HomeMy Public PortalAbout6007 TEMPLE CITY BLVD_Plumbing__ D.D.S.17 28111 SETS$.44 J APPLICATION.FOR. PERMIT
DEPA�RPPNT.OF BUILDING AND SAFETY-
COUNTY-OF LOS ANGELES PLUMBING.
J.FOX.CHIEF ENGINEER
NATURE-OF INSTALLATION ! DISTRICT GROUP ZONE PERMITN/O.
ROUGH FIXTURES COMPLETB' + ' ��
HEATER CESSPObL . I-I SEPTIC TANK R� SD BY RF.ADY'FOR DATE ISSUED
FIRST-INSPECTION / e� `, Qp
GAS MISCELLANEOUSEXIIII
w _ (C� �J/ (�
' APPLICANT„FILL IN HEAVILY OUTLINED PORTION ONLY
K
M5420-24"
NAu JOB
'� ADDRESS
® ADDRESS
LOCALITY
'I CITY �� ff NEAREST
CROSS BT. � �'`s..4.•R:,ck'�^1.�•,
COUNTY
CERT.NO. 7022 _.EXPIRES /J� NAME
LOCATION OF SEPTIC TANS Olf,:lCESSPOOL z' 'MAIL-:
NORTH O ADDRESS
CITY . �� "TEL.NO.
4 1 AM THE LEG POSS R OF THE.AHOVS LOB
ANGELES COUNTY CERTIFICA OF QUALIFICATION.
PLUNARR
✓ L_ 1 AM THE LEPAL OWNER OF THE PROPERTY DESCRIBED. _.
^ ABOVE. w
7j - •.3 OWNER
- y -'CORRECTIONS
SOUTH l_
DESCRIPTION OF WORN
+� ATH TUB
--.:..FURNACE
HOWER DISHWASHER- O
AVATORY REFRIGERATOR
J . ' ITCHEN BINK WATER SOFTENER
_plLcQR SINK aAND TRAP
LOP BINK FLOOR DRAIN
WASH TRAY ■URINAL APPROVAL_ S
WATER CLOSET DRINKING FOUNTAIN; - RATS 1NSP a's NAME
WATER HEATER ^ENTALLAVATORY,; ROUGH PLUFlBING•
6TEQ dA1I - SODA FOUNTAIN GAS PIPING, _
OUTL i_•'
- GAS VENElsim
T .
CESSPOOL- '
TOTAL NUMBER OF FIXTURES: SEPTIC TANK J
ESSPOOL SEPTIC TANK - SEWER "II /� '
s UTILITY CO.NOTIFIED A - i�. ..r:
I TOTAL FEE
- RINAL
D.80.17 25M BETS 7-47 . • -APPLICATION FOR PERMIT
DEPA$TMEMT,OF BUMDING AMID SAFETY
COUNTY OF LOS;ANGELES
W1 -ka. FOX;CHIEF ENGINEER MUMBINGY
NATURN,OF INSTALLATION DISTRICTO. ORo o PERMIT o.
ROUEN FIXTURES COMPLETE _ r -
la
HEATER _ CESSPOOL - BEPTIC'TANK RECEIVE BY READY'FOR
I . DATK ISSUED
r� FIRST INSPECTION ED
AS MISCELLANEOUS ri/�!•�1- m -.e"
APPLICANT FILL 'IN HEAVILY OUTLINED PORTION ONLY
NAME M. C. NOTTINGHAM CO. JOB
ADDRESS13ra 7
m ADDRESS 123 No. Cloverlk Ave. LOCALITY
B ._
CITY TEMPLE CITi4.� LI
AP.
NEAREST SST.
COUNTY -
CERT.No. EXPIRES W NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z+y AMAIL p�
NORTH O -
CITY TEL.No.
1 AM THIS LEGAL POBSESSOR O THE ABOVE LOS
ANGELES COUNTYCERT lP TE• ALIFICATION.
P MBER
AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
_1�1
OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK _ z
-BATHTUB FURNACE 0
-SHOWER DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASk TRAY URINAL APPROVALS
WATER CLOSET *DRINKING FOUNTAIN DATE INBPBCTOR•B NAME
WATER HEATER DENTAL LAVATORY I
ROUGH PLUMBING
ETES+ CTAS SODA FOUNTAIN I /
OUTL GAS PIPING /
ffes -st GAS VENTSUNNI
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CESSPOOL SEPTIC TANK / SEWER
G
TOTAL FEE UTILITY CO.NOTIFIED I
•
FINAL.
76ASS7 DBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR
y�APPLICANT TO FILL INH DISTRICT�NO. � P � �� .
PLUMBER-'�/ PA,4f • Ja—/1 RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTIONBUILDING
ApDRE89 ,,��+s f/ /y
�'
CITY / �Cr ._� l rEL.ND /5 ADDRESS V �6%, el/1'mg1�_-e
COUNTY � a �; LOCALITY `il�ll .r].
LICENSE NO. EXPIRES
PERMIT FEES
NEAREST.
NUMBER TYPE of FIXTURE OR ITEM FEE OWNER
WATER CLOSET(TOILET) 0 0.50 6 ADDRESS l��fFfw�
BATH TUB ® 0.50 CITY moi./t•? rf+r4 r TEL No.
SHOWER @ 0.50 I HER BY ACKNOW'EDBE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0 0.50 V AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT IP 89EB8 TJiE_ABOVE'VALID LOB
LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LICE BE. R T AM-THE LEGAL. OWNER
OAS SYBTE OUTLETS. 0.50 R03 OF THE RESIDENTIA RDP/JTY DDD SCRIBED AB0
WATER HEATER 0.50 SIBNPERMRITTE •f��J�ti "' •.._
SLOP SINK Cr4 0.50 INSPECTION RECORD v
FLOOR BINK @ O.SC
FLOOR DRAIN 0.50 d
DISHWASHER ® 0.50
DRINKING FOUNTAIN 0.50T- ",5
URINAL 0.50 `� (/ J
HOUSE SEWER O.SC1.j
/Q�+� Z_
Y. MISCELLANEOLIB-r��-�__r° L '7' I�/ O
d�r /? b• o
PO .PL.Fg:
/ 4 _/ r4i1.1
04TW Na &A-S rA 6 n/!_.lArR.
L v'(r PY APPROVALS r<_6010 Mf_ 1 X-a
DATE IIN�^SPE/CTOR•B NAME
ROUGH PLUMBING �`7/� IJ.1 '•• (1
BAS PIPING
GAB VENT
CESSPOOL @ 1;00 CESSPOOL
SEPTIC TANK' SEPTIC TANK
Q�
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT I 1,00 0 TEST
I �JC) UTILITY CO.NOTIFIED
TOTAL FEE S. r�1
FINAL 'v L/IXl VIS ;d
76A667 CBs 17 ,"S' APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER P L MUM m 103 1 014 G 1
FOR APPLICANT TO FILL IN D 5 R C GR P Z E P
vaPLUMBER L4ERMIT
�I 'eiw 7" t! 77 R EIVED BY READY FOR DATE IB13U6D
ADDRESS (d � �~ �O. Com, 1 FIRST INSPECTION
BUILDING
01TY ? TEL Noxi S k.L ADDRESS -P+ l e 6 f fe k tv'cl
/y
COUEXPIRES CrJ NSE NO. ' Z? LOCALITY & 3 ` t t� ` 3
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM REE
OWNER ` L , l ® NIS k e-
MAIL
WATER CLOSET(TOILET) 0 0.50 B ADDRESS /� ]�
BATH TUB
49 0.50 CITY B ! 01 / TEL No.
SHOWER @ '0.50 1 HEREBY CKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
%AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
I KITCHEN SINK 0 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY Q 0.50 "ca ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENT L/JpROPERTY D7SRIBED ABOVE.
GAS SYSTEM OUTLETS 0 0.50 URE BIGNATOF ��
WATER HEATER 0 0.511 O PERM.._._ w�l
SLOP SINK 0 0.50 INSPECTION RECORD
FLOOR BINK 0 0.50
FLOOR DRAIN 0 0.50
DISHWASHER 0 0.'50
DRINKING FOUNTAIN @ 0.50 r /1 { /�rL
URINAL 0.50 G! Z (/ M F jNL �L l�v U 1\Q
HOUSE SEWER Q 0.50 Z
MISCELLANEOUS. L7
O
v -S NA,
APPROVALS
DATE INSPECTOR-5 NAME
ROUGH PLUMBING
OAS PIPING
GAS VENT
CESSPOOL x,00 CESSPOOL
SEPTIC TANKt SEPTIC TANK
DRAIN ( ) PIT ( ) 7.00 SEWER a
PERMIT . 1.00 GAB TEST
$ g� UTILITY CO.NOTIFIED
TOTALFEE / / r%lore.//✓
C/'" FINAL
6A667-C E'#8'17 10-67
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APPLICATION FOR -PLUMBIN PERM`I '
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHNA. LAMBIE, COUNTY ENGINEER ADDRESS_ "
COLEMAN W. JENKINS. SUPT. OF BUILDING - LOCALITY
FOR APPLICANT TO FILL IN PR'NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNERij/� .
WATER CLOSET 1.50
NAM
BATHTUB 1.50' ADDRESS �O t� e}
SHOWER 1.50 CITY TEL"NO
LAVATORY 1.60 CONTRAC R ad A
SINK 1.50 -ADDRESS 67
DISHWASHER 1.50 &TY TEL.NO
CLOTHES'WASHER 1.50 ;STATE LIC
LICENSE O. VA CLASS _
SWIMMING POOL RECEPTOR 3..50 DISTRIC_T NO. GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00
V
WATER HATER 1.50 DINDUSTRIAL
-WASTE APPROVAL CD
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD V
OUTLETS OVLu
.ER d
5 PER SYSTEM .30 '? AI 71 C " y
Plan check fee 25% of above. See reverse. Yr
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE^
Plan check applicant UNDER SLAB WORK
Naive ROUGH+PLUMBING
Address 'GAS PIPING
GAS'VENT
.City. Te1.:No• :HOT WATER HEATER
1 .HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATj
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE.TO 'COM ,PLUMBING FIXTURES.
WITH .ALL 'COUNTY ORDINANCES .AND STATE LAWS .REGULAT ;GAS TEST
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDUTd'LITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATECALIFORNIA OR THAT YA TN GAL.OWNER.OF,AND INTEND .
LSIOGNATURE
ESIDE IN,THE A�=L PRo eliir FINAL
JACK R. ALLEN', SU'P' 'RVISING MECHANICAL' R.
F PERMITTE
PERMIT VALIDATION C`K. M.O. CASH.'
PLAN CHECK VALIDATION C:K. M.O. CASH