HomeMy Public PortalAbout9408 BROADWAY_Plumbing__ 76A667-CES17 12/59 _ / ��-
APPLICATION FOR 1 UMBING^RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUI
JODAG NM61E,SACEER ADDRESS • roadway
7U
NTY NGN
WILLIAM A. JENSEN, Suri.P.BUILDING LOCALITY T
emRle City
FOR APPLICANT TO rELL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
Z WATER CLOSET
MAIL
Z HATH TUB ADDRESS
CITY TEL. NO.
SHOWER
LAVATORY coNrRAcr Jose h Cadilli Plb C
SING ADDRESS 7821 E. Garvey Ave,
DISHWASHER CITY S. Sen Grial TEL. NO.
CONTRACTOR'S 134935 G 36 ATE JFI
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER
DISTRICT
GROUP ZONE P CESSED BY
1 WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD >•
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O 51.00 PER ITEM / n _.mil Sid ll jale r
1 8 OR FIXTURE APPROVALS U V
rr IK, DATE/ - INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER GUS' .WORK ��Y���� -/'/�9/i✓GC/I
TOTAL FEE lopoo ROUGH PLUMBING
ppll"" GAS PIPING "�-
1 HEREBY ACKNOWLEDGE THAT i 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
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT IAM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED]BY LOS ANGELES COUNTY AND STATE OF L
CALIFORNIA OR THAT AM THE LEGAL OWNER`OF THE ABOV{ GAS TEST CAI n Q
DESCRIBED
EN
L PROPERTY. J UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTE
FINAL
�- VALIDATION ROBERT A. WOOD,
CK. mm.0. CASH SUPERVISING MECHANICAL ENG'R
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76A667 06817 71-60 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY a
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT .
NE
S S ,CJ-/
PLUMBER f. A/�/ / RECEIVED BY READY FOR
FIRST INSPECTION D 19�ED
[ADORES A �!1/ yy .(e/M.I1li„
BUILDING
CITY '/� TEL No^// 7 S�Or \�COUNTYADDRESS
LICENSE NO. G� -I EXPIRES(A�/7 /� LOCALITY �4/ArLG
( - ( NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE' l OWNERMAI
WATER CLOSET(TOILET) a 0.30 S QV AD RE89
BATH TUB a 0.50 19 v CITY TEL NO.
SHOWER a 0.50 ArU I I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 () APPLICATION AND STATE THAT THE ABOVE IS CORRECT
_ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 U AND STATE LAWS REGULATING PLUMBING.
-' 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY a 0.500 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAS SYSTEM-A7�OUTLETS 41 0.50 U OF THE RESIDENTIAL PROPERTY �DESCRIBED
/ABOVE. P
SIGNATURE OF
WATER HEATERO.SO
PERMITTEE
BLGP BINK 0.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN ® 0.50 t oA wlti -I A! 'J P r.Tom•
DISHWASHER ® 0.90 ��T '�• �-"""'"�
DRINKING FOUNTAIN Q 0.50
URINAL 0.50 -1
HOUSE SEWER QD 0.30 Z
MISCELLANEOUS m
- o
APPROVALS
DATE IN6REOTOR'a NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT 7
CESSPOOL a I= CESSPOOL d
SEPTIC TANK: SEPTIC TANK Y
DRAIN ( ) PIT ( ) a 1.001 SEWER 3poll
PERMIT I.DO GAS TEST
So UTILITY CO. NOTIFIED
TOTAL FEE S G
FINAL
76A667-CE817 12159
CIl'Y OF TEMPIE CITY
APPLICATION FOR PLUMBING PERMIT ]
COUNTY OF LOS ANGELES 'at�
DEPARTMENT OF COUNTY ENGINEER
BUILDING JMM AFETY.PMSION BUILDING a "E; Broadway
JOHN A. L MBI COUNTY NGINEER 8Y
WILLIAM A. JENSEN, Suri of BUILDINQ LOCALITY Temple City
__-...:.. . _.. .._
FOR APPLICANT TO FELL IN CROSS NEAREST
ST. Rzkk
NUMBER FIXTURE OR ITEM OWNER poth
WATER CLOSET
MAIL
BATH TUB A DRESS 9412 E Broad
CITY Temple City TEL. NO.
SHOWER
LAVATORY CONTRACTOR
SINE ADDRESS 7821 E. Garvey Ave.
DISHWASHER CITY S. San Gabriel TEL. No.AT 05349
CONTRACTOR'SSTATE 45
LAUNDRY TUB REGISTRATION NO. 13493C-36 COUNTY ❑
CLOTHES WARNER ° DIS!, IC/TNO. GRO ZONE R BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
J, WASTE APPROVAL
INSPECTION RECORD >.
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@ R.DO PER ITEM
1 OR FIXTURE $ 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE �vL1 ROUGH PLUMBING
GAS PIPING
IN
ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT REE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATETE LAWS REGULATING
PLUMBING. HOT WATER HEATER
'
I 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 THAM AM THE LEGAL OWNER')OF THE ABOVE
DESCRIBED RESIDER 1 PROPERTY. //� //// UTILITY CO.NOTIFIED
SIGNATURE
✓ !/ �
OF PERMITTE Q99��✓""(�/
FINAL
^VALIDATION ROBERT A. WOOD,
M.0. CASH SUPERVISING MECHANICAL ENG'R
� . D12o' 1 � hU6 9 5 0 3.00
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