HomeMy Public PortalAbout9421 1/2 BROADWAY_Plumbing__ 7fiA667-CE817 12/512v
APPLICATION FOPLUMBIC� PERMIT
DEPARTMENT OF COUNTY ENGINEER �! '
BUILDING ANDE,SAFETY'RIVISION, BU�REINss1 E. Broadway
JOHN A. LAM BI COUNTY NGINEER
WILLIAM A. JENSEN. SUP1 OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FRS IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER Gene Henne
1 , WATER CLOSET ✓�
AM
1 BATH TUB ✓,
"ADDDRESS 19536 E. Navilla Place
1 SHOWER v c=Covina TEL. No.JED-127O7LAVATORY' ✓ ' CONTRACTOR Parker PlumbADDRESS1461 E. RamonaDISHWASHER CITY Baldwin ParhEL. No.CONTRACTOR'S JDLAUNDRY TOB - REGISTRATION NO. 1CLOTHE$ WASHER DISTRICTNO. I GROUP I ZONEI
WATER HEATER V!f
1 GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD ♦ i' >•
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B SLUG PER ITEM 7 T /`� �"%
9 OR FIXTURE $ []/.00 APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
1-1 TOTALFEE -1110
ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ 4X -APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING_ HOT WATER HEATER A
1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY.. LOS ANGELES COUNT NO ATE OF GAS TEST
CALIFORNIA OR THAT i AM TH LEOAL OW ABOVE
DESCRIBED RESIDENT] L ROP r �•
{/// UTILITY CO.NOTIFIED e'
SIGNATURE /j f
OF PERMITTE Q
FINAL
®r OVALIDATION ROBERT A. WOOD,
Cr.
M.0. CASH SUPERVISING MECHANICAL ENG'R
I "�o
0,5 e t JUL
_6 . 5 o 1 1 .0 t>,
.. COUNTY OF LOS ANGELSS TEMPLE CITY K 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0802130002
BUILDING AND SAFETY'/ -LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGALID: FEES PAID
BUILDING ADDRESS:
ON FILE 9421 1/2 BROADWAY
(FEE DESCRIPTION: QUANTITY: DOM: 'AMOUNT: TEMP CA 917802446
(ASSESSOR INFORMATION NUMEER I INEAREST CROSS STREET: ALESSANDRO
18588-003-019 101 PERMIT ISSUANCE FEE 27:75 I THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS. 1.00 RIX 16.20 1 1
ITENANT: 111 CLOTHESWASHER(S) 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
121 HOSE BIBB(S) 1.00 FIX 16.20 102/13/08 SR 09/11/08
1 - 125 LAVATORIES/SINKS 2.00 FIX 32.40
IOWNER: TEL. NO: 145 WATER CLOSET/URINAL 1.00 FIX 16.20 FIIAL DATEFIN Y: CODE:
)POOSANGTONGCHAL NOPPORN;CHEN KATHY - 147 WATER HEATER(S) 1.00 WTH 16.20
19421 1/2 BROADWAY - TOTAL FEES 141.15 q_- U
(TEMP 917802446 I IDESCR PTION OF WORK "I 1
(PLUMBING FOR BATHROOM E LAUNDRY ROOM
APPLICANT: TEL. N0:
YJ YAO TANG (626) 456-3816-
15926 TEMPLECITY BL. - ISPECIAL CONDITIONS: 1
TEMPLE CITY CA 91780
CONTRACTORTEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE 1"
ISO CAL CONN STRUCTION (626) 712-4823- 1 I 1 1 1
P.0. BOX 96 LIC. NO IUNDER 'SLAB WORK
SAN GABRIEL, CA 91778 . 63245B B
I
1 IWATER SERVICE
I 1 1 1
' PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
I IROBGH PLUMBING p
LIC. No: �I✓�JYL
II (GAS PIPING
IGAS VENT
' IHOT WATER HEATER
PLUMBING FIXTURES �.
(LAWN SPRINKLERS
IGAS TEST
(UTILITY COMPANY NOTIFIED'
CWV
• _ - III GRAY WATER SYSTEM
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I I I I I I
II II 1 1 II 1
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REPORT ID: DPR263 ROUTE T0: BS0508