Loading...
HomeMy Public PortalAbout9483 BLACKLEY ST_Plumbing__ 76A657 17 25M SETS 7-411 APPLICATION FOR PERMIT ,.,-DEPARTMENT OF BUILDING AND SAFETY �� ''44)N COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOP APPLICANT TO FILL IN DISTRUCT NO. GR ZON TTEIM I T N U. X 7A467 PLUMBER RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ,�1-4 , 4 �J ADDRESS I+ 1n.s'�- O� - �. � CITY TEL. No. JOB lJY COUNTY ADDRESS �,[J/ 7' ..G•✓�i< �r-'r J<„ /O'"' LICENSE NO. EXPIRES LOCALITY I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NEAREST y�J ANGELES COUNTY LICENSE. CROSS ST. OWNER MAIL PLUMBER ADDRESS./ vr y/ ( PERMIT FEE IS $1.00 FOR THE FIRST FIXTURE OR CITY moi, , ,�� i!},�s �,,EL. No. ITEM LISTED BELOW, PLUS SOO FOR EACH ADDITIONAL I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP- ITEM. FOR EACH SEPTIC TANK AND PIT OR DRAINFIELD ERTY DESCRIBED ABOVE. $1.00. MINIMUM FEE FOR ANY PERMIT $1.00. EACH GAS SYSTEM IS A SEPARATE ITEM. OWNER NUMBER TYPE OF FIXTURE OR ITEM WATER CLOSET (TOILET) CORRECTIONS L BATH TUB SHOWER �..f� LAVATORY (WASH BASIN) KITCHEN SINK LAUNDRY TUB OR TRAY GAS SYSTEMOUTLETS j� WATER HEATER SLOP SINK J FLOOR SINK Z FLOOR DRAIN U' DISHWASHER O DRINKING FOUNTAIN URINAL i MISCELLANEOUS APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT SO 4 J O CESSPOOL SEPTIC TANK - DRAIN ( ) PIT ( ) $ SEPTIC TANK CESSPOOL $ SEWER v HOUSE SEWER $ GAS TEST UTILITY CO. NOTIFIED .` TOTAL FEE $� �� FINAL �►`� 7eAee7 17 s-so Kb APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES P L ' N G WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICrO. GROUP ZONE PERMIT NO. 1 os-7dl.s� PLUMBER RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS ' 1 I BUILDINGSr CITY TEL. NOS E ,�3 ADDRESS \ COUNTY LOCALITY LICENSE NO O t EXPIRES D If NEAREST PERMIT FEES CROSS ST. P TYPE OF FIXTURE OR ITEM FEE OWNER MAIL NUMBER WATER CLOSET (TOILET) @ O 50 I S ADDRESS BATH TUB @ O 50 I CITY TEL. NO. SHOWER @ O 50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND LAVATORY (WASH BASIN) Q O 50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. KITCHEN SINK @ 0.50 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ O 50 I ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROP RTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS @ O Sol SIGNATURE OF / WATER HEATER Q 0 Sol PERMITT SLOPSINK @ o Sol INSPECTION RECORD' FLOOR SINK Q O Sol FLOOR DRAIN Q O 501 DISHWASHER • @ O 501 DRINKING FOUNTAIN Q O Sol URINAL @ O 50I HOUSE SEWER @ O 50 Q MISCELLANEOUS I 0 I� O I� I I I APPROVALS ' DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING L GAS VENT CESSPOOL @ 7 00 I` CESSPOOL SEPTIC TANK' SEPTIC TANK I DRAIN ( ) PIT ( ) Q 1 00I SEWER PERMIT . I 1.00 GAS TEST TOTAL FEE $ UTILITY CO NOTIFIED FINAL ��s® 76A667A ICE 817B)- 11/76 APPLICATION FOR SPL U M B ING PERMIT BUILD( AND SAFETY DIVISION FOR APPLICANT TO FILL IN IPRINT OR TYPE) •BUILDINp NUMBER FIXTURE OR ITEM @ FEE ADDRESS 48 Blackie St . G WATER CLOSET LOCALITY Temple City, NEAREST BATH TUB CROSS ST Cloverly' SHOWER ' OWNER Thompson " r LAVATORY MAIL r ADDRESS 9483 Blackley St" SINK CITY Temple City, TEL No286 4501 DISHWASHER r CONTRACTORValley Heating C o. CLOTHES WASHER ADDRESS 1116 S -San Gabriel Blvd. SWIMMING POOL RECEPTORCC _ CITY San' `?Gabriel TEL NO - 28 J. 3818 LAWN SPRINKLER SYSTEM STATE WATER HEATER LICENSE NO 147899 CSS_ C 20 1 GAS SYSTEM 1 '-OUTLETS DISTf T•NO a G717-1 NE CESSED BY OUTLETS OVER tJ0 S PER SYSTEM INDUSTRIAL WASTE APPROVAL O INSPECTION RECORD I O • ' z Plan check fee' e PLUMBING PERMIT ISSUING FEE$ S TOTAL FEE ' Plan check applicant APPROVALS DATE INSPECTOR'S SIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING City Tel No GAS PIPING I HEREBY ACKNOWLEDGE THAT I,HAVE READ THIS APPLICATION AND STATE GAS VENT - •THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES , AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER I HEREBY CERTIFY THAT SAM PROPERLY REGISTERED 9N /OR LICENSE AS PLUMBING FIXTURES REQUIRED BY LOS ANGELES COUNTYORD STATE OF CALIFORNIA OR THAT I AM HE GAS TEST LEGAL OWNER OF AND INTEND _ ESIDE IN THE ABOVE DESCRIBED RESIDE) ESIDE TI , PROPERTY UTILITYCO NOTIFIED SIGNATURE q OF PERMITTEE L PLAN CHECK•V (DATION CK M O CASH PERMIT VALIDATION CK M o CASH �. 1 2'9•A SEP 29 5 n 7.5 0 A'� ©_ 76A667A LgQE'8178) -4/77 fI APPLICATION FOR PLUMBING PERMIT `I1L.lI� II IN AND SAFETY SION FOR APPLICANT TO FILL IN(PRINT OR TYP BUILDING NUMBER FIXTURE OR ITEM CSD FEE ADDRESS 9483 E,. Blackley Street WATER CLOSET J 1,0D LOCALITY Tem l e - C 1 t NEAREST BATH TUB CROSS ST - SHOWER OWNER Murray` 4an Dev. LAVATORY MAIL D ADDRESS 3845 E .;' Colorado Blvd. SINK v CITY Pip padep oe TEL NO 796-7562 DISHWASHER CONTRACTOR wen Y'OS . eiumbing, iNG. CLOTHES WASHER 4265 N':, Baldwin Ave. ADDRESS SWIMMING POOL RECEPTOR CITY El Monte_,, CA TEL NO 443-0078 AWN SPRINKLER SYSTEM LIC WATER HEATER , /1� LICENSE NO 231 741 CLASS CSS 6-20 GAS SYSTEM OUTLETS 7 DISTRICT NO UP ZONE ED BY v OUTLETS OVER � 5 PER SYSTEM INDUSTRIAL c.� WASTE APPROVAL / INSPECTION RECORD / J U N Plan check fee PLUMBING PERMIT ISSUING FEE$ 17100 TOTAL FEE Pion check applicant AP V .S DATE IN BEGT�OR S SIGNATURE Name UNDER S6MMORK & J—`-rlo 1 Address ROUGH PLUMBING T City Tel No GAS PIPING HEREBY ACKNOWLED THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES _ REOU IR ED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST ��®^ LEGAL OWNER OF AND INTEND RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITYCO NOTIFIED ;20'626A SIGNATURE u OF PERMITTEE3-AFINAL �r .� �' 002500 PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M o CASH �z ;o 0 02500