HomeMy Public PortalAbout5920 TEMPLE CITY BLVD_Plumbing__ - D.B:3.-17 95M szrrrs 6-48 ,APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
;. COUNTY OF LOS ANGELES PLUMBING
WM.J. FOX.CHIEF ENGINEER
NA OF INSTALLATION DISTRICUNO. GRO-UP1 ZONE iP RMI
ROUGH 'FIXTURES COMP4ET6 F.
HEATER CESSPOOL SEPTIC TANK RECEIVBY READY
INSPECTION DATEc18BUED'
AS, MISCELLANEOUB i/E C+/
APPLICANT FILL IN HEAVILY OUTLINED PORTION NONLY
t
C
JOE
WK -A ADDRESS
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ADDRESS �.. - `) 'LOCALITY
R
O (1 • NEAREST
16 CITY ` a A� TEL.N �V .� CROSS;8T.
COUNTY
CERT.No. ri NAME :.� � [�
LOCATION OF SEPTIC TANS, OR CESSPOOL• z MAIL
NORTH. .O ADDRESB..
4-
CITY TEL.No..
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
• ANGELES COUNTY CERTIFICATE CAT
of PLUM8090'
I AM THE LEGAL OWNER OF THB PROPSfittfrV DESCRIBED
ABOVE.
a -
3 ,OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORD a
Z
BATH TUB FURNACE
ROWER DISHWASHER
O
AVATORY REFRIGERATOR
-KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
LOP SINK __,_FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I
ETER GAS - SODA FOUNTAIN
OUn GAS PIPING-
GAS..VENT
CESSPOOL I
TOTAL NUMBER OF FIXTURES SEPTIC TANK." r
CESSPOOL SEPTIC TANK SEWER /
UTILITY CO.NOTIFIED I 1
TOTAL FEE ® ® w 6y IV VL/Vv
-SF, (3
FINA /
D.B.H.17 23M SETS 13.44 •• • 't - ' APPLICATION FOR PERMIT•-
DEPARTMENT OF BUILDING AND SAFETY
COUNTY-OF LOS ANGELES PLUMBING 1
.m.J. FOX,CHIEF ENGINEER
NATURE OF-INSTALLATION o��'�� NO. GROUP• --ZONE ., PE�ryRMIT NO.
ROUGH FIXTURES. HSEPTI
COMPLETE T (i
HEATER CESSPOOL C TANK•_ REZe-,
®BY READY FOR_ DATE ISSUED
FIR INP ON T
GAS MISCELLANEOUS +
APPLICANT F31.I: IN HEAVILY-OUTLINED PORTION ONLY
JOB
ld K NAME ADDRESS
ADDRESS , ' LOCALITY
JJ�a �P ` NEAREST `
p, C �. / .' EL. !. FJ CROSS ST. / . ,o�,A Art'
COUNTY �.
CERT:NO. I I EXPIRES NAME /, �f-
�- A. .�
LOCATION OF SEPTIC TANH,.ORA6zssPOOL' . 3 . MAIL:ADDRESS
NORTH " O
-CITY - TEL.No.
I' AM THE LEGAL -POSSESSOR OF' THE ABOVE LOS
ANGELES COUNTY CERTIFICATE.OF Q FICAATION.
1 AM THE LEGAL OWNER O II'{ ARTY R1NED
ABOVE.
• .. - OWNER
CORRECTIONS
Alli
I`✓h ` % ��j�y. Cdr,
SOUTH. -
DESCRIPTION OF WORN 7 j5
ATH TUB- FURNACE p3
ROWER DISHWASHER _ . 0
1;9__.LAVATORY -REFRIGERATOR.
ITCHEN SINK _ WATER'SOFTENBR
OOR SINK SIAND TRAP
LOP SINK FLOOR DRAIN '
WASH TRAY- URINAL APPROVALS
WATER CLOSET DRINKING FOIINTAIM -DATE INSPIWM NAMZ
WATER H TER ENTAL LAVATORY ROUGH PLUMBING . I I J
AANV
ETEAS QODAFOUNTAIN I / I` v /•
OUTL GAS-PIPING
GAG VENT I '
CESSPOOL :I I
TOTAL NUMBER OF FIXTURES SEPTIC TANK. I
EBSPOOLGEPTICTANK SEWER• I
_ ® 6 .�® UTILITY CO.NOTIFIED
I TOTAL FEE
1 FINAL
IMPAR ENT.1OF BUILDING AND '.SAF APPLICATION FOS PERMYT 1
COUNTY OF LOS ANGELI�S �� � _
^ WN.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DfsTR'�aO. GROUP o PERMIT op. �
ROUGH FIXTURES COMPLETE 7 'BY& v
HEATER CESSPOOL I-IBEPTIC TANK REC BY READY FOR DATB SSU
FIRST INSPECTION
AS MISCELLANEOU8
APPLICANT flj,L IN HEAVILY OUTLINED PORTION ONL
r
EC NAMEIli JOB
w A ADDRESS
Id
M
ADDRESS
� �.` _ ' LOCALITY
D NEAREST
�I CITY EL.No. CROSS ST.
COUNT
CERT.No. EXPIRES
LOCATION OF SEPTIC TA OR CESSPOOL . X MAIL
t NORTH O ADDRESS
CITY TEL.No.
I AM THE LEGAL POSSES OR OF THE ABOVE LOS
ANGELES COUNTY CERTIFIC OP UAL ICATION.'
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
-Bi OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORD a
z
BATH TUB FURNACE.
SHOWER DISHWASHER p
LAVATORY REFRIGERATOR'
KITCHEN BINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY -URINAL APPROVALS
1 ,
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'EI NAME
WATER HEATER -ENTAL LAVATORY ROUGH PLUMBINGI- I
ETES+ OUTL QODA FOUNTAIN GAS PIPING I I
GAS VENT
CESSPOOL
T NUMBER OF FIXTURES 'SEPTIC TANK I
A CESSPOOL '�a SEPTIC TANK SEWER I /
8 ® UTILITY CO.NOTIFIED I
TOTAL FEE
12 - FINAL r
0.8 9.01,i woCTS 2-47 APPLICATION FOR PERMIT-
DEPARTMENT OF BUMIDING. AND SAFETY:
COUNTY OF LOS ANGELES PLUMBING
WM.J. FOX.'CHIEF ENGINEER
NATURE OF INSTALLATION D191TRICT NO. : GJ UP ZONE P RMI NO.
ROUGH FIXTURES COMPLETE
'HEATER ..CESSPOOL I dSEPTICTANK R IVSD BY READY FOR DATB�ISS
r FIRST INSPECTION.
GAS- MISCELLANEOU
APPLICANT FILL,.IN HEAVILY OUTLINED PORTION ONLY•
/;, p Joe
/ 1
K NAME �f% '`Fe��C� /,�,P c.'-6 .�� ADDRESS 116 A
s 1
ADDRESS C�3��� 11sJ. +�rmw�+�- LOCALITY .
NEAREST h
d CITY //a�'1�f7�-9.�?e1^.t1t� TEL.No. CROSS ST. f�.a�i a.•�+
COM-,
OUNTY Cr
.o� � ) - � ' /.•,r_. r, ! _JJ ( r r.,
CERT.No: S G J �•
EXPIRES : B NAME �.-• l•'G`f-� ..�i7_ .6. :'�.:�.'�cLr.`.` ' + -.-
LOCATION_ OF�SEPTIC TANK, OR CESSPOOL 3 MAILADDRESS
NORTH _ O
CITY TEL.No. .
I AM THE LEGAL. POSSESSOR OF THE ABOVB 'LOS
ANGELES COUNTY CERTIFICATE.OF.QUALIFICATION.
.PLUNDER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE:
F-
•3 ') OWNER
CORRECTIONS
:
SOUTH J
DESCRIPTION 'OF WORK Q
2
BATH TUB FURNACE.
SHOWER DISHWASHER Q
AVATORY REFRIGERATOR
—KITCHEN SINK WATER SOFTENER
-LOOR HIIVK SAND TRAP
SLOP SINK FLOOR DRAIN
" WASH TRAY URINAL I APPROVALS
WATERCLOSET DRINKING FOUNTAIN; DATE INSPRCTOR 6 MAKE
WATER HEATER DENTAL LAVATORY•. ROUGH PLUMBING I.
ETES GAS SODA FOUNTAIN I'
OUTL GAS PIPING-
tt
I, GAS VENT
CESSPOOL
TOTAL NUMBEROF FIXTURES gEpT IC YANK
CESSPOOL SEPTIC TANK :,I *EWER
.S /.�•�
y �`i
UTILITY'Co.NOTIFIED I
TOTAL FEE / , 5 /s
i FINAL
96A667-CE817-8-57
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER /�
BUILDING AND SAFETY DIVISION ADDRESS Q •e C f'` 1J
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN, SUP'T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBERFIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH,TUB ADDRESS
SHOWER CITY TEL.NO.
CONTRACTOR /-� r—
LAVATORY f: D 0 .r`
SINK ADDRESS dq,--
DISHWASHER CITY RD V,'V st..'L TEL.NO.. //G �SeZ/'L
LAUNDRY TUB CONTRACTOR'S STATE LJ
REGISTRATION NO. ®� COUNTY .El.
CLOTHES WASHER
DISTRICT NO. GROUP I ZONE READY FOR INSPECTION
WATER HEATER Z'1 006
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
- S cf t NG 6^;7
APPROVALS
(� $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE
3 OR FIXTURE ®� UNDER S WORK /),//, f PlArl
,J�1 iibliLl
ROUGH PLUMBING`jl'7Q
PERMIT S 1 '00
GAS PIPING
TOTAL FEE 19 GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO. COMPLY '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST r L S k Elf IV: A�f�,f
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED
DESCRIB%D RESIDENTIAL PROPE Y.
SIGNATURE /
OF PERM ITTE:;N;2� FINAL
VALIDATROBERT A. WOOD,
SUPERVISING MECHANICAL ENG'R
.7 7!CA�SH
CK. M.0.