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Home My Public Portal About9070 BROADWAY_Plumbing__ TfiAWT -CE KBIT 2-82 TEMPLE COTY APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISIONJDRESS LDING JOHN A. LAMBIE. COUNTY ENGINEER 8070 ��a/20I�Ow Iq WILLIAM A. JENSEN. SUPT OF BUILDINGCALITY T&rm LE CT FOR APPLICANT TO FILL IN oss$sT. �Z oSc//MCAO NUMBER FI%TURF OR ITEM EACH FENER^T�ANl3 OLO/=/ 12_ WATER CLOSET $1.25 ILHATH NB 1,25 DRESS SAM F /CITY TEL. NO-4 7 35 SHOWER 125 LAVATORY 1,25 CONTRACTOR Ocv N E'2 SINK 1.25 1 _ ADDRESS DISHWASHER 1.25 CITY TEL. NO. LAUNDRY TUB 1,25 CONTRACTOR'S STATE O REGISTRATION NO. COUNTY CLOTHES WASHER 1.25IF RICT N GROUP ZONE PR CE !D BY WATER HEATER 1.50 i GAS SYSTEM OUTLETS 1.50IAL APPAOVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD 17 ` a N Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK (�� //��_ TOTAL FEE 00 ROUGH PLUMBING GAS PIPING I . I /i��. ® w/a1l 1 HEREBY THAT TH ABO THAT 1 HAVE HEAD TRIS APPLICATION COMPLY ( Kms+ �•pJS��/_y1/� I ANO STATE THAT TME ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT �� C 1 P� 'P�� •� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER I hit r Rf•11 PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY FEGISTEREO ANO/Op PLUMBING FIXTURES LICEN5EO AS REQUIRED BY LOS ANGELES COUNTY ANO STATE OF GAS TEST CALIFORNIA ON THAT 1 AM THE LEGAL OWNER OF.ANO INTEND TO RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE �' JI OF PERMITTEE ��^`" ' VALIDATION ROBERT A. WOOD M. D. CASH SUPERVISING MECHANICAL ENG'R Lo 1 5 1 5 G OCT 16 5 D 6.00- v 7GA069•CENB17' 9/63 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 0 7 U Po `4� C r JOHN A. LAMBIE. COUNTY ENGINEER - WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY -^ FOR APPLICANT TO FILL IN NEAREST CROSS ST. L NUMBER FIXTURE OR ITEM EACH FEE OWNER ^ O 3 WATER CLOSET 31.25 MAIL l� ✓ R / BATH TUB 1.25 „ ADDRESS d i4 m /L SHOWER 1.25 CITY TEL. NO. LAVATORY 1.25 •O O CONTRACTOR r /- SINE 1.25 ADDRESS O` '4 2 DISHWASHER 1.25 CITY (�) CtS:,A,�N/Ic SEL. NO. LAUNDRY TUI 1.25 CONTRACTOR'S STATE ❑ REGISTRATION NO. •2 /jJ L COUNTY O CLOTHES WASHER 1.25 DISTRICT NO. GROUP NE P 66E0 BY WATER HEATER 1.50 GAS SYSTEM OUTLETS 1'50 INDUSTRIAL 2 WASTE APPROVAL O OUTLETS OVER S PER SYSTEM .00 INSPECTION RECORD A ,A l.7 s I �� APPROVAL yp�Qq ,[EpQ�bI-pe ..�5. ,A uRE PERMIT S 2 00 UNDER SLAB WO KIrAA�/ !tiY 4�V'A'F t p!I TOTAL FEE D ROUGH PLUMBING GAS PIPING L BY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT r TE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY LL COUNTY ORDINANCES ANO STATE LAWS REGULATING HOT WATER HEATER G. I - BY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST �4��,� .r�w NIA OR THAT AM THE LEGAL OWNER AND INTEND TO N,THE ABOVC OEGCfl IBEO pE810E IAL P PERTv. UTILITY CO.NOTIFIED JURERM I TTE FINAL VALIDATIONROBERT A. WOOD M.0. C crc. M.o. asN SUPERVISING MECHANICAL ENG'R L:I,,o 7 3 6 I7Z AFn 7 7 D 1 2.0 O^' b�— k�6'6,7-CE517 R-BD -cJ APPLICATION FOR PLUMBING PERMIT RMTOFTYGEDEPATTNCOUNNGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDSESS 'D E, O 0WY- WILLIAM A. JENSEN. SUPT OF BUILDING LOC _ C 1 FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM / !) OWNIIi C9EeLg!t2, WATER CLOSET ADDRESS 1'070 f R O,+a A? BATH TUB SHOWER CITY TEL NO. LAVATORY CONTRACTOR13 Lk ��✓C l7/ /S RINK ADDRESS 14S6)- t• iLLE: I3L DISHWASHER CITY 1- v E TELO. ,3-S X01 6 CONTRACTOR'S STATE'_ LAUNDRY TUB REGISTRATION NO. .5 COUNTY CLOTHES WASHER DIISS^TR,I{CT�JNO. ROUP ZONE P OCESSED BY WATER HEATER �J - v CJ GAS SYSTEM INDUSTRIAL WASTE APPROVAL U /INSPECTION RECORD N 0 .f T-y7 H ® .00 PER ITEM OR FDMRE S APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ Z 00 UNDER SLAB WORK TOTAL FEE ROUGH PLUMBING.� GAS-PIPING �.�lCe-.,� �f/� �� !/✓ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REDD'RED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED'RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE AL 9 OF PERMI ®r �,OALIDATION ROBERT A. WOOD, IS.G. CAyl SUPERVISING MECHANICAL ENG'R b E0 2 0 F-B 16 5 D 3 .0 0 76A667 •CER817 12-04 '� C , '�J� APPLICATION FOR PLUMBING PERMIT 'j COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER Q BUILDING AND SAFETY DIVISION BUILDING / O O JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS / COLEMAN W. JENKINS, SUPT OF BUILDING „ LOCALITY FOR APPLICANT TO FILL IN - NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE / OWNER GLl WATER CLOSET $1.25 MAIL BATH TUB 1,25 ADDRESS j-p G(/q' SHOWER 125 CITY m 0/ TEL. NO. LAVATORY 125 CONTRACTOR eG // SOhS SINK 1,25 ADDRESS 3� CCA.y, �/t/ TATE DISHWASHER 1.25 CITY 0 ,PJ. TEL. NO. 733 11 53 LAUNDRY TUB 1.25 TOR'S a STATE REG,S AAS ON NO. 13I�f]] COUNTY ❑ CLOTHES WASHER 1.25 D�ISTRICT N GROUP I ZONE PROCESSED BY WATER HEATER 1.50 d!O Q/ 76-Z -1 GAS SYSTEM OUTLETS 1.50 Q INDUSTRIAL Y WASTE APPROVAL d OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD V �? W y 2 APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT]LAWSREGULATING $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL ,QQ GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAHIS APPLICATION GAS VENT ANO STATE THAT THE ABOVE IS CORREREE TO COMPLY WITH ALL COUNTY ORDINANCES ANDWS REGULATING HOT WATER HEATER PLUMBING. IHEREBY CERTIFY THAT1 AM PROPISTERED ANDIOR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELY ANO STATE OF AS TEST CALIFORNIAOR THAT THE GAL .ANO INTEND TORESIDE IN.TME AB S 1 RESIDEPERTY. UTILITY CO. NOTIFIEDSIGNATURE OF PERMITTEFINAL L.� -V LLIDATION ROBERT A. WOOD (L7/C_ _K. /, M.0. CASH SUPERVISING MECHANICAL ENG R GLH/I/O 3 0 S 5-� JUN 2'7 5 D 5.00- WORKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT {� I hereby affirm that I have a certificate of consent to self 76g667q LJ •�. insure, or a cerafr..ate of Workers' Compensation Insurance, CE 817(REV. 10/811 ' pr a certified copy thereof (Sec. 3800, Lab. G) , COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING 9070 E. Broadway Certified copy is filed with the county building inspec- ADDRESS tion department. NUMBER FIXTURE OR ITEM., @ FEE Temple City LOCALITY Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CR055 5 COMPENSATION INSURANCE SHOWER OWNER Dan Goldfarb (This section need not be completed if the work involved by the permit is for one hundred•dollars($100)or less.) cAVATORv MAIL Same ADDRESS-,.--; I certify that in the performance of the work for hich this . -c- ~ permit is issued, 1 shall riot employ ny person i manner SINK CITY TEL. NO, so as to beco a subject to the Wo rs"Cc p n ion Laws. DISHWASHER CONTRACTOR Control Ener gy Date:D Applicant CLOTHES WASHER ADDRESS 132 N. Miller NOTICE TO APPLICANTS If, after making this Certificate of Exemption,, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY Anaheim TEL N0993-0303 with comply with such provisions or this permit shall be STATE !L, LIC. !l�� 111, deemed revoked. WATER HEATER LICENSE NO. 463595 CLASS V-44 LICENSED CONTRACTORS DECLARATION DISTRICT NO. ROCESSED BY I hereby affirm-that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS ` n (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER (/ and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL VALIDATIO63 License Number463595 Class 463595 C-44 i so %oDATE O FINAL " U, Contractor Control Energ�,e 10-23=86 BY � ❑ I am exempt under Sec. O 8.8P.C. for this reason U Plan check fee ® a Date: PLUMBING PERMIT ISSUING FEE$ Z Signature TOTAL FEE Plan check applicant SINGLE FAMILY •HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 703).5, Business and _ Professions Code): City Tel. No. ❑ I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section ► 7044, Business and Professions Code). —45753A CONSTRUCTION LENDING AGENCY # m m • is • 5 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued I ° ° 1 6 5 0 (Sec. 3097,1 Civ. C.). ' • m e m16506 Lender's Name ( Q 2 4`- 8 6 Lenders Address I certify that I have read this application and state that the above information'is correct. I agree to comply with all County ordinances and State lows regulating Plumbing, and hereby - author- a representve of this County to enter upon the above me tione ppe t or inspection purpose . SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o Permittee 10 Ljate 7