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HomeMy Public PortalAbout9427 BROADWAY_Plumbing__ D.B.S.-17 25M SETS 6-46 - I. - DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT . COUNTY-OF LOS ANGELES PLUMBING Wm.J. FOX, CHIEF ENGINEER fAS TURE OF INSTALLATION of 1 o. cR/TouP ZONE f�PERMIGT� O. FIMUSES � COMPLET6 - —+-• CY�� v� 7 J .CESSPOOL SEPTIC TANK RECHIVEO� Y READY FOR AT8 ISSUED i FIRST INSPECTION yy I M19CELLANEOU9 fy^✓J APPLJI/CCANT'FI/LCL IN(HEAVILY OUTLINED PORTION ONLY .1\A. 0�••F-t . \1� i civ Rw� ADDR688JOB /C/ G S er( � ] ' L /( LOCALITY V� (. /� �nL.�/ /, NEAREST7yn��xQi l �t TEL NOAj ( DX-I� CR08B ST. qO. �i0 EXPIRES d -3G+-Y 9NAME !•l--i lam• Y OF SEPTIC TANK, OR CESSPOOL z MAIL 3 ADDRESS NORTH O CITY TEL.No. I AM THE LEGAL POSSESSOR OF-THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION., PL MBC I AM THE LEGAL OWNER'OF TkPROP;Vf DESCRIBED ABOVE. OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK a 1. Z BATH TUB L,- -FURNACE SHOWER - DISHWASHER Q LAVATORY L' REFRIGERATOR v KITCHEN BINK WATER SOFTENER ' FLOOR BINK BAND TRAP GLOP SINK FLOOR DRAIN ' WASH TRAY r URINAL APPROVALS WATER CLOSET% DRINKING FOUNTAIN DATE INePecTOa•9 Her• WATER HEATER DENTAL LAVATORY ROUGH PLUMBING ���/ -Y� I � - /' METER-3 GAB SODA FOUNTAIN OpB PIPING I I OUTL • GAB VENT CESSPOOL TOTAL NUMBER OF FURURES - SEPTIC.TANK I I CESSPOOL aEPTIC TANK SEWER I B UTILITY CO.NOTIFIED I �� y_y TOTAL FEE FINAL °'R's'" 2s" SETS 7-47 ' APPLICATION FOR PERMIT DEPAR'OCOU ' OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER rA TURE OF INSTALLATION DISTRICT NO: GROUP ZO E PERMIT NO. FIXTURES ( COMPLETE J I ` / //t/✓ CESSPOOL ✓Ir161ICTANK RECEIVED BY READY FOR DATEl99UED/ . �L E l FIRST INSPECTION GASIMI9C ELLANEOUB /G / APPLICANT /F��I//LLA IN MHE`A(V�ILY OUTLINED ry/PORTION ONLYJOB �yI ,,,,11 i PI A-AA"Al/I AADDRESS / � ( �Z wJ/ LOCALITYrNEARESTITEL.No. CROSS ST.COUNTY co . - -�fIEXPIRES - Q NAME OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH O CITY - TEL.No. 1 AM THE LEGAL POSSESSOR OF, THE A OVE LOB .ANGELES COUNTY CERTIFICATE OF ALIFIC ION. � lLUMlER 1 AM THE LEGAL.OWNER OF THE PROPERTY DESCRIBED ABOVE. - ymy Y OWNER CORRECTIONS SOUTH DESCRIPTION OF WORK z . BATH TUB. FURNACE - L7 SHOWER DISHWASHER0 Q LAVATORY REFRIGERATOR - _KITCHEN SINK WATER SOFTENER FLOOR SINK SANOTRAP GLOP SINK FLOOR DRAIN - WASH TRAY - URINAL - APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE RIOPECTOR'S'NAME WATER HEATER DENTALLAVATORY ROUGH•PLUMSING I I -METER-GAS SODA FOUNTAIN GAS PIPING I I OUTL �/ 6A9 VENT kTOTAL FEE CESSPOOLTOTAL NUMBER OF FIXTURES. / SEPTIC TANK",SPOOl SEPTIC TANK' SEWER UTILITY CO.NOTIFIED` - - FINAL DEPARTMENT OF COUNTY ENGINEER: 1 L U'M IN a DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES I BUILDING - VVILLIAM.J. FOX.,COUNTY ENGINEER ADDRESS N 4 / `(y �`�LGt.✓--nwl.'Y LOCALITY /V FOR APPLICANT Tp, FILL IN NEAREST BUILDING ' / S' CROSS ST. ADDRESS J(/fy�' lvs< � ., DISTRICT„0.�. GROUP ZONE NEAREST CROSS ST.- RECEIVED DDJIBY Ready foranspeetion DATE,ISSUED OWNER MAIL- - INDUSTRIAL ADDRESS � (Lvvi�Q.- WASTE'A PPROVAL CITY �, _ TEL.NO. INSPECTION RECORD PLUMBER cL/').A^ `- ' 04 �XF3'A ln_C/1� /J 9 ." A 1 ,ADDRESS . CITY TEL.NO.C.L '. _ �'��G -da/.ei✓ OSCJ/�LLw..".. . �U ❑Sl AT LICENSE NO. I I, ❑ COUNTY- _ - J PE MIT FEES a z '.NUMBER TYPE OF FIXTURE OR ITEM FEE UI WATERCLOSET(TOILET) _(IR 0.80 S -_ o - Q' p BATH TUB @ 0.80 SHOWER. @. 0.80 LAVATORY (WASH BASIN) @ 0.80 _ KITCHEN SINK @ 0.80. '. - - LAUNDRYTUBORTRAY @ 0.80 j - - SLOP SINK- @ 0.80 - - - FLOOR SINK @' 0.80 „ FLOOR DRAIN ' - @ D.80 , DISHWASHER @. 0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 _ - GAS SYSTEM------_.._.OUTLETS @ I.00 WATERHEATER @ Im - - MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK' PERMIT _ - $ I /00: ROUGH PLUMBING TOTAL FEE' GAS'PIPING GAS VENT 1 HEREBY ACKNOWLEDGETHAT [ READ.THIS APPLI- -. '.. CATION AND STATE:'THATTHE"ABOVE.IS CORRECT AND AGREE 'HOT WATERNEATER 'TO COMPLY'WITH'ALL COUNTY ORDINANCES AND STATE LAWS --- REGULATING-PLUM DING. . PLUMBING FIXTURES ' 'I HEREBY- CERTIFY THAT-1 AM PROPERLY REGISTERED - AND/OR LICENSED AS REQUIRED BY,LOST ANGELES COUNTY" GAS TEST. AND STATE OF CALIFGRNIA'OR THAT I:.AM THE LEGAL OWN - - - ^ ER OF THE ABOVE DESCRIBED RESIDENTIAL PR PEBTY UTTIILITY.CO.'NOTIFIED SIGNATURE - �� / � - OF PERMITTEE::. ., S. i ..-.. ..l//C<.cL. .At".--........ - FINAL II-`'113 r>'_P i�G.<.-"..�✓: 76A667 DBS 17 1/53 - - -f DEC TION WORKERS'that t I hav -a certificate cafe of corse APPLICATION FOR PLUMBING PERMIT I hereby affirm tha(I have"a certificate of consent to self 76A667A ' insure, or a certificate of Workers'Compensation Insurance, CE 817(REV. 10/81) - or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF ANGELES BUILDING AND SAFETY y 2.?•;y�a.. P yam- £9in3A 6M Policy No. om an int �•-LAIl: - ❑' Certified copy is hereby furnished. - + . ' - - © - - FOR APPLICANT TO FILL IN(PRINT-0R TYPE) - BUILDING n� Certif ied.copy is filed with the county building.inspec ADDRESS 7 1.27 9770h1j(#A , tion'deportment. NUMBER FIXTURE OR ITEM @ -FEE - .- LOCALITY ! Date C� F� Applicant AL 61"�A6 WATER CLOSET NEAREST �If/ £ 7/ CERTIFICATE OF EXEMPTION FROM WORKERS' - BATH TUB - CROSS ST.. � 'COMPENSATION INSURANCE OWNER (This section need not be completed if the work involved by SHOWER - the permit Is for one hundred'dollars 5100 or less. MgtL P ( ) ) LAVATORY ADDRESS. - I certify,that in the performance of the work for which.this - - '- permit is issued, I shall not employ any person in any manner SINK - CITY •/ £ TEL.NO:1w rlp 71-7 '. so as to become subject to the Workers Compensation Laws, DISHWASHER 7 CONTRACTOR Date-Applicant - CLOTHES WASHER ' NOTICE TO APPLICANT: If, after making this'Ceirtificate of ADDRESS- 277-7 STH rc/ L; Exemption, you should becomesubject. to the Workers' SWIMMING POOL RECEPTOR CITY TEL.NO. ',tom J Compensation provisions of the Lns o r this,permit shall forth- To.ffJyL� �7< .Jo with Comply with Such provisions or .this you shall be LAWN SPRINKLER SYSTEM STATE �OP� LIC. deemed revoked. - _- WATER HEATER s - LICENSE NO. �J• � CLA55 LICENSED CONTRACTORS DECLARATION DISTRICT NO, PRIDOESSED BY `I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the BusinessOUTLETS OVER and Professions Code,and my license is in full force and'effect. S PER SYSTEM FINALi 1 Z F f�d✓o / i7� VALIDATION O LicenseNuyl/ber Lic. C lass ,DArE CD O u `RdG— / FNAL � raCtaf . BY Gr, V ❑ W I am exempt under Sec. d B.BP.C. for this reason rn Plan check.fee _ - ► Date: ,. PLUMBING PERMIT,ISSUING FEE$ 0 O- Signature - - TOTAL FEE. U ' SINGLE FAMILY Plan check applicant - HOME OWNER-BUILDER.DECLARATION 1 3 6 4.A Name ' - I hereby affirm that I am exempt from the Contractor's License - # • •�o a - 5 Law for the following reason (Section 7031.5, Business and ^ Address _ , Professions Code): City Tel. No Z • °•1 16 5 ❑ I, as owner of the property, will do the work and the - o •'of1.(;5 u structure is not intended or offered for sale'(Section t , 7044, Business and Professions Code). O 8 2 1 !_8 4 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work-forwhich this permit is issued ,. (Sec. 3097, Civ. C.). - - Lender's.Nome Lender's Address I certify that'I have read this application and state that the above information is correct. I agree to comply with all County .. ' ordinances and State lows regulating Plumbing, and hereby - - authorize representatives of this County to enter upon the ' above-mentioned property for inspection purposes. n SEE REVERSE FOR EXPLANATORY,LANGUAGE Signature of Permittee Dille - e COUNTY OF IAS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1107200047 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 265-0488 EXT: (LEGAL ID: FEES PAID ON FILE 9427 BROADWAY ADDRESS: 1 9427 BROADWAY IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 917802446 1 IASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1 18588-003-021 101 PERMIT ISSUANCE-FEE 27.80 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, Cl 1 113 DISHWASHER(S) 1.00 FIX 16.30 I TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.30 11SSUED ON: PROCESSED BY: PLAN BY: 1 126 MISCELLANEOUS FIXTUR 1.00 FIX 16.30 107/20/11 SR I TOTAL FEES 76.70 1 OWNER: TEL. N0: (PEEBLES, VIVIAN _ FINA� I L DATE FIN BY: CODE: 1 19427 BROADWAY /`/JJ/�: ZZ� ITEMP 917802446 1 1 ESCRIPTION OFI WORK 1 IPL UMB ING FOR KITCHEN REMODEL I 1APPLICANT: TEL. NO: 1 IKNOCK ON WOOD CONSTRUCTION ,(626) 376-2516- 1125 E. SANTA CLARA SPECIAL CONDITIONS: ARCADIA, CA 91006 ICTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 1KNOCK ON WOOD CONSTRUCTION, INC. (626) 376-2516- 1 1 1 1125 E SANTA CLARA AVE. #18 LIC. NO 1 1UNDER SLAB WORK I 1 ARCADIA CA 91006 7144868 I -i (WATER SERVICE I 1 1 I PLASTIC YIN METAL YIN ARCHITECT OR ENGINEER: TEL. N0: ROUGH PLUMBING LIC. NO: GAS PIPING GAS VENT I � IHOT WATER HEATER I I I PLUMBING FIXTURES LAWN SPRINKLERS I 1 I GAS TEST 1 I 1 I I 1UTILITY COMPANY NOTIFIED( Cwv GRAY WATER SYSTEM I I I I I I I I I I I I I I I I i I I I I IREPORT LD: DPR263 ROUTE T0: 850508 I