HomeMy Public PortalAbout5919 TEMPLE CITY BLVD_Plumbing__ 76A687. " s-aB ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY-
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
F R APPLICANT TO FILL IN D ICT NO. GROUP ZONE PERMIT 13
PLUMBE G�/iL;�� �p'rir EIVED BY READY FOR DATE ISSUED
FIRST I SP�t ECT ONR` `A
ADDRESS
BUILD
/ i^� TEL NC. '(C� ADDRESS
NG
CITY .[_ 11 /•�I� .
LCOUNTY,'/ LOCALITY /�/ Lgd �L-WAO. v/'L'- y EXPIRES !O'f 0NEARESTPERMIT FEES CROSS ST:OWNERTYPE OF FIXTURE OR ITEM FEE MAIL.
WATER CLOSET (TOILET) @ 0.50 S ADDRESSg /�/-
BATH TUB (� 0.50 f'
CITY �I/rixl ld - TEL. NO.
SHOWER 0.50 1 HEREBY. ACKNOV�DGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @_ 0.50 I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.80 ANGELES COUNTY L ENS.. OR 1 AM THE LEGAL
YYOWNER
OF THE RESIDENTIA P PERTJJDESCR ED 'ABOVE
GAS SYSTEM OUTLETS @ 0.50 SIGNATURE OFyL
WATER HEATER @ 0.50 PERMITTEE f
SLOP SINK @ 0.50INSPECTION RECORD
FLOOR SINK @ 0.561
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.501.
DRINKING FOUNTAIN @ 0.501
URINAL @ 0.50
J
1 HOUSESEWER @ 0.50 a
Z
MISCELLANEOUS (�
.0
I.
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
• GAS PIPING
GAS VENT
CESSPOOL @ 1.00 I CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . 1,p GAS TEST
UTILITY CO. NOTIFIED �j _
I TOTAL FEE I L I FINAL 6 r3�0//
D.B. 17.26M BBTH 12-43 .�. APPLICATION"FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES. , - PLUMBING
'
WM.J.FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DIUMI O. DROUPZONE P R�AAI INC.
_ 14-
ROUGH FIXTURES COMPLETE =
HEATER CESSPOOL I—I SEPTIC TANK ECEIVED my READY FOR DTE,ISSUED a,
`�`' FIRST INSPECTION. a - - pp• f j..
CAN- MISCELLANEOUS
PhlCANT FILL IN
IN HEAVMY OINLINED ORTION.,70NLY �
NAME Iter _ - I �.�rfiz�-r�`�`r16-��-�A ADDRESS
ADDRESS 7.�.•Y'=�LO+CALITY
J + •7 /+. ' NEAREST A
D CITY e= A'�:�Vk'• -C li, TEL.N4. �Y�4v CROSS ST. f� G"t' ✓r�'L'Fsd '
COUNTY '� NAME e ''u�� 1e�•
CERT.No. ;•�,6 fir±' ( EXPIRES J—jo aC _ pl ..• �(i"!
LOCATION ® SE TANS, OR CESSPOOI. Nal MAIL � ' -
NORTH C ADDRES Q .�[�'
f :mss
CITY.. _ i!r:.�I:j` `p'`i TEL.NO.
1 AM THE LEGAL POSSE9I#OR OF THE .ABOVE LOB
Y ANGELES COUNTY CERTIFIC%R,T ����ATI�N�� �
���7 'PLUMBER
I AMTHE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
OWNER
f9 q,04RECTI
��yy �� r- r j: +F� �r•v
SOUTH J
DESCRIPTION OF WORK z
BATH TUB FURNACE
SHOWER DISHWASHER
LAVATORY _ REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
BLOP SINK FLOOR DRAIN
WASH TRAY. URINAL APPROVALS �,
_WATER CLOSET DRINKING•FOUNTAINOAT6 SWOPECTOR'B.NAME
' WATER HEATER DENTAL LAVATORY- I \ I
ROUGH PLUMBING
METER AAS SODA FOUNTAIN'
OUTL CTAS PIPING I
SAS VENT
CESSPOOL I
TOTAL NUMBER OF FIXTURES SEPTIC TANK I
CEBBPOOI SEPTIC TANK SEWER I
S UTILITY:CO.NOTIFIED I I L n
TOTAL FEE, e Cop /�l_, ����L�•
RINAL