HomeMy Public PortalAbout9533 BROADWAY_Plumbing__ 1
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APPLICATION ' FOR PLUMBING PERMIT.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING ipv�vaty�I
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN. SUPT of BUILDING
LocnLlrY — � @/T I ..
FOR APPLICANT TO FILL IN NEAREST
C ross sT. �E � c
NUMBER FIXTURE OR ITEM OWNER V
WATER CLOSET
BATH TUB ADDRESS
CITY TEL NO.
SHOWER
LAVATORY CONTRACTOR —A, Q� �/
SINE ADDRESS 70� /l UU� �/�.
DISHWASHER CITY TEL NO. - 14I
CONTRACTOR'S yi STATE
LAUNDRY TUB REGISTRATION NO. / COUNTY
CLOTHES WASHER DISTRICT NO. G OUP NE P ESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
Y
4 .
O
U
Rt
O
UM
W
4
N
O 51.00 PER ITEM
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ E 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER -
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDE PROPE T�p_'Cr`L�. ' UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTE FINAL
®r %\VALIDATION ROBERT A. WOOD,
DE B.O. WB SUPERVISING MECHANICAL E.NG'R
L ACO 7 -0 6 5 n Jill 5 D J .n J N
gLivr/
',GA6G; APPLICATION FOR PLUMBING PERMIT 1
OBS I (DIVISION OF BUILDING,AND SAFETY
. -Department of County Engineer
County of Los Angeles EU"LONG
JOHN A. LAMB IE. COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN,SUPT of BNLOI NG, !
LOCALITY !Z
FOR APPLICANT TO FILL INNEAREST
(. .CROSS ST. a0
.OWNER /1/
14 DISTRICT NO. GROUP I ZONE READY FOR INSPECTION
MA
b
ADDRESS 474
INDUSTRIAL
CITY. TEL..NO.' WASTEAPPROVAL
PLUMBER � i 1047j 0..,6�T INSPECTION RECORD
+
ADDRESS / ��rrI AA �T•' VCT I,R ` `Y A��Q
CITY TES�L``. NO.vJ/ 6 .U'�3� 'L ! SI'L�. ,�'A� A� Qi-•�_
LICENSE NO. / T� 6 Y- _3 �`/IC I7I
NUMBER TYPE OF FIXTURE OR ITEM FEE �.
WATER CLOSET,(TOILET) @. $1.00 $ " v
J BATH TUB @ $1.00 <p
SHOWER @ $1.00
11 S.c /n�le�A
LAVATORY (WASH_.BASIN) @ ,$1.00
/ KITCHEN SINK .@ $1.00
r
DISHWASHER '@ $1.00
LAUNDRY TUB OR TRAY. - @ $1.00 0
CLOTHES WASHER @ �SI.00
WATER HEATER .@ $1.00 O - -
_� GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK ¢�
PERMIT $ 1100 ROUGH PLUMBING
_ GAS PIPING
TOTAL FEE
GAS•VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATERH EATER
AND STATE THAT THE ABOVE IS CORRECT .AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
p
PLUMBING.
I HEREBY CERTIFY THAT 1 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. OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL BROPERTY, p -
SIGNATURE IF PERMITTE FINAL
JOHN A. LAMBIE, COUNTY ENGINEER' VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
CASH
LA 0,? 1'7'.1: SEP 11 3 8.0:0
TEAssT APPLICATION FOR PLUMBING PERMIT 1
OB5 1`DIVi'3ION OF BUILDING AND SAFETY
�Depm'traent of County Engineer
County of Los Angeles BUILDING �S-3 �. NKA JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
ex v
CASSATTD. GRIFFIN_SUP'T OF-BUILDING /
LOCALITY TP M /J/e
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST. U
OWNER Ir— DIST NO. I GROUP ZONE I aegoY FOR INSPECTION
MAIL Il/i7�N,/✓7/L
ADDRESS
INDUSTRIAL
CITY - .TEL. NO. WASTE APPROVAL
PLUMBER ,�,� D,r 6 e-T INSPECTION-RECORD
ADDRESS
CITY C TEL. NO.)#
LICENSE.NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @' $1.00 S
BATH TUB - @ $1.00
C SHOWER @ $1.00 O
LAVATORY (WASH BASIN) @ $1.00 0O
KITCHEN SINK ,@ $1.00
DISHWASHER ,'@ $1.00
LAUNDRY TUB ORTRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ .$F.00
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT - $ 1 00 ROUGH PLUMBING
TOTAL FEE
GASPIPING
!f L7 '
GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ-THISGRE ATO CO TION . ..HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT TE LAWS E 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 OF THE,ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL P OPE
SIGNATURE
OF PERMITTEE •� 'FINAL
JOHN A. LAMBIE.'Cou NT NGINEER �rALIDATION. ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
CK. Y.0. GSH
{[a 2 8 4 2 ; GCT 1: 3- 4.00 on
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
^ DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0304020015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 9533 BROADWAY
FEE DESCRIPTION: QUANTITY: LON: AMOUNT: TEMP CA 917803155
ASSESSOR N 0 NUMBER: NEAREST CROSS STREET: TEMPLE CITY
8588-005-019 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
11 CLOTHESWASHER(S) 1.00 FIX 16.20
TENANT: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 ISS N: PROCESSED LANEXPIRES
TOTAL FEES 60-15 04/02/03 JK 0929/03
OWNER: TEL. NO: FINAL DATE NAL BY: CODE:
ALDANA;RAUL EDUARDO (626) 705-4768-
1184 W QUEENSIDE DR
COVINA DESCRIPTION OF WORK
PLUMBING FOR LAUNDRY
APPLICANT: NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: EL. N0: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGIN . N0:
LIC- NO: R G JD
GAS ING
UATTrar-
ER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
'L
UT Y COM NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508