HomeMy Public PortalAbout5328 ROSEMEAD BLVD_Plumbing__ •D B S.'17,,,25M SETS 12-44 - : -
. . .APPLICATION FOR, PERMIT.,
-DEFAE,TMENT OF BUILDING'AND SAFETY-
COUNTY
AFETY •COUNT ' OR LOS ANGELES'
WM. J. FOX,.CHIEF'ENGINEER
NATURE OF.INSTALLATION .DIST ICT-NO GROUP ZONE' .PERMIT NO y
ROUGH • --FIXTURES COMPLETE L /
HEATER CESSPOOL - ScPTICTANK - RECEIVED BY `'READY dR / �,DATE788UED -
r ✓! i FIRST�INSPE TION l ��
• GAS•^, � �� MISCELLANEOUS �
APPLICANT FILL"IN HEAVILY''.OUTIINED'PORTION ONLY-'` -
JOB
NAME •.'� � � ADDRESS
� -sADDRESS - - _ _ _ _ .
:NEAREST, �,. ..
_ y CITY�..' .:.TEL.No. CROSS ST,• Ws' Cs�...
-COUNTY
F. CERT.No. 'EXPIRES C 'NAME.' C_
LOCATION.OF,SEPTIC TANH, OR-CESSPOOL-: z` :,MAIL
3. ADDRESS ". �I is .00PR-"F-r
NORTH' O rry {-�` �`�
- CITY v..o""r' - •TEL N6.%«.. �6�'V;'• "
I .AM THE LEGAL POSSESSOR OF, THE ABOVE,LOS.
,ANGELES'COUNTYCERTIFICATE'OF QUALIFICATION. -
PLumacit
1 AM THE,LEGAL OWNER-,-OF THE PROPERTY DESCRIBED
14
CWNBp
CORRECTIONS
" It
DESCRIPTION OF: WORN
1 A;lYTUB FURNACE
SHOWER 'DISHWASHER
f " LAVATORY, REFRIGERATOR
KITCHEN SINK . WATER SOFTENER
w 4
FLOOR SINK' WAND TRAP '
SLOP SINKPLOOR DRAIN '
WASH TRAY URINAL . .APPROVALS--
_.
WATER CLOSET r DRINKING FOUNTAINS
WATER HEATER DENTAL LAVATORY
DATli nisk TOR'8 NAME
ROUGH PLUMBING I 10 I A .
METE GAS =• ,ODA FOUNTAIN.'
OUTL
- - GAS PIPING .I I• `I''� „-
.. -. .GAS VENT
:'i •
177 CESSPOOL
TOTAL NUMBER OF"FIXTURES
C;SEPTITANK..
- _,_j_CESBPOOt, +=EPTIC TANK X1'1 SEWER! . In „• ) +
UTILITY CO..NOTIFIED Ib�.'L� ^��4► M-1/dV"t4'.41 ;
I TOTAL,'FE£
.FINAL.. `+ '
76AS67 Das 17 11-SO APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY t
COUNTY OF LOOS ANGELES PLUMBING
WILLIAM J. FOX, CHIEF E148114EIER
DISTNTCY O. .
FO/RAPPLICANT TO FILL IN1.
PLUMBERO—IR 9;-•,11' -- E
llY READY FOR DAT ISS ED
FIRST INSPECTION p,
ADDRESS _
cF (� .,,/�
CITY✓/ {-!S�.ff(r.,arR �d�r.,rnl:EL. o. �Ma, - ADDRESS .) 1 IT At�(//�) i.0 ='11$"-91'4
COUNTY 'LOCALITY
LIDEMSE NO. -. EXPIRES. NEAREST /� - ,5r '
PERMIT FEES cROSB BT. r a r1a ,RA'7'0-5: JD AA
NUMBER TYPE OF FIXTURE OR ITEM FEE DWNER
- MAIL � Qom.•,-....,�.�' a � -_'
WATER CLOSET(TOILET) 0.50 s ADDRESS
BATH TUB - @ 0.50 6
..CITY �-� � TEL. No. C=� _
SHOWER -@ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASHBASIN) @ 0.50 :APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND'AGREE TO COMPLY WITH ALL•CO.UNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
- 1 CERTIFY THAT i POSSESS THE ABOVE VALID 'LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM - OUTLETS @ 0.50 � _..t
•.SIGNATURE. OF
WATER HEATER @ 0.50 PERMITTEE - ���p��0�"^�'""! -
SLOP SINK @ 0.50 INSPECTION.RECORD _
FLOOR SINK '@ 0.50
FLOOR DRAIN - @ 0.50 -
DISHWASHER @ 0.50 -
DRINKING FOUNTAIN @ 0.50
URINAL - @ 0.50 .J
Q
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS O
!Y
, a
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1:00 �' (�_(� CESSPOOL �' f.
i t r
SEPTIC TANK: SEPTIC.TANK -
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE S
FINAL
D.B.S.-17.25M SETS 12-45 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES L
Wm. J. FOX. CHIEF ENGINEER.
UMBIRLEG
NATURE OF INSTALLATION, DISTRICT NO. GROUP ZONE /PERMIT NO.
ROUGH FIXTURES COMPLETE
I—I SEPTIGTANK RECEIVED BY READY FOR DATE ISSUED
HEATER CESSPOOL 6
4
—I MISCELLANEOUS F� FIRST INSPECTION ^/-�
GAS �
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY .
Joe
E NAME - ADDRESS'. G�{/ �
W - r -
O
'ADDRESS. „� �, .�.� .r;p LOCALITY
J AVT NEAREST
IL - CITY TELNo
. . .CROSS 8T.
COUNTY
CERT.No: EXPIRES m I NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL. z ' MDIL
DRESAD
3' ESS �O S GG r�►
NORTH - O CITY as.", ,s�c.E.,/f TEL. No.A V
IAM THE LEGAL POSSESSOR OF. THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION. -
PLUMBER
I AM THE LEGAL OWNER OF THE P OPERTY DESCRIBED
ABOVE. /
4 0 - OWNER
i CORRECTIONS
- SOUTH
a
DESCRIPTION OF WORK d
RATH TUB FURNACE
—SHOWER _ - .DISHWASHER - 0
LAVATORY _ REFRIGERATOR -
KITCHEN SINK WATER SOFTENER .
FLOOR.SINK SAND TRAP
SLOP SINKFLOOR DRAIN
WASH TRAY . —URINAL. APPROVALS
WATER CLOSET DRINKING FOUNTAIN - DATE INBPECTOR'u'NAME -
WATER,HEATER DENTAL LAVATORY ROUGH PLUMBING
METER 'GAS roDA FOUNTAIN
OUTL GAS PIPING I'
GAS VENT.
CESSPOOL
TOTAL NUMBER OF FIXTURES _ SEPTIC TANK'
CESSPOOI SEPTIC TANK :� `f �+' SEWER
o
$
l UTILITY-CO.NOTIFIED
I TOTAL FEE I FINAL