HomeMy Public PortalAbout5029 TEMPLE CITY BLVD_Plumbing__ DM IT 11-= 1 APPLICATION FOR PERMIT
DEPARTMENT OFAND SAFETY
COUNTY LOS ANGELES
WILLIAM J.OF
LOS FOX, CHIEF ENGINEER PLUMBING 1
FO PPLIPANT TO FILL -r• �^/ A
PLUMBER R[OE BY READY FDR DATE ISSUED
i FIRST INGP[OTION _
ADDRESS - E
CITY L No �.7
"PIR
BOUNTY y LOCALITY
ve—S
NEAR
PERMIT FEESFEESCROBB`BTT P-
MYMQP TYR or FIXTYR[on ITEM FEE 13WNKR
MAIL
WATER CLOSET(TOILET) @ O BO B ADDR[RS
BATH TUB @ 050 CITY TEL. No
SHOWER @ 0.60 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIR
LAVATORY (WASH BASIN) @ 030 APPLICATION AMD STAT[ THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY 13RDIMMOCS
KITCHEN BINK @ O BO AND STATIC LAWS REGULATING PLUMBING
t CERTIFY THAT I POBBCBB THE ABOVE VALID LOR
LAUNDRY TUB OR TRAY @ 050 ANGLES COUNTY LICENSE. OR 1 M T LEG
GAS SYSTEMOUTLETS @ O BO Or THE R[BID[NTI OPERTN ED
SIGNATURE OF
WATER HEATER @ 030 P[RMITT[
SLOP BINK @ 050 INSPECTION RECORD
FLOOR BINK @ [Lou
rLOOR DRAIN @ O SO
OIRHWARHER @ DSD
DRINKING FOUNTAIN @ O60
.a S'r N c� .Qr.....��
URINAL @ O SC 1
Q
HOUSE SEWER @ O BO z
MIMELLANC B
C
O
APPROVALS
DAT[ IN[n[D1OB•E NAM[
ROUGH PLUMBING If /
L
GAS PIPING
GAB VENT U
CESSPOOL @ 1O0 CESSPOOL
BEPTIC TANK BKPTIC TANK
DRAIN ( ) PIT ( ) @ 100 SEWER
PERMIT 1 DD GAS TEST
UTILITY O0.NDTIrIED
TOTAL FEE B j O 1
n NAL
++ fao ® APPLICATION FOR PERIM
DEPARTMENT OF BUII.DING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J FOX CHIEF ENGINEER
F APPLJC T TO FILL
JIN DISTRQrO GP'pwP ONE PER NQ
S1
PLUMBER R! HIVED BY FREADY FOR ON DATH ISBUH
IR BPHCT 6 i
r
ADDRESS
s LDING _
CITY TEL NO V ADDRESS D /
COUNTY !� q r-j � OCALITY
LICENSE NO O9 EXPIRES
NEAREST
PERIM FEES CROSS BT A /�
NUME[R I TYPE OF MXTOR[OR PRN PEE OWNER
MAIL
WATER CLOSET (TOILET) O EO f ADDRESS
BATH TUB O 501CITY TEL NO
SHOWER O EO I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY WASH BASIN) O S APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN BINK O BO STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALI LOB
LAUNDRY TUB OR TRAY O EO ANGELES COUNTY LIC BH OR I.AM THE LEGAL WN
OF THE RESIDENTIAL^ OPERTY GEBCR]j8T
6A0 SYSTEM OUTLKTB W O EO �/
B16NATU RH OF /�Z
WATER HEATER (� O EO PHRMITTE!'
SLOPSINK O BO INSPECTION RECORD
FLOOR BINK ® D BO
FLOOR DRAIN O 80
DISHWASHER O EO
DRINKING FOUNTAIN O BO
URINAL
HOUSESEWER ® O EO Q
Z
MISCELLANEO O
Q
APPROVALS
DATE INv[CTON f MAuff
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) ® 100 SEWER
PERMIT 1 DO GAB TEST
UTILITY CO NOTIFIED
TOTAL FEE f
FINAL � S
'GAG'P' Om 17 "'°o i APPLICATION FOR PERMIT
DEPARTMENT OFNG AND
SAFETY1
COUNTY F LOS ANGELES 11
WILLIAM J. FOX. OHI[F [NG1N[tw PLUMBING
FOR APPLICANT TO FILL IN oiSTRICT NO. BRILIP NE PERMIT
PLUMBER RECEIVED BY READY FOR rAT.[IBBU[p`-
O EVER B FIRBTIMBP[DTION 3 I' p/S
ADDRESS Y
BUILDING
CITY TEL No ADDREBB
COUNTY LOCALITY
LICENSENO
FEES N[AR[BT it
PERMTf FEES CO.,BT
HUNGER TYF{of►IKTURE OR IT[N F[[ OWNER
MAIL
WATER CLOSET(TOILET) @ D 60 B ADDR[SB
BATH TUB @ O.BO CITY TEL. No
SHOWER @ O.BO I HEREBY ACKNOWLEDGE THAT 1 HAVE READ TMIB
LAVATORY (WARN BASIN) @ 050 19 CORRECT
AANNDLICATION AND IgrATIC AGREE TO COMPLY WITH ALL COUNTYAT THE ORDINANCES
KITCHEN BINK @ 050 AND STAT[ LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ ago ANGELES COUNTY LICENB[, OR 1 AM THE LEGAL OWNER
OF THE REBIDENTU1L PROP IBED "CIVIL
DAB SYSTEM OUTLETS @ 660 SIGNATURE OF
WATER HEATER @ O BG PERMI
GLOP BINK @ 050 INSPECTION RECO
FLOOR BINK @ 050
FLOOR DRAIN @ OBD
DISHWASHER @ [LSD _
DRINKING ►OUNTAIN @ ago
URINAL ® 050 J
a
HOUSE SEWER @ Dan =
MISCELLANEOUS a
C
O
t APPROVALS
DATE IN�EGTDR•G NAIL[
ROUGH PLUMBING
BAS PIPING
GAS VENT
CEBHPOOL @ 1 DO C[BBPOOL
SEPTIC TANK BEPTIC TANK
DRAIN ( I PIT ( ) @ loo SEWER 1
PERMIT 1.00 GAB TEST
UTILITY CO NOTIFIE
TOTAL FEE B to-tY/J
FINAL
I