HomeMy Public PortalAbout9118 DUFFY ST_Plumbing__ 7SAS67 DBS 19 11-SO APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY � Mm
1
COUNTY OF LOS ANGELESmualb
WILLIAM J. FOX. CHIEF ENGINEER
DISTRIGT NU. .
FOR OR APPLICANT TO FILL IN
PLUMBER VALLEY BOIJUVARI7 RECEI EED BY READY FOR DATE ISSUED
FIRST INSPECTION S
ADDRESS 8300 EAST VALLEY 61 VD
BUILDING `
CITY ROSUAEAD TEL No- AT _ AODREBB //
COUNTYLICENSE N0. 93M EXPIRES 6-30- LOCALITY �- �—
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE DR ITEM, FEE OWNER /1 Cf/�l >✓����
/ MAIL
WATER CLOSET(TOILET) Q 0.50 ® ADDRESS
BATH TUB a 0.50 CITY TEL No.
SHOWER ® 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) G.5O APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND ABREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK ® 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY ® 0.50 ANBELEB COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
DF THE RESIDENTIALPROPERTY DESCRIBED
�ABOVE.
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GAS SYSTEM OUTLETS ® 0.50 �/� ✓J�j'A�� -_"�K�
I SIGNATURE Of
WATER NEATER Q 0.50 PERMITTEDEE
SLOP BINK a 0.50 INSPECTION RECORD
FLOOR BINK ® 0.50
FLOOR DRAIN Q 0.50
DISHWASHER ® 0.50
DRINKING FOUNTAIN ® 0.50
URINAL 0.50 J
Q
HOUSE SEWER 0.50 Z
MISCELLANEOUS O
Q'
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APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING ! .✓
DAB PIPING �/ A, ^/, 1_/5 `
GAS VENT
CESSPOOL ® I:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.013 I SEWER
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PERMIT I 1.00 GAB TEST 1 le 11071
j O UTILITYL CO.NOTIFIED
TOTAL FEE $
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76AS67C ICE-eITB) - 9/75
APPLICATION FOR PLUMBING PERMIT
City of Temple City
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TV PEI BUILDING
ADDRESS
NUMBER FIX ORE OR ITEM C FEE 9118 E. Duff T C
WATER CLOSET LOCALITY T/C
BATH TUB CNEAREST o-yy�qJ
ROSS ST.
SHOWER OWNER Mrs. Mitehead
L4 VATORY MAIL
ADDRESS Same As Above
SINKCITY TEL. NO.
DISIHWASHER CONTRACTOR Gus Goldin Enterprises, TNC
CLOTHES WASHER ADDRESS 170 W. Live Oak Ave.
SWIMMING POOL RECEPTOR
CITY Arcadia, Ca. TEL. NO. _
128U—
LAWN(SPRINKLER SYSTEM ATELIC
WATERIHEATER Do LICENSE NO. 250046 C ASS rO
GAS SYSTEM OUTLETS DISTR C;,NO.O. I�GROUP. ZONE PR C SSED BV O
OUTLETS OVER T I C)
5'PER SYSTEM INDUSTRIAL w
WASTE APPROVAL d
n
INSPECTION RECORD z
Plan check fee ILI-�1
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
Plan check applicant 0,LTZ)
Name APPROVALS DATE IISPECTOR'S SICNATUFE
UNDER SLAB WORK
Address
ROUGH PLUMBING
City Tel. NO. GAS PIPING
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT -
ANO STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING H WATER HEATER
PLUMBING.
HERESY CERTIFY THAT AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REOUIREDYBY CIS ANGELES COUNTY AND, STATE OF GAS TEST
CALIFORNIA OR THAT 1 #M THE LEGAL OWNER OF, A INTEND TO
RESIDE IN THE ABOVE OE CRIBED SIO NTIgL PR TY. UTILITY CO. NOTJIFI D
SIGNATURE A r r L , (W O o n
OF PEH E TT EE / a FINAL
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONW CK. M.0. CASH
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APPLICATION FOR PLUMBING ERMIT �\
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS .CY
COLEMAN W. JENKINS. SUPT. OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1,25 ADDRESS
SHOWER 1.25 CITY EL.
LAVATORY 1,25 CONTRACTOR qG
SINS 1,25 ADDRESS
DISHWASHER 1.25 CITY •� TEL. NO.
LAUNDRY TUB 1,25 STATE LIC
LICENSE NO. Q CLASS
CLOTHES WASHER E25 DISTRICT NO. GRO%$ ZONE PR GESS�E/jD BY
WATER HEATER 1.50 S^ J�
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GAS SYSTEM-OUTLETS- 1.50 INDUSTRIAL WASTE APPROVAL CD
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
W
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APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE s�D
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION GAS VENT
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANO STATEOF GAS TEST
CALIFORNIA OR THAT 1 AM.THE LEGAL OWNER OF,AND INTEND TO
RESIDE INS THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE '� '� FINAL 51
� / —�I:
LIDATION JACK R. ALLEN .
cK. M.o. CASH SUPERVISING MECHANICAL ENG-R.
1HLO 7 5`'5 0 K.4R 13' 5 0 3-50