HomeMy Public PortalAbout5801-5803-5805TEMPLE CITY BLVD_Plumbing (2) 7SX887 17 5-80 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT O. GROUP I ZONE PERMIT NO.
PLUMBER Belvedere Plumbing Co. RECEIVED BY READY FOR DATE ISSU%ED
FIRST INSPECTION
ADDRESS 11900 E o Garvey Blvd o '
NG
CITY E1 Monte----- TEL. NO. FO 898136 ADDR BUILDISS 5801-0305 N. Temple City B vi
LCOUNTYICENSE NO. 246 EXPIRES 6-30-54 LOCALITY Temple City
NEAREST
PERMIT FEES CROSS ST.
OWNER Ray Go Fortner
NUMBER TYPE OF FIXTURE OR ITEM FEE
l MAIL
3 WATER CLOSET (TOILET) Q 0.50 $ 2,,40 ADDRESS 9650 E. Las: Tunas
BATHTUB Q 0.50' CIrYTemple City TEL. NO.
SHOWER Q 0.50 1 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 AND
{J 2 KITCHEN SINK Q 0.50 1 O STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESSTHE ABOVE VALID LOS
f LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
GAS S•YSTEMI►��LOUTLETS Q 0.50 OO OF THE RESIDENTIAL PROPERTY DESC )BED- AB/O1//(E.
SIGNATURE OF (
WATER HEATER Q 0.5.0 OO PERMITTED �+C
SLOP SINK INSPECTI�J� RECORD
FLOOR SINK Q 0.501
FLOOR DRAIN Q 0.50
DISHWASHER Q 0.1901 G ( r
DRINKING FOUNTAIN Q 0.50 \K�-/�7, G �/
URINAL Q 0.50 S- /d --_—!i.•i .rla a
HOUSESEWER Q 0.501 -7s ,Qn �,.�Nrs z
MISCELLANEOUS U�
1 Developing •tank �"� �"� L"" t `"`r`°• a
�( 2 dental .units 60 O
/ A S 5-V– 111J1 -T
;,../_j��� A4 u reel:'®.'/ J e)
ZaA R A , /,,/a K3'r--p— D'5
APPROVALS
DATE INSPEC R'/S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.00 SEWER
PERMIT . GAS GAS TEST
UTILITY CO. NOTIFIED //a���' ✓Rrli.. --'
TOTAL FEE I $ 19 00 I y+ t
FINAL I '�.�{. .�'�F�-(�i'^j��A-�.-rLt^✓
884 )�