HomeMy Public PortalAbout5828 ROSEMEAD BLVD_Plumbing__ D. B. 17 4-39 25M Ar rIALUXULUA M*uim Yl.�'jmx r
DEPARTMENT- OF BUILDING AND SAFETY:_ PLUMBING
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
EROUGH
ATURE OF INSTALLATION DIS ICT NO. GR P I ZONE PERMIT N O
FIXTURES COMPLETE READY FOR RECEIVED BY DATEISSUE CESSPOOL SEPTIC TANK FIRST INSPECTION MISCELLANEOUS 3
APPLICANT FMI, IN HEAVILY OUTLINED PORT16N ONLY
JOB �p�/} �✓/
NAME _ A r. . ADDRESS f! �J ! ,ar
LOCALITY
B
ADDRESS
X NEAREST i
CITY +ir , 1 TEL No.�s� ��s ,� �/ CROSS. ST.
COUNTY ., Gr E'
REG. NO. EXPIRES d W. NAME' ✓A!
LMAIL
OCATION OF SEPTIC TANS, OR CESSPOOL30' ADDRESS ZI
NORTH
CITY TEL No.
CORRECTIONS
W to
0
SOUTH
DESCRIPTION OF WORK
ATH TUB RURNACE APPROVALS
HOWER' DISHWASHER
DATE - INSPECTOR'S NAME .
LAVATORY REFRIGERATOR
ROUGH PLUMBING
KITCHEN SINK WATER SOFTENER
EGAS
PING T P
----FLOOR SINK RAND TRAP
SLOP SINK FLOOR DRAIN NTWSH TRAYURINAL OL
ATER CLOSET DRINKING FOUNTAIN SEPTIC TANK
r/t_.WWAATER
HEATER DENTAL LAVATORYSEWER
ML_rER 6—GAS SODA FOUNTAIN 'i UTILITY CO. NOTIFIED /
OUTL
FINAL
1 AM THE LEGAL OWNER OF THE ABOVE LO ANGELES
COUNTY REGISTRATION NUMBER. I /
a / /
TOTAL NUMBER OF FIXTURES
SEPTIC TANK PLUMBER
CESSPOOLI AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
TOTAL FEE I OWNER
'6'e®' " B-ae® APPLICATION FOR PERMIT
• DEPARTMENT OF BUILDING AND SAFETY �����'-�� •�
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN' DISTRICT NO. GROUP ZONE PER�IT O.
PLUMBER ( 0 IP -Te C RECEIVED BY READY FOR D TE ISSUED
�} f FIRST INS P ION
ADDRESS
r� (/ BUILDING
CITY..N_. ✓'✓i?. Lam* TEL. NO. ADDRESS r�` G'✓ rCG /1 e.(} c.�1N�`'�
COUNTY � �„ay,l EXPIRES71V i^_V f; i d LOCALITY •. .� .. sC-L
LICENSE NO. ,J
(/ NEAREST..
PERMIT FEES CROSSST ,/
OWNER �ef_- rG+lf .. _/ /L..&;tlq_
NUMBER 7YPE.OF FIXTURE OR ITEM FEE
MAIL
WATER CLOSET (TOILET) ® 0.50 $ ADDRESS. ,AfdY� /aGtJC�^d 'Z
BATH TUB (� O.50 CITY f ....C/ may✓l. - TEL. NO.
SHOWER 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND,
AGREE TO COMPLY-WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE AE30VE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE.RESIDEN IAL PROPERT�f.DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50 ) (,''
SIGNATURE OF
WATER HEATER. � 0.50
PERMITTE �a`f✓� c�.'�Z7/' 1
` SLOP SINK @ 0.50 v INSPECTION RECORD)
FLOOR SINK @ O.SO
FLOOR DRAIN @ 0.50 r� �° A
4.
DISHWASHER @ 0.50 r. +/.ear��rEl. `'• "�✓b!:-�::-sy
a'• r.
DRINKING FOUNTAIN @ 0.50 E_.+rlil"L,: 1 G'f. �ra`•( �I.l: ✓I/YIr �/ �
URINAL @ 0.50 ' l
HOUSESEWER @ 0.50 Z
MISCELLANEOUS
(�
a
0
APPROVALS
DATE INSPECTOR'S HANK.
ROUGH PLUMBING.
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) ;@ 1.00 SEWER
PERMIT 1.00 GAS TEST
~UTILITY CO. NOTIFIED
TOTAL FEE $
�Q FINAL �p rL�ya•�