HomeMy Public PortalAbout6238 TEMPLE CITY BLVD_Plumbing__ COUNTY OF LOB ANGELES APPLICATION FOR PERIM
Department of County Engtneer
DIVISION OF BUILDING & SAFETY PLUMBING '
WILLIAM J FOX Caunb EBElnwr
FOR APPLICANT TO FILL IN .
PLUMBER 6 RECEIVED BY MO FOR ' DA IBOU C/
RST MO
ADDRESS
BUILDING /�
CITY TSL No ADDRESS L
COUNTY LOCALITY
(CENSE NO CXPIPCB
NEAREST
PERMIT FEES CROSBOT Pf7
NUMBER TYPE OF rIKTURE on rtEN FEE OWNER 38
l—i o Jl pd
MAIL
WATER CLOSET(TOILET) O O • S ii
ADDRES =;Qm. �yTe-
BATH TUB
GBATHTUB O V CITY TEL NB 7AiJ Oy
SHOWER @ O I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Y Dia Q APPLICATION AND STATE THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORBINANCES
KITCHEN BINK @ O O Q AND STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY ® O O ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVL
GAB SYSTEM IJTLETH ® O O SIGNATURE OF f
WATER HEATER @ 040 PEgMITT
SLOP SINK ® 04, INSPECTION RECORD
FLOOR BINK BO
FLOOR DRAIN ® BO
DISHWASHER ® BO
DRINKING FOUNTAIN ,/
URINAL ® O ll" .� rrl 1 J -)
HOUSE SEWER m 040 ` J �` 2
MISCELLANEOUS 0
AN FLr r o
LGE/A
D,P
D
To r#25'
/�
S�`A-C/(APPROVALS Pa C&L_
R WO //QFJ/ Al£ INBPKIWOR'E NAME
ROUGH PLUMBING 10 10
OAS PIPING 'U
GAB VENT
CESSPOOL 1 OD CESSPOOL
SEPTIq TANK SEPTIC TANK
DRAIN ( ) PIT ( ) ® 1 OOpO SEWER
PERMIT 1 GAB TEST //✓
TOTAL FEE
UTILITY CO.NOTIFIED i2
•
ZF, 0 FINAL
TSA687 DHS$17 U/[f
D tv IMMUCTB ,~° APPLICATION FOR PERMW
DEPARTMENT OFNG AND $AFg'I'Y PLUMING� '
COUNTY OFF LOS
ANGELES
WY.J. FOX.eHlHIE OS y ENGINEERL T
rLOMCATION
FIXi11REB ODMRETE J �•CESSPOOL Z sEPnCTAMK RECEIVED BY READY FOR DAT"� E KD►IRST INWK:TION _ 6-L/UAW Mill 7 7(e
APPLICANT FILL. IN HEAVILY OUTLINED PORTION ONLY �-('I.ISSI41H BAI{ER SEWAGE DI3• AGGRESS E Royi& Loewl.mNEAREST
TEL No CROSS
t)ttIREB ` NAMEOF SEPTIC TANK, OR CESSPOOL ; MAIL
ADDRESS
NORTH o
Cm TEL o
1 AN THE LESAL PoSSESBOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION
Yw
I AY THE LEGAL OWNER OF THE iOIOFRTY DEBCAmEQ
wBovs
owRo
CORRECTIONS
SOUTH
DESCRIPTION OF WORK
TH TUB --------"RHACE e
d
HOWER DISHWASHER Q
—IAYATORY RI"IGERATOR
ITCHR BIKE WATER SOFTENER
R BINK — �.uD TRAP
SINK DDR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INVeCIow•NAra
WATER HBATR DENTAL LAVATORY
ROUGH PLUMBING
6TEIL�GAEDA FOUNTAIN GAB PIPING
OUTL �—f f. C
OAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
.�eEBEPoo. SKPTICTANK Ij� SEWERUTILITYrS
UTILCO NOTIFIED
TOTAL FEB / J
T�'IT ' "" APPLICATION FOR PERBUT
DEPARTMENT OF BUILDING AND SAFS°PY
CPLUMBING '
COUNTY OF LOS E NG
WK J. PDX.CHIS ENGINEER[Oi
ROUGH
FIXTURES COMPLETE -S
HEATER CSSPOOL SEPTICRECEIVED BY READY FOR DATE NRIU
MEET INSPECTION
TANK
SIB iflocamom
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
Joe NAYSADDRESS 32 -6 ,. 4foSa
ADDRESS LoeALITv L Cu,
nktIl- NEAREST
CITY TEL No CROSS Sr
COUNTY f
DDEXPIRESCo LL,wa
LICENSE NO EXPIRES �z' NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL S ES
ADDRS 6 OPAAn.41 5 u visa �-
NORTH 6
emVwae
TEL No
p 1 AM THE LEGAL R OF THE ABOVE LOS
7 ANGELES COUNTY CERTIFICATE OF
QUALIFICATION
11 •I � RYMRO
I AM THE LEGAL OWNER OF THE PROPERTY DSCRLB®
ABOVE. `�•���
CORRECV915S
C
BOUTH �o� / .•l�i... ....� CLrS Uo L
DESCRIPTION OF WORK
ATH TUB FURNACE o
NOW ER DISHWASHER • Q
vATORV ARFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
BINK FLOOR DRAIN
"✓WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INVE6 -s RAKE
WATER NI-EATER DENTAL LAVATORY ROUGH PLUMBING
BODA FOUNTAIN GAB PIPING
OUTL
GAS VENT
CESSPOOI.
TOTAL NUMBOI OP PIIITURS O SEPTIC TANK
ESSP000 AFFTICTANK SEWER
S UTILITY CO NOTIFIED
TOTAL P6E ,v FINAL
y
TulanT 17 EEM EEre 7- APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY 'PLUMBING
PLUMB'NG 1
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
1FOR APPLICANT TO F LL IN V'
PLUMBER READY FOR
ECEIV[D BY FIRS7INSPEOTION DAT[ IBBY[D
ADDRESS
CITY TEL No JOB 7 O
ADDREBB 7
COUNTY
LICENSE
LOCALITY
1 CERTIFY THAT I POWERS THE ABOVE VALID LOB NCARCBT
ANGELES COUNTY LICENSE CROSS BT ,
OWNER A P dllimtz
ADDMAIL
pLNMe[R RESS
PERMIT FEE IB 5100 FOR THE FIRST FIXTURE OR CITY TEL
ITEM LISTED BELOW. PLUS SOD FOR EACH ADDITIONAL I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP-
ITEM FOR EACH SEPTIC TANK AND PIT OR GRAINFIELD ERTY DESCRIBED ABOVE
$1 OO MINIMUM FEE FOR ANY PERMIT 01 OO EACH
GAS SYSTEM IB A SEPARATE ITEM
OWNER
NUMBER M[ OF FIXTURE OR ITEM
WATER CLOSET (TOILET) CORRECTIONS
BATH TUB
SHOWER ^ { may)
LAVATORY (WASH BASIN) wy
KITCHEN SINK
LAUNDRY TUB OR TRAY
DAS SYBTEM_OUTLETS /f
WATER NEATER '--•
SLOP BINK a
FLOOR BINK _Z
FLOOR DRAIN 0
DISHWASHER
O
DRINKING FOUNTAIN
URINAL
MISCELLA ECUS
IVs
APPROVALS
DATE INEPEDTOR E NAM[
ROUGH PLUMBING
OAS PIPING
GAS VENT
CESSPOOL
SEPTIC TANK - DRAIN ( ) PIT ( ) 8 SEPTIC TANK
CEBBPGOL ',g SEWER
H ME GAB TEST
/
TOTAL FEE B ILITY CO NOTIFIED
FINAL