HomeMy Public PortalAbout6026 TEMPLE CITY BLVD_Plumbing__ DIM PARTBIU I' OF COUNW ENGINEER PLUMBING I
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COU= OF LOS ANGELES Jfll / /
WILLIAM J. FOX, COUNTY EN13INEER ADDRESS G� f ^.�I!m C�L^, 'yT �91-v n 9
dFOR APPLICANT TO FILL IN y LOCALITY
NEAREST
BUILDING N ADDRESS !;0 2 S�{ ' �►��I Gam, t-r%) M) CROSS ST. I
�v r DISTRICT NO. GROUP ZONE PERMIT N0.
LOCALITY "- I 1 , � �� _Ql— 5 1-)9`1�
NEAREST 111pt. a,ly a 4ECEIVED BY Ready for Inspection DAT`E`ISSUEO
CROSS ST. ��y� f`�t�[^
OWNER }-►, I ``r-�� + ,"- t _ INDUS al-10 �Yy
MAIL
ADDRESS WASTE APPROVAL
CITY TEL,NO.. INSPECTION RECORD
PLUMBER L) ` Wj J-P
f�q
ADDRESS'4G7 1 �yc� //-i�,.��a`,�
CITYfl*N l C*P.9 ` 1 .PA TEL.N0. P r 2-Z-464-
// TATE
LICENSE NO. (�f 1' .000NT1: J
PERMIT FEES a
z
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) 0 0.80 $
BATH TUB @ 0.80 O
SHOWER @ 0.80
LAVATORY(WASH BASIN) G 0.80 r
KITCHEN SINK @ 0.80 Q�
LAUNDRY TUB OR TRAY Q 0.80 So
SLOP SINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN CES 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL 0.80
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 07 a GAS PIPING !ZU �!- I l• �l'`;t�.`
I HEREBY ACKNOWLEDGE THAT I HAVE READ THYYS APP'I- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS l
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ��" I f� I
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST r/� -i, -4 L'�, 111
AND STATE OF CALIFORNIA OR THAT 1 AMnTHE LEGAL OWN- a aD
ER OF THE ABOVE DESCRIBED REST ENTINI. PROPERTY. UTILITY CO.NOTIFIEDL.;n'„•.
j ,� o _ Y..
OF PERMITTEE. ......._. 4{�5� kA; . .�._... �_.._..._ FINAL E� J 11 L•!/it(IC��LC.
1151� -2
76A667 DBS 17 1/58 ��