HomeMy Public PortalAbout6263-6267 ROSEMEAD BLVD_Plumbing__ 76A667 DBS 17 11.50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTR R P R NO.
PLUMBERR CAVED BY READY FOR DATE ISSUED
17 FIRST INSPECTION _
ADDRESS � �� / � J•y�
BUILDING
CITY EL No. ADDRESS r
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS _
BATH TUB Q O.SD CITY TEL No.
SHOWER Q 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) Q 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK - Q 0.50 AND STATE LAWS REGULATING PLUMBING. _
1 CERTIFY THAT 1 POSSESS O
THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DEBC IBED ABOVE.
GAS SYSTEM OUTLETS Q 0.50
SIGNATURE OF
WATER HEATER Q 0.50 PERMITTE
SLOP SINK 13.50 INSPECTION RECORD
FLOOR SINK Q 0.50
FLOOR DRAIN Q 0.50
DISHWASHER Q 0:50
DRINKING FOUNTAIN Q 0.50
URINAL 0.50
HOUSE SEWER Q O.SO ?
MISCELLANEOUS 0
IY
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q 1.013 % CESSPOOL
SEPTIC TANK: IC
DRAIN ( ) PIT ( ) Q 1.00 SEWER
PERMIT .
. . I 1.130 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL 7—
/ �
76A667 DBS 17 11;50 - - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND•°SAFETY,'
COUNTY OF LOS ANGELES -•-f
i" WILLIAM J. FOX. CHIEF eNGINEER
IFIRSiJ TRIL-r NO. GROUP ZONE PERMIT NLI.
FOR APPLICANT TO FILL IN
PLUMBER jj F t RECEIVED BY READY FOR 7as D
825
C Bei� ,a
TINBPECT-ION�
ADDRESS 825 BBroadtilay A Z6��
CITY San Gabriel TEL N dl
ADORE
ADOREBUILD, 8
COUNTY LOCALITY Rosemead Blvd. "
LICENSE NO. EXPIRES „ � +
NEAREST
PERMIT FEES CROSS EST. (1,ot 82 Tract 59124
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER Wayne -Eartmn
MAI WATER
OL
1 WATER CLOSET(TOILET) @ 0.50 IB v ADDRESS 1935 E. HoUntain
BATH TUB @ 0.50 1 Pasadem '
CITY TEL No.
SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT I HAV READ THIS
LAVATORY (WASH BASIN) @ 0.50 t7 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
r4 ----"/ RAND-•STATE.LAWS-REGULATING--PLUMBING.�a_.
KITCHEN-SINK""-"'"`�""'�X0:50'`�-"' "
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LOkNBE, OR 1 AM THE LEGAL OWNER
�1 0.50 OF THE RESIDENTt ROPERTY p >i IBED ABOVE.
GAS SYSTEM OUTLETS
URE OF
fcjWATER HEATER 0.50 (� BIGNP RMITTEEfZ 1
SLOP BINK @ 0.50 INS#ECTION RECORD
FLOOIR SINK @ 0.30
FLOOR DRAIN 0.50
DISHWASHER ® 0.50 '1,"]S-1 \C �y ,/+ . 6 ?L Bd-
DRINKING FOUNTAIN Q O.BO ( / IV 1) -- 1C.e�7-p- l9 ��i'(7 �c
URINAL D.50 y Pr I �J ")
a
HOUSE SEWER 0.SO t C I- F Z
MISCELLANEOUS r �' !2
M t Tr tl'SLC. o
APPROVALS
DATE INSPECTOR'B NAME
ROUGH PLUMBING '
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT �"I 1.00 GAB TEST !V R L) 'I
UTILITY CO. NOTIFIED P iAA,.
TOTAL FEE $ �j,7 ;
FINAL