HomeMy Public PortalAbout5934 TEMPLE CITY BLVD_Plumbing__ APPLICATION FOR PE P&T
--DEPARTMNT OF BUILDING AND SAFETY
-COUNMOF_LOS ANGELES- - PLUMB914G I
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
• ` BUILDING
.- 1 � e/2`&^ ADDRESS i �/ .c • "'�'
CITY `_. 9t3 !/ TEL NO. i
COUNTY ed �. Aq �• LOCALITY _� Q 4.✓1• !
LICENSE NO. .� .I EXPIRES C•�'�4
NEAREST
CROSS ST.
PERYVIIT FEES
!C
NUMBEI't TYPE OF FIXTURE OR ITEM FEE OWNER eu;IMAIL
WATER CLOSET (TOILET) @ 0.50 S I ADDRESS m
BATH TUB 0.50 CITY TEL. NO.
SHOWER @ 0.501 1 1 HEREBY ACKNOWLEDGE 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 @ 0.501 STATE LAWS REGULATING PLUMBING.
I CERT' F[AT I POSSESS T,4E ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES UN.TY\LICENSE. OR IfAM THE LEGAL OWNER
GAS SYSTEM-OUTLETS @ 0.50
OF THE RES ENTII
F PRQREItTY D SCRISEDIABOVE.
SIGNATURE O
WATER HEATER' @' 0.50. PERMITTER
SLOP SINK @ 0.50 I INSPECTIION RECORD
FLOOR SINK @ 0.501
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50.1
DRINKING FOUNTAIN @ 0.50 1
URINAL @ 0.501 �- „I
HOUSE SEWER @ O.SO I J (�' AIA Z_
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APPROVALS
DATE. INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL.
SEPTIC TANK: 1 SEPTIC TANK
DRAIN ( ).PIT .(. ) @ 1.00 SEWER
PERMIT . 1.00 GAS TEST
UTILFINAL ITY CO. NOTIFIED
Q 2.3-
TOTAL FEE S Q ` / ='/•
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APPLICATION FOR PERM
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX; CHIEF ENGINEER
FOR APPLICANT TO FILL IN Dj% ICT NO. GROUP I ZONE PERMIT NO.
PLUMBER U/L-c � �t��s I
RECEIVED SY FIRST NSPECTION DY FOR DATEISSUED
ADDRESS I (N•�' �9��".'
BUILD
NG
CITY �'/ /v �.��'` /-�JI'EL. N Z �j�7 ADDRESS LOCALITY
COUNTY
L CENSE IVO: '�/ IXPIRESCF! _✓ `� ��
NEAREST
PERMIT FEES cRoss ST.
L fd
NUMBER • TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
y WATER CLOSET (TOILET) @ O.50 I S D 0 ADDRESS
BATH TUB @ 0.50. CITY TEL. NO.
SHOWER @ 0.so 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY WASH BASIN) @ 0.50 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.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O.'S0 ANGELES COUNTY LICENSE. OR I .AM THE LEGAL'QWNER
OF THE RESIDE PROPERTY. DE CRIBED,4ABOVE.
GAS SYSTEM OUTLETS @ O.50 I g_L SIGNATURE OF �-''"
WATER HEATER @ O.SO I - PERMITTE "
SLOP SINK @ 0.50 1 PE TION REdbRD
FLOOR SINK @ 0.50 c'
FLOOR DRAIN @ 0.501
DISHWASHER @ 0.501
DRINKING FOUNTAIN @ 0.501 y
URINAL @ 0.50 /y ,J
HOUSE SEWER @ 0.50 Ir�;/ /•� ��/ Z
MISCELLANEOUS I `� F.•� �.� �� � t� '7-
da'
f y" (i J?FIV r A V15--7'
1 APPROVALS
1 DATE INSPECTOR'S NAME
ROUGH PLUMBING + 5
GAS PIPING O
GAS VENT
CESSPOOL @ I.Do CESSPOOL
l SEPTIC TANK: I SEPTIC TANK .
DRAIN. ( ) PIT ( ) @ 1.00. SEWER p149L
PERMIT . 1.0o GAS TEST / Z'FS .
TILITY CO. NOTIFIED i
TOTAL. FEE $ I ► .
FINAL
76A687•CE8617 4-64
APPLICATION FOR PLUMBI G PERMIT
COUNTY OF LOS .ANGELES .
DEPARTMENT OF COUNTY ENGINEER
BUWING AND SAFETY DMSION BUILDING 59 34 Temple Cit Blvd.
JOHN A. LAMBIE. COUNTY ENGINEER p Y
WILLIAM A.JENSEN,SUPT OF BUILDING
Ta
LocALzrxTempie City
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIYTURE OR ITEM EACH FEE
OWNER 1
s Upholstery
WATER CLOSET 5I.M
BATH TUR 1.25 ADDRESS 59 34 N. Temple City Blvd.
saowER 1.25
CITY Temple City TSL,NO. 287-1702
LAVATORY 1.25 CONTRACTOR
SINS 1,25 ADDRESS
DISHWASHER 1.25 CITY San Gabriel TEL.No286-1141
LAUNDRY TUB 1.25 REGISTRATION No.2 217 51 COUNNTYY TATE p
CLOTHES WASHER 1,25 DI T ICT N GROUP ZONE PROCES. BY
WATER HEATER 1.50 O G
GAS SYSTEM 2 OUTLETS 1.50 INDUSTRIAL CL
WASTEAPPROVAL O
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD V
cc
0
W
d
N
Z
1.
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER.SLAB WORK
ROUGH PLUMBING
TOTAL FEE a GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 16 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTI AT 1 PROP Y REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS R IRE B 8 N ES LINTY AND STATE OF GAS TEST
CALIFORNIA ORT AT 1' THE NER OF,AND INTEN TO
RESIDE.IN,THE A VE RI IAL PROPERTY. UTILITY CO.NOTIFIED -
SIGNATURE
OF PERMITTE G
FINAL r/
ALIDATION ROBERT A.WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
LA%16-.:o -M NOV 30 s D 3:50- V
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