HomeMy Public PortalAbout4960 LOMA AVE_Plumbing__ w !
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DVARTNIENT OF BUILDING AND SAFETY APPLICATION FOR PERNIIT
COUNTY OF LOS ANGELESPLUMBING 1
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRIC NO. GROUP ZONE PERMIT NO.
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PLUMBER S=eri nr 'Plumbing RECEIVED BY READY FOR DATE ISSUED
z - - - FIRST INSPECTION
ADDRESS 10024 Eo Valley Blvd, BUILDINGl
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CITY El Monte TEL NO.FO U-�E7eJ ADDRESS 916 Ln ma St
COUNTY - 6-30-51 LOCALITY Temple City
LICENSE NO. 5109-M EXPIRES
NEAR EST
PERNUT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER Kieth Snyder
MAIL
1 I WATER CLOSET (TOILET) @ O 50 $ ADDRESS
— BATH TUB @ O 50 I 5O CITY TEL NO.
ISHOWER @ O 50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 I 5 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
1 I KITCHEN SINK @ O 50 I STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID L S
LAUNDRY TUB OR TRAY @ O 50 I ANGELES COUNTY LICENSE, R 1 AM THE LEGAL OW R
OF THE RESIDENTIAL P O Y DESCRIBED ABOVE.
GAS SYSTEM---,'7,t-OUTLETS @ O 50111 50
SIGNATURE OF
lWATER HEATER @ O soil PERMITTEE
SLOP SINK @ 0 501 1 INSPECTION REC D
FLOOR SINK @ O 50 I
FLOOR DRAIN @ O Sol
DISHWASHER @ O 501
DRINKING FOUNTAIN @ O 501
I URINAL @ O 50I I „J
IHOUSESEWER @ 0.501 1 Q
MISCELLANEOUS 0O
I
I�
i
I
APPROVALS
DATE INSPECTOR'S NAME
1 I ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1 00 I CESSPOOL
SEPTIC TANK: I SEPTIC TANK _
I DRAIN ( ) PIT ( @ 1.00 SEWER
PERMIT . . I 1.00 GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE $ 4 OU
FINAL
76A667 DBS 17 11-so APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETYmr"hLU BING
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DIBIRICT NO* R13UP I ;PC PERMIT NO.
FOR APPLICANT TO FILL INyj�23 —
PLUMBER. M. C. Nottingham Go. of Temple CityRE LVED BY READY FOR DATE ISSUED
D
ADREBH FIRST INSPECTION
BUILDING /D + V
CITY TEMPLE CIT,IYELCIF. ADDRESS 6
}�� t �� I LOCALITY •
COUNTY NO.}I f}.'1 ' 1 r EXPIRES I?—� 'J `�
'T�! / - NEAREST ��V 'i/�W
PERMIT FEES CROSS BT.
NUMBER TYPE OF FIXTURE OR ITEM FEE i OWNER
MAIL
WATER CLOSET(TOILET) 0.50 $ ADDRESS
BATH TUB 0.50 CITY TEL. No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ p,g0 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE 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 @ 13.50 ANGELES COUNTY LICENSE, PR 1 AM THE LEGAL OWNER
T PRO ERS ED ABOVE.
GAS SYSTEM OF THE RESIDEN
CUTLETS � 0.50 81 �ArTf -OFE`j��
WATER HEATER @ 0.50
SLOP SINK @ 13.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.5(I
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50
Q
HOUSE SEWER @ 13.50 ?
MISCELLANEOUS E9
lz
O
APPROVALS
DATE INSPECTOR-8 NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT i
CESSPOOL @ 1.130 CESSPOOL / SL-
SEPTIC TANK: SEPTIC TANK /f
DRAIN ( ) PIT ( ) @ 1.00 SEWER gtlW..)
PERMIT 1,00 GAS TEST
TOTAL FEE $ !1 UTILITY CO.NOTIFIED /
V FINAL ]