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Home My Public Portal About9063 - 9069 BROADWAY_Plumbing__ 78A'89667 72 APPLICATION FOR ' PLUMBING PERMIT DIVISION OF BUILDING AND SAFETY Deportment of County Engineer _ e County of Los Angoles BUILDING ^ y/ Lit - .,.. _ ,.._. WM.J. FOX. COUNTY ENGINEER AODR ESSE CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST V \lam— CROSS ST. OWNER /.4 L> DISTRICT NO. I GROUP I ZONEI a[nor roq Ixsp[c nDN ADDRESS �j 1 f J +�^"� 5 T - INDUSTRIAL CITY TEL. NO. WASTE APPROVAL PLUMBER ,Z C.a [.� •••• i3 - INSPECTION RECORD ADDRESS 1 W • "" M Z4 a,;n1T 4 69,4,. CITY /J/J-I J /TEL. NO. C✓A`/ Lsf — LICENSE NO. •LAy L✓ NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) $ _ BATH TUB SHOVER LAVATORY (WASH BASIN) KITCHEN SINK _ DISHWASHER _ LAUNDRY TUB OR TRAY CLOTHES WASHER TOTAL NO. ® 0.80 I .APPROVALS ' — DATE INSPECTORS SIGNATURE CAS SYSTEM—OUTLETS ® 1.00 -- UNDER SLAB WORK WATER HEATER @ 1.00 ROUGH PLUMBING PERMITS t 00 GAS PIPING I, TOTAL FEE I 0a GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER_ _ ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAPIS REGULATING PLUMBING FIXTURES C PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST 1 a LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED CALIFORNIA OR THAT I AM THE LEGAL OWNER OF T E ABOVE DESCRIBED RESIDENTf L PROPER). 9 SIGNATUREOF PERMITTEE �� FINAL f WILLIAM J. FOX• & UNTY ENGINEER VALIDATION ' _.,&0815'; FEB 23 3 2_00 m BY / ,Y/n DEPUTY PLUMBOND "R DEPARTMENT OF COU= ENGINEER DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES Ne BUI DI WILLIAM•Ja. FOX, COUNTY ENGINEER FOR R APPLICANT TO FILL IN NEAREST C. BUILDING ^ INEA REST ADDRESS Q �y� �® y CROS85T. LOCALITY 70ZFf DIST M0. GROUP I/}rJ( /7J jQ•NE. PERMIT N0. NEAREST S/7 CROSS ST. EC IVED B/Y`/ Ready for Inspection DATEISSUED OWNER `�J` MAIL 'INDUSTRIAL ADDRESS .WASTE APPROVAL CITY TEL.NO. INSPECTION RECORD PLUMBER BAXTER '&- SON ADDRESS 2536 N. San Gabriel AllF�Aemtq. CITY S. San/JGaaJbriekEL.WO.AT. 7-5241 LICENSE NO./N� 7 `1� } [f.• 5� ❑COUNTY PERMIT FEESI a U—M9yE R— TYPE OF FIXTURE On ITEM FEE � 6 / WATER CLOSET(TOILET) @ 0.80 S 00 M Ns 0 BATH TUB @ 0.80 O SHOWER @ 0.80 LAVATORY (WASH BASIN) @ 0.80 1 A'✓`-r-m -S D w ra KITCHEN SINK @ 0.80 d i ��{m 1Z-'LA4 LAUNDRY TUB OR TRAY @ 0.80 Ci - 1C)b- w g2A1a01 WL AIMQ- Q"O SLOP SINK @ 0.60 - FLOOR SINK @ 0.80FLOOR DRAIN @ 0.80 rL-&-4 1"I �we1 �r DISHWASHER @ '0.80 1 l.. kiCn, OT•P: 1 a �L.L� DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 GAS SYSTEM.............OUTLETS @ 1.00 WATER HEATER @ 1.00 MISCELLANEOUS - _ APPROVALS _ DATE INS CTOR'S SIGNATURE _ UNDER SLAB WORK I2 15 k5k ---+ PERMIT $ 1 00 ROUGH PLUMBING y TOTALFEE GASPIPING It'I--7;�) IZ V SI G�•"' IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT CATION AND STATE THAT THE ABOVE AIS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINNCES AND STATE LAWS REGULATING PLUMBING. ryAPLUMBING FIXTURES AND/OR LICENSED HEREBY IA&–RFY EQUI E M PROP ANGELES ICO E TY GAS TEST 't 1 (. rS AN STATE OF CIFORNI AM THE LEG OWN- p ER OF THE VE D ED ENTIAL TY. UTI LITY CO.NOTIiIED 2 SIGNATU OFPER TT ..._......_._..........�......_. ............_ ... _... ._....._. W FINAL a 76AO67 DBS 17 Cdb 12-53 .. 76A667A ICF 817B- 11/76 APPLICATION FOR PLUMBING PERMIT BUTAND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM ® FEE ADDRESS 190 (� WATER CLOSET LOCAL BATH TUBNEAREST 3 1 CROSSST SHOWER OWNER,] MAIL LAVATORY 31 ADDRESS Q Q SD ! SINK CITY—sI•L,tiljp/J TEL.NO.&—? [�V r DISHWASHER 2 CONTRACTORS CLOTHES WASHER 3 ADDRESS 303iA Ccs SWIMMING POOL RECEPTOR LAWN SPRINKLER SYSTEM CIT STATE22 �� (. ``11 TEL.NO. 733 WATER HEATER LICENSE NO. JPO 3�?V CLASS C •x-16 GASSYSTEM S' OUTLETS DIST ICT, NO. O GROUP lyp iPRQCES$ED Y OUTLETSOVER "4U T �Jl \/��/ } 5 PER SYSTEM INDUSTRIAL G WASTE APPROVAL V INSPECTION RECORD OL 2V7 7�sr o v�Y ell N Plan check fee PLUMBING PERMIT ISSUING FEES frp O7ALFEE Plan check applicant - APPROVALS DATE INSPECTOR'S SIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING i— City Tel.No. GAS PIPING L IN ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES HOT WATER HEATER AND STATE LAWS REGULATING PLUMBING, 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTU $ q/ REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY, UTILITY CO.NOTIFIED SIGNATLHA2 OFPEnMITTEE 7p n FINAL /a. -77 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CKr M.O. CASH 0 7 0'PtAY 3 5 D 2 8.5 0 Au .. 7SA667A NcE 817B)- 11/76 APPLICATION FOR PLUMBING PERMIT BUILDINGA DSAFETYDIVI N 063 _6:5' FOR APPLICANT TO FILL IN IPRINT OR TYPEI BUILDING NUMBER FIXTURE OR ITEM ® FEE ADDRESS WATERCLOSET 3 LOCALITY' BATH TUB 3 NEAREST �. + N CROSSSi " rk SHOWER OWNER -1Z uv—. LAVATORY �/ MAIL loo / 2- ADDRESS ( O 5o . -S; NGL.I-,° pp IIll SINK — 9 CITY SAN"J ' TEL.NO.�p,? �7cy L DISHWASHER L CONTRACTOR jCy ( f�'` `Lt's l i CLOTHES WASHER ADDRESS i_1 'u i SWIMMING POOL RECEPTOR CITY_5j,k•,.4a L�.b. C� TEL,NO.Q' t-36 e_ LAWN SPRINKLER SYSTEM { ' WATER HEATER .Z STATE CENSE NO.J p°.O Q 1V CLASS C-3 p GAS SYSTEM �,p,��OUTLETS DI 3T NO. GROUP NE CESSE BY 121-9 lh, O / OUTLETS OVER INDUSTRIAL c((JO 3 d 5 PER SYST EM WASTE APPROVAL 0 _ INSPECTION RECORD V Ori7T0;L/&V O N Z Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE Plan check applicant Name APPROVALS /DATE INSPEVOR'S SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING �ls City Tel,NO. GAS PIPING IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING, HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY, UTILITY CO.NOTIFIED SIGNATURE �p OF PERMITTEE FINAL /2-7-'7A� v� PLAN CHECK VALIDATION OK. No CASH PERMIT VALIDATION CK. M.D. CASH 07 1-;MAY 3 5 D 6 .4.5 0 A�6