HomeMy Public PortalAbout5602 ROSEMEAD BLVD_Plumbing__ 7"667 - MI? 5/70
APPLICATION FOR PLUMBING PERMIT
' COUNTY OF LOS ANGELES
DEPAATNIEN OF COUNTY ENGINES$
BODEING APID SAFETY EIMMONpmar ��
JOHN A.L,AMBIE. COUNTY ENGINEER 'V
COLEMAN W.JENKINS SUPT OF BUILDING Loemrry
FOR APPLICANT TO PILL ER PR AT OR TYPE
NUMB" FIXTURE OR ITEM EACH FEE
DWI6E
WATER CLOSET 150 MILL
BATH TUB 150ADDREM
SHOWER 150 CITY TEL no
LAVATORY I SO CORY wmlk LI
SINK I50 iDDRBR �. O
DISHWASHER 150 Cdf1 Ta<_NO
CLOTHES WASHER 150 STATELIC C;,0,3LICENSE N011,e CLASS
SWIIOIING POOL RECEPTOR ISO DISTRICT NO GROUP ZONE [1S Y
LAWN SPR WKLHR SYSTEM y 00 +
WATER HEATER 150 UUNIVrEm"
WASTE APPROVAL
GAS SYSTEM OUTLETS / newffcrwm Seca®
OUTLETS OVER 30 Z
5 PER SYSTEM O
2
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE t 00
TOTAL FEE APPROVALS DATE INAPA(.TOR S AIGNATUM
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No NOT WATER HEATER
1 NOS1T ACRNOrILlDYY THAT 1 HAW AAAO THIS ARLICI1rNIN
ANo FrAW THAT TK ABOW W COONS= AND AOI To corvLT PLUMBING FIXTURES
.ITH ALL co N DHmINAMCUI AND ATATA uWA M[O TIIm GAS TEST
FLUN NG
H Ntl®T OBITFT TMr I AR FRGF v ISDIFI® AIm/M UTILITY CO NOTIFIED
LKtN® AA RWI® n L ANGAI IS CpYNTT AND RAIL OF
GUFONNIA OA TIYT 1 ljl A OW— OF AIm INrOfD
112 O IN T K A=T* FINAL
SIGNATURE JACK R ALLEN, AUPERVIAIN HANICAL ENG-R
OF PERMITTEE PERWr VALIDAInON cK mo CASH
PLAN CBF.'C ALBDA ON A M D CASH
1 �r. 169s„ JLL29 5 0 4.75 _
ve w 66]—CE 817 a/se
APPLICATION FOR PLUMBING PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGImpyTEL
BUILDING AND SAFETY DIMLDING
JOHN A LAMBIE COUNTY ENGINADDRESS .� O `9'
COLEMAN W JENKINS SUPT OF BALITT
FOR APPLICANT TO FILL IN PR NT ORIREANEST
ROSS ST
NUMBER FIXTURE OR ITEM EACH
NER •f LG�
WATER CLOSET 1 50
BATH TUB 1 50RESS
SHOWER 150T .� TEL
LAVATORY 150TRACTOR S -
SINK 1 50DRESS
DISHWASHER 1 50TATEy� TEL NO yyj
, /
CLOTHES WASHER 1 50 LIC
LICENSE NO qpQ w</ CLASS
SW04MING POOL RECEPTOR 1 50
DI�ICT N ROOF ZONE PR �^RY
I AWN SPRINKLER SYSTEM 2 00
WATER HEATER 1 50D DIDDSTRIAL 0
WASTE APPROVAL
GAS SYSTEM OUTLETS 1 50 DDSPECTI N RECORD w
OUTLETS OVER D-
5PER SYSTEM 30 JD
� � V
I
1
Plan check fee 2"M of above See reverse
PLUMBING PERMIT ISSIIINC Fl,F S 2 00
I OT UL FEF JZ4100
APPROVALS DATE INEFccioR•aIGNAiuR[
Plan check ip Meant UNDERmSL ( RI
Nae ROUGH P M f
Address GAS PIPING
GAS VENT
Glty el No HOT WATER HEATER
I HERMY ACKNOWLCOGE THAT I NAY[ MAD THI9 APPLICATION
AND STATE THAT THE ASOYE Is CORRECT AND AGUES TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY OBDIMANCES AND STAT[ LAWS IIEOULATINO GAS A6 TEST
I H[RLY Ca""Y THAT I AM MCMI REmR[4O AND/OR UTILITY CO NOTIFIED
LICENSED AS IIEOUIREO SY LOS ANC[LES COUNTY AND STATE OF
F0
*NIA FNIA OR THAT 1 AM THE LEGAL OWNSR OF AND NO T
RESIDE IN THE AwY[DESCROAEO MESIO[ L FROFERr FINAL
SIGNATURE JACK R ALLEN, SU ERV SIN CHANICAL ENO R
OF PERMITTEE
PER51IT VALIDATION cN M o CASH
PLAN CHECK VALIDATION cH MC, CASH
LAr,,6 9 1 6?- S&24 5 (D.� 14.0 0- V
` Tuu>,Dea'iv mw APPLICATION FOR PERMIT
DEPARTMENT OFF LOS dG AND SAFETY ® t G I G
+
COUNTY J. r LOS ANGELES L.0
1 WILLIAM J. FOX, aHl[r ENGINEER
FOR APPLICANX TO FILL IN DISTR NyRMIT NO.
/7
PW MSE A [I SY READY roll DAT[ ISSUED
FIRST INSPECTION
i
ADDR
SUILDINO
CITY TEL No ADDRESS O L
COUNTY C 4 LOCALITY
NLICENSE EM EST �J
PERb= FEES CROSS ST
NUM11[l TYFE Or rl% nl oR ITEM FEE OWNER
MAIL
�AT[R CLOSET(TOILET) @ Cools O ADDRESS
BATH TUB @ 050 CITY TEL No
SHOWER @ O SO 1 HEREBY ACKNCWLXOOlqTHAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 050 O APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 6SO AND STAT[ LAWS REGULATING PLUMBING.
I CERTI►Y THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUR OR TRAY @ M50 ANGELES COUNTY LICENSE. OR IATH[ LEGAL OWNER
OF THE R[SID[(N( TIA PR [ D RISED "CIVIL
GAB SYBTEN�UTLETS @ 050 SICHATURE OFJ\
WATER HEATER ® 060 FERMI
SLOP BINK 050 INSPECTION RECORD
FLOOR BINK @ 0.50
FLOOR DRAIN @ O SO
DISHWASHER @ 050 84S
AJAVTAP-
DRINKING FOUNTAIN @ 660 S A4004
URINAL @ O BO O `/ c'e
a
HOUSE SEWER @ OBD mss+ edrm. Jr =
a
MISCELLANEOUS p g
C
Lfn 8 O
D �L P
O Pa To
O i�l
APPROVALS
DAT[ INR 111•[ NAM[
ROUGH PLUMBING
OAS PIPING N
GAS VENT
CESSPOOL @ la0 CESSPOOL
SEPTIC TANK' SEPTIC TANK
DRAIN ( ) PIT ( ) @ 10,31 SEWER
PERMIT 1 DD GAB TEST s S SL
UTILITY CO NOTIFIED
TOTAL FEE B d ��-
FINAL