HomeMy Public PortalAbout5742-5744 TEMPLE CITY BLVD_Plumbing__ IIDEPARTMY.NT OF COUNTY ENGINEER e / PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING -la�i-W.txb-ya,. // /J
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS _ (.(�A L•s��1
FOR APPLICANT TO FILL IN LOCALITY fr. Cl.
BUILDING J NEAREST
ADDRESS ��jj/p 1 �✓v"Yy/��j' CROSS ST.
LOCALITY Z/1 ���� DISTRICT 0. GROUP ZONE P 00
NEAREST V
CROSS ST. �� �. RECEIVED BY Ready for Inspection DATE ISSUED
OWNER 3 ;L/?—J�
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL.NO. INSPECTION RECORD
PLUMBER VALLEY BOULEVARD PLUMBING CO.
ADDRESS 8300 EAST VALLEY BLVD. n,TjerG*v 4 e-A I r ro Ag-1m14-ROSEMEAD TEL.No. AT. 2.2719 ��'e r m14-
WTATE
LICENSE NO. 25 'COUNTY
PERMIT FEES _ . n� Ga�'��' `''`y/7 V" a
.IUMBER TYPE OF FIXTURE OR ITEM FEE ` Ve
WATER CLOSET(TOILET) @ 0.80 $ e/ Q
BATH TUB 0.80 �/ ��a+w+�°ae/Ri r.d'T' ?'iOselA_S' Al
SHOWER @ 0.80 t 7) ����,9./) _"41 llr-wY--_q
LAVATORY(WASH BASIN) @ 0.80 E WWI
KITCHEN SINK " .wow. ., •v
LAUNDRY TUB OR TRAY @ bl(r f e
SLOP SINK @ 0.80
FLOORSINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM... . ....OUTLETS @ 1.00 p
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
flATIY
/INdSP'EECTOR'S SIG/NATURE
UNDER SLAB WORK
PERMIT $ I 1 00 ROUGH PLUMBING
TOTAL FEEI V67 GAS PIPING 3 , ,�a&ffl.Cftl
I HEREBY ACKNOWLEDGE THAT 1 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 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AMD/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST lwpo..zt),.12,
AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ���1� ��
ER OF THE ABOVE DESCRIBED RESIDENTIAL PR PERTY. UTILITY CO.NOTIFIED �'� .s
SIGNATURE
i
OF PERMITTEE._ . ._.�. . .__.._...._.__... ...._.._.._...__ FINAL 7 ''Y
76A667 DBS 17 1/58