HomeMy Public PortalAbout10159 BOGUE ST_Plumbing__ y8AB6y iy to-b9 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
/ p COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PgERMIT NO.
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VAI
V � _r . _ RECEIVED BY READY FOR DATE ISSUED
PLUMBER WCI F F WINDOW)id PI I IflARIA11� (�� � FIRST INSPECTION _/>
ADDRESS 900 FAST VALLEY BLVD.
pp BUILDING
CITY OSEMEAD TEL. NO. AT cc71Q ADDRESS
IR
COUNTY
LICENSE NO. 93M EXPIRES PH -5'/ LOCALITY i(
�-� NEAREST
PERMIT FEES cRoss sr.
j,�
NUMBER TYPE OF FIXTURE OR ITEM OWNER
FEE •��i� 'GFS "r!-/�J�� MAIL
WATER CLOSET (TOILET) @ 0.501$
I ADDRESS ,po �,p
BATH TUB Q O.50 I I� Q CITY ,yyam EL. NO. �-"yam= � 3
SHOWER @ 0.50I t% HEREBY ACI.IIJOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q 0.501 ,5'e!q APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
I I KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUBO ,TRAY @ 0.5o I ,e,—eANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAS SYSTEM OUTLETS Q O.SOI OF THE RESIDENTIAL OPERTY DESCRIBED ABOVE.
SIGNPERMITTURE EEe!5-
WATER HEATER @ O 50
2h���
SLOP SINK Q _0--o I INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.501
IDISHWASHER @ 0.50
IDRINKING FOUNTAIN @ 0.501
IURINAL @ 0.501 ..I
IHOUSESEWER @ 0.50 Z
MISCELLANEOUS 0
I
APPROVALS
pDATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
1 I I GAS VENT
CESSPOOL Q I.00 CESSPOOL
SEPTIC TANIL: •1 I SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.001 I SEINER I A
PERMIT . I I.00 GAS TEST /� z. 1111 -IT/
-r
UTILITY CO NOTIFIED
TOTAL FEE G, IQQ I n, e, e-
l/ FINAL
1 7
CE 817
CE 7IREV 6/78)
APPLICATION ,FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING-AND SAFETY
FOR APPLICANT TO FILL IN(PRINT ORTYPE)' BUILDING
ADDRESS 10159 Bogue Street
NUMBER FIXTURE OR ITEM (fit FEE
WATER CLOSET LOCALITY Temple City
NEAREST
BATHTUB CROSS ST
SHOWER % OWNER Robert Bernasconi
LAVATORY MAIL
ADDRESS 10159 Bogue
SINK CITY Temple City, TEL No447-2316
DISHWASHER 'CONTRACTOR Bryant Heat. & Air Cond
CLOTHES WASHER ADDRESS
1350 E. Las Tunas Drive
SWIMMING POOL RECEPTOR
,CITY San Gabriel TEL NO 286-1141
LAWN SPRINKLER SYSTEM STATE LIC
WATER HEATER LICENSE NO 221751 CLASS C 2 0
1 APPROVALS DATE INSPECTOR'S SIGNATURE
GAS SYSTEM. OUTLETS 3 00
UNDER SLAB WORK
OUTLETS OVER
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING 6
GAS VENT
HOT WATER HEATER 0
PLUMBING FIXTURES 9
GAS TEST 5
����
Plan check fee UTILITY CO NOTIFIED epi
PLUMBING PERMIT ISSUING FEE$ 7 00 � o
TOTAL FEE 10 OO FINAL
Plan check applicant
CHECK VALIDATION
Name
Address
City Tel No.
.2865'8A
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES �#.O O O O O 5
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION ,
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS 210 0 '1 GOO O
REQUIRED BY LOS ANG CO TY AND STATE-Of OVE DESCRIBED HAT I AM THE RESIDENTIAL
1 1J
LEGAL OWNER OF,AN INTEND � IN HIE A
PROPERTY /0�0,0 0 11 O,0 0 U
SIGNATURE, 0 '1. 1 8-80
OF PERMITTE
DIST NO R9OCESSED B2Y
INDUSTRIAL
WASTE APPROVAL