HomeMy Public PortalAbout9126 BROADWAY_Plumbing__ APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING"AND SAFETY DIVISION BUILDING (] e
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS //2. G lI�.p OADW AV
WILLIAM A.-JENSEN. SUPT OF BUILDING '
LOCALITY Tem L L" Cal Y CA4t-!F.
FOR APPLICANT TO FILL IN 41
NEARESTsr. t�C I N /I ffS. S i
NUMBER FIXTURE.OR ITEM EACH FEE A� -
/ .OWNER 1 Ile 4- MZS ARKY w- ,
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS 912-6 ee-OADWAII
SHOWER 1.25
•CITY-rEMPLC" C(T TEL. NO:
' ,
/ LAVATORY 1.25 CONTRACTOR Sc V PLV MIS(N(J'
SINE 1.25 ADDRESS I-L20 .SfLY'8L BiRr-I"A f'LAL.(_.
DISHWASHER 1.25 CITY (,JUST CO✓INA TEL. NO. �3) 32088
LAUNDRY TUB. 1.25 CONTRACTOR'S
ION NO. 210666 STATE
COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUC HE PR ESBED BV
WATER HEATER .1.50 _ (I LCL -
GAS SYSTEM OUTLETS L.50 INDUSTRIAL G
WASTE APPROVAL
OUTLETS OVER S.PER SYSTEM .000
INSPECTION RECORD ' -
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- APPROVAL��I` DATE�'INSPECTOR'S SIGNATURE; 1 I'
PERMIT - 5 2 00 UNDER SVAB WORK.. ,�' /
ROUGH PLUMBING
TOTAL FEE J GAS PIPING
1 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 ANO STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. -
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES I , J� /(�Vjy(��V�/
LICENSED A9 REQUIRES BY LOS ANGELES COUNTY ANO STATE OF GAS TEST HOW-, / YFj(t/�
CALIFORNIA'OR THAT 1 AM THE LEGAL OWNER OF,ANO INTEND TO
RESIDE IN, THE ABOVE CRIBED RESIDENTIAL ROP RT
.UTILITY CO. NOTIFIED t �A
SIGNATURE'
OF PERM ITTE -
'FINAL'
VALIDATION ROBERT A. WOOD
cA.H SUPERVISING MECHANICAL ENG'R
LALO 2y 0 051- FxR ]. L{ 5 D
6.00-
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-COUNTY OF LOS ANGELES TEMPLE CITY k 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0609050018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0408 EXT: -
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 11218 LT: 10 BL: B 9126 BROADWAY
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917802304
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOM
5388-002-010 C. PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, C
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
09/05/06 JK 03/04/07
OWNER: TEL. NO: FINAL DATECODE:
HARPER BARRY W TR BARRY W HARPER TR (626) 285-2837- "
9126 BROADWAY
TEMP 917802304 _. DESCRIPTION OF WORK
WATER HEATER CHANGE OUT
APPLICANT: TEL. NO: )
RICHARD LA PAGE (SILVER EAGLE SER) -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS, DATE INSPECTOR SIGNATURE
ALL PRO PLUMBING (888) 615-3330-
12023 ARROW RTE LIC. NO UNDER SLAB WORK -
RANCHO CUCAMONGA, CA 91730 B/L 3131
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
ROUG4 PLUMBING
- LIC. NO: 4-
GAS PIPING
GAS .VENT
ti
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS 'FEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508
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