HomeMy Public PortalAbout6252 ROSEMEAD BLVD_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING I
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES [BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS
FOR APPLIC NT TO FILL IN LOCALITY
BUILDING1,� NEAREST V
ADDRESS li _ CROSS ST.
DISTRICT NO. GROUP CI ZONE PERMIT N0,
LOCALITY S 112 I �SS�o2
NEAREST
CROSS ST. �� / R EIVED BY Ready for Inspection DATEISSUED
O W N E R - JY T�� 22-;?
MAIL INDUSTRIAL
N TE APPROVAL
a ADDRESS
CITY TEL.NO. INSPECTION RECORD
PLUMBER o �S ,g
ADDRESS 6 CJ
CITY- �p� j)-r.' TEL.NO.2k—'7 0 S—"
0 STATE
LICENSE NO !77
4 "3 2.11 F)COUNTY J
PERMIT FEES a
z
4UMSER TYPE DF FIXTURE DR ITEM FEE 1'
WATER CLOSET(TOILET) @ 0.80 S ' 1�1' YFy/E12 LV f b
BATHTUB @ 080
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80 D �d Z9.6(� r ,IATA
KITCHEN SINK @ 0 80 V r v C 7 P LI/A
LAUNDRY TUB OR TRAY @ 0.80
l�/di/A L P eg tel.•
SLOP SINK @ 080
FLOOR SINK @ 080
FLOOR DRAIN @ 0.80
DISHWASHER Q 0.80
DRINKING FOUNTAIN @ 0.80
URINAL 0 080
GASSYSTEM....y.....-OUTLETS @ 1.00 d�
WATER HEATEA 1.00 D C�
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
c
UNDER SLAB WORK �J
PERMIT $ 1 00 ROUGH PLUMBING
(j GAS PIPING
TOTAL FEE
GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI-
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER Jf 1/fpfl �R
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
R /
AND/OLICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT 1 A THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED RfSIDENVAI, PROPERTY. UTILITY CO.NOTIFIED / f
SIGNATURE
OF PERMITTEE-- r .. _....__�. .._.._......_.....
FINAL
76AG67 DBS 17
b 12-53