HomeMy Public PortalAbout6032 TEMPLE CITY BLVD_Plumbing__ L.2i.Ci.-11 aam a�.6.o-so - APPLICATION FOR PERBUT
DEPARTMENT OF'BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING
J-.FOX.CHIEF.ENGINEER
NATURE,OF INET TION 0143TRICT NO. GROu ZONE PERMIT
ROUGH FIXTURES COMPI�ETg
HEATER CESSPOOL I�SEPTIC TANK RECEIVED`.'BY READY FOR DATE ISSUED
'FIRST INSPECTION' ,..
AS• MISCELLANEOUSUM
Pit.
QQ APPLICANT ,FILL IN HEAVILY OUTLINE�Dy PORTION ON Ym
d, NAMJOB
ED` .��L��JL71.l�flfi tLeLt� ADDRESS r- d 6�L �✓�'i.S�C.fL
l° 1. 3 �2
ADDRESS r �%`7jf/ti�/L� a LOCALITYf7 NEAREST
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TEL.No. CROSS ST- l+%r4, �"�/(� C G•l 1�/,
COUNTY trEZ
CERT.NO. EXPIRES I NAME Gb'
LOCATION OF SEPTIC TANK, OR.CESSPOOL. 3 MAILADDass ,®crivw -
NORTH O.
CITY TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICAT QU LIFICATION.
ge
PLUMBS.
! AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
- R
a
OWNER
CORRECTIONS
SOUTH
' J
DESCRIPTION'OF WORK _z
- BATH TUB FURNACE
ROWER DISHWASHER Q
—LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY' b URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I
ETER_ CODA FOUNTAIN
OUB I I
GAS PIPING
GAS VENT
CESSPOOL C.
TOTAL N.UMBER OF FIXTURES - I
SEPTIC TANK
-CESSPOOI 0EPTIC TANK SEWER II
S
FEE UTILITY CO.NOTIFIED
TOTAL ,J�: �. E/-4
/`'� FiNAL
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DEPARTMENT OF_BUILDING .AND SAFE ` APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES. li—1287PLUMBING
WM.J. FOX.CHIEP ENGINEER
NATURE OF INSTALLATION 0113TRICT NO. GRO.UP ZONE PERMIT
ROUGH FIXTURESCOMPLETE / 74 9
NEATER CESSPOOL H SEPTIC TANK R lE1VED BY' READY FOR DATE ISSUED
FIRST INSPECTION y�
GAS- - MISCELLANEOU �CsL//k77 Small
�f7
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
C NAME H8.rr4 E Deem ADDRESS
W
_ADDRESS 4.01 Sotrbh Hoyt Street ' LOCAuTY Temple "(1ity
aST
IL CITY Fl Mon-he TEL 'No RCTI2l C 8 SST.
COUNTY
CERT.NO. 4360 MG EXPIRES l—
m. NAME Mrse E. Pillier
LOCATION OF SEPTIC TANS, OR CESSPOOL X MAIL .1, �+
3. ADDRESS 00 North e71Q1�S'.eti
NORTH O .
- CITY Tem le Ci TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY cERTIFICA UALIFIC
° Rcumman
1 AM THE LEGAL OWNER OF THE P PERTY DESCRIBED
ABOVE.
•= OWNER
CORRECTIONS
SOUTH Q
DESCRIPTION OF WORK - Z
BATH TUB FURNACE L7
SHOWER DISHWASHER O
LAVATORY SE=LIREFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
GLOP SINK ----.FLOOR DRAIN
LTOTAWASH TRAY" -URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INeP6CTOR•E NAWa
L
WATER HEATER DENTALLAVATORY ROUGH PLUMBING'ETER OlASl. SODA FOUNTAIN GAS PIPINGGAS VENT
CESSPOOLTOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOL SEPTIC TANK SEWER
SUTILITY CO.NOTIFIED FEE ,• 1 ¢9
FINAL
'8A887
IBB.1710.89 APPLICATION FOR PLUMBING PERMIT
i .
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING
JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS
CASSATT D,GRIFFIN.SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER DISTRICT NO. GROUP ZONE READY FOR INSPECTION
MAIL ` `.�
ADDRESS 3 I
INDUSTRIAL
CITY• / TEL. WASTE APPROVAL
PLUMBER c INSPECTION RECORD
ADDRESS
CITY ifTEL.NO: J
LICENSE NO.
NUMBER TYPE OF FIXTU E OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00'
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00.
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ I ,00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE GAS VENT
I D HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER '
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBINGPLUMBING FIXTURES
.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELECOU D STATE OF .
CALIFORNIA OR THAT 1 M THE LEGAL OW THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROP Y.
SIGNATURE - i
OF PERMITTEE FINAL 'fi
OHM A.LAMBIE.COUNTY EN INE ALIDATION ROBERT A.WOOD.CHIEF PLBG. INSPECTOR
CS. M.0. CASH
L& 5 7 3 DEC 20 3 5,0 Q n