HomeMy Public PortalAbout9318 1/2 BROADWAY_Plumbing__ '76A667 -CEN817 5/63
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING ANI) SAFETY DIVISION FNEAREST
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JOHN A. LAM IE. COUNTY ENGINEER
WILLIAM A. JENSEN. SUPT OF BUILDING Y
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FOR APPLICANT TO FILL IN
T. /
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET $1.25 MAIL
BATH TUH 1.25 ADDRESS
SHOWER 1.25
:'CITY TEL. NO.
^
d� LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS l
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY SUB 125 CONTRACTOR'S STATE.
.REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DIST RI CT NO. GROUP ZONE PR BRED BY
WATER HEATER 1.50v 2� }
CASSYSTEM OUTLETS 1.50 INDUSTRIAL d
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .00 U
� INSPE�CTION RECOR
AGR.!w�i 91,r / f1, 106"' K
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-.APPROVALS /J DATE / INSACTO SIGNATURE
PERMIT $ 2 00
UNDERSLABWORK L/^j✓ry ,'5�� i{._
ROUGH PLUMBING
TOTAL FEE ' GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
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 REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.ANO INTEND TO
RESIDE IN, THE ABOVE DES IBEO RESIDENTIAL PROPERTY, UTILITY CO.-.NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL OL J'•® "
ALIDATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
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0 4 7 5G SEP 23 5 D 1 5:00- a
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0702090007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 9318 1/2 BROADWAY
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:( TEMP CA 919802403 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ENCINITA 1
18588-030-039 - 101 PERMIT ISSUANCE FEE _ 27.75 I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl
1 147 WATER HEATERS) 1.00 WIN 16.20 1 .
ITENANT: I TOTAL FEES 43.95 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
102/09/07 SK 08/08/07
' OWNER: TEL. NO: (FINAL DAT FINAL CODE:
WILCOXEN RICK C;KAREN M (626) 201-6578-
19318 1/2 BROADWAY
I
1TEMP 917802403 1 IDESCRIPTION OF WORK
I IWATER HEATER CHANGE OUT
1APPLICANT: TEL. NO: 1 1
IGOOD DAY PLUMBING INC. (626) 285-8080-
19729 E. LIVE OAK AVE 1 ISPECIAL CONDITIONS:
(TEMPLE CITY CA 91780
I I '
I I
CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE
1GOOD DAY PLUMBING INC. (626) 285-8080- I 1 1
19729 E. LIVE OAK AVENUE LIC. NO 1 IUNDER SLAB WORK I 1
ITEMPLE CITY, CA 91780 56548SBC36 1 , 1
IWATER SERVICE I
(PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO: r`
- I IROUGH PLUMBING I I
LIC. NO: I '
IGAS PIPING
]GAS VENT jLy 1
IHOT WATER HEATER V�' ]
S, [ 1r_�1
I IPLUMBING FIXTURES I I
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. ILAWN SPRINKLERS
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I cAs TEST
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I (UTILITY COMPANY NOTIFIEDI I
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IGRAY WATER SYSTEM
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11 I I I 11 I
REPORT ID: DPR263 ROUTE TO: BS0508 ]
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