HomeMy Public PortalAbout9225 LA ROSA DR_Plumbing__ 63
C9TY OF TEMPLE CITY
PPLICATION FOR :, PLUMBING PERMIT u
COUNTY OF LOS ANGELES u
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
'V "/
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY '
FOR APPLICANT TO FILL IN NEAREST
EOs sT
NUMBER FIXTURE OR ITEM` EACH FEE
OWNER .—..
WATER CLOSET $1.25MAIL ,/
BATH TUB 1,25 ADDRESS 1 '►� �C�t/
/ SHOWER 125 CITY TEL. NO. ,�-O
LAVATORY 1,25 CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 c CONTRACTOR'S STATE El
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PRO SED BY
WATER HEATER 1.50 fI
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL D_
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 U
_ A INSPECTION RECORD
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u
W
r a
�f 0
APPROVALS' DATE .INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY AC KNOW LCDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. -
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE F GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEN TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIArL ROPERTY UTILITY CO NOTIFIED io
SIGNATURE v
OF PERMITTEE
FINAL " 0'
VALIDATI ROBERT A. WOOD
CK M O. CAS SUPERVISING MECHANICAL ENG'R
i` uo 7 0 0 0 DEC21 5 D 1. 6.2-5,
76A667 c8a 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
_ . COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER DISTRICT NO. GROUP[,�ZONE PERMIT NEI.
FOR APPLICANT TO FILL IN y3 3 —4 n
,PLUM139,ce + RE EIV D BY •_READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS , 1
N jj
� I S1 BUILDING y��
CITY TEL ADDRESS
COUNTY o LOCALITY
LICENSE NO. - EXPIRES
�,. NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF►'IXTURE OR ITEM FEE OWNER
MAIL ��/ �► I !{+, C�C�+L�.
WATER CLOSET(TOILET) @ 0.50 111 ADDRESS
BATH TUB @ 0.50 CITY at-ve- �, TEL N
SHOWER O.SO' I HE ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH'BA81N) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
_ KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL FPRPE TM�(�p/,,�E8C�Ri°IIB D ABOVE.
GAS SYBTEMOUTLET9 Q 0.50 �E '�'�"I'z""'e'
/ SIGNATURE OF
WATER HEATER 0.50 PERMITTED
SLOP SINK 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER ® 0.30
DRINKING FOUNTAIN 0.50
URINAL 0.50
Q
HOUSE SEWER @ 0.50 _Z
MIBCKhbLNEOUS F. L7
i
c
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL (tib 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER ,
PERMIT . . I 1.013 GAS TEST
TOTAL FEE
UTILITY CO. NOTIFIED
� .l�G
FINAL