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Home My Public Portal About6121 TEMPLE CITY BLVD_Plumbing__ D.-B.S.-17 86M SETS 6-46 APPLICATION FOR MUM DEPAD3TMENT,OF BUILDING AND, SAFETY rLlVt9• r�1A�ii1 Lf iLTNTY OF LOS ANGELES ��.�. � NVM-J. FOX.CHIEF ENGINEER NATURE OF IN TA TIN DISTRICT NO. ERRANDY y�o t: irttr of.} ROUGH l9 _ FIXTURES COM B _J + 1 e HEATER CESSPOOL H.SEPTIC TANK RECEIVED BY" -FO DATE 1.8 URD PECTION GAS MISCELLANEOUS �L C � .. ♦ r ,qAM yPPLjIICANT FILL IN HEAVILY OUTLINED PORTION ONLY ' E_ NAME 0'4'•®®V.�.�� 6�, °�t' ( CSF ' ADDRESS. IAa CS L6 ADDRESS I&A.fie aOW LOCALITY d CITY A gLw A. TE .NO.p �rj m iX1 CROSS 81. COUN CERT.No. EXPIRES " I NAME W013. /11 AIZ r11v LOCATION OF SEPTIC TANIi, OR CESSPOOL 3 MAIL 5,40 ADDRESS s• 21 NORTH Q CITY TEL.t40a i i 101 �011 t AM THELEGA POS SOR �A;GO. E SANGELES.COUNTYC ATE OFIO ! 1 AM TH4LL �NEROPERTY-DEOCRIolso ABOVE. `yam "<j— OWNER OWNER CORRECTIONS SOUTH • J DESCRIPTION OF WORD. a z —A ATH TUB FURNACE E_ SHOWER DISHWASHER LAVATORY REFRIGERATOR ITCHEN BINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK ' FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE /t�wsPEeTOw•E• AtAs WATER HEATER DENTAL LAVATORY ROUGHPLUMBING t/' METE AS SODA FOUNTAIN I r I C!`� ' EE OUTL GAS PIPING - GAS VENT I .6`" CESSPOOL I TOTAL NUMBER OF FIXTURES 6! SEPTIC TANK I CESBPOOI SEPTIC TANK SZWRR s• �•� UTILITY CO.NOTIFIED I TOTAL FEE FINAL DEPARTMENT OF COUNTY ENGINEER PLUMBING I DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES '7 r— ` WILLIAM J. FOX, COUNTY ENGINEER ADDRESS � Z FOR APPLICANT TO FILL IN LOCALITY , in'_-,BUILDING ,�r� O j� ADDRESS I CROSS ST/� + 0152 ® -7;;;j! y. DISTRICT N0. GROUP ZONE PERMIT N0. LOCALITY - 9 L J�10 >/I �! NEAREST CROSS ST. / RECEIVED B,'& Ready for Inspection LTLTE ISSUED / OWNER ' �`7 6 MAIL o I IOUSTRI7(L7 ADDRESS WASTE APPROVAL i CITY ! TEL.NO.'&z'mzTv INSPECTION RECORD PLUMBER 5/4 ADDRESS CITY TEL.NO. STATE LICENSE NO. fl COUNTY J PERMIT FEES z VUMRER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET(TOILET) @ 0.80 $ O BATH TUB @ 0.80 SHOWER @ 0.80 LAVATORY(WASH BASIN) @ 0.80 KITCHEN SINK @ 0.80 ' LAUNDRY TUB OR TRAY @ 0.80 SLOP SINK @ 0.80 FLOOR SINK @ 0.80 FLOOR DRAIN @ 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 UNDERSLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE Z 1107 GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT 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 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE DESCRI ED RESIDENTIA R0 ERTY. UTILITY CO.NOTIFIED SIGNATURE /� . OF PERMITTEEJ_._ ._ ..__ __ _ _....._.........._......_............ FINAL 76A667 DBS 17 1/53 DEPARTMENT OF COUNTY ENGIINEER PLUMBING 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING WILLIAM J. FOX, COUNTxv1�1{Y ENGINEER ADDRESS � 1\1, P g- 'o '�\' u IFOR APPLICANT/ TO FILL IN BUIL9 ` LOCALITY NEAREST ADDRESS [•9�C / � ®!5� �i/11 Ls by/., CROSS ST. C�— LOCALITY / LL'A� 1.� 0i ! ✓If fLA �/ DISTRICT N0. :t c�-0NE � CROSS ST. JJ�� fd�73 Jpi�)�/ t�t //' ' ® ECEIT NO. EIIV•ED BY Ready for Inspection CD�AT I�SiS`UErD� OWNER MAIL ,r �y '�, /r_• q INDUSTRIALV ADDRESS- �/ ! )� � �'" !y ��t WASTE APPROVAL CITY r/ ' r TEL.NO. � if%rS� 3 INSPECTION RECORD PLUMBER ) ADDRESS CITY �v TEL.N0. ❑STATE `7- �_(~I s,� �,�jvi 1)/7"'7-/3 LICENSE N0. / n COUNTY r J /PERMIT FEES yN�( �Qy/�{7�//) a WMEER TYPE OF FIXTURE OR ITEM FEE M�lJ I�.7 �T' .• Z ii WATER CLOSET(TOILET) 0 0.80 S pl '/ m BATH TUB Q 0.80 Ea7J r`Al l f/ III rI O SHOWER @ 0.80 ry s&/ LAVATORY(WASH BASIN) @ 0.80 KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY @ 0.80 SLOP SINK @ 0.80 FLOOR SINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER a 0.80 DRINKING FOUNTAIN !g 0.80 URINAL @ 0.80 GAS SYSTEM..J......OUTLETS @ 1.00 / 00 WATER HEATER @ 1.00 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE :2100 GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT 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 n r EGISTERED AND/OR RREBY LICENSED IFY THAT I AM AS REQUIRED By YPLOS AN ERLY LES COUNTY GAS TEST AND STATE OF CALIFORNIA OR THAT 1 AMJHE LEGAL OWN- - ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE %� j/ •�•• OF PERMITTEE:_...:. ..F:r �!!r L"` �' r >-r- - - - - - FINAL 76A667 DBS 17 1/63 P.e.B.» 2SM 9ET9 7-0APPLICATION FOR PERMIT IDEPART=NT OF BUMI)INGI AND SAF Y COUNTY OF LOS ANGELES �. WM.J. FOX.CHIEF ENGINEER NATURE OF INSTALLAT20N DISTRICT O. GROUP ZONE PERMIT NO. ROUGH •FIXTURES COMPLETE E/ Lib ' HEATER CESSPOOL ,.I SEPTIC TANK L RECEIVED BY s READY FOR DATE ISSUED GAS, �f. FIRST INSPECTIONMISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY Ba JOB E NAME /y ADDRBSBe m - a .m$ ADDRESS t`L�, LOCALITY av NEAREST ., 16 CITY .000400001 A/ TEL.No. CROSS ST. COUNTY •r v CERT.No. EXPIRES � NAME ,rte(i`/ �'? 1'�'J' s //(_/ LOCATION OF SEPTIC TANK, OR CESSPOOL 3 MAIL ADDRESS t NORTH O CITY TEL.No. 1 AN THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFIC TE OF QUALIFICATION. PLUMBER . I AM THE LEGAL OWNER OF THE PROPERTY DES R ED ABOVE. 3 OWNER CORRECTIONS SOUTH .J DESCRIPTION OF WORD z BATH TUB FURNACE SHOWER DISHWASHER I] .LAVATORY REFRIGERATOR KITCHEN SINK -WATER SOFTENER FLOOR SINK SAND TRAP LOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE IN9PE6TOR'8 NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING ETER RI - AS SODA FOUNTAIN oun RiAB PIPING I I • GAS VENT II>> CESSPOOL vCJ 2�Y TOTAL NUMBER OF FIXTURES I v SEPTIC TANK CESSPOOL- SEPTIC TANK SEWERL I S *'7 UTILITY CO.NOTIFIED I TOTAL FEE FINAL D.B.R.17 EEM Y�1-48 j. APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND :SAFETY COUNTY OF LOS ANGELES-, • _ �� '�� FOX.CHIEF ENGINEER ATURE OF INSTALLATION SIRRICT No. ca our I fta `�]P o. ROUGH /\ FIXTURES COMPLETE "'' — R' / T G_ HEATER _CESSPOOL _I.SEPTIC TKI,K RIVED BY READY FOR DATK ISSURD 1 FIRST INSPECTION (" A8• MI8CELLANEOUB APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB d, NAME �c�' `�r�IYl ADDRESS W B g ADDRESS 3 LOCALITYNEARECT �,ft-y/;1��f1_�G•C.*. CITY TEL.No. CROW ST. COUNTY CERT.No. RXP,RES NAME LOCATION.QF SEPTIC TANS, OR CESSPOOL ' z MAIL NORTH.' O ADDRESS .7/-3 i�. 2G.�.+ :��.•. CITY L TEL.No. 1 AM THE LdSAL.POSSESSOR OF THE ABOVE LOS OANGELES COUNTY.CRRTIFICATK OF QUALIFICATION. 0 ' PweesER .� 1 AM THE LEGAL"OWNER OF THE PROPERTY DESCRIBED � I ABOVB+ OWNER CORRECTIONS .SOUTH J DESCRIPTION OF WORKz _ z ATH TUB FURNACE 5 R3 SHOWER DISHWASHER � Q LAVATORY REFRIGERATOR ITCHEN BINK WATER SOFTENER FLOOR BINK -------SAND TRAP SLOP BINK - FLOOR DRAIN kTOTAL'FEE ASH TRAY URINAL APPROVALS ATER CLOSET ---------DRINKING_ FOUNTAIN DATE INSPECTOR'S NAME ATER H�EATTM DENTAL LAVATORY ROUGH PLUMBING° I RTER.''� GAS SODA FOUNTAIN OUTL GAS PIPING I I GAS VENT CEBBAOOL T. I OTAL NUMBER OF FIXURE8 SEPTIC TANK I I ESSPOOLSEPTIC TANK SEWER. $ UTILITY CO.NOTIFIED l.r � � N FIN _ 76A667 17 2SM SETS 7-4B APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING WM.J.:FOX.'CHIEF•RNGINEER NATURE OF INSTALLATION DISTRICT ROU - o PERMIT o. ROUGH FIXTURES - COMPLETE ;E7 14,6 (04- HEATER CESSPOOL I �8EPTIC TANK RECEIVED BY READY FOR DATRISgqffD ^ FIRST INSPECTION ��` t0 AS- MI LAN U8 C� G APPLICANT FILL IN yHEAVILY OUTLINED PORTION ONLY K NAME • Wil. NO 1 !aj�l]II�1CY CO.-! ADDRESS 13 x V 6� qq�y �•�1 yy e g ADDRESS 123 N®. Cloverly A re 4 LOCALITY CITY TEMPi,�+'. .�:��`�'1�' jr�-: c"Rosa�sr. � COUNTY LICENSE NO: EXPIRES I NAME LOCATION OF SEPTIC TANS, OR CESSPOOL' a MAIL NORTH 1 O ADDRESS i CITY TEL.NO I AM THE LEGAL POSSESSOR OF ,HE' ABOVE LOS ANGELES COUN CEF U ATB L' ION. uweaR (THE LEGAL OWNER OF THE PROPERTY DESCRIBED VE. 3 OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK z_ I TUB FURNACE ER DISHWASHER 0 TORY REFRIGERATOR HEN SINK WATER SOFTENER R SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING.POUNTAIN DATE INSPECTOR'S NANO WATER HEATER, DENTAL LAVATORY ROUGH PLUMBING I ETER GAB SODA FOUNTAIN GAB PIPING I i OUTL TL p GAS SENT CESSPOOL TOTAL NUMBER OF FIXTURSB SEPTIC TANK _CESSP001 SEPTlCTANK SCJ SEWER I $ ` UTILITY CO.NOTIFIED I TOTAL. FEE / J CJ FINAL