HomeMy Public PortalAbout5309 TEMPLE CITY BLVD_Plumbing__ P. IT E BETE IAB APPLICATION FOR PMUUT
DEPARTMENT OF-BUILDING AND SAFETY 1
COUNTY OF IAS ANGFJM PLUMBING
I�- %M.J FOX.CNIEr ENGINEER
ROUGH FfX UR® _� COMPEERS _ READY MR 3 �
HEATER CESSPOOL OQTIC TANK K - rIKOT IMSPSTION
APPLICANT FILL. UV HEAVILY OUTLINED PORTION ONLY
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g NAME G•-!
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CENo EE►IRIS 6 NAME I&
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LOCATION OF SEPTIC TAN , OR CESSPOOL ADOR.. � —4;0 7 b
NORTH O' ,UAAv (G/ 4
CITY
1 AM THE LEGAL Pot/AOR OF THE ADOVH RFs
ANGELES COUNTY C[RTIrICAT_ _R Or QUALIFICATION.
1 AM THE LEGAL OWNER Or THE PROPERTY
ABOVE.
CORRJWTIONS
BoArm
DESCRIPTION OF WORN , / t u O
[tV7ATORY
TUB FURNACE / A Y ` f'/Y r, "-r w o N S/Al If rz
YER DISHWASHER v v • O
�MIGERATOR HNN OINK WATER OOFTLRER L/,• A, -/ �- �!Iz/
R OINK BANOTRAP n
SINK m^^R DRAIN
WASN TRAY APPROVALS
kTCOYTA'L
ATER CLOSET DRINKING FOUNTAIN DATE IM •NAM•
ATER HEATER DENTALLAVATORY ROUGH PLUYOING S-pO-�Iry
EfZR_ nm 90DA FOUNTAIN OAS PIPING
OUTL
GAS VETT
OTAL NUMBER or FIXTURES ■EWTIC TANK
EEOPOOI�_ppflC TANK SEWERMENOMEN
UTILITY GO HOTIFI®FEE �� ,"� /.�..•--��
D B R-17 26M BETE 1E-46 APPLICATION TOR PERMIT
DEkUrp[ENT OF BUILDING AND SAFETY
•�4""`-VOUNTY OF LOS ANGELES �L������
WM J FOX CHIEF ENGINEER
N
ATURE OF ST LLA D ST 1 O O PERMIT NO
PIINTURES COMPLETE '
ADDRESS
CESHPOOL SEPTIC TANK /ppRHE�CCgg�N�®��Br^ READY FOR ATH ISSUED
/ J FIRST INSPECTION
P
LAN G Y
APPLICANT FELL IIv HEAVILY OUTLINED PORTION ONLY
NAME JOB 1 -37
S /Y//X1/1 LOCALITYNEAREST
TEL NO CROSS ST
EIPIRES ' NAME
OF SEPTIC TANK, OR CESSPOOL AMDAA H O -SIP LL bre4; pAr
NORTH O _A
C TR 1 O vf/
1 AY THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION
RUIOQ
I AY THE LEGAL OWNER OF'''jjj���E►ROPEITY DESCRIBED
ABOVE ^ � ��
(l] own"
CORRECTIONS
SOUTH
DESCREMON OF WORK
c�
ATH TUB FuRHwce
HOVIM DISHWASHER
YATORY REFRIGERATOR
ITCHEN SINK WATER SOFTENER 1
R SINK RANDTRAP
LOP LINK FLOOR DRAIN O
WAS"TRAY URINAL APPROVALS
WATER CL088T DRINKING FOUNTAIN PATH
WATER HEATER RENTAL LAVATORY ROUGH PLUMBING -7—
W
l(
HTER GAS —SDA FOUNTAIN GAS PIPING I
OUTL
OAS VENT
CESSPOOL �l (� I
TOTAL NUMBER OF PD(TURHS
3 SEPTIC TANK ! �/7— n _'
U
HSBPOO DTIC TANK / SEWER ,L
UTILITY CO NOTIFIED lC
TOTAL FEE
FINAL _h7 N
APPLICATION FOR PERM
DEPARTMENT OFDING ASAFETY k r
CpANTY OFF LOS ND ANGELES
WILLIAM J FOX CHIEF ENGINEER PLUMBING I
FOR APPLICANT TO FILL IN DISTRICT NO GROUP I ZONE PERMITNO
PLUMBER A & A RECEIVED Y READY FOR D T618S ED
FIRSTINSPECTION
ADDRESS 7N L Y/1�EL MONTEREY PARK AT. Fl�9 LT
B ILDING
CITY TEL NO ADDRESS
COUNTY 1
LICENSE NO IR® LOCALITY
NEAREST "
PEBNIIT FEES 'no"BY
NUMB" TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET TOILET Cools ADDRESS
BATHTUB O EO CITY TEL NO
�S BROWER ® O BO 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY WASH BASIN) @ O BO APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN BINK O BO STATE LAWS.REGULATING PLUMBING
LAUNDRY TUB OR TRAY O BO ANGLES C NTYA LICENSE ORS ITAM THE BO
OWNLERR
EU
OF THE RESIDENTIAL PROPERTY DESCRIBED ABO
EAE BYST611 OUTLETS O BO SIGNATURE OF 1
WATER HEATER . BO PERMITT6
BLOPSINK o Bo INSPECTION RECORD
FLOR BINK O BO
O
FLOOR DRAIN O BO
DISHWASHERQ O EO
DRINKING FOUNTAINa O BO
URINAL O BO I
HOU86SQWER O BO Q
Z
MISCELLANEOUS (J
0
APPROVALS
DATE INIIPtCTOR NAME
ROUGH PLUMBING
GAS PIPING
GAB VENT
CESSPOOL 100 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN I I PIT I I ® 1 GO SEWER
PERMIT 1 Op GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE ��l
L FINAL