HomeMy Public PortalAbout9421 BROADWAY_Plumbing__ 76A667-CE617 3-59
-.APPLICATION FOR PLUMBING PERMIT,
COUNTY OF LOS ANGELES
DEPARTMENT OF.COUNTY ENGINEER
BUILDING AND SAFETY DIVISION sDDAess /
SA A. LAMBIE, County Ea sneer
CATT D. GRIFFIN, Sup t of Building LOCALITY me v
FOR APPLICANT TO FILL IN NEAREST
NUMBER FIXTURE OR ITEM CROSS ST.
OWNER
WATER CLOSET MAIL
BATH TUB Z ADDRESS 914(113
CITY (� TEL. NO. 6
SHOWER
LAVATORY CONTRACTOR
/ SINK ADDRESS
DISHWASHER CITY TEL NO.
CONTRACTOR'S (J �5 STATE
LAUNDRY TUB REGISTRATION NO. jJ (/ COUNTY ❑
CLOTHES WASHER ' DISTRICT NO. f GROUP [ZOON//E�� P
WATER HEATER 3- '�
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
' INSPECTION RECORD
/R GD �'1N�19 JO//- APT Gl/J�1/
DIAR
Fy
0 $1.00 PER ITEM ( LFl762 7apR/ -IVl?rfe RMFS&KORFI7CTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMITT 00UNDER SLAB WORK 'lA-40 � ly%I/OATOTAL FEE /�7 v"j� ROUGH PLUMBING-. Z1r Wog'INI.78>Y!1
o` GAS PIPING
EBY ACKNOWLEDGE THAT 1 HAVE READ THIS-APPLICATIONATE THAT THEABOVE IS CORRECT AND AGREE.TO COMPLY ,GAS VENTLL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATERvp! ITNG.EBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR .PLUMBING FIXTURESD AS REQUIRED BY.LOS ANGELES COUNTY AND STATE OF GAS TEST NIA OR THAT 1 AM THE LEGAL OWNER. OF. THE ABOVEED RESIDENTIAL PROPERTY. - UTILITY CO.NOTIFIEDURE.RMITTE f'
FINAL qiQ n/] 1_ N I �Or VAUDATIOOEIERT A. WOOD,
Cc. N.o. CASH UPERVISING MECHANICAL ENG'R
UEo 7 9 1 1 aIAR 18 5 A 12.0 0
COUNTY OF ME ANGELES TEMPLE CITY # 0508 'PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0705290023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0988 EXT:.
ILEGAL ID: FEES PAID
ON FILE BUILDING ADDRESS:
1 9421 BROADWAY
(FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917802496
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
18588-003-022 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl
107 BATHTUBS/SHOWERS 2.00 FIX 32.40
TENANT: 121 HOSE BIBB(S) 1.00 FIX 16.20 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON-
1 125 LAVATORIES/SINKS 4.00 FIX 64.80 105/29%07 SR 11/25/07
I 145 WATER CLOSET/URINAL 2.00 FIX 32.90 1
OWNER: TEL. NO: TOTAL FEES 173.55 IF AL DATE,. FI BY: CODE:
9421 BR ANTONIO (626) 488-9342- ' 1�
19421 BROADWAY - jDESrRI OF Wed ORK
TEMP 917802446
. PLUMBING FOR NEW BATHROOMS
(APPLICANT: TEL. NO:
LAW (909) 869-0732-
ISPECIAL CONDITIONS:
CONTRACTOR: TEL, NO: 1APPROVALS DATE INSPECTOR SIGNATURE
JENN CONSTRUCTION CO. (818) 639-7294-
116321 BINNEY ST LIC. NO
UNDER SLAB WORK
1
�HACI ENDA HTS CA 91745 514992 B
IWATER SERVICE
PLASTIC YIN METAL YIN
I ARCHITECT OR ENGINEER: TEL. NO: I
'
ABLE DESIGN (909) 869-0732- 1 IROUGH PLUMBINGzq
1732 N DIAMOND BAR BLVD LIC. NO:
1W212 NONE (GAS PIPING
DIAMOND BAA CA 91765
_I GAS VENT
I I I
IHOT WATER HEATER
PLUMBING FIXTURES
I I �
(LAWN SPRINKLERS
� I I
GAS TEST
I 1 I I I
1UTILITY COMPANY NOTIFIEDI
CWV I.
' (GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE T0: BS 0508