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HomeMy Public PortalAbout9711 BROADWAY_Plumbing__ 76AG67O ICE B17-A)- 11/76 APPLICATIO OIR PLUMBIN PERMIT COUNTYO5 ANGELES DEPARTMENT O COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN I PRINTOR TYPE) BUILDING j NUMBER FIXTURE OR ITEM ® iFEE ADDRESS WATER CLOSET LOCALITY NEAREST BATHTUB CROSSST. SHOWER OWNER �, W�✓/�j LAVATORY MAIL ADDRESS I i`liJAve-/ O SINK CITY `JL,44 _ZZ.ZZ TEL.NOa J 5 DISHWASHER CONTRACTOR 1115 �Gdf//rff/G CLOTHES WASHER ADDRESS �1 SWIMMING POOL RECEPTOR CITY . TEL.NO, LAWN SPRINKLER SYSTEM STATE ''T LL ` /� / WATER HEATER LICENSE NO. � 7 7� ( CLASS (.� 31 GAS SYSTEM OUTLETS 3 DISTRIQT NO. UP ZONE PR ESSED B OUTLETS OVER 3 5 PER SYSTEM INDUSTRIAL 6 WASTE APPROVAL Q INSPECTION RECORD V 0 O F W 6 N Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTALFEE Plan check applicant APPROVALS DATE INSPECTOR SIGNATURE Name Z1.7 S.. UNDER SLAB WORK �� ` 1i�� :n-- Address ROUGH PLUMBING �� .� Akz 6-1 City Tel.No. GAS PIPING 1 HEREBY 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 q�l PflCRER LY REGIST AND/O LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS PN ELEE CDU? AN STATE OF CA IF.RNIP O THAT AM THE GAS TEST LEGAL OWNER OF,A D INT O TO RESIDE THE ABO SCRIBED RESIDENTIAL PROPERTY. 1 / UTILITY CO.NOTIFIED SIGNATl1RE �r�� / OF PERMITTEE l FINAL PLAN Cf' 'S'A[l6E1 [S C0 N.�'PE Nt A-rrbN ' PERMIT VALIDATION (EK. M.C. CASH / / 1 1 V 1 4 1-;ill? et7 5 © �`2 2 O r d PCILICY HOLDER: e6-1 - y(�t� pY4 0, (POLICY NUMBER: 76A667 ICE-8171-4/72 �J�[✓N-- ''�G' 1'���� APPLICA(PfON FCR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILowc NDSS MAKE CHECKS PAYABLE TO: ADRE HARVEY T. BRANT, COUNTY ENGINEER LD ss c / FOR APPLICANT TO FILL IN IPRINT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET75 OWNER MAIL BATH TUB 1,75 ADDRESS SHOWER 1.75 CITY 1.7 TEL. NO� ��, /F7 LAVATORY 7,75 CONTRACTOR - SINK 1,75 ADDRESS DISHWASHER 1.75 CI N TEL. O. SCR. o S2/-7- CLOTHES . "CLOTHES WASHER 1.75STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.75 DISTRICT NO. GROUP F CESSE BY LAWN SPRINKLER SYSTEM 1,75 Q WATER HEATER 1.75 INDUSTRIAL WASTE APPROVAL o. GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD U OUTLETS OVER ,30 5 PER SYSTEM O I-- U W d rn Z Plan check fee See ROY..se PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INS PEc lows sIeNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT HOT WATER HEATER .+. HENEBT LEDGE THAT NAVE flEAO THIS APPLICATION AND STATE THATHAT THE THE ABOVE IS CORRECT AGREE COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATETE LAWS REE GULATING G.A$TEST PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REOUIREO By LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM 'HE LEGALp OF, ANO INTEND TO RESIDE IN THE ABOVE DESCRIBED IBED RESIDE TIA PROPERTY. FINAL ^j X977')/ �"�• ���rt SIGNATU RE OF PERMIT TE �•�- [/�/ �� PERMIT VA LIDAT UIY' c, M.D. cnsn PLAN CHECK V DATION cK. M.D. CASH - 2 c; rra 26 5 6 4.7 5 A`P COUNTY OF LOS ANGELES TEMPLE CITY k 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0506 0808040001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID BUILDING ADDRESS: I ON FILET9711 BROADWAY I FRE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917803213 I 1ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 118588-010-022 101 PERMIT ISSUANCE FEE 29.95 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, CI 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 TENANT I TOTAL FEES 43.95 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 106/04/08 SR 01/31/09 TOWNER: TEL. NO: IFIN^AL DATE FINAL BY: CODE: TIQUACH, LYNN (626) 705-3949- 19711 BROADWAY ITEMP 917803213 IDESCRIPTION OF WORK INEW GAS MAIN 1APPLICANT: TEL. NO: IS 0 S PLUMBING (626) 859-0301- 1729 E. ARROW HWY. (SPECIAL CONDITIONS: IAZUSA, CA 91702 I CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE S O S PLUMBING (626) 859-0301- 1 1 1729 E ARROW HIGHWAY LIC. NO (UNDER SLAB WORK IAZUSA, CA 91702 693502 C36 IWATER SERVICE I I PLASIC'Y/N METAL Y/N T ARCHITECT OR ENGINEER: TEL. NO: ROUGH PLUMBING LIC. NO: 1 GAS 'PIPINGlyr-? 1't1 I qI GAS WENT I I I 1 IHGT.WATER HEATER I I I I I PLUMBING FIXTURES I I T TI LAWN SPRINKLERS I IGAS TEST I �'. T I1--l-I- bli JUTILITY COMPANY NOTIFIEDI III T T CWV GRAY WATER SYSTEM 1 IIT( 1111 I 11111 11111 11111 11 I I I 111 I IREPORT ID: DPR263 ROUTE TO: BS0508 T T I