HomeMy Public PortalAbout9563 BROADWAY_Plumbing__ 76AG87 •CER817 9/63
APPLICATION FOR P UMBING P RMIT u
COUNTY OF LOS ANGELES u
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING9563 Broadway
JOHN A. LAMBIE. COUNTY ENGINEERADDRFSR y
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
Temple City
FOR APPLICANT TO FILL IN NEAREST
cross sT. Temple Cit3c Blvd,
NUMBER FIXTURE OR ITEM EACH FEE
20 WATER CLOSET $1.25 25 00 OWNER Noel Baldwin
"'AIL4116 Baldwin
6 BATH NB 1.25 O ADDRESS
8 SHOWER 1.2510 00 CITY El Monte TEL. NO.
5'
20 LAVATORY 1,25 200 CONTRACTOR Owen Bros. Plumbing
6 SINE 1,25 7 50 ADDRESS 4265 N. Bal dwin
6 DISHWASHER 1.25 7 50 1 CITY El Monte TEL. NO. 443-0078
CONTRACTOR'S I STATE
LAUNDRY TUB 1.25
REGISTRATION NO. 23l7µ1 COUNTY Cl
6 CLOTHES WASHER 1.25 7 0 DISTRICT NO. GROUPONE T PP C6 SSED BY
7 WATER HEATER 1.50 10 50 �— /
Y
GAS SYSTEM OUTLETS 1.50 10 0 INDUSTRIAL
WASTE APPROVAL 0 O
OUTLETS OVER 5 PER SYSTEM .00 X+/i C/INSPECT-, AI-4
RECORD_ u
1 &12,01ADrinking Fountain 1 25 j) 3�� ovI 1 w1✓ 0
1 11 Pool Trap / " p O
l 445 " A A Z
- APPROVALS DATE .;PEqTOlrS SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK 7j-
ROUGH PLUMBING 1
TOTAL FEE 115150 GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSEDAS REOUIREO BY LOS ANGELES COUNTY AND STATE OF GAS TEST U' L
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
BESIDE IN. THE ABOVE URESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE E _ I T
OF PERMITTEE , / Q --
- FINAL.
�LIDATION ROBERT A. WOOD
cK. M.o. CASH SUPERVISING MECHANICAL ENG'R
113Co 1 4 8 0:G I AY 11 5 D 11 5.5 0-
r
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS i PL 0508 9610290015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL D: FEES PAD BUILDING ADDRESS:
TR: 30243 UN: 18 9563 BROADWAY 2
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803155
ASSESSOR FOR A IO B R: NEAREST CROSS STREET:
8588-005-052 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY
13 DISHWASHER(S) 1.00 FIX 16.35 '
ENA . TOTAL FEES 44.10 ISSUE 0 PROCESSED : PLAN BY: E PRS-DN-
10/29/96
N:
10/29/96 TC 10/29/97
OWNER: TEL. N0: FINAL DATE FINAL BY CODE:
ISDN WILLIAM E;SANDRA KAYE - r
9563 BROADWAY �J'�,��y
6114TEMP 917803155 D SCRIF]O�WUKK
CHANGEOUT DISHWASHER
APPLICAN N
EVINGER PLUMBING (818) 964-5673-
WALONUT, CA98 J, SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: �® i; � •% APPROVALS DATE INSPECTOR SIGNATURE
EVINGER PLUMBING CO (818) 964-5673-. \h' " 0 � ( a
P.O. BOX 298 LIC. NO I (� t!+F��'i 0 O UNDERSLAB WORK
WALNUT, CA. 91788 0298 277381 C36
�51u 0--m 5�-1ounci WSERVICE
PLASTICLASTICY/N METAL Y/N
ARCHITECT 0ENGINEER: 0:
ROUGH PLUMBING
LIC. NO:
niu' o AS PIPING
( GAS VENT
AOT- R T R
PLUMBINFIXTURES
LLTWG N LE—SPIT2 K RS
GAS TEST
1 USC] COMPA�fE-6
CPT
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508