HomeMy Public PortalAbout4430 TEMPLE CITY BLVD_Plumbing__ D B 8-17 26M SETS 1"iAPPLICATION FOR PERMIT
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DEPARTMENT OF BUILDING ASAFETY
Yg COUNTY OF LOS ANGELES ��������
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Wm J PDX, CHIEF ENGINEER
A INSTALLATION O 6R0 ON PERMIT NO
` ROUGH FIXTUR[S �COMPL[T¢ J
HEATER CESSPOOL SVTIC TANK READY FOR v{/
R[C BY FI,R, NOP ION D /
AS MI INAN (O
AP LIC L IN HEAVILY OUTLINED PORTION ONLY
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NAME ADDRESS L
m ADDRESS/ LOCALITY
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LOCATION OF SEPTIC TANK, OR CESSPOOL ; MAIL
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1 LE THE OU TY CE POSSEIFICAT HOF U THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION
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' 1 AM THE LEGAL OWNER Of TH PRIB[D
ABOVE
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CORRECTIONS
I SOUTH Q
DESCRIPTION OF WORK
TH TUB FURNACE
OWER DISHWASHER
VATORY REFRIGERATOR `
HEN SINK WATER SOFTENER
R SINK BAND TRAP
SINK m DDR DRAIN
ASN TRAY URINAL APPROVALS
T S
WATER CLOSET DRINKING FOUNTAIN DATE INE![ m a NAME
WATER H`LEATE'_R --DENTAL LAVATORY ROUGH PLUMBING
FETER�ll OUTL .--_[MA FOUNTAIN GAS AS
AVNG
BS ENT
C CESSPOOL
TOTAL NUMBER OF FIXTURES (/ 0 SEPTIC TANK ' r I! AIZ
EDSPOO�SmpTIC TANK �`0 SEWER I
S ^ UTILITY CO NOTIFIED
TOTAL PEE , V
FINAL
^SASSY CE#SITE SE TEMPLE LE CH p bC
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
B MING Mm StFETY EDIMION ISEE se 1 d L v
JOHN A LAM IE OUNTY FIM
MER
WILLIAM A JMNSIEN SUP T OF BUILDING LOCALITY Lf
FOR APPLICANT TO FILL INIII Wee HOT
U
NUMBER FIXTURE OR ITEM EACH FEE OYFNER
WATER CLOSET 8175 _ _
KAL
BATH TDB 133 DRESS 77/-IPW 46LVD
SHOWER 135 CITY — TEL NO
LAVATORY 135 CONTRACTOR I
SDR 125 ADDRESS
DISHWASHER 133 CITY TEL NO
LAUNDRY TUB 175 CONTRACTOR
�1TIN NO COUNTY A
CLOTHES WASHER 135 M DISTRICTN GRJR Ply ZONE lSBlD BY
WATER HEATER 1 50
I.
EAS SYSTEMS OUTLETS I so INDUSTRIALWASTE �ovAL
OUTLETS OV® 5 PER SYSTEM 30 INSPECTION RECORD R
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W
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N
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APPROVALS DATE INSPECTW 8SIGNATURE
PERMIT S p OO UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HERESY
ACKNOWLEDGE THAT I HAW BRAD THIS APPLICATION GAS VENT
AND RATE THAT THE ABOVE IE CONNECT AMO AGREE TO COMPLY 1
WITH ALL COUNTY ONDINAMCEE AND STATE LAWS REGULATING Ire
PLUMBING HOT WATER HEATER /ol
I NKRmY GEIIfvY THAT I AM MORRLY REOIStE1lEO AND/O. PLUMBING FIXTURES
LICEMNO AS REQUIRED NY LOS ANGELES COUNTY AND STATE OF GAS TEST
GLIFORNIA OR THAT I AM THE LEGAL OWNER OF AND IWEND TO
IIEBIDE IN THE ABOVE DESCRISEO RESIDENTIAL PROPERTY /
UTILITY CO NOTIFIED
SIGNATURE
OF
OP PlRMITTM FINAL
VALIDATIO1 ROBERT A WOOD
cK M G CARH// SUPERVISING MECHANICAL ENG R
7373 JUL 11 5 D 5.00-