HomeMy Public PortalAbout5948 TEMPLE CITY BLVD_Plumbing__ 76A667-CE#817 6-65 i
APPLICATION FOR PLUMBING PERMIT
LU
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING.
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS /J
COLEMAN W. JENKINS. SUP'T. OF BUILDING LOCALITY
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FOR APPLICANT TO FUI IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS.
SHOWER 1.25 CITY TEL.
QONTRACTOR
LAVATORY 1.25
SINS 1.25 ADDRESS -� d -
DISHWASHER 1.25 CTTY •(�
STATE LIC „�
LAUNDRY TUB 1.25 LICENSE NO. CLASS G
CLOTHES WASHER Mm DISTRICT No. GROUP ZONE PR CESS Y
WATER HEATER 1.50 'Z
1.50: INDUSTRIAL a
GAS SYSTEM OUTLETS WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTIO CORD U
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U
W
a
toZ
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING,LZI
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIB A LIGATION GAS VENT
AND
STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT' 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL'OWNER OR AND IN7dp TO.
GAS TEST
RESIDE IN.THE ABOVE DESCRRIIBEE'D RESIDENV111,0PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE c'
OF PERMITT
FINAL
IMATION
GK.
M.0. CASH
LAC
6 .9 4 1% .FEB 5 fl 750 �
76A667-CE#817 10-67 Uj
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY �f�1,� !
FOR APPLICANT TO FILL IN PR NT OR TYPE)
NEAREST S . '—W Nos
NUMBER FIXTURE OR ITEM _ EACH FEEpo
OWNER. n
WATER CLOSET 1.50 .0 g�r
-. MAIL
BATH TUB 1..50 ADDRESS `
SHOWER 1.50 CITYCU
TEL. O.
LAVATORY 1.50 CONTRACTOR Ltc�ss
SINK 1.50 �� ADDRESS
DISHWASHER 1.50 C TV N79
CLOTHES WASHER 1.50 STATE
00
LICENSE' CLASS
SWIMMING POOL RECEPTOR 1.50
DISTRICT NO. GROUP' NE ESSED BY
LAWN SPRINKLER SYSTEM 2.00 $,O 8 7-
WATER
WATER HEATER 1.50 INDUSTRIAL C.2
WASTE APPROVAL oe
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD I--
OUTLETS OVER 30 d
5 PER SYSTEM
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Plan check fee.25% of.above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE b ISO
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No. HOT WATERHEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES �� ,�4 �
WITH ALIS COUNTY ORDINANCES AND STATE. LAWS REGULATING 'GAS TEST -
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED 7d
LICENSED AS REQUIRED BY LOS ANG S COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEG NER OF,AND INTEND TO - ( _
RESIDE IN,TNE.ABOVE DESCRIBED RE DE TIAL PROPERTY. FINAL
SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL
OF PERMITTEE'
PERMIT VALIDATION CK. M.0.
CASH,•-••-
PLAN CIIECK IDATION CK. O. CASH
4 P,6`i. 1 79 x.3.1 5 D 6.50 "
a8.a.17 KBM Mrs. ,-ae
APPLICATION.FOR PERffiT
DEPARIMENT OF BUILDING AND SAFETY '
COMM OF•LOS ANGELES'
.,WM.J.FOX.CHIEF ENGINEER �` B'
OF INSTALLATIO : DISTRICT -GROUP P Mr-
NATURE NO.
ROUGH FIXTURES COMPLETEy�
NEATER CESSPOOL SEPTIC TANK RECEIVED BY READY. OR DATE ISSUED
1' FIRST INSPECTION . f
AO MISCELLANEOUS SEIZED •-�� O
APPLICANT FILL IN NUTTIN /H�IEAVILY OUTLINED PORN'jTIOONLY
JOB
C NAME- • • ��. ADDRESS a
23
ADDRES No, Cloverly Ave. LOCALITY
TEMPLE CITY,ECA�L,IFI. NEAREST
CITY .
'L'1 _ "
COUNTY
CERT.NO. EXPIRES ;i NAME
LOCATION OF SEPTIC NORTANS,.OR:CESSPOOL. O ADDRESS
r CITY
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS .
ANGELES COUNTY CERTIFICAyT�E 0 A IFICATIION.
R PLu" KR
I
HE LEGAL OWNER-OF THE PROPERTY DESCRIBED
PABO
OWNER
CORRECTIONS
SOUTH
J
'DESCRIPTION OF WORK r z
ATH TUB FURNACE 19
ROWER DISHWASHER Q
VATORY REFRIGERATOR
ITCHEN SINK WATER'BOF;TENER'
QLOOR•BINK BAND TRAP
LOP SINK QLOOR DRAIN
WASH TRAY URINAL APPROVALS _
WATER CLO86T DRINKING FOUN'T'AIN DATE IN9PKCTOR•8 HANK
WATER HEATER ^ENTAL•LAVATORY
- ROUGH PLUMBING I )
ETEQ GAS CODA FOUNTAIN
OUTL GAS PIPING I ?i
'
SAO VENT'-
,r
CESSPOOL
TOTAL NUMBER OF FIXTURES
SEPTIC TANK I
CE88P00L aEPTIGTANK ��L7. SEWER I.
UTILITY CO.:NOTIFIED i
["TOTAL FEE / d-wi .
FIN
aB.R.„ ssM BETs 1-48 APPLICATION FOR PERffiIT
DEPAR"d M OF BUILDING AND SAFETY . � ® `V
CObTTY OF LOS ANGELES VI
Wfk.J.FOX.CHIEF ENGiNEBR
NATNATEME OF INSTALLATION DISTRICT PERMIT
ROUGH' FIXTURESCOMPLETE .� eo 9 `.�. 7
HEATER CESSPOOL HOMPTIC TANK R@CEIVED BY READY FOR DAT$ISSUED
FIRST INSPECTION
AS: M C LANEOUS - r
APPLICANT FILL IN UEAVILY OUTLINED PORTION ONLY
NAME I JOB
K ADDRESS OL/ J"
m
m
ADDRESS . ®�/ (/V /V�.si, LOCALITY
R
NEAREST iJ
CITY TEL.No. CROSS ST.
COUNTY d I
CERT.No. EXPIRES NAME
TI
LOCATION OF SEPC TAUT$, OR CESSPOOL Z MAIL
NORTH O ADDRESS
CITY TEL.No.
• I AM THE LEGAL_ POBSEBSOR OF THE ABOVE/Los
ANGELES COUNTY CERTIF ATB O UA4FICATION4
` PL m m,
• I AM THE LEGAL OWNER OF THE.PROPERTY DESCRIS
ABOVE.
OWN6R
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK Z.
ATH TUB FURNACE
ROWER 018HWASHER 0 ;
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK AND TRAP
P SINK FLOOR DRAIN
L
H TRAY URINAL APPROVALS
R CLOGET DRINKING FOUNTAIN A
_ DATE / ISNGP,QCTDR'8 NAME
ER HEATER DENTAL LAVATORY ROUGH,PLUMBING '--✓ r F/ I //"/a.
R pL._-AS SODA FOUNTAIN /I O �'v`•.
OUTL SAG PIPING
GAS VENT
•�� CESSPOOL I
L NUMBER OF FIXTURES (/ GamBEPTIC TANKPCC 9EPTIC TANK SEWER I J!I
S UTILITY CO.NOTIFIED A 1
TOTAL FEE
FINALI•��' Y ''•✓