HomeMy Public PortalAbout5300 ROSEMEAD BLVD_Plumbing__ "76A667 (CE-817)-4/72
`APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FADDREss
7DD"G
`
MAKE CHECKS PAYABLE TO: 00 Rosemead
HARVEY T. BRANDT, COUNTY ENGINEER
Tem le CitFOR APPLICANT TO FILL IN (PRINT OR TYPEI �jyt/lT
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1.75
D OWNER Phil Rochenbach Inc.
MAIL
BATH TUB 1,75 ADDRESS 101 2A Rugh Stxppt
SHOWER 1,75 CITY South El Monte TEL. NO. 5...6159
LAVATORY 1.75 3 "� CONTRACTOR Owen Bros.Plumhing,Inc.
SINK 1.75 ADDRESS 11.265 North Baldwin Avenue
DISHWASHER 1.75 CITY El Monte TEL. NO. 443-0075
CLOTHES WASHER 1'75 STATE LICENSE NO. 231 741 CILASS C36
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP ZONE FRO ESSED BY
/ LAWN SPRINKLER SYSTEM 1.75 /J� a'�0G�[1
WATER HEATER 1.75 ` INDUSTRIAL 9:
WASTE APPROVAL C-
O
GAS SYSTEM 3 OUTLETS 1.75 76 INSPECTION RECORD O
OUTLETS OVER
5 PER SYSTEM .30 f 7 3 OO
TT , W
'y'el Am z 175 C013
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s
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 000
TOTAL FEE /91
APPROVALS DAT I PECTOR' S1 NATURE
Plan check applicant UNDER SLAB WORK J
Name ROUGH PLUMBING 0-13
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I 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 rJ
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS. REQU I RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE CR D RESIDENTIAL�PERTY.
FINAL ,3
SIGNATURE 1
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
L;AL,0 (7, 6 6 2 JM 1 5 D 1 8.7 5 N