HomeMy Public PortalAbout5644 ROSEMEAD BLVD_Plumbing__ 76A667-CEtl61.7 6-65
APPLICATION FOR PLUMBING PER c
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION . BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BuILOING LOCALITY L>E
FOR APPLICANT TO FILL IN CRS EST S T �QS
NUMBER FIXTURE OR ITEM EACH FEE
OWNER A ES /C 6r
WATER CLOSET $1.25
BATH ruH 1.25 nnDREss / )PA/417 �/1 T
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 s CONTRACTOR kmA
SINK 1.25 ADDRESS 17-P apso
DISHWASHER 1.25 CITY L TEL. NO.
STATE LIC
LAUNDRY TUB 1:25 LICENSE NO. CLASS 4.8
CLOTHES WASHER 1.25 DISTRICT Ngo' GROUP ZONE. P 60"13Y
WATER HEATER 1.50 ay
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL a}.
WASTE. APPROVAL p
OUTLETS OVER 5 PER SYSTEM .90INSPECTION RECORD V
I-
V
w
D_
H
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2. 00 UNDER SLAB WORK _
ROUGH PLUMBING �,/-/;�•�j � f-
TOTAL FEE ®O GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE,IS CORRECT%AND'AGREE TO. COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES-COUNTY AND 'STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AN NTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDE IAL P�QPE Y UTILITY CO.NOTIFIED
SIGNATURE I� �►
OF PERMITTEE
/K.7 M.ATION
(l C�K./ M.O. GASH '
8 .1 2 2 E .APR19 5 0 7.00
76A667 17 25M BETE 7-48
(y APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING.
�� ��'
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
D1 LCT �O. GROUP ZO P .
FCR APPLICANT TO FILL, IN. �-
.J
PLUMBE • RECEI ED dy READY FOR D TE ISSUED
�j FIRST INSPECTION ,J� ��
ADDRESS 1 �5%r`�
Q
CITY JOBS Y � rV ADDRES0
COUNTY.. TEMPLE 9
CAMA
LICENSE NO. EXPIRES LOCALITY G/
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NEAREST
ANGELES COUNTY LICENSE. —CROSS ST. &AA v
OWNER '
dim. r kiyll� AIL � s�✓ VV
• pt:uMe ADDRESS
/�4 ,,
Npll
PERMIT FEE IS $1.00 FOR THE FIRST FIXTURE OR CITY. ' -gg.' r TEL. No.
ITEM LISTED BELOW, PLUS 500 FOR EACH ADDITIONAL I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP-
ITEM. FOR EACH SEPTIC TANK AND PIT OR DRAINFIELD _ _ERTY DESCRIBED ABOVE.
$1.00. MINIMUM FEE FOR ANY PERMIT $1.00. EACH
GAS,SYSTEM IS A SEPARATE ITEM.
4 OWNER
NUMBER TYPE OF FIXTURE OR ITEM
WATER CLOSET (TOILET) CORRECTIONS ,
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
LAUNDRY TUB OR TRAY
GAS SYSTEM OUTLETS
WATER HEATER
SLOP SINK -I
FLOOR SINK .4 2
FLOOR DRAIN O
DISHWASHER0!• O
DRINKING FOUNTAIN
URINAL
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAB' PIPING _
GAS VENT
CESSPOOL
SEPTIC TANK - DRAIN ( )' PIT ( ) $ SEPTIC TANK
CESSPOOL $ SEWER
HOUSE SEWER $ GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE $ y I FINAL I p � I �/ ✓/1 ,{/ o
76A667•CE817-8-57
APPLICATION FOR. PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN. NEAREST
CROSS ST.. ZA4
NUMBER FIXTURE OR ITEM •
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
IK
SHOWER CITY
LAVATORY CONTRACTOR
SINK ADDRESS9
DISHWASHER CIT RETEL.NO &6-191^
LAUNDRY TUB CONTR OR'S STATE
REGISTRATION NCIAI�J9F�
CLOTHES WASHER
DISTR O. I G ZONE READY FOR INSPECTION
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
SI.00 PER ITEM DATE INSPECTOR'S SIGNATURE
OR FIXTURE UNDER SLAB WORK
f� (/
ERMIT 5O ROUGH PLUMBING
P
GAS PIPING
TOTAL FEE O GAS VENT
I 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.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
:. LICENSED AS 'REQUIRED B LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I M LEGAL OWNER OF THE ABOVE UTILITY CO'. NOTIFIED
DESCRIBED RESIDENTI R RTY.
SIGNATURE
OF PERMITTEE FINAL
ROBERT),/W( OD.
®5 VALM TIOtCASH
UPERVISING MECHANICAL EN
CK. N.0..
17 8 4M JM13 5 A 3.00 9
)BS-17,O.sB APPLICATION FOR PLUMBING PERMIT 1
eB.,�
DMSION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING S/
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
IMM
CASSATT D.GRIFFIN,SUPT OF BUILDING o
LOCALITY
FOR APPLICANT TO FILL- IN N oRE s r. .1a.j
OWNER DISTRICT NO. GROUP I ZONE READY FOR INSPECTION
MAIL
ADDRESS C_,�.
r
CITY INDUSTRIAL
TEL.NO - V10� WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS `
CITY TEL.NO pQowlp ajr
LICEN8 O � 0
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ Sum $
BATH TUB @ $1.00
i
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK .@ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER.HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
v 'GAS PIPING
TOTAL FEE GAS VENT
I 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. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AB REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA 'OR THAT=PPE EGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIASIGNATURE
OF PERM TTEEVJ � '^'v
FINAL
'OHN A.LAMBIE,COUNTY ENGINEER VALIDATION ROBERT A.WOOD.CHIEF PLBG. INSPECTOR
• CH. R.O. l�es��
U�;09.914,cr; SU 5 , 3 ;2.0U a
76A867-CE817 8-59 J
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION :lD
ILDING r
TORN A.LAMBIL CountyF- DRESSaCASSATT D. GRWIN.Supof$�iil 1 C$LiTYFOR APPLICANT TO FILL IN NARE Tr. ,L
NUMBER FIXTURE OR ITEM OWNERp 0 I
WATER CLOSET MAIL !�
RATS TUB ADDRESS
CITY TEL NO.
SFIOWER _
LAVATORY CONTRACTOR �j- I- f ®®
SINE ADDRESS A IVI+t*
DISFIWASHES CITY NO- —D /-5�Y Y3
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION MO. D COUNTY
CLOTHES WASHER DISTR!C$T NO. GROUP I ZONE P CESSED BY
WATER HEATER �dL
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
!SZIA! ,
A4,0t9,e
$1.00 PER ITEM
v ORPD[7URE $ I .s( I, 0'" APPROV j/ DATE INSPECTO0SIj;N4T_,URE
PERMIT $ `V 2100 UNDER SL WORK !IZ�
TOTAL FEE qq ROUGH PLUMBING _
V J GAS PIPING
1 HEREBY ACKNOWLEDGE•THAT I.HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE L AL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL•PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE fJ
OF PERMITTE
FINAL �,-•,
®p VALIDATIOlY ROBERT A.WOOD,
CASH SUPERVISING MECHANICAL,ENG'R
M-50. 8-2:8 Jif 1.2 5 A• 5.00