HomeMy Public PortalAbout6020 TEMPLE CITY BLVD_Plumbing__ } PLUMBING 1
(DEPARTMENT OF COUNTY ENGINEER
DIVISION SOF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING G02-0
^y�s� CIL, �(
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS `Ol )2t�` P Cl C-- \_, IL, 6z 6
FOR APPLICANT TO FILL IN Jam`�t�: LOCALITY v
BUILDING vj , / /� ��yy�� NEAREST 1�1
ADDRESS /rp CROSS ST. C: (�"
DISTRICT NO. GROUP ZONE PERMIT NO.
LOCALITY ti�l� t_ t 13 r _�++ (4
NEAREST , /� J `✓
CROSS ST, ,I r»,., �,�p-�,7RECEIVED BY R
` �-4eady for Inspection DATE ISSUED
OWNER F 70/w j (=C!:3.�c--,/ YJ �'' �1-t' t' '
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY J7 �TEL.NO. / INSPECTION RECORD
PLUMBER ,l� x_ /�`7 /� l�:l•) f�[- I l
�!s
ADDRESS �j �� C( .�_ ��C.
CITY t- -TEL.N0:{;.V 19't U e
J J
LICENSE N0. ee�4`1� N/j �T [3STATE n COUNTY J
PERMIT FEES z
DUMBER TYPE OF FIXTURE OR ITEM FEE 1'
1 WATER CLOSET(TOILET) 0 0.80 $ tp Ir
BATH TUB @ 0.80 S O O
SHOWER do 0.80
LAVATORY(WASH BASIN) @ 0.80 'lei v
1 KITCHEN SINK @ 0.80 Yo -36—L:5�3 /
LAUNDRY TUB OR TRAY @ 0.80 70 ' S ///Y b vw`�!J
,n /�
SLOP SINK 0 0.80 � ®1�
FLOORSINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
�r GASSYSTEM...S1.......OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDERSLAS WORK
PERMIT $ 1 00 ROUGH PLUMBING_
TOTAL FEE A760 GAS PIPING t..,n 01' �?--<
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT �(i• � I
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 �p
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST /�{p� ��(� I•,.y
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED / ,t?1L,G7
ham ! I � L" ,.�j'•
SIGNATURE �� (� ti �,f
77 70Ld9_
OF PERMITTEE..._. _:-••-................._.._..........
...,•--...._,.._.:..._�.:.._.
FINAL
7GA667 DBS 17 1/53