HomeMy Public PortalAbout9671 BROADWAY_Plumbing__ 76A66' DOS 1.1 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES Ph L I N 1
+WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT_NO. GRO P O
PLUMBER Belvedere Plumbing CO. RECEIVED BY READY FOR DATE ISSUE91
ADDRESS 136
So. Palm Ave. 1NFIRST INSPECTION "�V]
n _ �+
CITY
Alhambra TEL. No. AT. O2 ADDRESS 7 E. Broadway
COUNTY
.ICENRF NO. $08 M EXPIRES 0/30i/52 LOCALITY Temple City
NEAREST
PERMIT FEES CROSS ST../ }
NUM9ER TYPE OF FIXTURE OR ITEM FEE OWNER NantPi(/h
MAIL
1 WATER CLOSET(TOILET) @ 0.50 50 ADDRESS
1 BATH TUB @ 0.50 Q CITY TEL. No.
SHOWER @ O.SO. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
1 LAVATORY (WASHBASIN) @ 0.50 d000
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
1 KITCHEN SINK. @ 0.5Oi AND STATE LAWS REGULATING PLUMBING.
i I CERTIFY THAT I POSSESS THE ABOVE VALID LDS
1 LAUNDRY TUB OR TRAY @ 0.50 ANGE LE 3 COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBEDABOVE
GAS SYSTEM OUTLETS @ 0.5091GNATURE EWATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD
.FLOOR SINK - @ O.SO
.FLOOR DRAIN @ O.SO
DISHWASHER. @ O.SO
DRINKING FOUNTAIN
URINAL @ 0.50 ap qs n<r p J
Q
HOUSE SEWER @ 0.50 Z_
MISCELLANEOUS L7
O
J
APPROVALS
DATE INSPECTOR'S NAME
i ROUGH PLUMBING l '�
GAS PIPING
y
GAS VENT
CESSPOOL @ 1:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAB.TEST
UTILITY CO.NOTIFIED
TOTAL FEE $ Jam(
41 50 FINAL
� 61
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMITI
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9807270002 '
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING-ADDRESS:
ON FILE C9671-BROADWAY ` —
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803211 -
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8588-010-019 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
45 WATER CLOSET/URINAL 1.00 FIX 16.20 07/27/98 UT 07/27/99
47 WATER HEATER(S) 1.00 WTH 16.20
OWNER: TEL. NO: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 FINAL DATE FINAL BY: DE:
LOPEZ DANIEL G;BRUNO NANCY A (626) 287-8052- TOTAL FEES 108.75 rel-�p
9671 BROADWAY �Fl
TEMP 917803211 DESCRIPTION OF WORK
C PLUMB ING_FOR.NEW:BATHROOM-AND-RECO ATE WAT ER-HEATER
APPLICANT: TEL. NO: '
D N N CONSTRUCTION (626) 568-8466-
2671 SAN MARCOS DR. SPECIAL CONDITIONS:
PASADENA, CA --�
CONTRACTOR: TEL. NO: �OCJ GELES CouMAy `\ APPROVALS DATE INSPECTOR IGNATURE
D N N CONSTRUCTION (626) 568-6466-
2671 SAN MARCOS DRIVE LIC. NO UNDER SLAB WORK
PASADENA, CA 91107 729586 B Qg>
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO: //
LIC. N0: / Iii 1111 ROUGH PLUMBING 44%
— — I)_� GAS PIPING r!
GAS VENT
uuL�� I C� ��§C�O -C� I HOT WATER HEATER
lPLUMBING FIXTURES
LAWN SPRINKLERS
r'-
,� GAS TEST
b ' nl OK UTILITY COMPA Y OTI FIED
/'C f V1C�1 vv CWV
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GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508