HomeMy Public PortalAbout5746-5748 TEMPLE CITY BLVD_Plumbing__ DEPARTMENT OF COUNW ENGINEER 71 c - PLUMBING . 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNW OF LOS ANGELESgU1LDING �{
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS Sw—
FOR APPLIC NT TO FILL IN LOCALITY
BUILDING a �/ � /a J`Y l,2 NEAREST
ADDRESSr`�� .� q$" fFle Y CROSS ST.
- DISTRICT NO. GROUP ZONE PERMIT NO.
LOCALITY � -7 9 4
NEAREST 7
CROSS ST. RECEIVED BY Ready for Inspection DATE ISSUED
OWNER 1 3
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL.N0.
INSPECTION RECORD
PLUMBER VALLEY BOULEVARD PLUMBING CO.
ADDRESS 8300 EAST VALLEY BLVD.
CITY ROSEMEAD_ TEL.No. AT. 2❑❑233,7TT19 W&-Lo
V2 4_-3 \ ",7-' VI—Ale,-_ .. .�..a
ATE
LICENSE NO. 25 A • COUNTY
PERMIT FEES
a
z
NUMQER TYPE or FIXTURE OR ITEM FEE Ve
WATER CLOSET(TOILET) @ 0.80 $
BATH TUB @ 0.80 Q
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOPSINK @ 0.80
FLOORSINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL@ 0.80
17 GAS SYSTEM_./�t��QQ_....OUTLETS @ 1.00
WATER HEATER @ 1.00 G
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK -->
PERMIT $ 1 00 ROUGH PLUMBING
i
TOTAL FEE GAS PIPING
I 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 ( ) n
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED r�
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST /� J / 'id.G(.�� e!•:�
AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- n�t
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF
PERM IT _ f.�_ C -f
.__..---.....
76A667 DBS 17 1/53