HomeMy Public PortalAbout6336 TEMPLE CITY BLVD_Plumbing__ W IT
MIT
++. 0 APPLICATION FOR PERM
OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING
WILLIAM J FOX CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMITN
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PLUMBER L I0(w 6,y RECEIVED BY READY FFOR DATE ISSUED
FIRST I NSPECTION
ADDRESS e E f/ L w e
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CITY S TEL NO TS- / ADDR
LESLOCALITY
LICENSE o EXPIRES ES e - %r A7 la 1-
�� NEAREST
PERM FEES CRORB ST E A/
NUMBER TYPE OP FIXTURE OR ITEM FEE OWNER • L • I r
MAIL
WATER CLOSET (TOILET) a 050 f ADDRESS
BATH TUB a O EO CITY TEL NO
SHOWER 0 O SO 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS v
LAVATORY WASH BASIN O SOI APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCHIt AND
KITCHEN SINN a O EO STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY O BO ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL P OFERTY DESCRIBED ASOVE
GAB BYBTEM� OUTLETS O EO SIGNATURE OR
WATER HEATER O SO PBRMITT ��
SLOPBINK O EO INSPECTION RECORD
FLOOR SINK O SO
FLOOR DRAIN O 60 �`
DISHWASHER a O E
DRINKING FOUNTAIN a O SO
URINAL a O SO J
HOUSESEWER w O SO Q
Z
MISCELLANEOUS o
C
O
I
APPROVALS
DATE INSPECTOR E NAME
ROUGH PLUMBING
OAS PIPING
GAB VENT
CESSPOOL 1 00 t CESSPOOL
SEPTIC TANK I I SEPTIC TANK
I DRAIN ( I PIT ( I Q 1 00 11 SEWER
PERMIT 1 DD GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE B
FINAL
U69BIBYIOBB APPLICATION FOR PLUMBING PERMIT .7
DIVISION OF BUILDING AND SAFETY 1
Departamsnt ofCounn
ty Engi
County of1,ce Angeles 33
JOHN A LAMBIE COUNTY ENGINEER �oRcsa
CASSATT D GRIFFIN, SUP T OF BUILDING
LOCALITY 't
FOR fyPLICANTZ0 JILI. IN NEAREST fl
CROSS ST
OWN DISTRICT NO GROUP ZOn[ADi Ion Intr CCT lon
MAIL '1ADDRESS ,? I
/
CITY TEL N INDUSTRIALWASTE APPROVAL
PLUMB INSPECTION RECORD
ADDR
C -TEL N
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LICENSE NO r
NUMB" TYPE OF Fl%TDP[OR ITEM FEE •J Q�
WATER CLOSET (TOILET) 100 S
BATH TUB @ $T 00
SHOWER @ v 00
LAVATORY (WASH BASIN) III GO
KITCHEN SINK Iii 00
DISHWASHER @ *I 00
LAUNDRY TUDOR TRAY 0 6100
CLOTHES WASHER 100
WATER HEATER 1 00
GAS SYSTEM Q 1 00
APPROVALS
DATE INSPECTOR SSIGNATURE
UNDER SLAB WORK
PERMIT f t OO ROUGH PLUMBING — 'S
• GAS PIPING
TOTAL FEE
GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS ATO COMPLY HOT HOT WATER HEATER
WITHSTATE THAT THE ABOVE IS CORRECT AND AGREE E LATING
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUYBIN6 PLUMBING FIXTURES
1 HEREBY CERTIFY THAT I AY PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REOUIRED IbY LO ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT AY HE LEGA WN F T ABOVE UTILITYCO NOTIFIED
DESCRIBED RESIDENT] P PERTY
SIGNATURE
OF PERMITTE FINAL
JOHN A LAMBIE COUNTY ENGINEER VALIDATIO ROBERT A WOOD CHIEF PLBG INSPECTOR
Ct Y B Gt
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