HomeMy Public PortalAbout6220 ROSEMEAD BLVD_Plumbing__ vDEPARTMENT OF BUILDING AND SAFEAPPLICATION FOR PERMITTS
COUNTY OF LOS ANGELES PLUMBING
WM.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRI NO. GROUP ZONE PERMIT N
ROUGH FIXTURES -I COMPL=E
HEATER CESSPOOL SEPTICTANK RECEIVED BY READY FOR D TE ISSUED
B MISCELLANEOUS
FIRST INSPECTION _3/7 Le-
APPLICANT
Aa�`�L ,
FILL IN HEAVILY OUTLINED PORTION ONLY '
E NAME iI r, 1. l JOB
s t,1 �w 1 +• ADDRESS
W � -
ADDRESS •': ! o.'1 . ' :` LOCALITY a
CITYNIZAREBT TEL.No. CROSS ST. i c 2• -Pl e £"2.•1
COUNTY aa yy • / f
CERT.NO. r l �p •�: :,' f+ EXPIRESr:ate i' L p) m NAME .�._,(_• Ga
LOCATION OF SEPTIC TANK, OR CESSPOOL/ z MAIL
NORTH O ADDRESS �Lyk
I
CITY Y (t' TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOSANGELES COUNTY CERTIFICATE F QUAL1FICATIQN.
1 PLUMBER /
I AM THE LEGAL OWISER OF THE PROPERTY DESCRIBED
ABOVE.
3 OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK a
Z
BATH TUB FURNACE
ROWERD�SHWASHER 13
LAVATORY REFRIGERATOR
KITCHEN SINK ' WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SIN u FLOOR DRAIN
WASH T A URINAL APPROVALS
W TER CLOSET DRINKING FOUNTAIN
r DATE INSPECTOR'S NAME
ATER HEATER DENTAL LAVATORY ROUGH PLUMBING I
METES GAB SODA FOUNTAIN
OUTL GAS PIPING I. I
GAS VENT A
CESSPOOL
TOTAL NUMBEROTURES SEPTIC TANK
CESSPOOI PTICTANK I
SEWER I
TOTAL FEE
SUTILITY CO.NOTIFIED
��/
FINAL
APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING
WM.J. FOX.CHIEF ENGINEER
NATURE OF STALLATION D18TRi -NiO. GROUP -ZONE LPK NO.
COMPLETE
ROUGH FIXTURES
HEATER CESSPOOL I-I SEPTIC TANK IVED BY READY FOR DATE RUED
,^ZL' FIRST INSPECTION z
AS. MISCELLANEOUS
-AP
P
LICANT FILL IN/HEAVILY OUTLINED PORTION ONLYJOB
E NAME. !� .A ,.C_ t /r�6'/.• 'A<t/SI �2'` ADDRESS rte/11 /� 11hy�0��Y' /%!/'/
■ ADDRES8�` ��� /t:► 'f Jl LOCALITY
— .--rte ,. - -'-?/e/..•"JL-' _J_�
P moi' NEAREST
L CITY ✓ yJ `�/ . TEL:No. CROSS ST.
COUNTY
CERT.No. EXPIRES Y NAME.}//. /�/ _i{ .•
LOCATION OF SEPTIC TANS, OR CESSPOOL z MAIL
z NORTH ADDRESS..
CITY TEL.No.
I .AM THE .LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CJERTIFIC TT,B OR, UALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OR THE PROPERTY DESCRIBED
m
ABOVE.
3 OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORKz
• z
ATH TUB FURNACE
SHOWER DISHWASHER Q
VATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
GLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS -
WATER CLOSET DRINKING FOUNTAIN DATE IN9I+ECTOR'B fmr4m
WATER HEATER - DENTAL LAVATORY ROUGH PLUMBING I I
METER_____AAS
OUTL SODA FOUNTAIN
GAS PIPING- I
GAS VENT
CESSPOOL _
TOTAL NUMBER OF FIXTURES SEPTIC TANK
/ CESSPOOL SEPTIC TANK ( SEWER I_
S UTILITY CO.NOTIFIED I .
TOTAL FEE q_ Y- A)
FINAL.
76A657 (CE-817)-4/72
x APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION y q
b1AKE CHECKS PAYABLE TO: ADIDREEss
HARVEY T. BRANDT, COUNTY ENGINEER +
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE �J-O
WATER CLOSET 1.75 OWNER
MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1.75 CITY �A TEL. NO. 0�
LAVATORY 1.75 CONTRACTOR (D(.AJAJ9421
SINK 1.75 r ADDRESS
DISHWASHER 1.75 CITY ' TEL. NO.
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP ZONE P CESSED BY
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1.75 l �11i, INDUSTRIAL
WASTE APPROVAL 6.
GAS SYSTEMCD
OUTLETS 1.75 INSPECTION RECORD v
OUTLETS OVER 4'
5 PER SYSTEM .30 CD
N
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE 1;7_0
APPROVALS DATE INS PEC70 R'S SIf,NATU RE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. NO. GAS-VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND'INTEND TO
9j e. ,V0'�
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL P RTY. FINAL
SIGNATU RE
OF PERMITTEE
PERMIT VALID I ► CK. M O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH '
j_A 60 9 :5 S 3 NOV 2 D 65,50-, W
DEPARTMENT OF COUNTY ENGINEER PLUMBING
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION .
COUNTY OF LOS ANGELESBUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS
FOR APPLICANT TPp FILL IN
. I �
BUILDING LOCALITY T
ADDRESS CROSSST. �
,ma�y' pp DIST ICT N0. GROUP ZONE PERMIT NO.
LOCALITY ltisrll./d.�ti� t�i�t/ •J f__
NEAREST
CROSS ST. �- �y /f.� ,�,,. no A7rj.J, �R�Ee IV�E/+D BY Ready for Inspection DE ISSUED
OWNER J� 1 CLMi/.• f �.r/ /s _ /I ✓�I�r�+i
MAIL 'INDUSTF(PC �S
ADDRESS �' /nw /y�/fir./�++,�✓ ry WASTE APPROVAL
CITY �,..i,,,.�•.:;- TEL.NO.G(�Y �Y,7��! INSPECTION RECORD
PLUMBER
ADDRESS
-CITY TEL.N0. _ (► � /y
0 STATE -•7/ `.S // .f�f )� , 9!C V' 49
LICENSE NO. ❑COUNTI'
PERMIT FEES G . GJ .+ S'°' C°�i Q.
. z
NUMBER TYPE Or FIXTURE OR ITEM FEE 0
WATER'CLOSET(TOILET) @ 0.86 $ f'D /��7�''� ` �.. ����� �• �
BATHTUB @ 0.80 ir�ll irfl;/ �5 f,';= /,� /J/fl�n•C� O
r SHOWER @ 0.60 rtJ1 ---7V O P19 97.7- 4 F x" "C-Av.,
LAVATORY(WASH BASIN) . @ 0.80 �� i✓qsT,� �p �.j /Ar/;I Al(-
KITCHEN
(KITCHEN SINK @ 0.80 )1-1-0 Gg
LAUNDRY TUB OR TRAY @ 0.60
SLOP SINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM....,/_....OUTLETS @ 1.00 d
WATER HEATER @ 1.00 t
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK /r
PERMIT $ 1 QO ROUGH.PLUMBING /�)/�Al 9
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ-THIS APPLI- GASVENT -
CATION AND STATE THAT THE ABOVE IS CORRECT AND. AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND"STATE LAWS
REGULATING PLUMBING. 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 DESC IB D RE`SJDENTIAROPERTY. UTILITY CO.NOTIFIED
f�
SIGNATURE / � •l •
OF PERMITTEE.... . _Gf�._.,.�:..
FINAL IZ'I`3S�
76A667 DBS 17 1/53 !
DEPARTMENT' OF COUNTY ENGINEER PLUMBING
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES gU1LDING g _A
WILLIAM J. FOX, COUNTY EN13INEER ADDRESS X,�ollor /�6SL �i�lJ
FOR APPLICANT10 FILL IN LOCALITY
BUILDING NEAREST
ADDRESS /J! o f e o ems. � CROSS ST.
�� _ DISTRICT NO. GROUP ZONE PERMIT N0.
LOCALITY e m
NEAREST O
CROSS 8T. m �+� we,�' RECEIVED BY Ready for Inspection DATE(ISSUED
OWNER 41.
MAIL INDUSTRIAL (
ADDRESS WASTE APPROVAL
CITY TEL.NO. INSPECTION RECORD
PLUMBER ,—
ADDRESS r,:J[�pt.v? '� � �R
CITY / P_W- /a ILO e-A a` EL.N0. 6
/+ 19�°y/ I. yl [7 STATE
LICENSE NO. ��++ COUNTY J
PERMIT FEES z
•!UMBER TYPE OF FIXTURE OR ITEM FEE 1.7
WATER CLOSET(TOILET) @ 0.80 3
O
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80
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
P.;ILSs'g '0 64;0 n & APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I 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
REGULATING PLUMBING. PLUMBING FIXTURES
1 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 ESCRI$ED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE OFPERMITTEE....ff' 17 + 25
FINAL
76A607 DBS 11'/53