HomeMy Public PortalAbout6016 TEMPLE CITY BLVD_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING f ,g
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS IOjk-TAjjPkP_ C- -f �IT
FOR APPLICANT TO FILL IN LOCALITY
BUILDING NEAREST
ADDRESS kb1 a FMPJ_M C IT J 73ow CROSSST. a bed' 1
TY NEAREST
DISTRICT NO. GROUP ZONE PERMIT NO.
ND -Z!:-
NEAREST '
CROSS ST. G�}� {*� RECEIVED BY Ready for Inspection �jDAT SSUE
OWNER v `7
MAIL IND(JSTBIAL
ADDRESS WASTE APPROVAL
CITY rr s�TnEL.NO. INSPECTION RECORD
PLUMBER l l h O R V B&
ADDRESS 34. OLD
CITY Pfb g E Z I` k' TEL.NO.AT 75 $ W A P
LICENSE N0. �n (' 6.3s6,�q , TTE
COUNTY J
PERMIT FEES 2 t' (i M CA t2�S a
NUMBER TYPE 13F FIXTURE OR ITEM FEE
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as •.&oIB" al-yr
WATER CLOSET(TOILET) @ 0.80 $ ��� 0:
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80 Q n Z+ ;� /,� �jr yf 1�f /q� V
KITCHEN SINK @ 0.80 (� rl T ` �I�F .n v
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER IN 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM..............OUTLETS @ 1.00 Q-d
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE B 6 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THI APPLI- GAS VENT nfll l,%�7�I
CATION AND STATE THAT THE ABOVE IS CORRECT-AND AGREE HOT WATER HEATER v 1
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS A/ir
REGULATING PLUMBING. PLUMBING FIXTURES i
1 HEREBY CERTIFY THAT IAM PROPERLY REGISTERED �7,j
AND/0R LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST r %'•-°_ /y' , (J111 I C p
7
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- a
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED `)r ��'� t' 7 41
SIGNATURE
OF PERMITTEE...
FINAL 7'2.4':S(/ z fll.;i
76A067 DBS 17 1/53
76A887-CE#817 12-64 C
TEMPLE CITY P465
APPL10 R PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDIG ADDRESS 6016 Temple City Blvd.
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS,SUPT OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST T .
NUMBER FIXTURE OR ITEM EACH FEE
CROSS OWNER F. Molle
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS Same
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR General Installation Co.
SINK 1.25 ADDRESS 6558 West Blvd.
DISHWASHER 1.25 CITY Los Angeles TEL. NO. PL 3-2541®
LAUNDRY TUB 1.25 REGISTRATION NO. C-36 151839 787c STATE
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE I PROCESSED BY
1 WATER HEATER 1.50 1 50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL }
WASTE APPROVAL C
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD
V
'Ready for Inspection Now c
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C3
W
O.
co
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APPROVALS DATE INSPECTOR'S,SIGNATURE
UNDER SLAB WORK e
PERMIT $ 2 00 /
ROUGH PLUMBING
TOTAL FEE `3050 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESID-, IA�ROPE Y: UTILITY CO.NOTIFIED
SIGNATURE _
OF PERMITTEE FINAL I /,
s
ALIDATION ROBERT A.WOOD
GK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
L 6t9 1 dtg OCT 29 5 0 3.30