HomeMy Public PortalAbout5732-5734 TEMPLE CITY BLVD_Plumbing__ PLUMBING 1
"IDEPAR'f'EN"f' OIF COUNTY ENGINEER
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELESBUILDING
qq s y
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS
FOR APPLICANT TO FILL IN LOCALITY
BUILDING ` 7 �r s� NEAREST
d �af' J��S� �/ CROSS ST.
ADDRESS
�� j` D18TRIC
LOCALITYGROUP ZONE PERMIT NO.
NEAREST
CROSS ST. RECE�VEEDD�BY Ready for Inspection DATE ISSUED
OWNER • AAV✓ 6 3 6E—&�
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
clrY TEL.No. _ INSPECTION RECORD
PLUMBER VALLEY BOULEVARD PLUMBIK W. ,�,,� �,•�,. ,y��-��.��,a�.f ,fa
ADDRESS
8300 EAST VALLEY BLVD. A As4L40�1
clrY ROSEMEAD TEL.No. AT. 2-2719
�t Q STATE
LICENSE NO. 25 � pf COUNTY
PERMIT FEES
iUMOER TYPE OF FIXTURE OR ITEM FEE ��
/J
WATER CLOSET(TOILET) @ 0.80 $ Z�'1 � (max- Ffr ""' "* ix�.
BATHTUB q 0.80
SHOWER @ 0.80
41 LAVATORY(WASH BASIN) @ 0.80 S 2 l2eAP v&a ,ze Pdolo d C,
KITCHEN SINK of d.80 ' i•!l f; : . I;il1 j !;I• 'r '� �.
LAUNDRY TUB OR TRAY @ b.80 r r:
SLOP SINK @ 0.60
IS,
` "AM, L' , �!A R I� i!n r(JA f;
FLOORSINK @ 0.80 U .SSS C9,IC, A//:IOLr,C Y-m Angwn,
FLOOR DRAIN @ 0.80 (!!D// a4 -Q 03
DISHWASHER @ 0.80 [ 'eL IA0,/T- 45 1s1! AJ T- AC7r-
DRINKING FOUNTAIN @ 0.80
URINAL ��jj @ 0.80 A. 6,' ZAafm
GAS SYSTEM. ,?.....OUTLETS @ 1.00oo
WATER HEATER @ 1.00
MISCELLANEOUS a7 Y' C,� n. lP..�+.r%' Pa9" ilt1�'.rl/�G�t�•t,
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDERSLABWORK L/. jA'/
PERMIT $ 1 00 ROUGH PLUMBING
ECl GAS PIPING
TOTAL FEE „� -
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES I
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED >63•✓
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST E,` t_ .,.,e :%'�•.
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE..._.......... _7
FINAL
76A667 DBS 17 1/53