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HomeMy Public PortalAbout9664 BROADWAY_Plumbing__ 7BA667-CEB17-1157 APPLICATION ICA TION FOR`PLUMBING PERMIT COUNTY LS ANGELES 1 DEPARTMENT OF COUNTY ENGINEER - BUlLDING AND SAFETY DIVISION nDDAESS �/ f IONN A LAMBIE, County Engg��'uuDor ' C BATT D. GRUTINSupt ci l ildin, y� pLE C, LOCALITY / / FOR APPLICANT TOFU.L IN NEAREST / A/C- NUMBER FIXTURE OR ITEM CROSS ST. bL -/( WS / MAIL WATER CLOSET' OWNER - 71*G HATH TUB � ADDRESS _/ C SHOWER CITY F1-1122e C / TEL. No. LAVATORY CONTRACTOR /E i-}S6 N S SINE ADDRESS/ [=. /VO c— DISHWASHER CITY 6Z - L F TEL. NO, L...1 3 50-?!i— LAUNDRY TUBCONiAACTOR'S // STATE REGISTRATION NO. / 'I b COUNTY El CLOTHES WASHER DISTRICT NO:. GP P ZONE READY FOR INSPECTION WATER HEATER / '— GAS SYSTEM INDUSTRIAL WASTE APPROVAL sp INSPECTION RECORD APPROVALS @ $1.00 PER ITEM ) bO DATE INSPECTOR'S SIGNATURE OR FIXTURE S / UNDER SLAB WORK PERMIT S 00 ROUGH PLUMBING TOTALFEE Q GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVEREAD THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY HOT WATER HEATER 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. NOTI FI ED DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE SIGN OFATURE FINAL -- OBERT A.WOOD. ©P VALIDATI PERVISING MECHANICAL ENG'R CK. M.O. CASH 45 N; JAN 5 5 A 3.0 0 . ' 1 . , 179 1ET CE IT d-ET ���r ' . APPLICATION Fd PLUM ING PERMIT COUNTY OF.LOS ANGELES u Y DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BDILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEARESROSS sr. / -��./ �[ /— c. NUMBER . FIXTURE OR ITEM EACH FEE rOWNEP !- /may WATER CLOSET Sl 5 ,MAIL TL. BATHTUB 1. ' ADDRESS SHOWER I 51 - -CITY . [ SEL...NO. rT-,u N717 i �1 T LAVATORY i'. c _ 'CONTRACTOR S '/A IUL =� I V I=C. �_ ADDRESS SINK / ].25 ADDRESS /V DISHWASHER 1.25 CITY &_ TEL. NO. 06-OS3 STATEL'LAUNDRY TUB I'. LICENSE NO. /Z7Z-7cD CLASS 3 - �-• CLOTHES WASHER I-2 DISTRICT //AINO. GROUP_ ZONE PR E//ys BY _WATER HEATER 1.50 'Y C) (,� (Y .�L- Y/1 I tog GAS SYSTEM_ OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL _ OUTLETS-OVER 5 PER'SYSTEM .70 - INSPECTION RECORD r d U 2/ S &2 o 0 ELI GO Z I I APPROVALS DATE INSPECTOR'S SIGNATURE `PERMIT $ Z OO 'UNDER SLAB WORK / ROUGH PLUMBINGj,/;* TOTAL FEE ' I•f�j,I, GAsPIPING HEREBY ACKNOWLEDGE!THAT I HAVE READ THIS APPLICATION AND-STATE THAT THE ABOVE 'IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING PLV MDING. T HOWATER HEATER CHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING'FIXTURES LIN IU D'AS REQUIRED BY LOS ANGELES COUNTY .ANOSTATE SOF LAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER O F,ANO I NTENO TO RESIDE IN. THE ABOVE OESC RISE. RESI NTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE /I .., ..._._ _ .... _ FINAL A VALIDATION JACK R. ALLEN crc. M,1- CASH SUPERVISING MECHANICAL ENG-R. ry This Le irm,: "L S-v+ t P PII✓I� cgt Llc. I ',• 5 .2,9 MfiN11ro'A'.5 D 2 4.50~ a >BA%TA'TCEB*iel -.a/n _. " APPLICATIONFOl'iPLUMBING PERMIT ylLJll / BUILDING AND SAFETY DIVISION. FOR APPLICANT TO FILL IN(PRINT OR TYPEI 'BUILDING / NUMBER FIXTUREORITEM ® FEE ADDRESS �(� �/1/�(�(//�• WATER CLOSET LOCALITY BATHTUB NEAREST CROSS ST. SHOWER - OWNERg /-a j••ti O� ,U/- N A LAVATORYMAIL �c•,�.. ADDRESS S q-Ew SINK CITY C TEL,NO. DISHWASHER CONTRACTOR / /lJ CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY G /ti•�� TEL.NO. LAWN SPRINKLER SYSTEM STATELIC��77/ /• / WATER HEATER LICENSE NO. EP( /..5� CLASS 3l� GAS SYSTEM OUTLETSDISTRICT NO. GRO�1P ZONE PRO EDBY /� �wv� OUTLETS OV ER 5 PER SYSTEM INDUSTRIAL // •� V WASTE APPROVAL INSPECTION RECORD U i � W d N • Z Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE Plan check opplicom Name - APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK 2)/T]$ Address _ ROUGH PLUMBING �-. City - - Tel.No. GAS PIPING 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/Oft LICENSED AS PLUMBING FIXTURES` REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST X LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE E'' ��C///����///LCC/ FINAL PLAN CHECK VALIDATION CKM.o. usN PERMIT VALIDAT Otd• CC. M.o. CASH i y 71 O,xFEB 16 5 D 1 9.50A= APPLICATION FOR PLUMBING PERMIT 1 oes-n to-ss DIVISION OF BUILDING AND SAFETY Depaxhnent of County Engineer' County of Los .Angeles BUILDING 9664 E. Broadway JOHN A. LAMBIE. COUNTY,ENGINEER- ADDRESS p CASSATT D.-GRIFFIN, SUPT OFBUILOING .LOCALITY Temple City FOR APPLICANT TO FILL IN I NEAREST CROSS ST. T.C. Blvd. _ t, OWNER 7th Da Adventist Church DISTRICT NO. GROUP /ZpyONE READY-FOR INSPECTION MAIL ADDRESS INDUSTRIAL CITY TEL. NO. 'WASTE APPROVAL PLUMBER •Belvedere Plumbing Co. INSPECTION RECORD ADDRESS 11900 E . G:arvey 'Avep.p CITY E1 MOhteTEL. NO'.'FO 09836(� LICENSE NO. . 4932 - - NI1MeER TYPE OF FIXTURE OR ITEM ,FEE, WATER CLOSET (TOILET) @51.00_ $ BATH TUB @ _$1.00 SHOWER' @. $1.00 LAVATORY (WASH BASIN) @ $1.00 i KITCHEN SINK @ $1.00 _ DISHWASHER_' @ $1.00 LAUNDRY TU B OR TRAY @ $1.00 'CLOTHES WASHER @ $1.00 WATER.HEATER @' $1:00 'GAS SYSTEM @ $1.00 3 urinals, 00 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK nn PERMIT 5 1. 00' ROUGH PLUMBING GAS PIPING TOTAL FEE - 4 00 GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ.THIS.APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO,COMPLY WITH ALL COUNTY ORDINANCES AND' STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. • •• �. 1 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 O/WNER.OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENT PUI PROPERTY. SIGNATURE. 1 'OF PERMITTEE �y�CA.'j.L�' v / FINAL JOHN A. LAMBIE, COUNTY ENGINEER �3(ALIDATION ROBERT A. WOOD. CHIEF PLBG. INSPECTOR ✓K. Y. Y. CASH �1 2 4 3 GT tlnv.16 3 4.0`0 '0 { Q C, I .. ��yp }y�}�(y7{�;}e�Y pN (�plJ Co G��!py�.yp _ 1 MAaeT .CE;61/2-62 Ll EL'49Y � LE Co tl p 1 APPLICATION FORPLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER' BUILDING AND SAFETY. DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS (j WILLIAM A. JENSEN. SUPT OF BVILOINc LOCALITY IF . ... l FOA*APPLICANT TO FILL IN - NEAREST - CROSS ST. .NUMBER FIXTURE OR ITEM EACH FEE OWNER U WATER CLOSET $1.25 Q - u h MAIL j'HATH,TUB 7,25 ADDRESS - SHOWER LLS CITY TEL. NO. .b LAVATORY _ 1.25 -Q CONTRACTOR SINK - 1.25 ADDRESS 2- ^a DISHWASHER 1.25 CITY' SL$ " TA.,NO. .CON -0 +3 LAUNDRY TUB 1.25 REGISTNAT ONSNO. STATE ,00 Z_ JZ'7 'Q COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO. GROUPESSED BY 3 WATER HEATER 1.50 SG 1.50 /I INDUSTRIAL �j GAS SYSTEM _OUTLETS " WASTE APPAC4VAL /1- Lo-.-^ "� J6-3 OUTLETS OVER 5 PER SYSTEM .$0 } INSPECTION RECORD 4 .2- ol jr S, "kts ;. i& „ {1�L�' / �/ F pro J/A'7Gi'3�I /, —r;;zg A'AdWf (Al /-w n J/ •.1 d T7K., AAPPROVALS1 )YD��..ApfTI!E INSFCCTOR's��s6Ol,c{ �JUI �+ PERMIT $ 2 00 UNDER SLAB WORK'S a�IAI lily) .aTWY'f/� / ROUGH PLUMBING TOTAL FEE � GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE REPO THIS -TOAPPCOM ION GASVENT ' WITH STATE THAT THE ABOVE IS CORRECT AND AGREE REGULATING E COMPLY 'WITH ALL COUNTY ORo1vw NCEs wv0 STATE LAWS REcu LAn NG HOT WATER HEATER ` PLUMBING. . ' 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE of GAS:TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO > RESIDE IN.THE ABOVEOES �E SIDE PROPERTY. UTILITY CO. NOTIFIED > ' SIGNATURE OF PERMITTE FINAL - V LIROBERT A. WOOD M.0. M.o. CASH SUPERVISING MECHANICAL ENG'R LhOG 1 13 4. To 1-91;R 3 5 D 3 7,()S.,' TBABST ". APPLICATION FOR, PLUMBING PERMIT 7 aBB I>)DIVISION OF BUILDING AND SAFETY - �' 1 Department of County'Engineer County of Los Angeles BUILDING . E, 'BI'08dW JOHN A. LAMBIE, COUNTYENGINEERADDRESS CASSATT D'GRIFFIN,'SUP•T OF BUILDING LOCALITYTemple City FOR APPLICANT TO FILL IN L I NCRosss r. Tem le Cit Blvd. OWNER' 7th -Da Advent ist Church DISTRICT NO.- I GROUP ZONE READY FOR INSPECTION MAIL. - A MAILADDRES6 ' INDUSTRIAL CITY TEL. NO, WASTE'APPROVAL. PLUMBER Belvedere Plumbing Co. • TSPECTION RECORD n ADDRESS '11900 B . Garvey Ave. Q 2+ 1'z /f e, --.....- CITY El MonteTEL.NO,.FO 89836 -L 04 LC] SG ` V" �6tZ.r.CfXc n A LICENSE NO. 54932 `1� NUMBER - TYPE OF FIXTURE OR ITEM FEE '�•�tQl➢L VJ LL 11A.�N, ..s µIS T \V.$P WATER CLOSET (TOT LET) @- $1.00 BATH TUB @ $1.00 SHOWER @ $1.00 ' �6 2LAVATORY (WASHBASIN) @ S1.00 6, 00 t 2F KITCHEN SINK @ $1.00 2 OO DISHWASHER ,@ $1.00 L 1 AUNDRY TUB ORTRAY @ S1.00 nn CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 1 GAS SYSTEM @ 51.00 l/ drinking ^31�;"P1•oar draing APPROVALS 1 �i'gpnsaI OL D TE INSPECTOR'S SIGNATURE UNDER SLAB WORK / PERMIT $ I '00 ROUGH PLUMBING t .. 26 OO GAS PIPING - TOTAL.FEE GAS VENT 1 HEREBY ACKNOWLEDGE THAT I HAVE,READ TH[SEA PPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT. AND AGRE 'TO COMPLY . WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I A .I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR - GAS TEST I R4 !r to LICENSED AS REQUIRED BY LOSANGELESCOUNTY AND STATE OF ''11 CALIFORNIA OR THAT 1 AM .THE LEGAL OW OF TH ABOVE UTILITY CO.CO..NOTIFIED IVO .452 ityQt��,..�.�> DESCRIBED RESIDENTIAL PROPERTY( SIGNATUREld - - .�A OnA P AJ._� FINAL V 01 PERMITTEE err�--eeeerrrr aaxa JOHN A. LAMBIE. COUNTY ENGINEER LIDATION ROBERT A. WOOD-CHIEF PLBG.INSPECTOR CR. M.G. CASH Lo9's' 4_.Or �!—. _3 2 6.00 419' 'TbAe_ite E<817 9/63 '- .•.. � _ � a - J.`. '' r APPLICATION FOR PLUMBING PERMIT COUNT.Y,OF LOS ANGELES" DEPARTMENT OF•COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUHDINc /, yw JOHN:A. LAMBIE• COUNTY ENGINEER - ADDRESS (j/J,y; WILLIAM A. JENSEN. Sup T OF BUILDING'- S ' LOCALITY FOR APPLICANT TO FILL INCROSS ST� NEAREST ',-� - . ' • NUMBER FIXTURE OR'ITEM EACH FEE OWNER �) WATER'CLOSET $1.25 MAIL. L ADDRESSBATH TUB 1.25 CITY; EL. NO. - .SHOWER 1125 '. LAVATORY' - 1.25 �n CONTAACTOA .� SINE 1.25 ADDRESS DISHWASHER •1.25 .CITY yni TEL. NO.CID .- LAUNDRY.TUB' 1.25 I' EGIBTHAT ONSNO.' �]-0COUNTY ^STATE D. CLOTHES WASHER 1.25 ` CISTRICYNO. 'GROUP ZONE. P OGE�SSJEO BY. WATER HEATER 1:50 O _ CAS:SYSTEM OUTLETS 1'50 INDUSTRIAL o_ WASTE APPROVALyB,� � 7..-�(�-(p.Y O OUTLETS OVER 5 PER.SYSTEM' .00 U -- - INSPECTION ORD < E , APPROVALS' DATE. INSPECTOR'S SIGNATURE PERMIT S. 2 OO _UNDER SLAB WORK ,• ROUGH PLUMBING, TOTAL FEE, .BEd GAS PIPING rAND EBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION TE THAT THE ABOVE.IS CORRECT AND AGREE TO'COMPLY GASWENTLL COUNTY ORDINANCES ANO STATE LAWS' REGULATING HOTWATERHEATER' G. EGY`CERTIFY THAT 1 AM'-PROPERLY REGISTEREDAND/OR. PLUMBING FIXTURES D A$ REQUIRED SY' LOS,ANGELES COUNTY ANO STATE OF=NIA,OR"THATI AM TME'LEGAL OWNER OF.AN INTEND TOGAS TEST IN,THE ABOVE DESCRIBED RESIDENTIAL OP UTILITY•ICO. NOTIFIEDURERMITTEE - - FINAL _ DATION ROBERTA. WOOD M.b:-, CASH - SUPERVISING MECHANICAL.ENG'R 6 2 4'� 0 4:5 . Wfirm that ¢I have ATIONcateDICIARATION corse A NIDA a� A4I®611 ®ID PLUMBING DI A AGAIDIL1A d'e PERMIT lm pAIR _ r sure, aAffirm That I haver certificate of consent to self 1E 81 7A PYIr Ir IL P9 Y Ytl Y'( Ir L V, IHiID YCI�9 Ir GY'lIN1 II nsure, or a certificate of Workers' Compensation Insurance, CE 817(REV. 10/e1) ' oor,600/Fernfi d copy thereof (Se 380,..6iy.Lab. C:�)� w COUNTY OF LOS ANGELES BUILDING AND SAFETY ay Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING / !/ Certified copy is filed with the county buil ng inspec- ADDRESS 6ir J— tio depa mens. // NUMBER FIXTURE OR ITEM rQi FEE L� ` Dat App S /./ - WATER CLOSET OCALITY?" �- NEAREST CE FICATE OF EXEMPTION FROM WORKERS' 'BATH TUB CROSS ST. ��Z COMPENSATION INSURANCE OWNERS ) (This section need not be completed if the work involved by SHOWER J AIiK the permit is for one hundred dollars ($100)or less.) LAVATORY MAIL RESS ij lj ADDC t' aL+r� 1 certify that in the performance of the work for which this - permit is is ued, I shall not employ any person in any manner 1 SINK CITY fi' TEL.'NO. so as to come subject to the Workers Compensation Laws. DISHWASHER I Dat pplicanl CLOTHES WASHER NO CE TO APPLICANT: If, after making this Certificate of ADDRESSp� ® Ex prion, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code,'you must forth- LAWN SPRINKLER SYSTEM CITY TEL with comply with such provisions or This permit shall be STgTE [[$J LIC /� deemed revoked WATER HEATER LICENSE NCt�IZ 6 � rrV� CLASS 1— . LICENSED CONTRACTORS DECLARATION DISTRICT NO. P OCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM, OUTLETS /��y/ (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER Ss VV } and Professions Code,and my license is in full force an effect. 5 PER SYSTEM / 4' ���Q ri pATEL 2 _ C/_J VALID TION u b f1 License Numtic Class 1(J J � FIN to BY AL 1 4 3. 1 A- O ❑ am ezempt under Sec. 1 # e"e . . e5 tfs B:BP.C. for this reason D Z Plan check fee I e - 2Z50 Date: PLUMBING PERMIT ISSUING FEE$ Signature e o e 2 2,5 v TOTAL FEE 0 ' Plan check applicant 0 '1.2 9 8 5 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name ! �,I hereby affirm that I;am exempt from the Contractor's License . Address - - Low for the following reason (Section 7031.5, Busihess and r ' !Professions Code): Cil Tel. No. ❑ I, as owner of the property, will do the work and the structure is not intended or offered for.sale (Section 7044, Business.and Professions Code). CONSTRUCTIONLENDINGAGENCY .. _ 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 - - Lendei s Address I certify that I have read this application and.state that the - 'above information is correct. I agree to comply with all County ' 'ordinances and State laws re ting Plumbing, and here auth represe is County to ent upon Ih -menno p or in ction purpppos s. ! � SEE REVERSE FOR EXPLANATORY LANGUAGE p� igoal a rmiuee / 'Date '