HomeMy Public PortalAbout4812 TEMPLE CITY BLVD_Plumbing__ / D e aEN oETa nw APPLICATION FOR PERMIT
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DEI+AAVMENT OFLOS NG AND SAFETY PLUMBING
COUNTY OX.F LOS ANGELES
WM J PDX. CHIEF ENGINEER
NATURE OF INSTALLATION IT NO
RouaN FlxruRSS COMPLETE
_ S 117076
DATE IGGU
HEATER CESSPOOL BtPfIC TANK READY FOR
aL
R �BY FIRST INSPECTION
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
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G ADDRESS LOCALITY
j NEAREST
6 CITY TEL No CROSS ST
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CERT No EXPIRES �' NAME JAI jU
LOCATION OF SEPTIC TANK, OR CESSPOOL MAIL
ADDRESS
NORTH O
Cm TE1. No
I AM THE LEGAL POSSESS F HE A [ S
ANGELES COUNTY CMTIF T O IFICA' ON
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1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
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CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z_
ATN TUB QURNACE
HOWER DISHWASHER ° O
VATORY REFRIGERATOR
ITCHEN BINK WATER SOFTENER
-----FLOOR SINK SANDTRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INeF�OT011•"Us
WATER .H^/EATER ^RITAL LAVATORY ROUGH PLUMBING
R[R�AM SODAPOUNTAIN GAS PIPING
OUTL
OAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOI SEPTIC TANK S[W9t
S
TOTAL PEE TILITY CO NOTIFIED
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" '"N 91' 7� APPLICATION FOR PERMIT
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DEPARTMENT OFNG ANSAFETY
COUNTY OF LOS ANGELES
WM J FOX.CHIEF ENGINEER
PLUMBING
LU �N
G
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ROUGH RIXTlIRE6 COYPLSTK
HEATER CESSPOOL BIC TANK R[CK RSADY POR DATE NRRNm
nRKT INerEcrloN 2 -/s=
M
APPLI ANT IN HEAMY OUTLINED PORTION ONLY
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HAMK ADDRESS
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All
CITY � TEL No.
COUNTY
LIOENEE NO ✓ I"IRSS LOCATION OF SEPTIC TANK, OR CESSPOOLDNORTH ESS o <�THE POSE S of THE ABOVE LOS
ANGELES COUNTY CKHTIF OR QUALIFICATION.
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I AM THE LEGAL OWNER OF K P 6SCNRlED
AROVIL
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CORRECTIONS
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SOUTH J
DESCREMON OF WORK z
V,Z2:LAVATORY
TUR 1� FURNACE
ER ^ISHWASHKR
!/ R[FRIGOIATOR
HEM RINK L— wATzR SOPTQiKR
R SINK SAND TRAP
P SINK F ^^M DRAIN
WASH TRAY URINAL APPROVALS
W%1TEIt CMM��MLJJOjjSKTRRR�� ^FINKING FOUNTAIN DATE IMNE610R S NAYS
wATERKI'KII�aM DENTAL LAVATORY ROUGH PLUMBING 3 - 9- _
N^•`A POUNTAIN OAS PIPING
OUTL
GAS VONT
.w Ca
TOTAL NUMBER OF FIXTURES SEPTIC TANK
ESSPOO�ARIPTIC TANK SEM/KR
S
UTILITY CO NOTIFIED
TOTAL FEE
FINAL �Ab
TeeaeT-c eeetT taaz i m PLE c-f y -
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BM WINCLAAND S&T DIVISION5A"DDRESS
JOHN A MBIE OUNTY ENGINEERWILLIAM A JENSEN SUPT OF BUILDINGFOR APPLICANT TO FILL IN ST
'NUMBER FIXTURE OR ITEM EACH FE77,WATER CLOSET 8125 BATH TUB '� 125
SHOWER 125 CITY A TEL NO
LAVATORY 125 2J CONTRACTOR
SINZ 125 ADDRESS
DISHWASHER 125 CITY NO
LAUNDRY TUB 115 RREE6 TION NO / CTon 6, o STATE
B
CLOTHES WASHER I75 DISTRICT NO GROUP ZONE PROCESSED BY I
WATER HEATER -UPL Cc 150 S-0 �. 0 F�— C-2 �i1a LIKn,
GAS MIEN OUTLETS ISR INDUSTRIAL-- C
WASTE APPROVAL Q
OUTLETS Uvea=P
PeR 20 1 INSPECTION RECORD A / a V
o
6
Z
W"v
APPROVALS ATE INIM6 asl9igatirt N,!
PERMIT S 2 00 UNDER SLAB WORK ,/�(%'IJ7/r/�
ROUGH PLUMBING . Z 16;0, -571"V
t
TOTAL FEE GAS PIPING 'r �"t F
1 XSTATTHAT
W ACKNOWLEDGE 12 I MAV6 AND GRI APPLICATION OTION GAS VENT _
ANO CALL THAT TH6 DIVAAOVE IE SAND S AND LAWS TO COMPLY
WITH ALL COUNTY ORDINANCES AND RAT[ LAWS P6OULATIXO
rWMSm6 HOT WATER HEATER
I HZR Y CRRTIFY THAT I AM PR reRLT "GISITMO ANO/OR PLUMBING FIXTURES -
LI,
At S[OUIREO DY LOS ANGELES COUNTY AND RATE[ OF GAS TEST
RES
GE
CALIFORNIA OR THAT 1 AM TNS "GAL OWNER OF AM INTEND TO
RcIN THE ABOVE OR Iem RESIDENTIAL F UTILITY CO NOTIFIED
SIGNATURE /
OF PERMITT
FINAL
VALMATIO ROBERT FC WOOD
CK M O CASH SUPERVISING MECHANICAL ENO R
L/iE,o 3 9 4 SPR 2 9 5 D 8.5 0-
II
7GAO07-CER017 10.0E
APPLICATION OR PLUM ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
%U 0GL ESAFETY DIVISION �D� Z
JO A I COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING
LO
FOR APPLICANT TO FELL IN "CliomssIT
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 81 25 !SAIL
BATH TOB 115 ADDRESS
SHOWER 195 Cm TEL NO
LAVATORY 115 CONTRACTOR
SINK 195 ADDRESS
DISHWASHER 115 CTR
TEL N
LAUNDRY TOB 115 REGISTRATION NO d � CO STATE
e
'
CLOTHES WASHER 175
DISTRICT NO6{-OUP ZO [ PROOESSED SY
WATER HEATER 150 S• Q Y / - Z C_Z F=
o Lp✓wo
GAS SYSTEM OUTLETS Iso INDUSWASTRIAL Q
O VERS 2PRYS30 DEFECTION RECORD f.9
I u` c
G
W
z
APPROVALS OATP IMSK ORe TUR[
PERMIT S 2 OO UNDER SLAB WORK .Z t
=
ROUGH PLUMBING �' Q
TOTAL FEE GAS PIPING F ��
1 H[N[!tY ACKNOWLEDGE THAT 1 HAVE READ THIA APPLICATION GASVENT
AMD STATE THAT TH[ AROVE IE CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGUUTINa
PLUMBING HOT WATER HEATER
I HERESY CKWIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSM AS GEOUIREO BY LOA ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO
RAID[ IN THE ABOVE DESCRIBED RESIDENTIAL PRO Y UTILITY CO NOTIFIED
SIGNATURE
OF PERM ITT
INAL Ag 1
VALIDATION ROBERT A WO D V
cK/ M o cAEH SUPERVISING MlCHANIGA4`ENG R �
LfLo3 9 7 2—� PPR29 5 D 3.25- V
11-17 26M SIM 31-66 1 APPLICATION FOR PERMIT
-ARTKENT OF BUILDING AND SAFETY e
COUNTY OF LOS ANGELES �`���O�G '
WM J FOX. CHIEF ENGINEER
NATURE OF INSTALLATIONDST RO ' PERMIT
gROUGHPU[TVREB COMPLET[ 0�1 Z CEBRPOOL BtPTIC TANK RKC oY READY POR D IeYUED
FlRST INSPICTIOM
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLYJoeNAME wDORroe
a
S 54-
ADDRESS LOCALm
C35NEAAGYT
CITY CT6 No CROee R
COUNTY
CERT No @IRE. ZK NAME
LOCATION OF SEPTIC TANOR CESSPOOL MAIL
NORTH ADOR1Se
Cm Tm No
I AM THE LEG" POSSESSOR OF TH ABOVE LOS
ANGELES COUNTY CERTIFICATE OP � TI01 /
RY10Y
I AN THE LEGAL OWNER OF Tit PROPGITY DE.C11RMm
ABOVE r
"WEE
CORRECTIONS
SOUTH
DESCRIPTION OF WORK
rs
wTM ns RURNwes
MOWER DISHWASHER
VATORY REFRIGERATOR
RCHNN SINK WATER SOFTENER
R BINK RAND TRAP
P SINK DDR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FWNTAIN DATE 1 •S MAKE
WATER H/EJATER DENTAL LAVATORY ROUGH PLUMBING
EIER.AP� SODA FOUNTAINOUTL OAS PIPING
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURSB SEPTIC TANK
1SSPOO' REPTIC TANK eRvi"
-
TOTAL. R6E unl.m eo NOTIFIED
D B R-17 25M SETS 12-13 b APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ,ANGELES ' PLUMBING '
WM J FOX. CHIEF ENGINEER
NATUREO T DIST 1 O GR /PERMITNO
ROUGS PIKTUREt ` I
COMPLETE ✓` v� `37
ro
—11 C IVm EY RCADY FOR DATE IMURD
NEATER CBDSPOOL SEPTIC TANK FIRST INSPECTION
G 1 ELAN �d`-2/
APPLICANT HEAVILY OUTLINED PORTION ONLY
161f� ZAO 1-44a AM. Joe
E NAY[ ADDRESS V
O •
ADDRESS LOCALITY
O
y CITY . d NEAREST
TEL o I CROSS ST •
C x NoApxU 47 [ZPlRK0 O NAM[
LOCATION OF SEPTIC TANK, OR CESSPOOL' z MAIL `
ADDRESS
NORTH I 0
CITY ✓ TEL NO
•1 AM THE LEGAL POSSM@ R OF T SOV[ LOlf
ANGELES COUNTY CEITIFICAT pUA p
PLUMB"
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ASOV[
• I ,
OWN"
CORRECTIONS
ti
SOUTH
DESCRIPTION OF WORK
ATH TUB FURNACE O
SOWER DISNWAGHER 0
VATORY REFRIGERATOR
ITCHEN SINK WATER SOFTENER
R OINK RANDTRAP
LOP SINK R DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INEFSnoS•B NAME
WATER NEATER DENTAL LAVATORY ROUGH PLUMBING
ETER GAS RODA FOUNTAIN GAO PIPING
OUn
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
SSSPOOP SEPTIC TANK SEWER
G UTILE CO NOTIFIED
TOTAL PE$ O v
INA
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