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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