HomeMy Public PortalAbout5430 ROSEMEAD BLVD_Plumbing__ D.B.y17 25M 5�TS-12-43 1 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
.COUNTY OF LOS ANGELES PLUMBING '
WM.J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE P RMIT NO.
—
ROUGH FIXTURES COMPLETE r 3`� `
HEATER CESSPOOL 1-1 SEPTIC TANKRECEIVED BY READY FOR DATE ISSUED
_ 6F FIRST INSPECTION
GAS MISCELLANEOUS C
APPLICANT FILL IN,^HEAVILY OUTLINED PORTION ONLY_
' AD �(�1/Use
�, NAbI .�:-�JJ`+/. �-'ft�'r-a��./J?,,�.��s'_"`..7-f'� ADDRESS 'o',
2 ADDRESS /alv NEAREST/�-j •tg / i LOCALITY
ACITY �/ TEL.Nd� � N1 � CROSS ST.
COUNTY ze
CERT.No. I If EXPIRES �� W NAM
LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL
NORTH O ADDRESS
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE- LOS
ANGELES COUNTY CERTIFICTEOF�Q�UALIIFICATTIIO/N:^'
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
N
a
3 OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
BATH TUB FURNACE
R'
SHOWER DISHWASHER O
1LAVATORY REFRIGERATOR
�_tUX EN SINK WATER SOFTENER
FLOOR SINK j SAND TRAP
SLOP SINK —FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET _DRINKING FOUNTAIN
DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METE GAS SODA FOUNTAIN 6A8 PIPING
OUTL ,.
GAS VENT I
CESSPOOL ( I
TOTAL NUMBER OF FIXTURES '�~ SEPTIC TANK I I
CESSPOOI f4EPTIC TANK SEWER
�-• /? UTILITY CO.NOTIFIED . V
TOTAL FEE
FINAL 1. 0
D:B.S.-17 25M SETS 12-45APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES L
Wm. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION... DISTRICT NO. GROUP ZONE . PERMIT"NO.
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL I-I SEPTIC TANK REC 11VED B)r_ READY FOR
FIRST INSPECTION DATE ISSUED
GAS MISCELLANEOUS /`�-C+�"=� &1-:L-,9_
A,�PPLICANT FILL IN
IN HEAVILY OUTLINED /PORTION ONLY
'E NAME... ��.sY'✓':i.�:�. �� ADDRESS
m
ADDRESS y Gull! ( if (/I�„i..n.�t/ i i LOCALITY -PX1 _
?
NEAREST' r
J
CITY ?, "Llpll-,a_LTEL.No. a.�7-�'�^ CROSS
COUNTY L-•�
CERT.No. EXPIRES ¢ I NAME 'dw �� ��
LOCATION OF SEPTIC TANK,-OR.CESSPOOL 3 ADDRESS___.MAIL
NORTH O "
" CITY TEL.No.
- I AM THE LEGAL POSSESSOR OF THE. ABOVH LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
FH
IAM THE LEGAL OWNER.OF THE PROPERTY DESCRIBED
- ABOVE.
a - OWNER
i - CORRECTIONS
"
SOUTH'
DESCRIPTION .OF WORD
BATH TUB FURNACE - 0
N
SHOWER DISHWASHER
LAVATORY REFRIGERATOR '
KITCHEN SINK WATER SOFTENER -
FLOOR SINK SAND TRAP -
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS.-
WATER
PPRO`ALS''.•WATER CLOSET DRINKING�FOUNTAIN DATE INSPUCTOR'S NAME
WATER HEATER 'DENTAL LAVATORY ROUGH PLUMBING
METED GAS SODA FOUNTAIN GAS PIPING I I
OUTL
GAS VENT
, CESSPOOL
TOTAL NUMBELOFFIXTURES � � ��SEPTIC TANK
CESSPOOITIC TANK V v SEWER
-TOT
$ ` UTILITY CO.NOTIFIED
I TOTAL FEET" p `
- FINAL > `+� v� I �Y"
76A6e7 17 5-49 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING I
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
PLUMBER - V RECEIV D BY FIPST INSPECTION
READY FOR DATE ISSUED
3 Ej F:
ADDRESS !gffl/ s® LV14,9
c o BUILDING f6!'
CITY .ba d TEL. NO. r VP & o ADDRESS
., f6/'
COUNTY LOCALITY CJ
LICENSE NO. EXPIRES n
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ 0.50 $ ADDRESS
BATH TUB @ 0.50 CITY TEL. NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) @ 0.50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTEE
SLOP S I N K @ 0.50 INSPECTION REC RD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER c@i 0.50I
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50
HOUSE SEWER @ 0.50 Q
_Z
MISCELLANEOUS _0
It
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
lGAS VENT
CESSPOOL @ 1.00 I CESSPOOL
SEPTIC TANK: SEPTIC TANK
I DRAIN ( ) PIT ( @ 1.00 O / SEWER
PERMIT . I 1.00 GAS TEST
Fj
TOTAL FEE $ UTILITY CO. NOTIFIED
��
S FINAL I y
L - \
7GA667 013517 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
IS RRI,CT NO. GROUP PERJAIT NO.
LL
ZO E
FOR APPLICANT TO FILL IN
PLUMB - �_�„ } i. _ LV
REC ED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
CITY t TEL N ADDRESS
� 1-
me—
LOCALITY F• ,., �1'
COUNTY - ..-+ iG- k'S K`S irk. *
LfD SE NO. EXPIRES i
NEAREST
CROSS ST.
PERMIT FEES y/��',.,�
NUMBER TYPE OF FIXTURE OR IT.. FEE OWNER it�,r{�.d b 72
MAIL ' /+
WATER CLOSET(TOILET) @ O.SD 4$ ADDRESSC2
BATH TUB @ O.SO CI '�vC'7�e t.0�tI n �TEL. No.
SHOWER @ 0.50 HEREBY ACKNOWLED131/ THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.60 AFGILICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ O.SO AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE—ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM JrHE LEGAL OWNER
Of THE RE NTtJLFIROFRTY DES RIBED�ABOVE.
GAB 9Y9TEM OUTLETS @ 0.50 SIGNATURWATER HEATER @ 0.50 PERMITTEE_
LDP BINK a.50 � ECTION lAbORD
FLOOR SINK @ O.SO
FLOOR DRAIN @ O.SO
DISHWASHER @ 0.50 _SS X93 ��a/ on�ccGf o
DRINKING FOUNTAIN @ O.SO �r�,e�4 .��-•c�� s� •416�/'J'
URINAL @ 0.60
Q
HO1JSE SEWER @ 0.60
MISCELLANEOUS 17
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
OAS PIPING
GAS VENT
CESSPOOL @ 1.130 CESSPOOL
SEPTIC TANKS SEPTIC TANK
DRAIN ( ) PIT ( ) 0 1.00 SEWER
PERMIT 1.130 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE `&
FINAL