HomeMy Public PortalAbout6234-6236 TEMPLE CITY BLVD_Plumbing__ D8617Se APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUMDING AND SAFETY
Department as County Englnow
County of Lae Angeles L BUILDING 6 -/
JOHN A AMBIE COUNTY ENGINEER ADORESS 2 34 4! TE/M le
CABBATT D GRIFFIN, SUP TOP BUILDIHo
LOCALITY 77�—ALO.Dllp n"'72
FOR APPLICANT TO FILL IN NEAREST
CROSS HT
OWNER DISTRICT NO GROU ZONE I ¢uoY Ion InV¢cTlox
MAIL
ADDRESS f C fV 'L_I(_
CITY a4rjL NO INDUSTRIAL
WAST(AppROVAL
PLUMBER INSPECTION BECOBD
ADDRESS
CITY ie & C, "re TEL NO
LICENSE NO
NUMBER TYPE OF FIXTURE OR REM Ree
WATER CLOSET (TOILET) a $100 O
BATH TUB 100
SHOWER it DO
LAVATORY (WASHBASIN) Q it DO
KITCHEN SINK 100
DISHWASHER $I DO
LAUNDRY TUB OR TRAY iI D0
CLOTHES WASHER Q
:100
WATER HEATER 100
GAB SYSTEM $100
APPROVALS
DATE INSPECTOR SSIGNATURE
UNDER SLAB WORK
PERMIT i t OO ROUGH PLUMBING
GAS PIPING
TOTAL FEE GAB VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST Y
LICENSED A9 REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AN THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL OP RTY
SIGNATURE 0
OF PERM ITT! FINAL I
JOHN A L AMB1E, COU/4ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
IF 3E87tl h3G20 3 8.00 n
4
"-- ^ SN'turril 1� APPLICATION FOR PERMIT
DEPARTMENT OFNG AN
EDS
SAFETY
COUNTY OF LOS ANGEL
WY J FOX.CHIEF ENGINEER PLUMBING
NATURE O '
J 7
MLMAIION
FIXTURED COMPLPT[ 1(%i I
CESSPOOL BSFfIC TANK [ADT FOR _
ry ►IItR DY FOR
/�� Ym
AS X
1 L r
APPLICANT FILL IN HEAVILY OUTLINED^PORTION ONLY /+
NAM%4 AODRSM 2 6 G.- 7'
/ 0 �. LOCALITY
NVARZOT
/�" T� NO CRAM R. N ois"y! EIPiR[S NAMEOF SEPTIC TANKR OR CESSPOOL MAIL
ADDRESS
NORTH O
IACITY T0.
1 AM THE LEGAL•FOSS®SOR OF THE ABOVE LOB
ANGELES COUNTY CERTIFICATE OF QUALIFICATION
FLurm
1 AM THE LEGAL oWNip1 0 �
ASOVG /`//l//,
ora
CORRECTIONS 42
)znm:t O:m
BOUT" J
DESCRIPTION OF WORKz
TH TUO FURNACEOWERDISHWASXR VATORY REFRIGERATOR
CHENN BINK WATER SOFTENER
FLOOR OINK TRAP
BINK ---------FLOOR DRAIN
WARN TRAY URINAL APPROVALS
#.
WATER CLOOET DRINKING FOUNTAIN DAYS 11M►amRY rAY><
WATER NEATER DEITALLAVATORY ROUGH PLUMBING
----.SODA FOUNTAIN OUTL GAS FIRING
OAS VERT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
[SSPOO.- SZPrICTANK SEWER
O UTILITY CO NOrIFim `Ri
TOTAL FEE I J J�
IN
DAG w APPLICATION FOR PERffiT
DEPAMF O;WJANGGNSAFETY 2
PLUMBING
WM.J FOX."eNIQ ENGINEERT
ROUGH FIXTURES COMPLETR +-- - o
HEATER CESSPOOL SJ�TIC TANK RSC NT RUDY FO TO tSSUm
/IE,1 ` FIRST INSPECTION T / 7`
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
"AUG BASER SEWAGE DI3POSA ,me r,
u
AIMPEDO 721 61 Rovi a LOCM ITY
CTfr D TEL No CRO"SIT
COUNTY
CRIT No REFIRED j NAME ^, i
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 MAIL
DORKOG
NORTH O
CITY TEL No
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGKUM COUNTY CERTIPICATK OF QUALIFICATION
� u
I AM THE LEGAL OWNER OF THE PROPERTY DOCRIDm
ABOVE.
OrN01
1
CORRECTIONS
SOUTH
DESCRIPTION OF:WORK
ATH TUB FURNACE 'J
EL
MOWER DISHWASHER
D
-LAVATORY D,"IGERATOR
Ei BINK WATER SOFTENER
R SINK �4ND TRAP
SINK FLOOR DRAIN
WASH TEAT URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE DnPaefow'S MAYS
WATER NEATER DERTAL LAVATORY ROUGH PLUMBING
METER_---a" FOUNTAIN GAG PIPING
OUTL
GAS VET
CRDSPOOL
TOTAL NUMBER OF IIETURES GXPTIQ TANK
Q TANK SEWER
G UTILITY Q0.
TOTAL rim
COUNTY OF LOB ANGELES APPLICATION FOR PERMIT
Department of County EngSneer
DIVISION OF BUILDING & SAFETY L B' G
WILLIAM J FOX, County Enolow
RUT
FOR APPLICANT TO FILL IN DIST r L
PLUMBER I E/yEp gY READ`! F13R DATE ISSUE
FIRST INSPECTION
ADDRESS 26,
BUILDING
CITY TEL,ND Q ADDRESS
COUNTYLOCALITY
DENS Ip
���
FEES NEAREST
PERMIT FEES CROSS ST
NUNR[I1 TYF[OF FIKTIIR[On ITEM FEE OWNER
MAIL 1
WATER CLOSET(TOILET) O S ADDRESS
BATH TUB ® O O O
CI T No
SHOWER ® O O 1 HEREBY CKNO E THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q p Q APPLICATION AND HTATE HAT THE ABOVE IS CORRECT
AND AGREE TD COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK ® 0A.
D AND STATE LAWS REGULATING PLUMBING
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUB O TRAY ® O ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
OF THE RESIOENTI PROPERTY [SCRIBE OVE. 0
OAS BVBT[ OUTLCTS A O u — SIGNATURE OF
WATER HEATER @ O I O U PERMITTC
SLOP SINK ® o INSPECTION RECORD
FLOOR BINK 0
FLOOR DRAIN
DISHWASHER Ds
DRINKING FOUNTAIN ® D
URINAL ® O.SO J
Q
HOUSE SEWER 050 =
MISCELLANEOUS
Q'
APPROVALS
DATE INO[CTOR 1 MANE
ROUGH PLUMBING
OAS PIPING
GAB VENT
CESSPOOL 1 DO CESSPOOL
SEPTIC TANK, SEPTIC TANK
DRAIN ( ) PIT ( ) O 100 I SEWER
PERMIT IDG GAD TEST lNl�7
O UTILITY CO.mcmraco
TOTAL FEE B
INA
76A667 DBS#17 10/6E
TSASST IT 5-45 ® APPLICATION FOR PERMT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING '1
WILUAA4 J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE CPER141T, O.
PLUMBER RECEI;;a BY READY FOR ATE ISSUED
FIRST INSPECTION
1
ADDRESS
BUILDING
CITY TEL. NO. ADDRESS
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PEMT FEES caoss sT.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ 0.30 8 ADDRESS
6ATH TUB 0.50 CITY TEL. NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS J
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.30 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRYTUBORTRAY @ 0.30 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
GAB SYSTEM OUTLETS @ 0.30 SIGNATURE OF
WATER HEATER @ 0.80 PERMITTER
SLOPSINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.30
FLOOR DRAIN @ 0.30
DISHWASHER 0.30
DRINKING FOUNTAIN @ 0.30
URINAL @ 0.30 .1
HOUSESEWER @ 0.80 a
Z_
MISCELLANEOUS
0:
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAB VENT
CESSPOOL @-1 0OCESSPOOL 1
SEPTIC TANK: SEPTIC TANK 1
DRAIN I ) PIT I I @ 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE s
FINAL l
J