HomeMy Public PortalAbout5827-5827 1/2-5729 TEMPLE CITY BLVD_Plumbing__ 76A667-CCE0817 2-66 V
APPLICATION F R P UMB.ING VERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING /
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JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NNEAREST T.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL /
BATH TUB 1.25 ADDRESS (J
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY v . NO. Q /
LAUNDRY SUB 1.25 STATE LICENSE NO. c CLASS
LIC /� JJ�� /'
` ,J fJ
CLOTHES WASHER 1.25 DISTRICT NO. GR ZONE LTCE BY
WATER HEATER 1.50 u (�
GAS SYSTEM__�YOUTLET;2 1.50 INDUSTRIAL
WASTE APPROVAL CD
OUTLETS OVER 5 PER SYSTEM AD + v
INSPECTION RECORD
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W
N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $1. 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 19CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAW. REGULATING
PLUMBING. NOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED A. REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE FINAL r
VAIMATIO JACK R.ALLEN
CK. M.0. CASH SUPERVISING MECHANICAL ENG'R.
LA[o 7 5 0 2-Q; MAR 8 5 D
7erAs�s7,-`CEIA17 2-66 �—
APPLICATION FOR PLUMBIN PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING L%. se 1- � y�_
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS J O /(fit
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COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRE
SHOWER 1.25 CITY
LAVATORY 1.25 CONTRACTOR • C�
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO. o „ 3
STATEp LI C
LAUNDRY TUB 1.25 LICENSE NO. E d CLASS
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE
WATER HEATER 1.50 S dV1,=By
GAS SYSTEM OUTLETS 1.50 t) INDUSTRIAL a
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 42� CD
INSPECTION RECORD vv
CD
v
W
D_
N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LICATION GAS VENT
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATS LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT I 'AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE -�
OF PERMITTEE FINAL i rj '�j �O•;'�y �
ns
VALIDATIJACK
rR. ALLEN
CK. M.0. CASH SUPERVISING MECHANICAL ENG'R.
LAC'o 7' 5 0,1 NO MAR 8 5 Dco
APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES L
WILLIAM J. FOX. CHIEF ENGINEER'
FOR APPLICANT TO FILL IN DISTRIC NO. G CUPI ,�ZONE PERMIT O.
PLUMBER T & 7) PTITIMBILTGEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS 715 East Broadway
BUILDING
CITY San Gabriel TEL. NOA
COUNTY
PERMIT FEES t/23687 ADDRESS o
271=29 Temple Cita Blvd
LICENSE NO. 159 EXPIRE86-30-52 LOCALITY NEAREST
TPi2Tlp111 11_P- CityCityCROSS ST. Las Unas
11� R1•
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER X.1.Beckwith.
MAIL
ATER CLOSET (TOILET) ® O.50 $ ADDRESS
BATH TUB @ 0.50 CITY TEL. NO.
SHOWER . @ 0.50. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
/ APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND
LAVATORY (WASH BASIN) 0.50 R � AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK 0.50. STATE LAWS REGULATING PLUMBING.
1 CERTIFY. THAT i POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50
SIGNATURE OF
i WATER HEATER @ 0.50 ';5a- PERMITTEE JoTo lia
Pa�
SLOP SINK @ 0.50 ! INSPECTION RECORD
FLOOR SINK O.SO
I $� lJX4P�
FLOOR DRAIN @ O.SO X-/.B oKG
/
DISHWASHER @ 0.601 �'p ' °' IS owoweb00 4'a
DRINKING FOUNTAIN @ 0.50 6��sOeS �ct:or,S d oe� �re��7
URINAL @ 0.50 Ln 0�C p..sr.1...� / a
HOUSE SEWER @ O.50Z
MISCELLANEOUS (�
Q'.
r-
2.
APPROVALS
DATE INSPECTOR'S NAME
I
ROUGH PLUMBING C"
GAS PIPING 9
GAS VENT I
CESSPOOL @ 1.00 CESSPOOL
i SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS.TEST
. . i«...•
UTILITY CO. NOTIFIED
TOTAL 'FEE' Is 7 100
FINAL ��