HomeMy Public PortalAbout5026TEMPLE CITY BLVD_Plumbing DRB t9 11"ED APPLICATION FOR PERMIT
DEP"TMF14T OF RIIII TAN AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
FOR APPLICANT TO FILL IN S 9-F-
PLUMBER Belvedere Plumbing Co. RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION '
ADDRESS 136 S. Palm Ave.
CITY AlhambraTEL-NoAT950251 ADDR®o
26 N Temple City Blvd.
COt NTYH9E O $O$M E 6-30-52 LDULIn 'item ie Cit
LICNEAREST
PERMIT FEES f CROSS ST
NUMBER T or rIxTUR[OR ITEM PEE OWNER Romano
MAIL
1 IWATER CLOSET(TOILET) • 0.60 • ADDRESS
BATH TUB O OO 50 CITY TEL No
SHOWER a 0.60 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ Ow 5 F APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT
ANO AORQ TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK a 0.60 AND STATE LAWS REGULATING PLUMBING
I CERTIrY THAT 1 POWERS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY Goo ANO[LES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
Or THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
OAS BYBTEM UTLETB a O 60
SIGNATURE or
/�Ju
WATER HEATER ® 0.60 P[ItM I'rfcK Q L'1�� (�--
-cf
mpvuow disposal a 06o INSPECTION RECORD
FLOOR BINK a 0.60 z �
FLOOR DRAIN A Ow
DISHWASHER 0 050 s -
DRINKING FOUNTAIN ® 0.6O "7
URINAL O 6O /J T. T J
a
HOUSE SEWER ' 010.60 T
MISCELLANEOUS ."
-'i✓ 0
I T 6 O
APPROVALS
DAT[ IN[r[R10N:iL, ME
ROUGH PLUMBING
OAS PIPING
OAS V[NT
CESSPOOL 100 CESSPOOL
SEPTIC TANK SEPTIC TANK
E DRAIN ( ) PIT I ) a 1 oo SEWER
PERMIT 1 Co GAS TEST
unuTr Ca NOTIf ICD
TOTAL FEE • 5150 1rINAL /g'
✓ 938 M