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Home My Public Portal About9214 BROADWAY_Plumbing__ 78 GE 81717 8-56 APPLICATION FOR PLUMBING PERMIT ,1 BUILDING AND SAFETY DMSION Department of County Engineer County of Los Angeles •Bu1LDING - JOHN A. LAMBIE.COUNTY ENGINEER ADDR E55 CA55ATT D.GRIFFIN.SUPT OF BUILDING LOCALITY or FOR APPLICANT TO FILL IN I NEAREST CROSS ST. OWNER s' DISTRICT NO. GROOUUe ZONE READY FOR INSPECTION MAIL C, �7 r 6pD 1n1AV I .L RA ADDRESS G CITY TEL. NO. - INDUSTRIALWASTE APPROVAL PLUMBER DON'S LUMBING SERVICE _ INSPECTION RECORD ADDRESS 840 So. Baldwin Avenue2- s CITY Arcadia, CalikL-,,Hi 7.0882 �.�g\>, / S 1_ 1 n , LICENSE NO. ♦♦ t NUMBER TYPE OF FIXTURE OR ITEM FEE (�A_-'r WATER CLOSET (TOILET) @ S1.00 S } BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00 — DISHWASHER @ $1.00 LAUNDRY TU BORTRAY @ $1.00 CLOTHESWASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 APPROVALS DATE INSPEC.'[pR�SIGNATURE UNDER SLAB WORK AD ',may PERMIT S 1 OO ROUGH PLUMBING I'D / -j_? GAS PIPING TOTAL FEE Gas VENT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE l T �� OF PERMITTEE `- FINAL ROBERT A.WOOD. JOHN A. LAMBIE, CO NTY ENGINEER VALIDATION SUPERVISING MECHANICAL ENG'R M.EK`;��C 5 D405u,AOCT 1 5 A 3 .0 0 76A667 19 25M SETS 7-49 r j APPLICATION FOR`PERMIT DEPARTMENT OF BUILDING AND SAFETYi n COUNTY OF LOS ANGELES L�U RM OR'0 N G WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICTO. F�DUP ❑NI __ F' PLUMBER 4ffl >.-N I •111 �O IyJ� RE EIVEDIBY FI RREADYP ECTION FOR DATE 'ISSUED CITJoe _ __4 jj� &;aj4TEL. No / 7�/�fADDRESS e- }. A_olt-444 COUN-TE e LICENSE NO. EXPIRES LOCALITY �Ei.ywiL/,(,� I CERTIFY THAT I POSSESS THE ABOVE VALID L09 NEAREST � ANGELES COUNTY LICENSE. CROSS 'o K-LOWNER 'T LCj'�k;/ • C Lir MAIL PLUMBER ADDRESS PERMIT FEE 19 $1.00 FOR THE FIRST FIXTURE OR CITY E , TEL. NO. ITEM LISTED BELOW, PLUS 500 FOR EACH ADDITIONAL I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP- ITEM. FOR EACH SEPTIC TANK AND PIT OR GRAINFIELD ERTY DESCRIBED ABOVE. $1.00. MINIMUM FEE FOR ANY PERMIT $1.00. EACH GAS SYSTEM IS A SEPARATE ITEM. OWNER NUMBER TYPE OF FIXTURE OR ITEM . WATER CLOSET (TOILET) - - CORRECTIONS BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN SINK LAUNDRY TUB OR TRAY GAB SYSTEM—OUTLETS WATER HEATER SLOP BINK J Q FLOOR BINK Z FLOOR DRAIN M DISHWASHER 0 O DRINKING FOUNTAIN URINAL MISCELLANEOUS APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING -OAS VENT .-CESSPOOL SEP IC TANK - DRAIN ( ) PIT ( ) $ SEPTICTANK SPOOL $ O(/ _ SEWER HOUSE SEWER $ O GAS TEST TOTAL FEE $ 9 ,f O UTILITY CO. NOTIFIED I+ FINAL //1,� D� 76Aen n 9.99 ® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING I WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRIC;NO. GROUP I ZONE PERMITNO. 1 G- AT PLUMBER "�� il< �9 ftEC D 6Y READY FOR DATE ISSUED ADDRESS 141/(J Q CAP F,µI�C'L—I� ,I FIRST1`SPECDTION ry •/.y�y / �1 1 J1 BUILDING �HfI � h �UXA`) CITY 1 1 I"1 RCOUNTY c `/�\ TELA. 'N/O.R4 (1d a``^r� ADDRESS N /A CI' T/ / LICENSE NO. ..3 -1 � EXPIRES (D—soe J) LOCALITY I �1-1 � I_� � IY ISP' NEAREST ♦/^ I / n PERMIT FEES cftosssr. /p/✓( /7 NUMBER TYPE OF FI%TUBE OR ITEM FEE — OWNER O L3 I L N o w �. c.•o � _ MAIL I WATER CLOSET (TOILCT) r 0.50 IADDRESS BATHTUB C) 0.501 1 CITY TEL. NO. ISHOWER n 0.501 1 1 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS LAVATORY (WASH BASIN) Q O.SO I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK �) 0.501__ STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB RTRAY (t5 0.501 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROP/ER�TY�DESCRIBED ABOVE. GAS SYSTEM —OUTLETS C) 0.501 pERM SIGNATUREE O OF I I WATER HEATER @ 0.501 I SLOPSINK n D.sol_ INSPECTION RECORD FLOOR SINK @il 0.5011 FLOOR DRAIN Ca O.SO DISHWASHER Q 0.501 .o'Y TFr. f�� iLI.C-w F� /• 1 DRINKING FOUNTAIN 0.501 URINAL Crd 0.so � J 1 HOUSESEWER Q 0.501_1_ Q Z MISCELLANEOUS ' 0 I I� I I I APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING 1 GAS PIPING GAS VENT CESSPOOL Q 1.001 1 CESSPOOL SEPTIC TANK: 1 1 SEPTIC TANK / 1 DRAIN ( ) PIT ( I.00I SEWER PERMIT 1.00 GAS TEST F UTILITY CO. NOTIFIED TOTAL FE[: 5 QD //JJ FINAL G�I�__//�/o`er 7BA667 -CER817 4-64 APPLICATION FOR PLUMBI EFR COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDAESS 9214 Broadway WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY Temple City � FOR APPLICANT TO FILL IN NEAREST CROSS NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET 31.25 25 OWNER Don Rogers— Contractor 1 MAIL BATH TUB 1,25 ADDRESS 1 SHOWER 1.25 25 CITY TEL. NO. l LAVATORY I,u 1 25 CONTRACTOR Valley Plumbing Co. d Glendor, SINK 1,25 ADDRESS 1,1,2 W. Fleetwood Place DISHWASHER 1.25 CITY Glendora TEL. No. Ed 51293 LAUNDRY TUB 1,25 CONTRACTOR'S 2G9�+ 1 COUNTY ❑ REGISTRATION NO. 3 ❑ ], CLOTHES WASHER 1.25 31 25 1 DISTRI ^NO. Gf1p532 ZONE PR ESSED BY WATER HEATER 1.50 l GAS SYSTEM OUTLETS 1'50 SC INDUSTRIAL d WASTE APPROVAL Q OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V o: 0 H V w a w Z APPROVALS DATE INSPECTOR'S SIGN_ATb RE PERMIT S 2 00 UNDE=t2IIIVB WORK PL2-r K " a. ✓1 ROUGH PLUMBINGF Y TOTAL FEE g SG GAS PIPING 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 I AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO REST BE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTE LLQ FINAL /WALIROBERT A. WOOD ..0. C M.O. CASH SUPERVISING MECHANICAL ENG'R r. . Lrt%o8 3 1 3 0 DEC 24 5` D'.' 850" "o - 1 • I w �. /- { -8P ' %-, WORKERS'COMPENSATION DECLARATION APPLICATION R. fmP ICA TION FOR PLUMBING ill 0 Bl.1A IEIIN PERMIT 'I hereby,affirm that I have a certificate of consent to-self 76A667A 6`Y I�Ir IL `irsY51 II OCI FOR Ir lL lll'YH&10 II�I`L9 L.B'lCH9 11 insure, ora certificate of Workers' Compensation Insurance, .CE 817(REV. 8/86) or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company _• .. Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR.TYPE) BUILDING / Certified copy,is filed,with the county building inspec- ADDRESS CGislor tion epartment NUMBER FIXTURE OR ITEM @ FEE Ug WATER CLOSET LOCALITY Dote - $O' fi7 APPlicam�'�' �Rf/Et NEAREST ERT ICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS IT - '• I rt COMff'!R r SHOWER PENSATION INSURANCE OWNER /L., S L .L� j`.] / l /} Ofl� (This section need not be completed if the work involved by . - 1he.permit is for one hundred dollars ($100)or less.) MAIL / LAVATORY 6 ADDRESS 5/9MI certify that in the performance of the work for which this , - - permil Is issued, I shall not employ any person in any manner SINK CITY T C TEL. NO.2$S `r{ps so as to become subject to the Workers Compensation Laws. DISHWASHER CONTRACTOR L, �. I-f p2V£7 `—V1r15T• Date Applicant CLOTHES WASHER {'Vj/9rtrZ NOTICE TO APPLICANT: If, after making this Certificate of ADDRESS S3 1}N r1-:I - Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITYS LQ"L4 P TEL. NO:3S5''oDr with comply with such provisions or this permit sholl be LAWN SPRINKLER SYSTEM - _ STATE ' /�. 5.�8 LIC. deemed revoked. - WATER HEATER LICENSE NO. `Y / CLASS IJ LICENSED CONTRACTORS DECLARATION DISTRICT NO. OCESSED BY I hereby affirm that I om licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS 0 f (commencing withSection 7000) of Division 3 of the Business OUTLETS OVER y and Professions Code,and my license is in full force and effect. 5'PER SYSTEM .INA t _ G VALIDATION O License Number DnrE �116� Lic. Class "-'_ I V FINAL Q 0 Controcior oQ Date 6 3D 87 BY U ❑ W am-exempt under Sea d B.BP.C. for this reason Plan check fee D H / ? Date: PLUMBING PERMIT ISSUING FEE$ 0 Signorure - TOTALFEE 3v LsD SINGLE FAMILY - Plan check applicant HOME OWNER-BUILDER DECLARATION Nome , I hereby affirm that I am exempt from the Contractors License Address - - 7 3 Q,t� A Low for The following reason (Section 7031.5, Business and Professions Code): - City Tel. No. •g — °p,° 5 ❑ I, as owner of the property, will do the work and the D •I °'O 36.50. structure is not intended or offered for sole (Section 7044, Business and Professions Code). • °-° 36.5010 - CONSTRUCTION LENDING AGENCY - - 0 3 O 4!-.8.7 I hereby affirm that there is a construction.lending agency for , the performance of the work for which this permit is issued (Sec. 3D97, Civ. C.). Lender's Nome Lender's Address I certify that I hove read this application and state shot the above information is correct. I agree to comply with all County ordinances and State laws.regulating Plumbing, and.hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purp es. SEE REVERSE FOR EXPLANATORY LANGUAGE nature of Permittee Date ' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9708220007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL ID: ES PAID BUILDING ADDRESS: ON FILE 9214 BROADWAY FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802401 ASSESSOR INFORMATION UMBER: NEAREST CROSS STREET: 8588-030-031 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY 47 WATER HEATER(S) 1.00 WTH 16.35 TENANT: TOTAL FEES 44.10 ISSUED ON: PROCESSED by: PLAN lJY: LXFR 0! • 08/22/97 UT 08/22 OWNER: TEL. NO: FINAL DATFINAL BY: E: MOON LULA D TR (626) 285-9605- �J/J 9214 BROADWAY TEMP 917802401 DESCRIPTION OF WUK& PLL0: WATER HEATER CHANGE OUT - SAME LO ION . MARSH PLUMBING INC- (818) 407-1247- �` SPECIAL CONDITIONS: � CONTRACTOR: TEL- NO: (� ELES APPROVALS DATE INSPECTOR SIGNA �® TURE MARSH PLUMBING (818) 407-1247- 1J� eA 7229 VARNA AVE. LIC. NO ®/•_ ` Y WATER SLAB WORK NORTH HOLLYWOOD, CA 692342 C36 V, WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT O E GI L. 0: � dL. ROUGH PLUMBING LIC. NO: GAS PIPING GAS VENT , IC KS HOT WATER HEATER O 'nl9 i PLUMBING FIXTURES • Q U `CO LAWN SPRINKLERS- GAS P N ERSG S TEST UTILITY COMPANY I ED {Q �� CWV rvice GRAY IWATER SYSTEM I REPORT ID: DPR263 ROUTE TO: BS0508