HomeMy Public PortalAbout9055 BROADWAY_Plumbing__ 76A667 (CE-8171-4/72 /
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS 9055 Broadway
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY Temple City
FOR APPLICANT TO FILL IN IPRINT OR TYPE) NEAREST
.
NUMBER FIXTURE OR ITEM @ FEE CROSS STSultana
WATER CLOSET 1.75 OWNER Tracy L. E.
— MAIL
BATH TUB 7.75
ADDRESS 9055 Broadway
SHOWER 1.75 CITYTemple City TEL. NO. 2 7- O23
LAVATORY 1.75 CONTRACTOR W.
E Graham
SINK 1.75 ADDRESS 9 .27 Las Tunas Drive
DISHWASHER 1.75 CITYTemple City TEL. ND.286-9293
CLOTHES WASHER 1.75 STATELICENSE NO.104466 CLIC
LASS C-3
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP ZONE CESSE3 BY
LAWN SPRINKLER SYSTEM 7.75 `/ Q
1 WATER HEATER 1.75 1 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD U
OUTLETS OVER
5 PER SYSTEM .30 �
U
W
d
N
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00'
TOTAL FEE
APPROVAL$ DATE INSPECTOR'S NIANATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
HEREBY ACKNOWLEDGETHAT HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TCOMPLY PLUMBING FIXTURES
WITH ALL COUNTY OROI NANCES AND STATE LAWS REGULATING GULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LI CES BED AS REOU I RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTENO,TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
51 GN 47U RE
OF PERMITTEE
PERMIT VALIDATION cK. M.o. c4sH
PLAN CHECK VALIDATION CK. M.O. CASH
0 .5"SEP 20 5. 0 4.75A,-Ad
'6A"'
S"IT 1256 APPLICATION FOR PLUMBING PERMIT
OB
DIVISION OF BUILDING AND SAFETY
Dep. But of County Engineer
County of Los Angeles
WM. J. FOX. COUNTY ENGINEER . 'BUILDI 5 9055 E. Broadway
CASSATT"D. GRIFFIN. SUPT OF BUILDING
LOCALITY -TeT(1T)le City
FOR APPLICANT TO FILL IN NEosssT. §Altalaa & Rrollladwa
OWNER 'AI DISTRICT O. GR pyl. RE.DY PoR INSPEC110R
MAIL
ADDRESS 0
INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
PLUMBER t Co. INSPECTION RECORD
ADDRESS B4e333 E. Florence Ave . ((��.� -% a tiAl�
JE
CITY A TEL. NO.
LICEN ENO. d
NUMBER .TYPE OF FIXTURE OR ITEM FEE // ^
WATER CLOSET (TOILET) $ 80 v _ _ JI
I
BATH TUB iSO -
_ SHOWER O1.
LAVATORY (WASH BASIN) . .00 -
KITCHEN SINK 80
DISHWASHER _
LAUNDRY TUB OR TRAY
CLOTHES WASHER
I
A TOTAL.NO. 0 0.50 3. 20 APPROVALS
DATE INSPECTOR'S SIGNATURE
CAS SYSTEM�_OUTLETS ® 1.00 'n`n�- 1
l WATER HEATER * O 1.00 1 oO UNDER SLAB WORK
_ ROUGH PLUMBING R515J a•4L1aYf — ��
.� PERMIT S 0� GAS PIPING
TOTAL FEE I F)' 20GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION HOT WATER HEATER _
AND STATE THAT THE ABOVE. 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGMLATING PLUMBING FIXTURES
PLUMBING. /
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REOUIRED BY S ANGELES COUNTY ANDASTATE OF UTILITY CO. NOTIFIEDCALIFORNId
DESCflIBEDARSIIDENTAOR TH ATL E/LEGA O F HE ABO E SIGNATURE Lt
OF PERMITTEE FINAL
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION
Tp 3 6 1 3 MAY 17. 3 6.2 D in
BY
DEPUTY
-• COUNTY OF LOS ANGELESTEMPLE CITY q 0508' PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS 'PL 0508 0509210008
BUILDING AND-SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: - FEES PAID BUILDING ADDRESS:
ON FILE 9055 BROADWAY
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802312
ASSESSOR INFORMATION NUMBER: 'NEAREST CROSS STREET:
5387-026-008 01 PERMIT ISSUANCE FEE .27.]5 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE-CITY, C
05 BACKFLOW DEVICE(S) 1.00 DEV 16.20
TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
_ 25 LAVATORIES/SINKS 2.00 FIX 32.40 09/23/05 JK 03/22/06 -
45 WATER CLOSET/URINAL 2.00 FIX 32.40
OWNER: TEL. NO: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 FINAL DAT s/ FINAL BY: CODE:
YEE, SHIRLEY (626) 292-2266- 60 DW REPAIR OR ALTER 1!00 SYS 16.20
9055 BROADWAY TOTAL FEES 157.35 _
TEMPLE CITY CA 91780 - DESCRIPTION OF WORK
PLUMBING FOR NEW BATHROOMS, AND LAUNDRY ROOM
APPLICANT: TEL. NO:
CAI (626) 429-1884-
416 W. AVONDALE AVE SPECIAL' CONDITIONS:
MONTEREY PARK 91754 "
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
T 6 W CONSTRUCTION (626) 429-1884-
416 W. AVONDALE AVE LIC. NO UNDER BWORK
MONTEREY PARK, CA 91754 ]]1180 B Flo�_ (�_-
WATER SERVICE /
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO: -
- ROUGH PLUMBING
LIC. NO: I 1.
GAS PIPING Z-7—
GAS
GAS VENT
HOT WATER HEATER
PLUMBING PI%TURES
LAWN SPRINKLERS
GAS TEST - -
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BSOSOB