HomeMy Public PortalAbout5322 ROSEMEAD BLVD_Plumbing__ 7SA667 17 25M SETS 7-48 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT- O. GROUP ZONE PERMn PERMNu.
FOR APPLICANT TO FILL IN .,
PLUMBER - CIO RECEIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION
12
I 4L-
CITY p TEL. No. O JOB
( ADDRESS
COUNTY //
LICENSE NO. '6 EXPIRES LOCALITY 94D
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NEAREST
ANGELES COUNTY LICENSE. CROSS ST. ® ��
OWNER �c/
O
MAIL
UMSER ADDRESS
PERMIT FEE IS $1.00 FOR THECITY" FIRST FIXTURE OR JO� TEL. NO,
ITEM LISTED BELOW, PLUS SOC FOR EACH ADDITIONAL I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP-
ITEM. FOR EACH SEPTIC TANK AND PIT OR DRAINFIELD ERTY DESCRIBED ABOVE.
$1.00. MINIMUM FEE FOR ANY PERMIT $1.00. EACH -
GAS SYSTEM IS A SEPARATE ITEM.
OWNER
NUMBER TYPE OF FIXTURE OR ITEM
Ao WATER CLOSET (TOILET) CORRECTIONS
BATH TUB
SHOWER
~ LAVATORY (WASH BASIN)
KITCHEN SINK
LAUNDRY TUB OR TRAY
GAS SYSTEM—OUTLETS
i
WATER HEATER -
SLOP SINK - —1
a
FLOOR SINK Z
FLOOR DRAIN _❑
DISHWASHER
DRINKING FOUNTAIN
URINAL
MISCELLANEOUS
APPROVALS
DATE. INSPECTOR'S NAME
I
ROUGH PLUMBING
GAS PIPING
e GAS VENT P�
CESSPOOL /
SEPTIC TANK - DRAIN ( ) PIT ( ) $ SEPTIC TANK
CESSPOOL $ SEWER
HOUSE SEWER GAS TEST
TOTA FEE $ a� UTILITY CO.NOTIFIED
r
FINAL
v
,76A667 DBS 17 7-51 APPLICATION FOR PERMIT
c DEPARTMENT OF BUILDING AND SAFETY
' COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DIS RI GR UP ZONE PERMIT
FOR APPLICANT TO FILL IN —s— ,a � 7 D
PLUMSE ,NERAL INSTALLATION OO, RECEIVED BY READY FOR DATE ISSUED
L �� n A�AAFIRST INSPECTION
ADDRESS 311 E. 80th STREET - ,
L tea' 2C41BUILDING
CITY TEL No. ADDRESS
n
COUNTY G LOCALITY e
CENBE N0. / EXPIRES
NEAREST
PERMIT FEES CR SS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER /
MAIL
WATER CLOSET(TOILET) � 0.513 $ ADDRESS
BATH TUB @ 0.50 CITY TEL. No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O.SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING .PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIA_ ROPERTYGESCRIBED ABOVE.
GAS SYSTEM OUTLETS 0.50
SIGNATURE OF
WATER HEATER 0.50 PERMI7TE
SLOP SINK 13.50 INSPECTION RECORD
FLOOR SINK (10 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0:50
DRINKING FOUNTAIN 0.50
URINAL 0.50 J
Q
HOUSE SEWER 0.50 Z
MISCELLANEOUS
Q'
O
APPROVALS
DATE INBPECTOR'S NAMS
ROUGH PLUMBING
GArp PIPING
GAS VENT
CESSPOOL 0 1.130 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 7.00 SEWER
PERMIT 1.00 GAS TEST
> UTILITY CO.NOTIFIED
TOTAL FEE s /
.FINAL �"'�