HomeMy Public PortalAbout6113-6115 TEMPLE CITY BLVD_Plumbing__ 76A667 DBB 17,7-s, APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY-
COUNTY COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT GROUP .
R APPLICA TO FILL IN
PLUMSE ECE VED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS _ INJOy
17 V —BUILDING / 1
OI TEL.Np6.L'/ ` ADDRESS
•
COUNTYLOCALITY
L NBE N0. / EXPIRES
' NEAREST
PERMIT FEES CROSS 8T.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0 0.50 B ADDRESS-
BATH TUB .0 0.50 CPry�Jj ,� s,,C, TEL Np'
SHOWER 0 0.50 I HEREBY//ACKNOWLEDpF�THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 13.51 'AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 49 0.50 ANGELES COUNTY GENS OR 1 M TH LEGAL OWNER
OF THE RESIDENT P PER ED ROVE.
GAS BYSTEM ^UTLETB 0 D.5G
SIGNATURE 0
WATER HEATER (11 0.50 PERMI
SLOP BINK 0.50 INSPECTION RECORD
FLOOR BINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 13.150
DRINKING rouWrAIN @ 0.50
URINAL 0.5C Q
HOUSE SEWER 0.60 Z
MISCELLANEOUS L7
1l 5 _ O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
BAS PIPING
GAB VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) fd! 1.00 SEWER
PERMIT 1.00 GAS TEST
TOTAL FEE UTILITY CO.NOTIFIED
J FINAL
15A857 APPLICATIOISI FOR PLUMBING PERMIT 1
)BS•17 10.85
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of �08 Angeles BUILDING
JOHN A. LAMBIE.COUNTY ENGINEER ADDRESS
611t-15
CASSATT D,GRIFFINS SUPT OF BUILDING LOCALITY Tem le �!1 Vit o
FOR APPLICANT TO FILL IN I (NEAREST
_A CROSS ST.Garabaldi Y
OWNERAnt ei Wheeler. Goh6t r-Bidr DISTRICT NO. RO I ZONE I READY FOR INSPECTION
ADDREss3844-yE. Foothill B7�lvd* C�vJ
CITY Pasadena INDUSTRIAL
TEL.IVO. n.• 84198 WASTE APPROVAL
PLUM19Ef6flLgjlfL= tjongt7b T 11 INSPECTION RECORD
ADDRESS8819 E Whitti c Blvd `
CITY Pica. TEL.NO. OX 51617C �s'�
LICENSE NO.145561»-80 36.
NUMBER TYPE OF FIXTURE OR ITEM FEE ,�'['�',, w .r),Ve
WATER CLOSET.(TOILET) @ $1.00 $ I )/i;rW,�
BATH TUB @ .$1.00 '
8HOWER @ $1.00
LAVATORY (WASHBASIN) @ $1.00 e�
2 . KITCHEN SINK @ $1.00 2 QQ ��//�
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00 ee��
CLOTHES WASHER @ $1..00 rJ �f40-0 ZR�� ca
e� WATER HEATER @ $1.00 e�
G GAS SYSTEM @ $1.00 -4 00 ,�� lI/��t=�P .0 -!-.r
LFr r P'��2n d R riA-XPd A�6 'd
APPROVALS e?lo, �y
fir.bo R DATE INSPECTOR'S SIGNATURE
UNDER akeS WORK
PERMIT $ 4 00 ROUGH PLUMBING )� {
GAS PIPING
TOTAL FEE 15 'OO
GAS VENT
1 HEREBY ACKNOWLEDGE THAT E HAVE READ THIS. APPLICATION HOT WATER HEATER /
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND SPATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST /
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT AM THE LE OWNE OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENT( PROP -
SIGNATURE
OF PERM I0
FINAL il ; r ��
OHN A.LAMBIE.COUNTY ENGINEER VALIDATION ROBERT A.WOOD. CHIEF PLBG. INSPECTOR
C6. M... CASH
)&7797I� JUL 5 3 15.00 �
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