HomeMy Public PortalAbout5549 ENCINITA AVE_Plumbing__ 76A667 05917 11-50 APPLICATION FOR PERMIT
]VEI�-a.,ATMENT OFNG AND SAFETY
' �•
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
DISTRICT NO. GROUP I ZONE PERMIT NO.
FOR APPLICANT TO FILL IN
PLUMBER Belvedere Plumbing Co. RECEIVED BY READY FOR DATE ISSUED
L p FIRST INSPECTION
ADDRESS 1 6 So• Palm live• YA�
BUILDING
CITY Alhambra TEL.
TEL. NO AT 02 ADDREBS 5549 N. Rncii2ita
LCOUNTY
ICENSE NO 808M EXPIRES 6-30-53 LOCALITY Temple City
NEAREST
PERMIT FEES CROSS 8T.
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNER Golden West Builders
r� MAIL
` WATER CLOSET(TOILET) a 0.50 111 1 0O 1 ADDRESS
BATH TUB @ 050 1.50CITY TEL. NO
1 SHOWER @ 0.50 .50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
2 LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
1 KITCHEN SINK @ 0.50JAND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY a 050NGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OA8 9Y8TEM
1 OUTLETS @ O 50F THE RE81D AL PROPERTY D CRIBED ABOVE.
IGNATURE O �- -ADACWATER HEATER @ O50PERMITTESLOP SINK @ O50 INSPECTION RECORD
FLOORSINK @ O513FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN Q 0.50 d� / 4-
J
URINAL @ 0.513 f� fes ��� Q
HOUSE SEWER @ O 5O -�jl�g 'f"' � m Z_
MISCELLANEOUSA.. L7
SOD, > > �, �,�-:.�
1 Disposal - o
Z
1r 14> Q31
u L— v--
.. �. c rd
>7 ��-
iv APPROVALS -
DATE INSPECTOR'S NAM!
ROUGH PLUMBING
� G
GAS PIPING A /Y
OAS VENT
CESSPOOL 00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ) PIT ) @ 1 00 SEWER
PERMIT I i.0o GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE $ ,.�
5011 FINAL �s
567