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Home My Public Portal About5132 ROSEMEAD BLVD_Plumbing__ 23: 76A667-CE817:11-57 APPLICATION FOR 'PL.UMBING PERMIT �. COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ,BUILDING AND SAFETY DIVISION BUILDING 7� JOHN'A.'LAMBIE, Count Engineer ADDRESS X132 N. Rosemead Blvd. CASSATT D. GRIFFIN, Sup t of Building iocALlrY Ro s eme a d FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM 2 WATER CLOSET OWNER Calvin R. Campbell MAIL 1 BATH TUB ADDRESS 1 SHOWER CITY TEL. NO. 2 LAVATORY CONTRACTOR Belvedere Plumbing Co. i .. SINK ADDRESS 11900 E. Garvey Ave. DISHWASHER CITY El Monte TEL. NO. LAUNDRY TUB CONTRACTOR'Sr STATE ❑ REGISTRATION NO. 179568 COUNTY ❑ 1 CLOTHES WASHER DISTRICT No:, GROUP ZONE READY FOR INSPECTION 1 WATER HEATER 1 . GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS 10 @ $1.00 PER ITEM DATE INSBECTOR'S SIGNATURE OR _ -FXTURE 10.00WORK PERMIT - - O- ROUGH PLUMBING —4 TOTAL FEE 12 00 GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT i`S AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY, ORDINANCES AND STATE LAWS REGULATING. PLUMBING.. PLUMBING FIXTURES rte]• ,� I HEREBY CERTIFY THAT I AM..PROPERLY REGISTERED AND/OR '� GAS TEST LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATEOF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE 43OVE UTILITY CO.NOTIFIED (I DESCRIBED RESIDENTIAL PROPERTY. - '- SIGNATURE F OFPERMIT ,t FINAL ROBERTA.WOOD. OF _ VALIDATION. SUPERVISING MECHANICAL ENG'R CIL. M.O. CASH %6A667 =CE817 5/70 APPLICATION ' FOR PLUMBING PERM COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION fNEA UILDING JOHN A. LAMBIE, COUNTY ENGINEER DDRESS COLEMAN W. JLfNKINS. SUPT. OF BUILDING OCALITY FOR APPLICANT TO FILL IN(PR NT OR TYPE) REST AOSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER 4 WATER CLOSET 1,50 MAIL -. BATH TUB 1.50 ADDRESS 3 SHOWER 1.50 CITY TEL. NO.�d96 . 705<O LAVATORY 1.50 CONTRACTOR w SINK 1.50 ADDRESS�Q DISHWASHER 1.50 CITY TEL. NO. CLOTHES WASHER 1.50 STATELIC LICENSE NO. a"-D'//9 CLASS (J—�� SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GTP 7,0E PROCES D BY - LAWN SPRINKLER SYSTEM 2.00 f WATER HEATER •b.59' INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1;50 ]#iK INSPECTION RECOR OUTLETS OVER 5 PER SYSTEM 30 <<OD Plan check fee 25% of above. See reverse. A Ago PLUMBING PERMIT ISSUING FEE .8 TOTAL FEE 147S APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No. HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND IN TO 42 RES JOE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL SIGNATURE - JACK R. ALLEN, SUPERVI I � CHANICAL ENG-R. OF PERMITTEE PERMIT VALIDATIO K .t M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH Li1U� FEB 2 3 9 D 4.7 5 N X76 A¢67-.CE#817 10-67 n APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS X43-2 COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY c2.h Q. Y e FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST CROSS ST. 451U-r L A A)b NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET 1.50 OWNER MAIL BATH TUB 1.50 ADDRESS /, Z SHOWER 1.50 CITY' —cL /nJ TEL. NO._2.0,6 _ 7a�o LAVATORY 1.50 CONTRACTOR /~L_s hITG SINK 1.50 ADDRESS'��J4Z E., 11,41-LEY L V& DISHWASHER 1.50 CITY,674W 6 _ le7L TEL. CLOTHES WASHER 1.50 STATE LIC LICENSE NO. T�7 CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GRP ZONE PRO SS BY LAWN SPRINKLER SYSTEM 2.00 vC C_ O U WATER HEATER 1.50 INDUSTRAL WASE APPROVAL CS O GAS SYSTEM OUTLETS S INSPECTION RECORD W OUTLETS OVER 5 PER SYSTEM .30 N Plan check fee 25% of above. See reverse. PLUMBING PERMIT!ISSUING FEE $ TOTAL FEE 7� APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City. Tel. No. HOT WATER HEATER IH ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED .. ... ... LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL /-20 Z _ SIGNATURE JACK R. A-LLEN, SUPERVISIN CH ICAL EN R.. OF PERMITTEE PERMIT VALIDATION CK. CASH PLAN CHECK VALIDATION CK. M.O. CASH .:Fq JLC) 4 5 y'7 3 FE'8 2 5 A 4.7 5_~ 'z