HomeMy Public PortalAbout5730 ROSEMEAD BLVD_Plumbing__ DEPARTMENT OF COUNTY ENG EOM PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING �r
WILLIAM J. FOX, COUNTY ENGJ
ENGINEER ADDRESS � ..HT1/ ,i�P,�-,_ ��.-7 • •r +sf•
LOCALITY �/ft-amt✓^ r=7 y
FOR APPLICANT TO FILL IN Y
NEAREST
ADDRESS , d Ski C� ,e1. 0.0 CROSS S
BUILDING T.
DISTRICT NO. GROUP ZONE 1 PERMIT NO.
. LOCALITY _ �/i � /�" �- e`. � I
CROSS ST. / ECEI ED BY Ready for Insgeetion DATE ISSUED
OWNER �J�h�/!//�/�/� /I
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL.N0.
INSPECTION RECORD
PLUMBER /:i Jogoya ey!...ti
ADDRESS ��`�'O /YrJ %iyir40
CITY /913751a TEL.NO. Tv l A136 7
State Contractor's
License No. 7/ 7 Class
J
L.A.Count�yy Contractor's [� Q
Registration No. B `�
PERMIT FEES gc ;'G.=z - i:,.'. Z
NUMBER TYPE Or FIXTURE OR ITEM FEC
0
WATER CLOSET(TOILET) @ 0.80 $ 80
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80BZ ld-
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOPSINK @ 0.80
FLOORSINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM............_OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS APPROVALS
DATE INSP CTOR'SSIGNATURE
UNDER SLAB WORK "I i`f
PERMIT $ 1 W ROUGH PLUMBING I h 7
TOTAL FEE GAS PIPING -
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS _
REGULATINGPLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATUREOF
PERM ITTEE..... _..'. ...............
..........—.. -
FINAL
7RARA7 D!RS 17 0/54 llol
D.-S. 17 7-40 IBM APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFET
COUNTY OF LOS ANGELES L U` I
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT O. GROUP ZONE PERM,IrT/ No.
ROUGH
PLUMBING FIXTURES COMPLETB RECE BY READY FOR (� AI7 TE ISSUED
HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION . 07
GAS' MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
otoor Jolt .
a NAM , t,r. ADDRESS .ti .:.r >•f 1' GG r
WB i_.
ADDRESS � f
D /f "� NEAREST'
a CITY r 3Gr TEL NO , CROSS ST. IM,4 ^�
COUNTY /� f
CERT. NO. I EXPIRES yEj NAME ''' •Md}�l._ ,. ' (y ;•dL`Nw"
LOCATION OF SEPTIC TANK, OR CESSPOOL ADDRESS jr ,:l ff ../�� •;?. '
NORTH O
CITY f�:.,fiarE{rlx.. ',.•TEL NO.
I AM THE LEGAL POS 86oR OF THE.ABOVE LOS
Y
ANGELES COUNTCERTI ATE OF QUALIFICATION.
;a/UNSER
I AM THE LEGAL.OWNER-OF THE PROERTY DESCRIBED
ABOVE.
W
3 OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK a
z
BATH Tue FURNACE 13
_SHOWER DISHWASHER d'
---LAVATORY REFRIGERATOR d
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE. INSPecroR's NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER GAS SODA FOUNTAIN GAS PIPING
oun
GASVENT
CESSPOOL
TOTAL.NUMBER OF FIXTURES SEPTIC TANK.
CESSPOOL SEPTIC.TANK SEWER
$ UTILITY CO. NOTIFIED
TOTAL FEE �'
FINAL