HomeMy Public PortalAbout9076 BROADWAY_Plumbing__ 76A6671 CE-8171 - 5/73 I C C L C
APPLICATION FOR PLUMBING PERMIT'
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ) J
d1A KE-CHECKS PA}'ABLE 'PO: I ADD flESS �yJ
HARVEY T. BRANDT, COUNTY-ENGINEER. Fn1 /t T, L
LocAuir
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST _�„J / '
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
OWNER to ,r'II 0. . ..
WATER CLOSET 1.75
MAIL ` ..{•
BATH TUB 1.75 ADDRESS
SHOWER 1.75 CITY I L TEL NO�R')—
LAVATORY 1.75 CONTRACTOR _
/1 - I� A]� (A 1,
SINK 1.75 ADDRESS LP'% 1'� I 1,
f, I
DISHWASHER 1,75 ..T (CITY I ��nj IQ I" 0i I TEL. NO.
CLOTHES WASHER 1.75 STATEl ( Q(�nO' ,LIC
1 O -/ O'I CLA 't'
SWIMMING POOL RECEPTOR 1.75 ;LICENSE No. S$....
°Gfl0 E F CESSEDBY
LAWN SPRINKLER SYSTEM 1.75 DISTRICT NO.
WATER HEATER 1.75 r INDUSTRIAL
WASTE APPROVAL y
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD U
OUTLETS OVER -
5PER SYSTEM •30 4G CD
U
d
b Z
Plan check fee See Reve.se
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INs aeeToe's sicuATUHE
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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GA$ TEST
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REGOI RED By
LOS ANGELES COUNTY AND STATE OF
CALIFORNIA GR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED TIAL PROPERTY. FINAL
SIGF TU RE
I f PERMITTEE
PERMIT VALIDATION
,PLAN CHECK VALIDATION cK. M.O. cnsH (C'
M.D. CASH
2 4 Ci DEC 2a s u 4.7 Au�d
_J
FA
TBAMBT-CEN 8 I 5163
$ APPLICATION FOR PLUB G PadlT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION RIIILDING C
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS (j )
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY /
fi lL
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER r
WATER CLOSE! $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 125 CITY TEL. NO.
LAVATORY 1.25 - CONTRACTOR I 1 G INQ`
SINK 1.239 ADDRESS 407 N. Lee Ave.
DISHWASHER LIS u� CITY 80. El Monte TEL. NO. 444-0528
LAUNDRY TUB 1.25 CONTR CTOR*SBATION N0. C 36 206367 COUNTY 0
CLOTHES WASHER 1.25 I DISTRICT NO. S IUPNE PRO SSED BY
/ WATER HEATER 1.50 � 0 kg
}
I.bO INDUSTRIAL 2
CAS SYSTEM OUTLETS WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .$0 V
INSPECTION RECORD
0
F-
z
Z
APPROVALS DATE INSPEgfO 'S SIGNATURE
PERMIT $ O UNDER SLAB WORK y
ROUGH PLUMBING fj
TOTAL FEE
GAS PIPING
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST G
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBE RESIDE(N�TIA/LyPROPERTY. UTILITY CO. NOTIFIED
SIGNATURE \�� ` A
OF PERMITTED/ V' i�
FINAL C�jf
0 AMDATION ROBERT A. WOOD
cK. M.0. CASH SUPERVISING MECHANICAL ENG'R
1 0.00~
LA o1. 5 6 2� APR26 5 D
�cv�
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMB IPERMIT- ---,
.DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS C-`PL 0508 9903020007-1-; -
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT: --y
GAL 10: FEES PAID BUILDING ADDRESS:
TR: 11218 LT: 4 BL: B 9076 BROADWAY
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802313
ASSESSOR INFORMATION NUM NEAREST CROSS STREET: SULTANA
5388-002-004 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON:. PROCESSED B AN B EXPIRES ON:
03/02/99 UT 03/02/00
OWNER: TEL. NO: FINAL DATE FINAL BY- CODE:
GIRL LBO MARY ANN (818) 287-4262- nn O� /
9076 BROADWAY
TEMP 917802313DESCRY WO
PLUMBING FOR AIR CONDITIONING AN HEATING
APPLICANT: 0: } l,yw� P--4tiw.b
JAMES WUKMIR COMPANY (626) 442-2148- J
11500 RAMONA SPECIAL CONDITIONS:
EL MONTE
PNGELES CO
CONTRACTOR: TEL. NO: o5 �NTy APPROVALS DATE NSPECTOR SIGNA URE
' JAMES WUKMIR CO., INC. (626) 442-2148- V
11500 RAMONA LIC. NO UNDER S WOR
EL MONTE, CA 285626
/ WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT R GINE L. 0: -
LIC. NO/I ROUGHPLUMBING
GAS PIPING
U D L � ^ W��� � GAS VEN
((w 0 A HE R
PL BING FIXTURES
11_ LAWN SPRINKLERS
Z13 GAS ES
t� Its
U af �1
= 3S
0 ®�®c� UTILITY COMPANYIF D
`b/7O Servi❑ce 7ha���`� CWV
GRAY WATER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508