HomeMy Public PortalAbout9432 BROADWAY_Plumbing__ TDABeT APPLICATION FOR PLUMBING PERMIT 1
CE BIT e-BUILDING AND SAFETY DIVISION
Department of County Engineer
County of Los Angeles BUILDING
9432 Broadway
JOHN A. LAMBIE,COUNTY ENGINEER
CASSATT D.GRIFFIN,SUP'T OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST.
OWNER A.B. Lan DISTRICT O. IGROUI ZO.,N I READY FOR IRSPELi I_O.N.
MAIL
ADDRESS 9436 Broadway /1
!� a.
CITY Temple Clt EL. NO. WA TETAPPROVAI
PLUMBER Belvedere Plumbing Co. INSPECTION RECORD
ADDRESS 11900 E- Garvey Ave . 7
CITY. E1 Monte TEL. NO GI 89836n(
LICENSE NO. 54932 _ �/ r l �V
NUMBER TYPE OF FIXTURE OR ITEM FEE
1 WATER CLOSET (TOILET) @ $1.00 $1.00
1 BATH TUB @ $1.00 1.00
SHOWER @ $1.00
I
LAVATORY (WASH BASIN) @ $1.00 1.00
1 KITCHEN SINK @ $1.00 1.00
'
DISHWASHER @ $1.00
LAUNDRYTUS ORTRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
1• GAS SYSTEM @ $1.00 1.00
1 Idisposer 1.00
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK 41
PERMIT $ 1 00 ROUGH PLUMBINGslr 1
GAS PIPING
TOTAL FEE 9 00
GASVENT
I D HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
" WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING /
PLUMBING. PLUMBING FIXTURES /
I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF �—
CALIFORNIA OR THAT'i AM THE LEGAL OWNER F THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE �'•,`. /
OF PERMITTEE FINAL _
L,� ROBERTA.WO D.
JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION
F�y' SUPERVISING MECHANICAL ENG'R
DK.LACo`W-*25 2 APR 25 3 A :9D O A
229
Y
• DEPARTMENT OF COUNTY ENGINEER P L F Y Y Y ® O G V
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING -3.2
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS 4 J� Cr,
FOR APPLICANT TO FILL IN LOCALITY
/J NEAREST
ADD REISS Z G, �ROADI�I CROSS ST.
DISTRICT Ng GROUP jI1NE PERMIT NO.
LOCALITY
CROSS ST. ,L c 1/e. R L 7' RECEIVED BY Ready for Inspection D ATE ISSSUED
+ - OWNER ,4 n _ 1,,.✓� E Co ��-i���
MAIL INDUSTRIAL
ADDRESS !L/ G /J/ UA TJ�I}7 WASTE APPROVAL
CITY sy TEL.NO. INSPECTION RECORD
PLUMBER / A T K �IZ �L LI/�-t I'S /AI P /D2T
ADDRESS -rl�l.I7 P. rA^10A�/� /- `O Z9 iy 1 " �2m/v lOc�t�
CITY hL/JLe//� /Z TE L.NO. — - �
77� /I
LICENSE NO. 9 L ❑STATE
TY - v /
PERMIT FEES
z
'(AMBER TYPE Or FIXTURE OR ITEM FEE u,
I WATER CLOSET(TOILET) @ 0.80 $ O
O
J
BATH TUB @ 0.80 CJ
SHOWER @ 0.80
LAVATORY (WASH BASIN) @ 0.80 O
/ KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY Q 0.80
SLOPSINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL Q 0.80
GAS SYSTEM_.......OUTLETS @ 1.00 CJ O
WATER HEATER Q 1.00 GO
MISCELLANEOUS
_ APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK p� �•.
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE GAS GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI. GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES L //
AND/OR LICENSED IFY THAT I AS REQUIRED BY PROPERLY
ANGELES(STERED
COUNTY GAS TEST '.,y •-
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED ESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED _. .
SIGNATURE / .......
Id,
OF PERMITTEE..._ .Cl�Lf
... .. _ .. , . . FINAL
76A687 DB817 1/53 V