HomeMy Public PortalAbout6018 TEMPLE CITY BLVD_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES Bu1LDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS �, _ V
FOR APPLICANT TO FILL IN LOCALITY I,NEARESTpp� p
BUILDING a CROSS ST: R P S
ADDRESS —rEP9PL,E CITY �L�C�
DISTRICT NO. GROUP ZONE PERMIT NO.
LOCALITY
NEAREST
CROSS ST. F FS a RECEI�V/ED:BY Ready for Inspection DAT9 ISSUUEb �I
OWNER e �/ i J /`-~ C!
MAIL
INDUSTRIALV /ADDRESS WASTE APPROVAL
CITY TEL.NO. INSPECTION RECORD
PLUMBER St 19 , 0 le ILNl I (v
ADDRESS
1 2(-SnRF ,Sya�rs�s
CITY TEL STATE /A/1lr /I S T.r
LICENSE NO. I !q COUNTY l�S PF C l/3[L V 1411Yt I,"r '1
PERMIT FEES
NUMBER TYPE OF FIXTURE OR ITEM FEE
t I I 6 Pr S(.7 l l�
B WATER CLOSET(TOILET) @ 0.80 $ n 0
BATH TUB @ 0.80
SHOWER @ 0.80
J� LAVATORY(WASH BASIN) @ 0.80 9/[bCS. R T /t nkloo
KITCHEN SINK @ 0.80 AI/(F . �//G O r--
LAUNDRY TUB OR TRAY @ 0.80
YU Nl)f c" IiI='a'7' l7 t r r rw1-
SLOP SINK @ 0.80 /
FLOORSINK @ 0.80
FLOOR DRAIN @ 0.80 P_T/ n,
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80 t�-2�_�U ��'-lA r /' c
URINAL @ 0.80
1'u� �nl:r 6•r"r1y ;�PPb''� I;Ly
GAS SYSTEM....... .....OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE �
GAS PIPING ---
® �
I HEREBY ACKNOWLEDGE THAT I HAVE READ THI APPLI- GAS VENT —7
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED �I ;b�
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST %� j' �; tIJ 7
AND TATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED '7-71 I•J//v..l
9
SIGNATURE i
OF PERMITTEE..._ _ ..._�.... ..... _
FINAL rf
7GA667 DBS 17 1/5i_
Ad'6B7.C.Stil-F12-e4 1 P 1'7�9�
City of Temple City
APPLICATION FOR PLUMB PERMIT "
COUNTY OF. LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING .AND SAFETY DIVISION TNEAREST
DING
JOHN A. L.AMBIE, COUNTY ENGINEER RESS 6018 NO. Temple Cit 31.
COLEMAN W. JENKINS.SUPT'OF BUILDING, ALITY
1. cj ty .
FOR APPLICANT TO FILL IN SS.ST.. O u
NUMBER FIXTURE'OR'ITEM EACH FEE
OWNER E
WAFER CLOSET 11.25 MAIL
ADDRESS Same
BATH TOB 1.25
CITY TEL NO.
SHOWER IAS
LAVATORY I,25 CONTRACTOR. General Installation Co.
SINS r.25 ADDRESS 6558' West Blvd.
DISHWASHER 1.25. . CITY Los. Angeles TEL. NO. FL 3-2541
REGISTRATION
C-36 151839 787 COUNTYY
— TE M
-LAUNDRY TUB 1.25 REGISTRATION'NO. 93
CLOTHES WASIME 1.25 DISTRICT NO. GROUP P OGE Y
WATER HEATER 1.50. D
GAS SYSTEM OUTLETS . 1.50
'INDUSTRIAL APPROV.AL
OUTLETS OVERS PER SYSTEM .90 INSPECTION:RECORD C
Ready .for Inspection Now
0
. w
_ - y
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE I
4GAS PIPING
I
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS: REGULATING '`HOT WATER HEATER d
PLUMBING.
I HEREBY .CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ..Gi4S TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED.REST IO Y. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE FINAL ! 0f
v � k
ALIDATION ROBERT A.WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
- - Aas93 ?Z00 JAN 19 5 D 350- 0
DEPARTMENT OF COUNTY ENGINEER PLUMBING - 21
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING XMWO
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS
FOR APP CANT TO FILL IN LOCALITY -7!
NEAREST
BUILDING
ADDRESS ; 31-I�A CROSS ST. '
�"��''' DIST GROUP ZONE PERMIT NO.
LOCALITY M s �
NEAREST
CROSS ST. •� t' .,:� REC V Ready for Inspection A E/JSSD
ll
OWNER
MAIL IN U T
ADDRESS WASTE A VAL
CITY TEL.NO. INSPECTION RECORD
PLUMBER
ADDRESS
CITY i TEL.N0. if�- 1 )'
�� � y o
LICENSE N0. r �)j eO C6 TY W
PERMIT FEES a
v
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) a 0.80 1 G.
7
BATH TUB 0 0.80
SHOWER 0 0.80
LAVATORY(WASH BASIN) 0 0.80
KITCHEN SINK @ 0.80
i
LAUNDRY TUB OR TRAY @ 0.80 "
SLOP SINK 0 0.80
FLOORSINK 0.80
FLOOR DRAIN ® 0.80
DISHWASHER 0.80
DRINKING FOUNTAIN 111 0.80
URINAL d) 0.80
GAS SYSTEM..._.._..._OUTLETS @ 1.00
WATER HEATER @ 1.80 1
MISCELLANEOUS
APPROVALS 'r
s
DATE INSPECTOR'S SIGNATURE
'UNDER SLAB WORK
PERMIT s 1 00 ROUGH PLUMBING
', GAS PIPING
TOTAL FEE "
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI-
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CAL RNIA OR T IAT 1 AMSTHE LEGAL OWN-
ER OF THE ABOV CRI D SID ENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE... 4 _ .._.._.r_._.___
FINAL
76ASS7 DBS 17 1/5