HomeMy Public PortalAbout9613 BROADWAY_Plumbing__ 76 A 667 - CE 817 7.69 CITY OF TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES B51040 u
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUDDING 9613 E. Broadway
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Temple City
FOR APPLICANT TOFILL iN (PR NT OR TYPE) NEAREST
NUMBER F IXTURE OR ITEM EACH FEE CROSS ST.
OWNER Bess Frankford
WATER CLOSET 1.50 MAIL
BATHTUB 1.50 ADDRESS Same
SHOWER L50 CITY _1 TEL. NO. -
LAVATORY 1.50 CONTRACTOR General •T`.�staUd1. Co.on
SINK 1.50 ADDRESS 6558 West Blvd. 8a
DISHWASHER 1.50 CITY Ma Angeles TEL. NO. PL -252541
CLOTHES WASHER 1.50 ATE LIC
LICENSE No. G-36 151888 CLASS
SWIMMING POOL RECEPTOR 1.50
DISTRICT NO. GROUP ZONE O E D BY
LAWN SPRINKLER SYSTEM 2.00 O
1 WATER HEATER 1.50 1 50 INDUSTRIAL Off.
WASTE APPROVAL a-
GAS SYSTEM OUTLETS L50 INSPECTION RECORD V
OUTLETS OVER
5 PER SYSTEM '30 Ready for Inspection Now z
WATER: SOMMNES
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Plan check fee 25% Of above. See reverse.
PLUMBING PERMIT ISSUING FEE .S 2 00 -
TOTAL PEE 3 50
' APPROVALS DATE INSPECTOR SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Addes9 GAS PIPING
GAS VENT
City Tel. No'. HOT WATER HEATER
'1 HEREBY ACKNOWLEDGE THAT 1 HAVE'READ,THIS.APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE. LAWS REGULATING GAS TEST
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RES TI PFO RTr. FINAL
SIGNATURE JACK R. ALLEN, su PERVISING MECHANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION <H.. M.o, CASH
PLAN CHECK VALIDATION CK.' M.O. CASH I
Jnr;
0 30 .5 0 3.50 a
]SA66T CE=817262 TEMPLE „ O T Y
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY ?'
FOR APPLICANT TO FILL IN NEAREST
. CROSS ST. C�
NUMBER FIXTURE OR ITEM EACH 4FEE
_ OWNER
WATER CLOSET $1.25 MAH ee
BATH TUB 1.25 ADDRESS
/ SHOWER 1.25 s; CI TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1 25 CONTRACTOR'S STATE Cl
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO GROUP Z E P OCE D BY
WATER HEATER 1.50 A 7P
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .70 9 INSPECTION RECORD d
1 Owl/�l v.� i7.Cse: %.{YL V✓�. _t I? j 'I V
Ox Ax ( ldd
n-�+��Gl� �r1 0• 519. : .
- T
APPROVALS DATE INSPECTOR'S SIGN T E
PERMITIREGMTE.E.
2 00 UNDER SLAB WORK I
ROUGH PLUMBING
TOTAL GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVHIS APPLICATION
ANO STATE TNAT THE ABOVE 1S CORRECREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND WS REGULATING HOT WATER HEATER '
PLUMBING.
1 HE CERTIFY THAT 1 AM PROPISTERED ANDIDR PLUMBING FIXTURESLICENSED AS REQUIRED BY LOS ANGELEY AND STATE OFCALIFORNIA OR TNAT I AM THE LEGAL O .AND INTEND TO GAS TESTRESIDE IN.THE ABOVE DESCRIBED RESIDEPERTY. UTILITY CO. NOTIFIEDSIGNATUREOF PERMITTEEFINAL
VALII ROBERT A. WOOD
M,O S
cK. M,O. cases SUPERVISING MECHANICAL ENG'R
�- LT0 4 3 9 2—� JAN 14 5 D 5.25—
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