The URL can be used to link to this page

Home My Public Portal About9551 BROADWAY_Plumbing__ ]BA 00] •CE#017 9/63 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION . BUILDING 9551 Broadwa JOHN A. LAMBIE. COUNTY ENGINEER Y WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY Temple Cit FI FOR APPLICANT TO LL IN CflpSBSST. Temple Crit Blvd. NUMBER FIXTURE OR ITEM EACH FEE OWNER Noel Baldwin 2 WATER CLOSET $1.zs 0116 Baldwin 8 HATH TUB 1.25 10 00 ADDRESS SHOWER 125 CITY El Monte TEL. NO. 24 LAVATORY 1.25 30 00 CONTRACTOR Owen Bros Plumbing 8 SINK 1.25 10 00 ADDRESS 4265 NG Baldwin 8 DISHWASHER 1.25 10 00 . CITY El* Monte TEL. NO. 443-0078 CONTRACTOR'S 1 STATE LAUNDRY TUB 1.25 REGISTRATION NO. 231741 COUNTY ❑ CLOTHES WASHER 1.2510 00DIST ICT NO. GROUP •jO�f PR SSED BY 8 WATER HEATER 1.50 12 00 oCG } CAS SYSTEM OUTLETS 1'50 INDUSTRIAL a WASTE APPAOYAL 0 OUTLETS OVER 5 PER SYSTEM .20 /J P INSPECTION �R-E{C�ORD V A W 1 P APPROVALS DATE INSPEC SIGNATURE PERMIT S 2 00 UNDER SLAB WORK — - !i✓"'(/ TOTAL- FEE —136--do— ROUGH PLUMBING ,/ GAS PIPING V 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY /J (ryy WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATERS O✓ D�� PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST �j �� `� tq CALIFORNIA OR THAT AM THE LEGAL OWNER OF.AND INTEND TO RESIDE IN,TME gBOV EGC ED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE / FINAL �U!6 rVAIJEATION - ROBERT A. WOOD UM.O. CASH SUPERVISING MECHANICAL ENG'R LACO.1 4 7 8 MAY 11 5 D 13 6.0 0 Q 3 ' WORKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 76A667q insure, or a certificate of Workers' Compensation Insurance, CE 817(REV. 10/81) or a certified copy thereof (Sec 3800, Lab, C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. ❑ - FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspe<- ADDRESS tion department, NUMBER FIXTURE OR ITEM rQ FEE LOCALITY Date Applicant WATER CLOSET NEAREST l CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER (This section need not be completed if the work involved by SHOWER MAIL the permit is for one hundred dollars($700)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL NO. so as to become subject to the Workers'Compensation Laws, DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITY TEL. NO,. LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC, deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER O and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL VALIDATION DATE J License Number-1 Class W J FINAL LL Contractor Date BY ❑ K rl am exempt under Sec. � 8.8P.0 for this reason Plan check fee , d Date. PLUMBING PERMIT ISSUING FEE$ w Signature ~ TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name _ r 7 A I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and s s s is r Professions Code): City Tel. Na ❑ 1, as owner of the property, will do the work and the structure is not intended or offered for sale (Section s • sJ 7044, Business and Professions Code). � r- CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address I certify that I have read this application and state that the , above mformation is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date 4 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0503040013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE PHONE: (626) 285-0488 EXT: LEGAL FEES PAID BUILDING ADDRESS: . TR: 30243 UN: 33 - 9551 BROADWAY '5 FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA,917803162 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY 8588-005-067 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, C 45 WATER CLOSET/URINAL 1.00 FIX 16.20 TENANT: TOTAL FEES 43.95 THS rD-ON PROCESSED BY: PAN B EXPIRES ON: 03/04/05 - JK 08/31/05 OWNER: TEL. NO: ` . FIHAL+pR7E - FINAL B CODE: SPARLING JOHN E TR SPARLING TRUST (626) 287-2226- 9551. BROADWAY - TEMP 917803162 _ 5-F-SC P ION OF WORK - - WATER HEATER CHANGE OUT APPLICANT: - NO: TEKAWA (310) 515-1311- 17111 S. BROADWAY SPEC AL CONDITIONS: GARDENA, CA 90248 CONTRACTOR: TEL. NO: - APPROVALS DATE INSPECTO S G ATURE ACTION CONTRACTORS (310) 515-1311- ND _ 17111 SOUTH BROADWAY -LTC. NO - ER SLABWORK GARDENA, CA 90248 652535BC35 WATER SERVICE PLASTIC Y/N METAL Y/N -' ARCHITECT OR ENGINEER: TEL. NO: '(';. RO G PLLIMBI NG LIC. NO: TU' GIiS PIPING GAS-VENT " - HOT WATER HEATER -PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CU G'AY WATER STEM REPORT ID: OPR263 ROUTE TO: 850508 COUNTY OF LOS ANGELES TEMPLE CITY N 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0609290007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 - PHONE: (626) 285-0488 EXT: LEGAL ID: - FEES PAID BUILDING ADDRESS: TR:-'30243 - W:' 34 - 9551 BROADWAY i FEE DESCRIPTION: QUANTITY DOM: AMOUNT: TEMP CA 917803162 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY 8588-005-068 01 PERMIT ISSUANCE FEE 27.75 'THOMAS PAGE: 596 GRID: J4 _LOCALITY: TEMPLE CITY, C 47 WATER HEATER(S) 1.00 WIN 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 09/29/06 JK 03/28/07 OWNER: TEL. N0: ��L�j^ FINAL HY: - CODE: OWNERCARROLL, MARY (626) 286-6247- FINAL BY 9551 BROADWAY- TEMPLE CITY CA 91780 &."RI�gf�bN OF WORK WAVER HEATER CHANGE OUT APPLICANT: TEL. NO: TEKAWA (310) 515-1311- 17111 S. BROADWAY SPECIAL CONDITIONS: GARDENA CA 90248 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ACTION CONTRACTORS (310) 515-1311- 17111 SOUTH BROADWAY LIC. NO - UNDER SLABWORK GARDENA, CA 90248 B/1,00000 WATER'SERVICE PLA_ETIC YIN METAL YIN ARCHITECT OR ENGINEER: TEL. NO: 11' - ROUGH PLUMBING LIC. NO: GAS PIPING I _ GASlVENT HOT`WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED ' CWV GRAY WATER SYSTEM • ADDITIONAL DATA ON FILE REPORT ID: DPR263 - ROUTE TO: BS0508