HomeMy Public PortalAbout9059 BROADWAY_Plumbing__ • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0205220019
' BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL PAID BUILDING ADDRESS:
ON FILE 9059 BROADWAY
FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA 917802312
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: SULTANA
5387-026-007 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY
05 BACKFLOW DEVICE(S) 1.00 DEV 16.20
TENANT: 07 BATHTUBS/SHOWERS 4.00 FIX 64.80 ISSUED : PROCESSED AN Y: EXPIRES ON:
11 CLOTHESWASHER(S) 1.00 FIX 16.20 05/22/02 JK 11/18/02
13 DISHWASHER(S) 1.00 FIX 16.20
OWNER: TEL. N0: 21 HOSE BIBB(S) 2.00 FIX 32.40 FINALPATV FINAL BY: CODE:
KUH;GLORIA (626) 307-1648- 25 LAVATORIES/SINKS 4.00 FIX 64.80
9059 BROADWAY 45 WATER CLOSET/URINAL 3.00 FIX 48.60
TEMPLE CITY 91780 47 WATER HEATER(S) 1.00 WTH 16.20 DESCRIPTION OF R
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 PLUMBING FOR NEW SFR
TOTAL FEES 319.35
APPLICANT: L. O:
KIM WONG PLUMBING (626) 448-1383-
9631 ALPACA ST _ SPECIAL CONDITIONS:
S EL MONTE 91733
CONTRACTOR: TEL. NO: - AP RO LS DATE INSP C OR SIGNATUR
KIM WONG PLUMBING (626) 448-1383-
9631 ALPACA ST. LIC. NO UNDER SLAB /OR
SOUTH EL MONTE CA 91733 752619 B * 2b2- l
W TER SER ICE
PLASTIC Y/N METAL Y/N
ARCHITECT ENGINEER: N0:
ROUGH NG
LIC. N0: i - -
I -0 S P N /2
G S V
HOT WATER HEATER
P B S
L N ! L S
GAS TEST ?D
PA
-- C
WATERWV
GRAY SYSTEM
ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508
D.B.8.-17 25M SETS 12-45 APPLICATION FOR PERMIT
;AEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
Wm. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE / P•yIIIERRMIT NO.
ROUGH FIK ORES COMPLETE •� _�
HEATER CESSPOOL BHPTIC TANK RECEIVKD BY READY FOR DAT ISSUED
FIRST INSPECTION � 71A
GAS MISCELLANEOUS � /
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
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ADDRESS 2806 S. SAN GABRIEL BLVD. LOCALITY
3 GARVEY� CALIFORNIA NEAREST of
y CITY TEL.No T- Oif CROSS ST. FL
COUNTY qa EXPIRES"Y'
CERT.No. NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z ADDRESH
MAIL
3
NORTH D
CITY TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANG ELE9 COUNTY CERTIFICATE OP OVA PI TION.
PLUNOQR
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED'
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DESCRIPTION OF WORK
___/BATH TUB FURNACE
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HOWHR DISHWASHER
AVATORY REFRIGERATOR
KITCHEN BINK WATER SOFTENER
FLOOR BINK SANDTRAP
LOP BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPQGTOR'R NAME
WATER HEATER DENTALLAVATORY ROUGH PLUMBING I G'?
METER--d/—GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT I I
CESSPOOL I
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CE88 POOLSEPTICTANK SEWER
S UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
Oss:Iv zsM secs „mss - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
• NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE- PERMIT NO.
_ s SyJ�
ROUGH FIXTURES � COMPLETE '
LRE EIVED BY READY FOR DATE ISSUED
HEATER CESSPOOL BPpTIC TANK _ FIRST INSPECTION -ell-1'-ellGA9 MISCELLANEOUS _
APPLICANT_FILL IN •HEAVILY OUTLINED PORTION ONLY
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[LOCATION
NAME DRESS ADDRESS LOCALITNEAREST
CITY TEL.NO. CROSS BT.
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NORTH O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
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1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
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?, OWNER
CORRECTIONS
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DESCRIPTION OF WORK z
BATH TUB FURNACE `
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FLOOR BINK SANDTRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL ' APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NAMi
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I
METERGAS SODA FOUNTAIN GAS PIPING I I
OUTL
GAS VENT
'CESSPOOL '771
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CEBSPOOI REPTIC TANK SEWERUTILITY CO,NOTIFIED FEE
FINAL
D'B'E'IT 55M�S I•"B APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES � ����
Wm.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRI G oouu O pE NO.
OU...ROUGH FIXTURES I COMPLETE
—II R CHIVHO BY READY FOR DATE ISSUED
HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION
AB MISCELLANEOUS D W I7-4
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
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NAME a . .. _ .... . ., , ADDRESS
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COUNTY �+
CERT.No. M EXPIRES -3O-% 0 NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
i AM THE LEGAL POSSESSOR OF THE ABOVE LOB
ANGELES COUNTY CBRTIFICAE OF OUALIFI ATION.
1 AM THE LEGAL OWNER OF THE PRO71ftY DESCRIBED
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DESCRIPTION QF WORK _z
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ATH TUB FURNACE 0
iz
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WATER CLOSET AIN
DATE INbP6CTOR48 M/:MH
WATER HEATER RY ROUGH PLUMBING I I
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OUTL
AS VBNT
CESSPOOL I
TOTAL NUMBEROF FIXTURESSEPTIC TANK I I
CESSPOOL SEPTICTANSEWER
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
)GAGS? (CE-BIT) - 1/75
APPLICATI NFO PLUMBI�G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION _
MAKE CHECKS PAYABLE TO: nooaess dQ' /r„�
/sA-O A C. n
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
RE
FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST /
$�/)'I+�iT {•GY
NUMBER FIXTURE OR ITEM @ I FEE CROSS ST. C
WATER CLOSET 2,00 OWNER
/✓ / !lC:.�� ��O /�S
MAIL /'
BATH TUB 2.00 ADDRESS ev V S 4 �.//J 0 µ 'n
SHOWER 2.00 CITY (N�•h �1 TEL. NO.—X& 7 A:42
LAVATORY 2.00 CONTRACTORS ,�7,:7 ,4 ;2
SINK 2.00 ADDRESS 9s-�5_ � �O [[[LLL [ h d 'Cf/4'U�
DISHWASHER 2.00CITY dSG M,C TEL. NO.��y 6 /
CLOTHES WASHER 2.00 STATE �. CLASS
S LIC
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SWIMMING POOL RECEPTOR 2,00 9
LICENSE NO. 0',7
DISTRICT NO.GROUP //��JZONE R ESSFP 0
LAWN SPRINKLER SYSTEM 2,00 'r b T / Y _3 �/p ,
WATER HEATER 2.00 INDUSTRIAL V�
WASTE APPROVAL
GAS SYSTEM OUTLETS 2.00 ' INSPECTION RECORD p
OUTLETS OVER O
5 PER SYSTEM .30 ,
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Plan Check fee See RBYarae
PLUMBING PERMIT ISSUING FEES Al 6M
TOTAL FEE
APPROVALS DATE Ix9 PEc ro R'a alcNAru RE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. NO. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ .THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING _FIXTURES
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
HEREBY CERTIFY THAT AM PROPERLY REGISTERED ANO/OR UTILITY CO. NOTIFIED
LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF
CALIF
ORNIA OR THAT M THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE ES ISED RESIDENTIAL PROPERTY. FINAL
SIGNATURE
OF PERMITTEE
- - - PERMIT VALIDATIONcK., MID: cnsH
PLAN CHECK VALIDATION CK. M.O. CASH 8 3 2m�pCT 21 '5 D 7.5 0 A98