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Home My Public Portal About9303 BROADWAY_Plumbing__ PLUMBING DEPARTMENT OF COUNTY ENGINEER DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING WILLIAM d:. FOX. COUNTY ENGINEER -ADDRESS FOR APPLICANT TO FILL IN LOCALITY • BUILDING J NEAREST AOGRESS (J Q ��/DT-rT-BtA7'ANj. CRO55 ST. O. LOCALITY �b♦,yN��J �,( Q DISTRICT NO. GROUP I 2 NE PER0.;2 ,3 NEAREST �f/ T CROSS ST. ll n ECEIV D BY Ready for In$ e0on DATEISSUED OWNER �I� I�/wTOLN/ _ DU 1 ® Y ,,, ., INDUSTRIAL ADDRESS :}Q 1� i -P'P 'Y I'! WASTE APPROVAL OF TEL.N0. clTv t.tnAL INSPECTION RECORD PLUMBER 9 p ADDRESS .7 / /ice ✓ #A�++ i CITY TEL.N0. y LICENSE NO. COUNTY 1J PERMIT FEES a z_ I....R TYPE OF FIXTURE OR ITEM FEE WATER CLOSET(TOILET) @ 0.80 S BATH TUB @ 0.80 SHOWER @ 0.80 LAVATORY(WASH BASIN) @ 0.80 KITCHEN SINK @ 0.80 LAUNDRY TUR OR TRAY @ 0.80 SLOPSINK @ 0.80 FLOOR SINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER @ '0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 GAS SYSTEM..............OUTLETS @ 1.00 WATER HEATER @ 1.00 1 0.0 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 1 ROUGH PLUMBING TOTAL FEE 6-6 GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND ACRE E ° HOT WATER NEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS ` .REGULATING. PLUMBING. PLUMBING FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GASTEST AN EN - OF THE ABOV RIB RE IDEIN,T�IALL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE 0ERD STATE OF CALI"RNIA ORI AT 1 AM THE LEGAL OWN. � sifj ✓ FPMITTEE ......L..... ........L. ... ...............'........_......_..... FINAL 7GA667 DRS 17 rdb 19-52 16F66 CE--8192-62 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION DnREss O 3 E, moi JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A. JENSEN. SUPT OF BUILDING ' LOCALITY FOR APPLICANT TO FILL IN NEAnEST CROSS ST. 46dCAN/ Qll NUMBER FIXTURE OR ITEM EACH FEE AMrL QQ OWNER (r�/ QSS` WATER CLOSET $1.25 MAIL f�a BATHTUB 1.25 •ADDRESS Q / rmadAlVa / CITY e TEL. NO. 7, 5' SHOWER 1.25 LAVATORY 1,25 ICONTRACTO SINE 1.25 ADDRESS DISHWASHER 1.25 CRY NO. LAUNDRY TUB 1.25 CONTRACTOR'S STATE E3 REGISTRATION NO. COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE (MESSED BY WATER HEATER 1.50 qr�.- -F4' ,j .0 GAS SYSTEM - OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD / d Zvi ,02 M.0-14ggj� ,2= F-/7-b2. a, Z Z � a APPROVALS DATE I NSPECTOWS SIGNATURE PERMIT 5 2 00 UNDER.SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY THAT TH LEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND BALL THAT THE ORDINANCES IE CORRECT AND AGREE E COMPLY r1� WITH ALL COUNTY OR OINANCES ANO STATE LAWS REGULATING HOT WATER HEATER PLUMBING. -_- 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES LICENBE. AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST ~ v CALIFORNIA OR THAT 1 A THE LEGAL OWNER OF.AND INTEND TO RESIDE IN. THE ABOVE CRIBED RESIDENTIAL PRO RTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTra IIFINAL u ✓ u v VALIDATION ROBERT A. WOOD CR. M.0. cns SUPERVISING MECHANICAL ENG'R L3 4 1 6 o auc23 5 D 8.75— oa= APPLICATION FOR PLUMBING PERMIT 1 DIVISION OF BUILDING AND SAFETY Department of County Engineer _ _ County of Los Angeles BUILDING 5 C J JOHN A. LAMBIE. COUNTY ENGINEERADDRESS CASSATT D.GRIFFIN, SUPT OF SUILOINO ===j LOCALITY FOR APPLICANT TQ FILL IN NEAREST CROSS ST. OWNER — �MAIL 1. v� DISTRICT NO. {C(GAROUP ./{ZONE READY IOR INSPe OTIO" ADDRESS Q //�L�ITO¢ ll INDUSTRIAL CITY J TEL. NO. WASTE APPROVAL PLUMBER /.� INSPECTION RECORD ADDRESS (,l1, CITY � T TEL. NO.lJC —7S 7 LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 $ BATH TUB @ S1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 l KITCHEN SINK @ $1.00 _ DISHWASHER @ S1.00 LAU N DRY TU B OR TRAY @ $1.00 CLOTHES WASHER @ S1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 l ` APPROVALS DATE INSPECTOR'S SIGNATURE 5 UNDER SLAB WORK PERMIT $ 7 00 ROUGH PLUMBING — i� GAS PIPING TOTAL FEE - Gas VENT 1 HEREBY ACKNOWLEDGE THAT I HAVE READ TH IS.APPLICATION HOT WATER HEATER a AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. I HEREBY CERTIFY THAT 1 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 PROBE Y. I SIGNATURE OF PERMITTE - FINAL JOHN A. LAMBIE, COUNTY ENGIN VALIDATION ROBERT A. WOOD. CHIEF PLBG. INSPECTOR CK. B.0. CASH o89ai nue 7 3 /?.00 DEC TION -:_-, -WORKERS'th t I hove a certificate cafe of conte APPLICATION 1�P IC A TION FOR PLUMBING A ALIA IQING ImER IT lytiereb'y'affirm that have a certificate of consent to self 76Aaa7A P9r lf"IL Y9 11 Il rl Ir II'( Ir 6'111MH91D Otl If"IG P(EV9 Y . insure, or a.certificate of Workers' Compensation Insurance, CE 817(REV. 10/8I) or'o certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company - Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING El ' ',3.0'3 >"0 Certified copy is filed with the county building inspec- ADDRESS .J lion department. NUMBER FIXTURE OR ITEM Q FEE LOCALITY It Date Applicant t WATER CLOSET il—a NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATHTUB IJ L 0 0 CROSS ST. ` COMPENSATION INSURANCE SHOWER OWNER, 41(This section need not be completed if the work Involved by the permit is for one hundred dollars $100 or less. MAIL �/ ' P ) I LAVATORY ADDRESS I certify that in the performance of the work 4or which This � permit is issued, I shall not employ any person in any manner SINK O CITY TELINO.. (D �S 5 so as to become subject to the Workers'Compensation Laws. DISHWASHER �� CONTRACTOR Datelo � '� Applicant. .L � ��- CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making $his Certificate of SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' CITY TEL. NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM wish comply with such provisions or this permit shall be STATE LIC deemed revoked. WATER HEATER LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION DISTRICT Nf?. R CESSED 8Y I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS 2` a T( (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER J 0 } and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL ( /,� VALID ION 0 License Number Lit. Class I 1 V FINAL W Contractor Date BY 0 F3I W am exempt under sec. d B.BP.C. for this reasonPlan check fee / Z D Date: PLUMBING PERMIT ISSUING FEE$ 50 Signature ' TOTAL FEE SU Plan check applicant ;23 1 2 2 A SINGLE FAMILY # ° o o a e 5 HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address .I ° - 2 S Law for the following reason (Section 7031.5, Business and fnX1_ Professions Code): City Tel. No. 8 J co - I, as.owner of the property, will do the work and the �' J structure is not intended or offered for sale (Section D 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm shat there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). ' ' Lender's Name Lender's Address I certify that I have read this application and slate that the D 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 purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permiltee x COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0201040004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGALFEES PAID BUILDING ADDRESS: TR: 12410 LT: 7 9303 BROADWAY FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA 917802404 ASSESSOR 0 T N ER: NEAREST CROSS STREET: HILTON 8588-002-007 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY 05 BACKFLOW DEVICE(S) 1.00 DEV 16.20 - N 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 ISSUED 0N: PROCESSED : P EXPIRES ON: 13 DISHWASHER(S) 1.00 FIX 16.20 01/04/02 JK 07/03/02 25 LAVATORIES/SINKS 2.00 FIX - 32.40 j,�; OWNER: TEL. N0: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 FINAL DATE ^�F CODE: OWNER: CARLOS (626) 309-9505- 47 WATER HEATER(S) 1.00 FTN 16.20 rul 6039 GOLDEN WEST AVE 51 LW PRS GAS 5 OUTLET 1.00 SYS 16.20 TEMP 917802404 63 WATER PIPING BR/FIX 4.00 FIX 27.00 D S I ' 0 �O1fT� 64 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 REPLACE WATER LINES, BATH AND KITCHEN FIXTURES, AND WATER AP TOTAL FEES 200.55 HEATER, INSTALL LAWN SPRINKLER SYSTEM EL. SAME AS OWNER _ - _ SPECIAL CONDITIONS: CO TRACTOR: EL. NO: - `��" APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER _ LIC. NO UNDER SAB WORK i WATER SERVICE ARCHITECT OR G R: L -- ii PLASTIC Y/N METAL Y/N / - ROUGH PLUMBING LIC. NO: I ' GAS PIPING UTV�EI T� " HOT WATER HEATER ---- --- - - PLUMBING FUTURES LAN S N S G S TES UTILITY COMPANY NOTIF CwV GRAY WATER SYSTEM REPORT, ID: DPR263 ROUTE TO: BS0508 -