HomeMy Public PortalAbout9517 BROADWAY_Plumbing__ °" I'7,,-,
APPLICATION' FOR PLUMBING. PERMIT
DIVISION OF BUILDING AND SAFETY �=
Department of County,Engineer - �� 8.r'd.4,o 1.✓�1'r
County of Los Angeles BUILDING ,/.
WM. J. FOX, COUNTY ENGINEER ADDRESS ZO/
CASSATT n. GRIFFIN. SUPT OF BUILDING y
.LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS IT.
OWNER /L �/q �(q j.�.l� �/J � DISTRICT NO. GROUP •ZZONE'�" READY FOR INSPECTION
ADDRESSINDUS
RIAL
CITY tf' {SJ lC�9'TEL. NO T"/f/ E'� WASTE TP.PPROVAL
PLUMBER -INSPECTION RECORD
ADDRESS I .=.f� c��IT A�-c— VAS C. n
CITY TEL. NO.
LICENSE NO. `�/ 9 Z 6 ��T A.-r r.q Q IwIG
NUMBER TYPEOF FIXTURE OR ITEM .FEE
WATER CLOSET (.TOILET) g -SIQ,�
BATHTUB
SHOWER
LAVATORY (WASH BASIN) _
�- KITCHEN SINK
DISHWASHER _
l LAUNDRY TUB OR TRAY _
CLOTHESWASHER
TOTAL NO. @ O.-BO APPROVALS
_
-DATE INPE CTO RIS SIGNATURE
CAS EYSTEM�OUTLETS @ 1.00 ` ff,,J.{
WATER HEATER @ 100 py ROUGWORK O t9I'Lati � f
' ROUGH PLUMBING^`. ,I
\ h `51 / 14 a.
PERMIT S 7 00 GAS PIPIgG INT✓ " V^
AA G
"TOTAL FEE �Q- �v _GAS VENT
I HEREBY ACKNOWLEDGETHAT I HAVE READ THIS APPLICATION HOT WATER HEATER - 1 - _ 1" -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY - � 1(j
WITH ALL COUNTY 'ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO-NOTIFIED
FIED
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE 1/
OF PERMITTEE �dA (` ?irty/� - FINAL U 6
WILLIAM J.'FOX, COUNTY ENGINEER VALIDATION - �
lr06'4 7 C AUG.1 Q 3 1 Q 2 Q n
By
DEPUTE ..
1
]6AEE] -CEABI] 12-69 �/%� �/) yp / c/L[��
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING'AND SAFETY DIVISION FA.0
ILDING J// /70� 1 // �il
JOHN A. LAMBIE.-COUNTY ENGINEER DRESS �C l� w/T
COLEMAN W. JENKINS. SUPT DF BUILgINc CALITY E PL
FOR APPLICANT TO FILL IN EAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE UL
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.,�7-(,o'I
CONTRACT/OR
LAVATORY 1.25
SINK 1.25 ADDRESS
y.D�QM.V,/CSZ'
q All 7A-
DISHWASHER 1.25 CITYW TEL. NO. 3,;
CONSTRCTOR's STATE
LAUNDRY TUB 1.2S REGISTRATION NO. � OJPq �,3 C�OUNTY
CLOTHES WASHER 1.25 DISTRICT NO G UPP CESS BY
ZO
WATER HEATER 1.50 .�'D
GAS SYSTEM OUTLETS 1.50 S INDUSTRIAL
WASTE APPROVAL d
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V4V
fF
W
IL
N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT JAPPLICAT"'OO UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEEQQ
GAS PIPING
HEREBY ACKNOWLEDGE THAT I HAVE READ THISCATION GAS VENT
AND STATE,THAT THE ABOVE IS CORRECT AND AOMPLYWITH ALL COUNTY ORDINANCES AND STATE LLATING HOT WATER HEATER
PLUMBING.
HEREBY CERTIFY THAT AM PROPERLY flE. NDIOR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTTE OF GA$TESTCALIFORNIA OR THAT AM THE LEGAL OWNER OND TORESIDE ME ABOVE DESCRIBED RESIDENT AL PROUTILITY C_O. NOTIFIED
SIG A
O
FINAL
ALIDATION ROBERT A. WOOD
..0. CASH SUPERVISING MECHANICAL ENG'R
LkD,9 9,1 4 AUG 2 5 D 5'L 0�
76A667 -CEB817 12-64 CiT/
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ABUILDING
DDRESS 9517 E. Broadway
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN NEARESTSS TC le CityBl#d. & CloVerly
NUMBER FIXTURE OR ITEM EACH FEE OWNER Ray Schulz
WATER CLOSET $1.25 IL
BATH TUB 7,25 ADDRESS 9517 E. Broadway
SHOWER 1.25 CITY Temple City TEL. NO.
LAVATORY 1.25 CONTRACTOR Anthony Pools Inc.
SINK 7,25 ADDRESS 5871 E. Firestone Blvd.
DISHWASHER 1.25 CITY South Crate TEL. NO. SP 3-2210
CONTRACTOR'S COUNTY
LAUNDRY TUB 1.25 REGISTRATION NO. 19017 -053
CLOTHES WASHER 1.25 0 DISTRICT NO. GROUP ZONE PROCE ED
WATER HEATER 1.50 S Q 15 P 1: '- R 4�ap
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL d
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD G
Q
Tolatpr piping 0:
O
I-
ca
W
a
N
2
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 50 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 15 CORRECT ANO AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGV EATING HOT WATER HEATER
PLUMBING,
I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS flEOVIRED BY LOS ANGELES COU TY ANp STATE OF GAS TEST
CALIFORNIA OR THAT WIN TXE LEGAL OWNE F.ANp INTEND TO
RESIDE IN. THE AB E SCRIBED RE51 ENT/ ROPERTv. UTILITY CO. NOTIFIED
t.
BIGNATUR
OF PER FINAL `1w
VALIDATION ROBERT A. WOOD
cK. ..0. CASH SUPERVISING MECHANICAL ENG'R
9739 JUL 21 5 D 3.50-
. ��-