The URL can be used to link to this page

Home My Public Portal About6266 ROSEMEAD BLVD_Plumbing__ DEPARTMENT OF.BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES PLUMBING NATURE OF INSTALLA ON I DISTRICT No. GROUPI NO. PERMIT No. y s 4S" ROUGH PLUMBING FIXTURES _I COMPLETE __ HEATER CESSPOOL 6EPTICTANK READY FOR RE E�D/cyrD IS E/SU , —_ FIRST INSPECTION GAS MISCELLANEOUS AE LICANT�FItiL IN HEAVILY OUTLINED PORTION QN,LY � J_ JOB NAME / ,/ ADDRESS W m ADDRES r �(.1'�' LOCALITY_ O QJ� �:�' V� - NEAREST D CITY TEL. N A CROSS ST. LICENSE NO.- REGNNO. (! /. W NAM$ j - LOCATION OF SEPTIC TANK,OR CESSPOOL =Z M O A REBS NORTH - CITY TEL NO. CORRECTIONS SOUTH DESCRIPTION OF WORK FIJI BATH TUB FURNACE APPROVALS V +;HOWER - DISHWASHER _ DATE pp INSPECTOR'S NAjNEJ - t I AVATORY _ REFRIGERATOR ROUGH PLUMBING • KITCHEN SINK WATER SOFTENER (J. �I --FLOOR_SINK QAND TRAP GAS PIPING GAS VENT SLOP SINK FLOOR DRAIN CESSPOOL - WASH TRAY- URINAL SEPTIC TANK -- WATER CLOSET— DRINKING FOUNTAIN _ _ SEWER - - - - �- -WATER HEATER DENTAL LAVATORY UTILITY CO. NOTIFIED — / MfiTER OUTL GAS SODA FOUNTAIN Imo ' - FINAL I AM THE LEGAL OWNER OF THE,ABOVE LOS ANGELES COUNTY ISTRAW-ON NUMBER, TOTAL NUMBER OF FIXTURE - __ PLUMBER *SEPTIC TANK 1 AM THE LEGAL OWNER OF THE PROPERTY DE6 IBE CESSPOOL `7E' iTOTAL FEE I �� J � OWNER D.B.H.17 25M SETH 7-47 APPLICATION FOR PERMIT DEF4RTM-ANT-OF BUILDING AND SAFETY COUNTY OF LOS ANGELES Wm.J. FOX.CHIEF ENGINEER PLUMBING NATURE OF INSTALLATION DISTRICT NO. GRo P ZONE PERMIT NO. ROUGH FIXTURES COMPLETE �5 / c_z " � - -� HEATER RECEIVED BY READY FOR DATE ISSUED CESSPOOL -I SEPTIC TANK FIRST INSPECTION AS MISCELLANEOUS -APPLICANT FILL IN HEAVILY-OUTLINED PORTION ONLY It NAME �/f/ O ADDRESS W ! /J ADDRESS (1 LOCALITY EAREST J CITY __.-,TEL.No. Zta �.3 CROSS ST. G m"p,pY Agoa. CERT.No. EXPIRES i% NAME LOCATION OF SEPIIIC TANK, OR CESSPOOL 3 MAIL ADDRESB NORTH O ' CITY No. I AM THE LEGof POSSESSO THE ABO LOS ANGELES COUNTY ERTIFI B O qAL CATI N PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. ._ OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK i BATH TUB FURNACE Q' SHOWER DISHWASHER O LAVATORY REFRIGERATOR / KITCHEN SINK WATER SOFTENER FLOOR SINK SAND,TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN _ _ DATE-- INSPE/CTTOCV8 NAME- , , WATER HEATER DENTALLAVATORY ROUGH PLUMBING METERl/GAS SODA FOUNTAIN OUTL GAS PIPING I ' ~ /, I �u✓G� GAS VENT I CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK 1 CESSPOOR SEPTIC TANK SEWER I FEE �1 s� UTILITY CO.NOTIFIED OS FINAL Sm 6"• `�" 'D.B.S.17 25M SETS 12.44 - - t - • - ,APPLICATION FOR,PERNIIT-• DEPARTMENT' OF` BUILDING AND SAFETY'„ 2. CWM.OUNTY OF LOS ANGELES �L� �' •J. FOX. CHIEF'ENGINEER, r _ NATURE OF INSTALLATION 4DISTRIC -NO: GROUP ZONE PERMIT NO'. , ROUGH FIXTURES COMPLETE ~ �+ T —J - RE READY FOR DATE ISSUE IVrED BY - - D HEATER CESSPOOL —I SEPTIC TANK /Ig ,FIRST-INSPECTION AS MISCELLANEOUS - •�K!•� �rd^�L-'� •�r�"��"7_.fi - 'APPLICANT'FIL'L INH{gEA�VIL•Y 'OUTLINED"PORTION,-ON-EYA " •_n -� a NAME, ,� � ?'r/Y1�"AiiI'�r' P.s .',p_� -•ADDRESS 7 ADDRE3B_/ i .!s�/Y>r/1 .r�• •LOCALITY - NEAREST CITY _ ,,.Yt.C�EL.No - CROSS ST. .COUNTY CERT.No._ _ EXPIRES - it. NAME• ♦ /y/� LOCATION'.OF`SEPTIC=TANK, OR CESSPOOL Z MAIL _ - '3 ADDRESS _ - - NORTH rF O • _ -'.. - CITY• - TEL:No. _ - - I AM' THE LEGAL- POSSESSOR ',OF THE ABOVE LOB'> ' • ,' - - ANGELES COUNTY CERTIFICATE OF QUALIFICATION. ••J AM'THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE.; '� •, t DWi I - '' OWNER ' :CORRECTIONS -SOUTH - ~ _ :-DESCRIP^tION OF,-WORK i' - _d EtATH'TUB - - J FURNACE • - +SHOWER - DISHWASHER �O LAVATORY- _ - —REFRIGERATOR KITCHEN ,�.'- '• _ ;,�• v "` -,•�. r_-, 'KITCHEN SINK` - WATER SOFTENER 'FLOOR SINK RAND TRAP -,f 1 "' �' - - •riy, - ! r. ice- h - I4LOP SINK "• 'r'•, FLOOR DRAIN WASH TRAY' URINAL APPROVALS WATER-CLOSETDRINKING FOUNTAINS - - - ' ' DATE INSPECTOR'S NA1.16- nENTAt LAVATORY I • .l _ Y=� ;i - WATER-HEATER - ROUGH PLUMBING CODA FOUNTAIN METER -GAS` - - • ,OUTL - 6A3.PIPING- Y". " r GAS VENT, CESSPOOL TOTAL NUMBER OF FIXTURES• SEPTIC TANK. I `• - !4/ CEBSP001 AEPTICTANK .-SEWER UTILITY CO.NOTIFIED TOTAL FEE ` s• ,/ f j� !/ t 3` FINAL I D B.S.17 25M SETS 12.44 bEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT S �CUUNTY OF LOS ANGELES y PLUMBING } T �� WM. J. FOX, CHIEF-ENGINEER NATURE;OF.,INSTALLATION '" . , DISTRINO: GROUP • ZONE PERMIT NO. _ ROUGH FIXTURES COMPLETE HEATER CESSPOOL SEPTIC TANK _1 RECBIVED BY "READY FOR DATE ISSUED FIRST INSPECTION .GAB MISCELLANEOUS1105. APPLICANT�—F�^I7..LLL•INS HEAVILY OUTLIIPORTION ONLY', p�' ' . NAME /ed �/1� � /l s"'� - '1 ADDRF�B - CSG. Ca -�' w - n - m ADDRES$�P700 ��.�C.//p� �`%•; 'LocALITYl�f '/sir /' - - `' J _ < - NEAREST IL CITYsT: ��9Y` •-/_J'L COUNTY CERT.NO. 'Ileo EXPIREW'o. :� •�, NAME LOCATION,OF'SEPTIC TANK, OR CESSPOOL' m 2 MAIL t 3 ADDRESS NORTH .CITY- _ - ` TEL'.NO. - - AM THE L-EOAL=POSSESSOR 'OF THE •ABOVE LOS' y. ANGELES COUNTY, CE_RTIBICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER.OF THE PROPERTY DESCRIBED. ABOVE: • - OWNER- t '-CORRECTIONS" - IV —SOUTH DESCRIPTION-OF WORK' r+ATH TUB. FURNACE.., to -SHOWER. : •N ,. ` DISHWASHER LAVATORY REFRIGERATOR' —J—KITCHEN SINK., WATER SOFTENER FLOOR SINK SAND TRAP LOP SINK- FLOOR DRAIN :. APPROVALS -- WASH TRAY— URINAL - , 'WATER CLOSET = - DRINKING FOUNTAIN y r - LAT E " IN9PECTOR's Nwli6 WATER HEATER ^ENTAL LAVATORY ROUGH-PLUMBING ` METER+ dA8 - SODA FOUNTAIN , OUTL . GAS PIPING > _ - -• GAS VENT `I CESSPOOL TOTAL NUMBELOF XTURES V gEPTIC TANK•CESSPOOIEPTIC TANK SEWER •I I- UTILITY-CO.NOTIFIED e` I TOTAL FEE I !/ U -� I •FINAL Da 17 7-90 25M DEPARTMENT OF.BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS "ANGELES PLUMBING NATURE OF INSTALLATION DISTRICT,No. I GROUP I No. PEr.91�o- ROUGH I PLUMBING _= FIXTURES C LUTE I_ 6/ HEATER' CESSPOOL I� SEPTIC TANK READY FOR f RECE EVI D ggqY DATEJJJ111�SSUED I_ FIRST INSPECTION I ��/� I %/9P13®A9 f MISCELLANEOUS 1 / i /Y/°_J 1•✓7 APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY � JOB C NAME 1 e� ADDRESS ADDRESS LOCALITY ~G`��1 ,yf•►.,A(1 /�, `_C t v - N EA R EST • i Tl EL.f v TL. NO CROSS ST. LICENSE NO REGNNO _ W NAME ��• -� ��y"��• - LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL '! ADDRESS • - NORTH 0 � pp�� --- - _ CITY t77' X-�,�t'� �4 TEL NO. CORRECTIONS s SOUTH' DESCRIPTION-OF'WORK —ZSATH TUB __—_FURNACE _ APPROVALS - SHOWER DISHWASHER • - DATES 'INBPSCTOR'S NAML ' _LAVATORY REFRIGERATOR ROUGH PLUMBING --KITCHEN SINK WATER SOFTENER - "- GAS PIPING _ FLOOR SINK SAND TRAP ' GAS VENT SLOP SINK FLOOR DRAIN' CESSPOOL 9/' 7--Z / •-`j/J �� WASH TRAY _ URINAL / v r SEPTIC TANK WATER CLOSET DRINKING FOUNTAIN SEWER WATER HEATER —DENTAL LAVATORY - UTILITY CO.'NOTIFIED METER GAB _�_flODA FOUNTAIN _OUTL FINAL 1 AM THE LEGAL OWNER OF-THE ABOVE.,LOS ANGELES COUNTY REGISTRATION NUMBS TOTAL NUMBER OF FIXTURS�__ `(CSR. 1 c SEPTIC TANPLUMBER K _ IAM THE LEGAL WNER OF-THE PROPERTY DESCRIBED CESSPOOL 'ABOVE. - ITOTAL REE j OWNER j i n I ,*WORKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT 4-hereby affirm that I have a certificate of consent to self 76A667A insure, or a certificate of Workers' CompensationInsurance, CE 817(REV 10/81) or a certified copy thereof (Sec 3800, L CCOUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No o� )ny a,4.il ❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the ounty building inspec- ADDRESS do de ortment NUMBER FIXTURE OR ITEM @ FEE LOCALITYlie .� Date App lica WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE OWNER _ (This section need not be completed if the work involved by SHOWER the permit is for one hundred dollars $100 or less. MAIL r ' P ( � ) LAVATORY ADDRESS Al I certify that in the performance of the work for which this permit is issued, I shall not employ any person in,any manner SINK CITY TEL NO pip so as fo become subject to the Workers Compensation Laws DISHWASHER CONTRACTOR �OV�� r.�.� Date Applicant CLOTHES WASHER ADDRESS 6,5 �N'le/,t, NOTICE TO APPLICANT If, after making this Certificate.of `` Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor CodLAWN SPRINKLER SYSTEM Code, you must forth- CITY � p�T 7/- TEL N with comply with such provisions or this permit shall be STATE/ ! LIC deemed revoked WATER HEATER LICENSE NO O l7 CL LICENSED CONTRACTORS DECLARATION DISTRICT N OCESS 'BY I hereby affirm that I am licensed under provisions of Chapter.9' GAS SYSTEM OUTLETS -- (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect 5 PER SYSTEM FINAL V DATION O O 6 C3 G A/8 Z () DATE � U ' License Number Lic Class � s !$ BYFINQ Contractor Date V BY V ❑ – w I am exempt under Sec 1L N B &P C for this reason Plan check fee D Date sinature PLUMBING PERMIT ISSUING FEE$ 50 2 3 8 2 7 A TOTAL FEE 5-0 X000005 Plan check applicant SINGLE FAMILY J o.m 2 8 5 0 HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License o 0 0 2 g 1 0 Law for the following reason (Section 7031 5, Business and Address Professions Code) City Tel No ❑ 0 1, 1 4-86 I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097, Civ C ) Lender's Name Lender's Address I certify that I have read this application and state that the above information is correct I agree to comply with all County ordinances and State jaws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permit ee Date