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Home My Public Portal About6149 ROSEMEAD BLVD_Plumbing__ 7GA667A(C%817B)-11/76 I' APPLICATION FOR PLUMBING PERMIT C1. BUILDING AND SAFETY DIVISION FOR APPLICANT TO'FIL-L IN(PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM . ® FEE ADDRESS WATER CLOSET CIU LOCALITY U NEi4RE .1 BATH TUB' CROSS ST. ^7� SHOWER 1;/ OWNER LAVATORY ,7 MAIL ( < ADDRESS SINK CITY TEL.NO, � d DISHWASHER CONTRACTOR h CLOTHES WASHER �a- ADDRESS' .a7 SWIMMING POOL RECEPTOR CIT' LAWN SPRINKLER SYSTEM STATE. Q.9 �^ LIC.' WATER HEATER LICENSE NO, O /iJ CLASS " GAS SYSTEM OUTLETS DISTRICT NO. GROUP ZONE PROCESSED BY '� r OUTLETS OVER f j 0 5 PER SYSTEM < v INDUSTRIAL- WASTEAPPROVAL INSPECTION RECORD , Plan check fee. PLUMBING PERMIT ISSUING'FEE$ r(�' TOTAL FEE 6 �v Plan check applicant APPR V LS DATE INSMCTOR'S SIGNATURE Name UNDER.-_. WORK /O Address ROUGH PLUMBING City Tel.No. GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT 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 1.AM'PROPERLY REGISTERED AND/OR LICENSED.AS -PLUMBI.NG�FIXTURES REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM.THE GAS TEST LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDETIAL .. PROPERTY. UTILITY CO:NOTIFIED" SIGNATURE OFPERjAITTEE - FINAL PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATION CK: MLO'. CASH, 44 s�Or 1.2 �.-D 1 6.50e - ®s. 76A667 (C6-817) - 175 APPLICATION FOR�9P � WAD ECOUNTY OF LOS ANGELES g DEPARTMENT OF COUNTY ENGIN BUILDING AND SAFETY DIVISION t ,q 61AKE CHECKS PAYABLE TO: BUILDING ADDRESS , HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST NUMBER FIXTURE OR ITEM @ FEE CROSS ST. WATER CLOSET 2.00 OWNER MAIL n BATH TUB 2.00 ADDRESS614 11 e SHOWER 2.00 CITY . `p TEL. NO. ^-r— LAVATORY 2.00 CONTRACTOR SINK 2.00 ADDRESS E- n DISHWASHER 2.00 CITY e t TEL. NO. ) CLOTHES WASHER 2.00 STATELIC LICENSE NO. Rq CLASS SWIMMING POOL RECEPTOR 2.00 DISTRICT NO.GROUP (, NE SSED BY LAWN SPRINKLER SYSTEM 2,00 L DQ � t JWATER HEATER 2.00 C) INDUSTRICCAJJL v� WASTE APPROVAL GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD v OUTLETS OVER 5 PER SYSTEM .30 C) O C~.7 Lu CL. y Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR'SSIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING I/(G City Tel. No. GAS VENT ( ^� �+J� 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST /r r • I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LIC ENSEDAS RE11UIRED BY LOS ANGELES COUNTY AND STATE OF /y CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, KO fRYEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PA PERTY. FINAL SIGNATURE OF PERMIT�EE e v PERMIT VA D 'TION CK. M,o: CASH PLAN-CHECK VALIDATION CK. M.O. CASH -1 9 7 Z"-"AU',' '` "5 U 5.® 0 A=te Ag7667—CE 81�8/68 APPLICATION FOR PLUMBING PER T COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A:LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY / FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST ROSS TT. L.>.J• NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 MIL REBS TUB 1.50 ADDRESS SHOWER 1.50 CITY% TEL. NO. LAVATORY 1.50 CONTRACTOR SINK 1.50 ADDRESS DISHWASHER 1.50 CTCY TEL.NO r CLOTHES WASHER 1.50 STATE LIC y LICENSE NO. 164t CLASS SWI14MING POOL RECEPTOR 1.50 DISTRICT NO. GROUP LAWN SPRINKLER SYSTEM 2.00 -5,-C> .971,4FNE f CD WATER HEATER 1.50 INDUSTRIAL v WASTE APPROVAL 0 GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD OUTLETS OVER 5 PER SYSTEM .30 a y Z Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE $ 00 TOTAL FEE APPROVALS DATE INSPECT s SIG URE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No. HOT WATER HEATER 1 HEREBYACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, D INT1IND TO of RESIDE IN,'THEA OVE DESCRIBED REBID IAL PRO Y. FINAL /Q / SIGNATURE .TACK R. ALLEN, SUPERVISI M CA ANICAL ENG'R. OF PERMITTEE PERMIT VALIDATIO K. KAO. CASH PLAN CHECK VALIDATI CK. M.O. CASH r'Irn .4 -16-9--AM25 _. .s, D 8.25- xlf 76 A 667:CE 817 7-69 L ` ` APPLICATION FOR PLUMBING PERM. ' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDIN �� JOHN•A. L'AMBIE. COUNTY ENGINEER' COLEMAN W. J,ENKINS. SUPT. OF BUILDING LOCAL FOR APPLICANT TO FILL IN(PR NT OR TYPE NEAREST CROSS ST., NUMBER FIXTURE OR ITEM EACH FEE 'OWNER WATER CLOSET 1.50 KAIL BATH TUB 1.50 AD SS•(A i ix SHOWER 1;50 CITY TEL NO. LAVATORY 1.50 CONTRACT.O SINK 1.50 ADDRESS Ion o DISHWASHER 1.56C111'. TEL.NO..44.1-;70O CLOTHES WASHER 1,.50 STATELIC. LICENSE NO. CLASS SWIMMING'POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE IR ESS.D BY LAWN SPRINKLER SYSTEM 2.00 !J � �� WATER HEATER 1.50 INDUSTRIAL WASTE APPROVAL. GAS SYSTEM OUTLETS 1.50 INSPECTION RECO OUTLETS OVER 5 PER SYSTEM . 30 kzf&0 z Plan check fee 25% of above. See reverse. PLUMBING.PERMIT ISSUING FEE $ 2 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING AddressGAS PIPING GAS VENT City. Tel. No. HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAM I HAVE READ THIS APPLICATION PLUMBING FIXTURES AND STATE THAT THE ABOVE .IS CORRECT AND AGREE TO COMPLY _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 'GAS TEST PLUMBING. - I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDI.OR UTILITY CO.NOTIFIED - LICENBED•AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN.THE ABOVE D BED REBID ENTI PROPERTY. FINAL SIGNATURE ' + ,TACK R. ALLEN, SUPERVI IN Ck ANICAL EN-G-R. OF PERMITTEE - PERMIT VALIDATIO CK. M.O. CASH PLANCHECK VALIDAtION CK. M.O. CASH .