HomeMy Public PortalAbout5410 ROSEMEAD BLVD_Plumbing__ ,6A664, �PP'LIC 'T'I:OfV: FSR PL 9 I :GhERiIIT
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DI�TISIfJN OF BUILDING AND SAFETY, .EL
z +}r Mp-lrnent.of County Engineer
County-of-Los Angeles.
' BUGLDING ` : ..
W .J. FOX, CADDRESS•
OUNvi' ENGINEER w� CQ' I.{Iv d✓
'CASSATT D. GRIFFIN, SUPT OF BUILDING -
- LOCALITY _ c
FOR•APPLICANT TO' FILL --IN ; °..: NEAREST
:. . -... , ROSS ST.-
��y C
OWNER. �V - :DISTRIC�.N O.. "GROIIP ZONE - •REnoY Foe',INseECTION.
MAIL
DDR SS, �
SS. :..//. ' :.:.FJ�xc�� _ ,. r• .:: � .,.. . .,//l
- � -.._. - `INDUSTRIAU
CITY (/d�n TEL:NO. �"� 7Z WASTE APPROVAL ` '-i ' .lJJ•'i 91 -
: `PLUMBER : INSPECTION.RECORD,
;.ADDRESS
CITY• 4 +V
(� L TEL 0.N
NUMBER 'TYPE OF.FIXTURE OR ITEM F6E
�WAi-.ER CL&3ET'('T61LET)._
_
.-BATH-TUB :
SHOWER-
LA VATORY
HOWERLAVATORY (WASH BASIN)
KITCHEN SINK - -
'DISHWASHER
LAUNDRY-TUB OR TRAY - -
CLOTHES WASHER
: TOTAL'.NO.: 2 o.,eo
APPROVALS
'-DATE� INSRECTOR`$.SIGNATURE'
a. GAS SYSTEM OUTLETS. ".(til..A.00: .
WATER HEATER @ 1.00' ., UNDER SLAB WORK
ROUGH PLUMBING' ..`: "► X �„Q��-..+,._,•-_ :.8
PERMIT' S' 1 00GAS PIP]NG
y
TOTAL'FEE'.. GAsyENT
{ -I •HEREBY ACKNOW;LEDGE,THAT 1HAVE -READ APPLICATION HOT WATER H.EATER`. .p
AND STATE THAT THE ABOVE IS CORRECT,ANDAGREE TO COMPLY
WITH ALL COUNTY-'ORD,.INANCES AND- STATE' LAWS! REGULATING. PLUMBING FIXTURES -�3 G., .d i a . ,>�.:..;^:_: ,D_ .
.1 HEREBY CERTIFY THAT ',I AM -..PROPERLY REGISTERED AND/OR GAS TEST
LICENSED.�AS.:REQUI_RED, BY`LOS ANGELES'COUNTY'AND STATE OF -CALIFORN'IA'OR THAT-I' AM: HE L.,GjkL.OWNER, OF, THE. ABOVE 'UTILITY.CO:.NOTIFIEp -
DESCRIBED'.RESIDENTI_A ,PROPERTY." _ ^' `
.SIGNATURE I� - -
14
OF PERMITTEE.,. ', F mFINALfilm
... .. ISM
..
/. ♦v. -
WILLIAM J. FOX,FiouNTY ENGINEER VALIDATION R A:WOOD 'CHIEF PLBG INSPECTOR:
�. `-
illfm
"76A6671, CE_`#617 2 62F.�spti9.1.i�,[..'�'y� jta9LY.7 "C� 37!�
APPLICATION IOM P6.
EF�i���"
• _ - -
°.COUNTY OF.�LOS ANGELES .
DEPARTMENT ,OF•CO.UNTY ENGINEER soil DING
BUILDING' AND 'SAFETY DIVISION ADDRESS
JOHN A.-LAMBIE. COUNTY ENGINEER=
W ILLIAM,•A. JENSEN,•Su P'T OF BUILDING '.. - LOCALITY- ,� Oct
' '"
a/
FOR APPLICANT T6 FILLNEAREST,IN �. •''' �
ITEM EAC FEE r
CROSS sr.
RR
NUMBER FIXTURE O " -
Ow
NiR
WATERCLOSET $1.25MAIL
_.t ADDRESS-, L'�` G?'GI
BATHTUB' 1.25 J.
CITY C- TEL.'NO
SHOWER 1.25
LAVATORY 1.25, CONTRACTOR ' .' a �► /. /�/'
SINK 1.25 Q `ADDRESS^
DISHWASHER• 1.25 CITYF.�e�� /L`n.;" TEL. NO.
CONTRACTOR STATE
s
LAUNDRY TUB 1.25 REGISTRATION.NO.. / COUNTY '❑
mmommmmsopm
CLOTHES WASHER 1.25
_ � DISTRICT NQ' GROUP. ONE' P ESSED BY
WATER,HEATER. 1:50'
1.50 AL
WASTE APPROVAL.
° INDUSTRI
GAS SYSTEM OUTLETS �.� OVAL
OUTLETS OVER Y PER-SYSTEM ':.30 / ,INSPECTION RECORD �- y
/ ^� s
LU
•
A
` y -
�, APPROVALS INSPECTOR'S SIGN
:PERMIT. $ 2' ssJJJOO UNDER'SLAB'WORK
ROUGH PLUMBING':
TOTAL FEE °�'� r �.�� ,•.y %`
•Q -GAS PIPING •
I—HEREBY ACKNOWLEDGE THAT I HAVE ;READ THIS.APPLICATION "GASIVENT
WAND 'STATE THAT THE ABOVE IS CORRECT AND AG REE TO .COMPLY
.. CAWS REGULATING, .HOT:WATER HEATER
n WITH ALL COUNTY, ORDINANCES AND STATE
.. PLUMBING. ' - -
I•HEREBY CERTIFY THAT I-'AM PROPERLY- REGISTERED AND16R- PLUMBING FIXTURES i
-CALIFORNIA
ALIFOR IAS REQUIRED BY,.`LOS.ANGELES'COUNTY'AND STATE OF _ -
CA LIFORNIA'OR THAT 1. AM THE LEGAL OWNER-O F,AND INTEND TO GAS•TEST /A'f �l8 ''. !', - •�' '
RESIDE IN,:THE ABOVE_•DES RIBS .REST NTIAL PROPERTY.. - UTILITY CO. NOTIFIED
SIGNATURE-
rOF•P:ERMITTEE
RETRTION FINAL
"ROBERT, X WOOD
cK m,,.:' CASH SUPERVISING MECHANJCAC'.ENG'R
11 P 11 r 1
1..
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