HomeMy Public PortalAbout6326 ROSEMEAD BLVD_Plumbing__ 76A667 (CE-817) - 1/75
APPLICATION F& PLU BING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO: ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY
TEMPLE
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET
2.00 OWNER
MAIL
BATH TUB 2.00 ADDRESS
SHOWER 2.00 CITYTpMpT.-p ,TTVTEL. N
LAVATORY 2.00z D� CONTRACT
PTJTMRTTIJGO
SINK 2.00 v ADDRESS
DISHWASHER 2.00 CITY SAN GTA RR TEL. N2.8
CLOTHES WASHER 2.00 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 2.00
DISTRICT NO.GROUP ONE ESSED BY
LAWN SPRINKLER SYSTEM 2.00 O p _ �_
�J i O
WATER HEATER 2.00 INDUSTRIAL
WASTE APPROVAL a
GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD V
OUTLETS OVER
5 PER SYSTEM .30
O
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 0
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ .THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED ,j
LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER O ANINTEND TEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PER TY FINAL
SIGNATURE
OF PERMITTE
____,___ rs
ERMIT VALIDATION CK. M,O: CAS
PLAN CHECK VALIDATION CK. M.O. CASH
2 9 9t-�-nF i 5 U 1 Q.5 0 A,�'8
76A667-CE#617 2-66
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• APPLICATION FOR PLUMBI PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING
LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
- _ owNERc o J. & S. Bldrs.
WATER CLOSET W.29- MAIL
BATH TUB x'1.25 ADDAESSI O 1 Leibacher
SHOWER 5 CITYDowney TEL. NO.86
LAVATORY 5 CONTRACTOR Sipecialty Plbg. Co . Inc.
SINK -L-^S- ADDRESS I 1 Garfield Ave
DISHWASHER I'w CITY Paramount TEL. NO-634-6796
STATE LIC
LAUNDRY TUB -?r5 LICENSE NO. 209110 CLASS C-36
CLOTHES WASHER J1251 DISTRICT N GROUP ZONE PRO. ESS BY
WATER HEATER 'E50 ` r
7
50 INDUSTRIAL r
GAS SYSTEM OUTLETS 1. WASTE APPROVAL p
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD v
1
"Potatoe Feelerill 5 0 CD
W
d
f/)
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 0 GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR T I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABO E DESCRIBED RESIDE IAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTE
FINAL 6
LIDATION JACK R. ALLEN
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R.
.t o 5 7 0 AUG 1 5 D 3.5 0
70A667 E9817 4-64 e1 7ys
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APPLICAtION
FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNEAREST
DING
JOHN A. LAMBIE. COUNTY ENGINEER RESS — S Rosemead
WILLIAM A. JENSEN, SUPT OF BUILDING ALITY
FOR APPLICANT TO FILL IN SS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER J. & S Bldrs .
WATER CLOSET $1.25 MAIL
BATH TUB 1,25 ADDRESS 10'31 Leibacher
SHOWER 1.25 CITY Downey TEL. No-863-7151
LAVATORY 1.25 CONTRACTORS eci lty Plb . Co. Inc.
SING 1 --Floor 1.25 3 00 ADDRESS 14531 Garfield Ave .
DISHWASHER 1.25 CITY Paramount TEL. NO- 634-6796
CONTRACTOR'S STATE t9
LAUNDRY TUB 1.25REGISTRATION NO. 209110 COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P CESSED BY
1 WATER HEATER 1.501 50 G F—>_
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL 0
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD r u
O
V
ua
N
z
APPROVALS DATE INS ECTOR'S IGIIATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 8 100 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY T 1 AM PROPERLY R STER AND/OR PLUMBING FIXTURES
LICENSED AS RE RED Y L ANGELES CO TY AND STATE OF GAS TEST
CALIFORNIA OR HAT I AM E LEGAL OWNE OF,AND INTEND TO
RESIDE IN,TH ABOVE E RIBED RESIDENT] PROPE UTILITY CO. NOTIFIED ,l
SIGNATUR
OF PERM TTEE --
FINAL C —�
VALIDATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
L ;o 5 2 0 31 JUN 2 5 5 D 8.0 0IN