HomeMy Public PortalAbout10143 BOGUE ST_Plumbing__ rsAeer .�y 9-a§ �5 APPLICATION FOR PERMIT
/ DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER PLUMB" ING . 1
FOR APPLICANT TO FILL IN DISTRICT NO. I GROUP ZONE PERMIT NO.
�
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION /y ,
ADDRESS 000 �Q�fl1-I FY BLVD- BUILDING e� �J j Jy/
CITY lRO�EM�n TEL. NO. AT, 2.2.9 1 ADDRESS "/,0/,
—LICENSECOUNTY
NO. Ram EXPIRES 6-30°--5/ LOCALITY
NEAREST
PERMIT FEES CROSS ST.
NU7I TYPE OF FIXTURE OR ITEM FEE�E OWNER MAIL
WATER CLOSET (TOILET) @ 0.so ADDRESS �+ _ '/G a
IBIM1/c
ATHTUB @ 0.50 V D CIT L. NO. ed-gy/445J
SHOWER @ 0.50 . 16-40 I HEREBY A NOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) @ 0.50 l/ a O AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING.
KITCHEN SINK @ 0.50 I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
.
LAUNDRY TUB OTRAY @ 0.501 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL OPERTY DESCRIBED ABOVE. zf
GAS SYSTEM OUTLETS @ 0.50 I �Q SIGNATURE OF
WATER HEATER @ O 501 PER MITTE �
SLOP SINK @ 0.5- I INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ O 50I
DRINKING FOUNTAIN @ 0.501
URINAL @ O 501 I -J
I HOUSESEWER @ 0.501 1
Q
MISCELLANEOUS I D
0
� I
I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT �
CESSPOOL @ 100 I I CESSPOOL
SEPTIC TANK: I I SEPTIC TANK
1V
DRAIN ( ) PIT ( ) @ 1.00I. I SEWER /
I
PERMIT . I I.00 GAS TESTa-oj'
�/ v
UTILITY CO NOTIFIED%
I TOTAL FEF ► T
S O FINAL
76A667 AP0 LUGAT' ON FOR -} LV Y,V■BI NG PERMIT 7
DBS-17 9-55 , 1,
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles
BUILDING •10143 Bogue St
WM.J. FOX. COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY Temple City
FOR APPLICANT TO FILL IN NNEARECROSS sT. BaldW n v6
OWNER Alice C. : riese DISTRICT NO GROUP ZONE READY FOR INSPECTION
MAIL e
DD10143 BoguSt. , � I I _
ARESS T
TEL. NOVO 6 3719 INDUSTRIAL
CITYTemple City .
WASTE APPROVAL
PLUMBERCalifornia� Appliance Inst. INSPECTION RECORD
ADDRESS1422 Griffith Avw. , '[-
CITYLos Ange'le$ 2 '1 TEL.'NO. RI 766. '
LICENSE NO. x#41 \
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $ '
BATH TUB -
SHOWER
LAVATORY (WASH BASIN)'
KITCHEN SINK -
DISHWASHER -
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO. @ 080 APPROVALS"
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM OUTLETS @ 1 00
1 WATER HEATER • @ 1 00 UNDER SLAB WORK
00L ROUGH PLUMBING
PERMIT S 1 00
_ GAS PIPING
TOTAL FEE 2 00 GAS VENT
:I HEREBY ACKNOWLEDGE THAT I'HAVE READ THIS APPLICATION •HO WATER HEATER.
AND STATE THAT THE ABOVE,IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS A GELE COUNTY. AND STATE,OF ,UTILITY CO-'NOTIFIED
'
CALIFORNIA OR THAT I AM E OW OF TH NADOVE
DESCRIBED RESIDENTIAL PR R '
SIGNATURE -
OFPERMITTE FINAL
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION R.A.WOOD. CHIEF PLBG. INSPECTOR