINK SAND TRAP . -
SLOP SINK_, FLOOR DRAIN
W4SH?RAY- URINAL 'APPROVALS
WATER CLOSET. DRINKING FOUNTAIN DATE INSPECTOR'S Nwrae
WATER HEATER DENTAL LAVATORY - I I
_ ROUGH PLUMBING
METER GAS AODA FOUNTAIN
OUTL GAS`PIPING
• - GAB VENT
CESSPOOL
-TOTAL NUMBER OF FIXTURES SEPTIC'TANK
CESSPOOI-. AEPTIC-TANK - SEWER II I
UTILITY CO.NOTIFIED I -
TOTAL FEE
J FINAL
17 25M SETS 7-47 APPLICATION FOR PERMIT
•DEPARTMENT OF' BUILDING..AND SAFETY
COUNTY OF LOS ANGELES
.4 Wm. J. FOX. CHIEF ENGINEER PLUMBING
NATURE OF INSTALLATION DISTRICT N0. GROUP ZO E PERMIT NO.
ROUGH � FIXTURES COMPLETE
BY READY FOR DATE ISSUED
HEATER CESSPOOL 'RECEIVED I-I SEPTIC TANK // FIRST INSPECTION /
GAS- MISCELLANEOUS , f�zl.,1 ! '-=l-�! �`7"
APPLICANT FILL -IN HEAVILY OUTLINED PORTION ONLY
C NAME (7N. JOB
W /
m ADDRE88P / LOCALITY L /
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`I CITY L y i TEL.N� .10-03 CROSS ST.LOJ /�/��415
•CERT.No.�
EXPIRES6 ��,�
fi p�
v` m NAME +y
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 ADAILDRESS '�"-frr 1�1
NORTH
CITY TEL.No.
1 AM THE LEGAL P089ESSORkALIHFIC
TE ABOVE 108
ANGELES COUNTY CERTIFI T nON.
LUMBER
I AM THE LEGAL OWNER OF THE ROPERTY DESCRIBED
ABOVE.
OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK z
13ATH TUB FURNACE
..SHOWER DISHWASHER, - D
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER '
FLOOR SINK SAND TRAP
GLOP SINK FLOOR DRAIN
/ WASH TRAY URINAL APPROVALS
f— WATER CLOSET DRINKING FOUNTAIN
- - DATE �f INSPECTOR'S NAME
�f WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
p METER � GAS SODA FOUNTAIN GAS PIPING I
OUTL
GAS VENT I 1
_ CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I -
CESSPOOL SEPTIC TANK SEWER I I
_ $ UTILITY CO.NOTIFIED
TOTAL FEE �4
FINAL
76A 887 -C E08J%%6-82. - �/v` /L.,
APPLICATION . FOR PLUMBING - PERMIT
COUNTY.OF'LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER'
BUILDING AND SAFETY DIVISION. BUILDING
JOHN A. LAMBIE,'COUNTY ENGINEER ADDRESS
• =WILLIAM A.,JENSEN,,SUP'T OF BUILDING LOCALITY _
FOR APPLICANT .TO FILL IN NEAREST
CROSS ST.
NUMBER eFIXTURE OR ITEM EACH FEE -
OWNER
MAIL
WATER CLOSET $1:25 MAIL _
/Q
_ BATH TUB 1.25 f ADDRESS (� �
CITY tEi Z-o_ TEL. NO.!T :-3 -`. 3!
SHOWER.. 1.25
`LAVATORY 1.25 CONTRACTOR �!� y6�
-SINK 1.25 ADDRESS
DISHWASHER1.25 CITY r r TEL: �
NO.�
CONTRA TOR'S STATE
?, LAUNDRY TUB 1.25 REGISTRATION NO. COUNTY-. ❑
'CLOTHES WASHER DIST RI T NO. GROUP ZONE P CESSED BY /
`WATER HEATER 1.50Lo
`'L;
1.50 INDUSTRIAL d
GAS"SYSTEM OUTLETS WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30
INSPECTION RECORD �
9C
O
u
W
N
z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT- 2 00 UNDER SLAB WORK
_ROUGH PLUMBING
..TOTAL FEE. / GAS PIPING
1 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 HOT WATER HEATER - -
PLU_ MBING.
I HEREBY CERTIFY,.THAT I AM PROPERLY REGISTERED ANDZ.OR PLUMBING FIXTURES
LICENSED'•,AS- REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST - -
CALIFORNIA OR'THAT I-AM THE LEGAL'-OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRI ESIDENTIAL PROPERTY. - UTILITY CO.NOTIFIED '
1 SIGNATURE - -
OF PERMITTEE / -j
FINAL v ✓ v
VALIDATIO ROBERT A. WOOD ,
�` •. CK. M O cnsH SUPERVISING MECHANICAL ENG'R.
►88 30 ` 1:3 5 D 4 '0 ` 4.