HomeMy Public PortalAbout5640 ROSEMEAD BLVD_Plumbing__ 76A667 DBB 17 7-s, APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOXv CHIEF ENGINEER
' PLUMBING 1 '
DISTRYNO. GROUP ZONE ERMIT
FOS APPLICANT TO ILL IN 3 %/
G%
PLUMBER R EI READY FOR D E IBB D
FIRST INSPECTION
ADDRESS �
BUILDING
,
CITY TEL Na. ADDRESS
w/
COUNTY LOCALITY
LICENSE-NO. EXPIRES
NEAREST
PERMIT FEES CROSS BT.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER &4..
MAIL � ,p/��/J
WATER CLOSET(TOILET) 4D 0.50 G ADDRESS oD (rye/
BATH TUB 0.50 I
CITY ,•,:. f TEL. No.
SHOWER 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY 13ROINANCES
KITCHEN BINK ® 0.50AND STATE LAWS REGULATING PLUMBING.
Ylk 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY-TUB OR TRAY a 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
GAB SYSTEMOUTLETS ! 0.50 OF THE REBIDENTJX9 PROP RES BED AB E.
SIGNATURE CF
WATER HEATER 0.50 , PERMITTE
GLOP SINK 0.50 INSPECTION RECORD
FLOOR SINK ® 0.50 ' 6
FLOOR DRAIN 0.50
DISHWASHER Q O.'SO
DRINKING FOUNTAIN @ 0.50 a
URINAL O.BC / G.O . T� !i _ ' •�S J
HOUSE SEWER 0.50 y-�,� „�J- _Z
MISCELLANEOUS IIPr� ��o a
13
. moo A� /iLt'A
.4pE9 /AI.GLC 5`
• �' Gra.• ®x�� ¢� $!�r%��
APPROVALS
D TE INOPKUT13RIO NAME
ROUSH PLUMBING ��-
BAB PIPING
GAS VENT t
CESSPOOL 1,C0 CESSPOOL
SEPTIC TANKS SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT -
1.oD BAG TEST _.J, ACi
UTILITY CO.NOTIFIED
TOTAL FEE a `
FI NAL
76A667 DES 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OFAND SAFETY
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENBINEER PLUMBING 1
F R PPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION _
ADDRESS 4a
c BUILDING
OITY TEL N t°�dJ/(/ ADDRESS bWtextv °
b
COUNTY ® LOCALITY
LI NSE O. EXPIRE —1
NEAREST
PERMIT FEES DROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNER
sem :, MAIL
WATER CLOSET(TOILET) Oso III /�"`-' ADD B:
BATH TUB 0 Q!" CI TEL NO.
SHOWER R .g0 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0 .50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0 ,g0 d AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 OSEEBB THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0 .50 ANGELES COUNTY LIC 8 OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIA ERTY DESCRI OVE.
GAS SYSTEM OUTLETS •.50
SIGNATURE OF
WATER HEATER ALSO PERMITTE
SLOP SINK 0 ;50 INSPECTION RECORD
FLOOR SINK 0 0613
FLOOR DRAIN @ O.W
DISHWASHER 0 0.60
DRINKING FOUKTAIN 0 0,50
URINAL 0 Oso J
Q
HOUSE SEWER OFSO _Z
MISCELLANEOUS m
O
APPROVALS
DATE INJOP OR-B NAME
ROUGH PLUMBING /L /� ',,/' [ .-•-•+-'
GAS PIPING
GAS VENT
CESSPOOL @ 1,430 CEBBPOOL
SEPTIC TANK, SEPTIC TANK
DRAIN ( ) PIT ( ) 7.00 SEWER
PERMIT t.00 GAS TEST
Q UTILITY CO.NOTIFIED
TOTAL FEE S
FINAL /� �' "�`