HomeMy Public PortalAbout5916 TEMPLE CITY BLVD_Plumbing__ D.B.S.17 25M SETS 12.44 "APPLICATION FOR PERMIT
•DEPARTMENT OF BUILDING AND SAFLTY:
COUNTY OF LOS. ANGELES PLUMBING
_WM..1. I=OX.,CHIEF ENGINEER
ATUR O STALI:ATIO I.TWCFe G O PZONE
ROUGH 'oor
FIXTURES COMpLE16 _ e,
EADY FOR
HEATER CESSPOOL SEPTIC TANK RECEIV F T 1 S ION -'DATE ISSUED
A MI$CELLANEO S
APPLICANT FILL IN HEA Y OUTLINED PORTION ONLY
K NAME " ADDRESSJOB
.°
G ADDRESS ��� L�+�: s�/ "U LOCALITY
NEAREST' .'
d CITY TEL N0.1—i'J`�/ CROSS ST:' f
COUNTY ) /�/( EXPIRES _ Y / ol
CERT.NO. / /" / ` NAME .m �[
LOCATION OF SEPTIC TANS., OR-CESSPOOL MAIL
ADDRESS
- - .NORTH -O
CITY- TEL:No:
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES CO NTY CERTICATffi�OF QUALIFICAT
- PLUMBER
I AM THE.LEGAL OWNER OF THE PROPERTY DESCRIBER
ABOVE.
'OWNER .
'CORRECTIONS
SOUTH a
DESCRIPTION OF WORK . -
BATH TUB _____FURNACE �.
HOWER nISHWASHER O
_LAVATORY REFRIGERATOR
ITCHEN SINK WATER SOFTENER-
OR SINK QANDTRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS !
WATER CLOSET DRINKING FOUNTAINDATE •4111sP ' Ws"AMC
WATER.HEATER DENTAL LAVATORY ROUGH PLUMDING
,rIAETSe a GAS -SQDA'FOUNTAIN �,�,;,n
OUTL GAS PIPING••
ool
GAS VENT
CESSPOOL'
TOTAL NUMBER OF.FIXTURES SEPTIC TANK
ESSPOO� gEPTiCTANK SEWER
S UTILITY CO.NOTIFIED
TOTAL FEE '• /
FINAL
„Eg”'SETS,$:°° APPLICATION FOR PEIIMT .
DEPARTMENT OF BUILDING AND SAFETY,
OUNTY OF LOS ANGELES - PLUI�BItVG �-
-CWm.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION EplaIRI _ NO. GROUP ZONE 'PERMIT NO.
r-_ � A
ROUGH FIXTURESCOMPLETE
HEATER ;CESSPOOL —I SEPTIC TANK :� REC VED.BY r READY FOR 'DATE ISSUED,
_- e���j FIRST INSPECTION �m ��� •
GAB MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION
ONLY.
JOB.
• E NAME ADDRESS
ADDRESS 22 ,QAq 9VLJOCALITY
J - NEAREST'
p•- CITY TEL.No. '.CROSS ST.
COUNTY
CERT..No. EXPIRES C' NAME .
- W
LOCATION OF BEPTIC'-TANH, OR CESSPOOL' MAIL
NORTH. ADDRESS
,• CITY - TEL.No.
I. AM THE LEGAL POSE OR OF THE ABOVE LOS-
i. , ANGELES COUNTY CERTIFI OF LIFICATION.
-• PLl,MB66
1.AM THE LEGAL OWNER OF THE PROPERTY DESCRIB
ABOVE. `
OWNIM'
' CORRECTIONS
SOUTH
.. DESCRIPTION OF WORK,. '
PATH TUB :FURNACE
—SHOWER, _ DISHWASHER
LAVATORY REFRIGERATOR
ITCHEN BINK WATER SOFTENER '
F ^OR SINK AND TRAP
LOP SINK -----FLOOR DRAIN -
WASH TRAY —URINAL-
APPROVALS
WATER CLOSET DRINKING FOUNTAIN -DATE INBPteToR•e NAMM:
—WATER.HEATER DENTAL.LAVATORY I I
ROUGH PLUMBING.
ETER ` GAS' ' QODA FOUNTAIN
Oulm GAS PIPING I I
GAS VENT
_ CESSPOOL I =
—TOTAL'NUMBER OF FIXTURES SEPTIC-TANK _ I :
EBSPOO* SEPTIC TANK SEWER I
S
TOTAL FEE' UTILITY'CO: OT
NIFIED. I I
- _. I
FINAL= g Q 6