HomeMy Public PortalAbout8928 BROADWAY_Plumbing__ TRAQRT ,IT,4 EO ( . APPLICATION FOR PERMIT
"DEPARTMENT OF BUILDING AND SAFETY
COUNTY LOS ANGELES
FO
WILLIAM J. FOX. CHIEF ENGINEER PLUMBING I
FOR APPLICANT TO FILL IN OISTRIPT'NO. GROUP I ZQNE - PERMIT
.
PLUMBER Sahmidt Plumbing (•O REG IVED BY READY O DATEISSUED
/- � -
ADDRESS 5618 N Rocem ad r-d`//,�e'`. FIRST I (a
# ADDRESS LlIlG 8928 E. Broadway
_CITY Temple City TEL. NOAT 65029 Y
COUNTY
LICENSE NO. 6621 EXPIRES 6_iQ-52 LOCALITY San Gabriel
PERMIT FEES
cRO.E ST. Rosemead Blvd
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER F.M_ Desiardens
_50 MAIL
WATER CLOSET (TOILET) @ 0.50 6 MAIL 6 8930 E. Broadway
BATH TUB C 0.50 I CITY San Gabriel TEL NO
SHOWER Q 0.50 I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS
LLAVATORY (WASH BASIN) C O 50 _�� APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY (� 0.50 ' ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESID AL PROPERT DE RISE ABOVE.
1 GAS SYSTEM_3L—OUTLETS Q 0.501 50 SIGNATURE OF /(
1 WATER HEATERD 0.50 50 P%abjQ;TEE
SLOP SINK p 0.501 ! INSPECTION RECORD
FLOOR SINK 0R 0501 /1 I��,N 'w' 1/0 P9'.A�N 9 _4y)I }•'IO q'
FLOOR DRAIN �iil 0.501 b [6 V� r7 O V R� `Ea b
DISHWASHER a 0.501 AMA
/H�� tr/"i10"�•Aod. A15,r, rvlg r FG)r2,
DRINKING FOUNTAIN 0 0.501 elAl �'L
URINAL Pa O.SOI r_v
HOUSESEWER 0.50 Q
Z
MISCELz
LANEOUS
O
I
APPROVALS
DATE IN
S
P
ECT
OR
'S
NAME
ROUGH PLUMBING - /� r) (✓JC,(.(�.(�
GAS PIPING
GAS VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK: I SEPTIC TANK
DRAIN ( I PIT I ) @ 1.00 SEWER
PERMIT . 1.00 GAS TEST ///�/
TOTAL FEE I5
4 UTILITY CO. NOTIFIED //
`_ FINAL ��a9-
PLUMBUNG
DEPARTMENT OF COUNTY ENGINEER
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING Q G
WILLIAM J. FOX, COUNTY ENGINEER .ADDRESS / O UL1�3-!n
FOR APPLICANT TO FILL IN LOCALITY
NEARESABUILD'DORE NO �J � ry O /.. {�/1.� /� CROSS ST. /
ADDRESS ,,.CL/ O
LOCALITY G LN 0. GROUP ZONEN0�
CNEARESTROSS ST. � /`RECEIVV`EO BY Ready for InCFneet2on �1D/9A�E I/SS�U ED
OWNER r• >_
MAILINDUSTRIAL
7�ADDRESS , u,J'CLt� ' WASTE APPROVAL
C1Tv L,w EL. INSPECTION RECORD
PLUMBER Itsl
ADD SS � Ob�C.t3 -, �,/[ /yJ -�+-� `O-•+ / v
CITYA,. STA
LICENSE N0, 4 � UNTV / J
PERMIT FEES a
O�Z
IlJ M.3 E/R� TYPE OP FIXTURE ON ITEM FEE
y • r
/ -WATER CLOSET(TOILET) @ 0.80 8 U W
t / O
BATHTUB @ 0.80
SHOWER @ 0.80 f
LAVATORY (WASH BASIN) @ 0.80 V -7119 gq/ C7 Q G/ G
), KITCHEN SINK @ 0.80 L� 6
LAUNDRY TUB OR TRAY @ 0.80
t
SLOP SINK @ 0.80 I I
FLOORSINK @ 0.80
FLOOR GRAIN @ 0.80
DISHWASHER @ '0.80
DRINKING FOUNTAIN @ 0.80
e5 URINAL @ 0.80
'/.. GASSVSTEM...... ......OUTLETS @ 1.00
WATER HEATER @ 1.00
SCELLANEOUS
APPROVALS
—!— DATE INSPEC'TOR'S SIGNATURE
TINDER SLAB WORN N// .
PERMIT $ 1 00 ROUGH PLUMBING - -471
GASPIPING
T
TOTAL FEE HI �O _ GASVENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ HIS APPLI
TOCOAND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER NEATER
TO COMM PLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. � PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GASTEST /w�TYh� 1
AND STATE OF CALIFORNIA OR POT 1 M THE LEGAL OWN-
ER OF THE AS DESCRIBED E IDE AL PROPERTY.. UTILITY CO.NOTIFIED
SIGNATURE -
OFPERMITTEE.... ... ...... ... . ............................._......_......_.
FINAL _ t
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