HomeMy Public PortalAbout5518 ROSEMEAD BLVD_Plumbing__ wiIn1GEE APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF RUMDING AND SAFETY
D•pmtmew of County Enginew
County of Lw Anp•bE BUILDING c
JOHN A LAMBIE. COUNTY ENGINEER ADDRESS SJ • o v
CASSATT D GRIFFIN.SUP T OF BUILDING `1 G
LOCALITY I l
FOR APPLICANT TO M IN NEAREST
88 ET vii WQ
OWNER ff DISTRICT NO 6R0 P 20N I AuoT Pol INn Itt IGN
MAIL
CITYADDRESS
INDUSTRIAL
C TEL NO WASTE APPROVAL
PLUMBER tom. INSPECTION RECORD
ADDRESS 0 a�-ay r ti_ r�C� C•'T� � '
CITY " TEL NO S tI
LICENSE NO Q • 1^' '� r
NUKE" TYPE OF FIXTURE OR ITEM ns
WATER CLOSET (TOILET) ® $1 00 S �.I toT I .
BATH TUB jl OO
1 \
SHOWER iptoo
LAVATORY (WASH BASIN) j100 1
KITCHEN SINK 1 00
DISHWASHER Sion
LAUNDRY TUB OR TRAY @ $100
CLOTHES WASHER $I 00 p0
WATER HEATER $100 *1081 IA
GAS SYSTEM 4100
C.o B AcG
APPROVALS
D T! LJORSNAT
UNDER SLAB WORK
PERMIT j l OO ROUGH PLUMBING GAB PIPI NO
TOTAL FEE ddOAS VENT
IHERESY ACKNOWLEDGE TXAT 1 HAV[ READ TXIE ATO CO TIDN
AND STATE TXAT TXE ASOYE 18 CORRECT AND AGRfifi TO COYPLT HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGPLUMBING PLUMBING FIXTURES •L1 HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED 811-L IRS ANGELES COUNTY AND STATE OP
CALIFORNIA OR THAT M THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENT PRO ERTY _
SIGNATURE `\
OP P[RM ITTEE FINAL
JOHN A LAMGIE COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
■ • CAR"
If" 3391A OM14 3 25.00 0
f
Dept, APPLICATION FOR PLUMBING PERMIT
DBS_I�'14 VISION OF BUILDING AND SAFETY 1
Department of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,SUPT OF BUILDING
LOCALITY • '
FADDRESS
O APPLICANT TO FILL IN NEAREST
CROSS ST.
DISTRICT NO. GROUP
ZONE I READY FOR INSPECTION
p
INDUSTRIAL
CITY ;EL. N WASTE APPROVAL
PLUMBER i INSPECTION RECORD
ADDRESS
CITY TEL. NO.
LICENSE NO. 16-!&,-3 41
NUMB TYPE OF FIXTURE OR ITEM FEE SI ;
WATER CLOSET (TOILET) @ $1.00 $ �„ D -11.� ,,ems
BATH TUB @ $1.00 �� r
SHOWER @ $1.00
!it— b l
LAVATORY (WASH BASIN) @ $1.00 :,`fit,ti
KITCHEN SINK @ $1.00 �' I
i.
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHE€,WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $I-00
APPROVALS
DATE INSPE TOR'S SIGNATURE
UNDER SLAB WORK -
PERMIT $ 1 00 ROUGH PLUMBING_
GAS PIPI 6 G
TOTAL FEE
GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGIS T D/OR GAS TEST +r /•! o __
LICENSED AS REQUIRED BY LOS ANGELES COUN AND S T OF
CALIFORNIA OR THAT I _AM.TH GAL OW OF T OVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROP � --
SIGNATURE
OF PERMITTEE FINAL
JOHN A. LAMBIE. COUNTY ENG EER i�iLIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
CK. Y.O. CASH
I
L"TA 9 8 0 7 A ALIG 31 3 8.00