HomeMy Public PortalAbout5842-5844 TEMPLE CITY BLVD_Plumbing__ D.B.17 s.al asm APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLiJ.11l�BIN
WM-. J. FOX, CHIEF ENGINEER
7. � NATURE OF INSTALLATION DISTRI-CT NO. GROUP ZONE PERMIT N06
ROUGH I ✓�70
PLUMBING FIXTURES COMPLETE
RECEIVED Y READY FOR DATE ISSUED
HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION
GAS. MISCELLANEOUS Or-1 .
r ?— /
f� APPLICANT FILL IN.HEAVILY OUTLINED PORTION.ONLY
JOB
'►� P
E NAME / o , . I. l/! "h� ADDRESS I.
m ADDRESS 114 f_1 0.40 Ar-- (00 LOCALITY I' I✓'v 1.i a S'�'
$
NEAREST
L.- CITY d f� TEL.No. CROSS ST. J� �� �J- L���i j5tz't-.
COUNTY - -
CERT.No. EXPIRES • W . '
NAME �
4-.3.
L.-.--t
LOCATION OF SEPTIC TA MAIL
NK, OR.CESSPOOL 3 ADDRESS �" ,ry 43.y -
NORTH O � r TE -
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF. THE ABOVE -LOS
ANGELES COUNTY CERTIFICAT 'O`F�QUALIFICATION,y
r PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY'DESCRIBED
ABOVE.
301 OWNER
1 CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
ATH TUB FURNACE a
SHOWER DISHWASHER
—LAVATORY REFRIGERATOR
XITCHEN SINK WATER SOFTENER
FLOOR SINK SAND'TRAP
SLOP SINK FLOOR DRAIN -
WASH TRAY URINAL- APPROVALS
ALS
WATER CLOSET -.------DRINKING FOUNTAIN DATE INSPECTOR'S HANK
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER+ GAS SODA FOUNTAIN• GAS PIPING
OUTL
GAS VENT -
CESSPOOL•
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOT SEPTIC TANK � SEWER
$ ® UTILITY CO. NOTIFIED
I TOTAL FEE I FINAL -
• 7"667 17 11-49 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES '
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO.. R P P .
PLUMBER V7-7 p� CEIVE A rJ READY FOR D 1
/BY DATE ISSUED
® FIRST INSPECTION qs
ADDRESS -3- • �
1ING P7 /
vlwLos27 .&IeSK No IU // D ESS
COUNTY LOCALITY 8
LICENSE NO. � EXPIRES
NEAREST Tu
PERMIT FEES CR09B ST.
NUMBER TYPE of FIXTURE OR ITEM FEE OWNER -
MAIL
WATER CLOSET(TOILET) 0.50 111 ADDRESS
BATH TUB @ 13.513 CITY TEL. No.
SHOWER dD 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LIC OR 1 A�•1 THE LEGAL OWNER
OF THE RE5IDENTI P RTY D SCRIBED ROVE.
GAS SYSTEM OUTLETS @ 0.50
SIGNATURE OF
WATER HEATER 0 13.50 PERMITTE
SLOP SINK 13.513 INSPECTION RECORDy�
FLOOR SINK 0.50
FLOOR DRAIN @ 0.50
DISHWASHER 0 0.50 ^—
DRINKING FOUNTAIN @ 0.50I
URINAL @ 0.50
HOUSE SEWER - @ 13.5131 z
MISCELLANEOUS rs
177 t& O
`/•7 ! -:
APPROV S
tom,_ D TE INSPECTORIS NAM
Irl1-1 .� L~ ROUGH PLUMBING �G�.- — d'�
<71
A lis' 1 GAS PIPING
1:+� GAS VENT
CESSPOOL @ 1.130 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
• PERMIT I jrpp GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE S
Q J� R
FINAL " r ) Q` 9`j
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