HomeMy Public PortalAbout9716 BROADWAY_Plumbing__ Z r . N
76A667 DOB IT II-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY o a
COUNTY F LOS ANGELES f
WILLIAM J.. FOX. CHIEF ENGINEER
DISTR R O
FOR APPLICANT TO FILL IN 30
PLUMBER C[IVED-BY FII/9READY
BPFOR TION DATE ISSUED
ADDRESS a
BUILDING
_CITY TEL.N.. ADDRESS
COUNTY LOCALITY
LICENSE ND. EXPIRES
NEAREST 1 I
PERMIT FEES caosa sT.' I 1
NUMBER TYPE or FIXTURE W OR ITEM FEE OWNER L_ G)
MAIL
2 V WATER CLOSET(TOILET) a 0.50 ® Q ADDRESSy O l
BATH TUB ® 0.50 CITY I TEL No. (7
93 9
SHOWER Q 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASHBASIN) O.SO APPLICATION AND STATE THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
29 GAS SYSTEM pUTLETO Q 0.30 r OF THE RESIDENTIAL PROgERTY DESCRIBED ABOVE.
SIGNATURE W
WATER HEATER � 0.30 PERMITTEE E
SLOP SINK 0.30 INSPECTION RECORD
FLOOR SINK 0.50 3N SL
FLOOR DRAIN 0.50
DISHWASHER ® 0.50 clpDi6,4 S _Cl
DRINKING FOUNTAIN 0.50 / S V
URINAL 0.50 UN6 G 2 /YJ .QL
HOUSE SEWER 0.50
MISCELLANEOUS 9
0
APPROVALS
DATE I�NBPPEECTBR'8 NAME
ROUGH PLUMBING ../Y
-GAS PIPING
GAS VENT P�
CESSPOOL ® 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST 0,0
UTILITY CO.NOTIFIED
TOTAL FEE B
2]691A5] E-BI]1-4/]2 � U , � -
APPLICATI FOR PLUMBING P RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
STAKE CHECKS PAYABLE TO: ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY ' /
FOR APPLICANT TO FILL IN IPRINT OR TV PEI NEARESST.ZZ-1,",2:26 LL/
NUMBER FIXTURE OR ITEM ® C ROSS FEE �!7
WATER CLOSET 1.75 OWNER �7' /// A
MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1,75 CITY L. NO.
LAVATORY 1,75 CONTRACTOR G�
SINK 1.75 ADDRESS / 7
DISHWASHER 1.75 CITY L. NO.
CLOTHES WASHER 1.75 STATE LIC
SWIMMING POOL RECEPTOR 7.75 LICENSE NO. CLASS
DISTRINQ. GROUP 20NE PRO ESS
Y
LAWN SPRINKLER SYSTEM 1.75 V Cu/ /
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1,75 INSPECTION RECORD U
OUTLETS OVER ,30
5 PER SYSTEM
O
i--
U
W
VB
h
z
Plan check fee Sae Reverse
PLUMBING PERMIT ISSUING FEE 5 3 00
TOTAL FEE
APPROVALS DATE INS vcc ro R'B eIGNAn RE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I 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
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERw
OR UTI LTV Co. NOTIFIED
LICENSED AS REOUI RED BY LO
5 ANGELESOF
CALIFORNIA OR THAT I AM THE LEGAL OWTO
RE510E IN THE ABOVE DESCf11 ED RESIDENTIFINAL
SIGNATURE ,
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
r 2 1 0 273 JUL 9 5 D 4 ,7 5s
COUNTY OF LOS ANGELES TEMPLE CITY #0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0501310013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: FEES PAID BUILDING ADDRESS:
ON FILE 9716 BROADWAY
FEE DESCRIPTION: -- OUANTITY: LON: AMOUNT: TEMP CA 917803212
ASSESSOR FORMATIO NUMBER: NEAREST CROSS STREET: GOLDEN WEST
8588-022-011 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C
03 BACKWATER VALVE(S) 1.00 VAL 46.95
TENANT: TOTAL FEES 74.70 ISSUED : PROCESSED 8 L EXPIRES ON:
01/31/05 JK 07/30/05
OWNER: TEL. NO: FINAL DATV FINAL BY: CODE:
SMITH MYRON R;MARIE E (626) 919-5089-
9716 BROADWAY 'f
TEMP 917803212 DES OR 7TI-0-T R K
IN ALL SEISMIC SHUT OFF VALVE.
APPLICANT: - 0:
SAME AS OWNER -
SPECIAL CONDIT ONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGN TURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC- NO:
GAS PIPING
GAS VENT
HO1 WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
S TEST
UTILITY COMPANY NO
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
,. COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0504140006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: FEES PAID BUILDING S:
ON FILE 9716 BROADWAY
FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA 917803212
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY
8588-022-011 01 PERMIT ISSUANCE.FEE 27.75 THOMAS-PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
TENANT: 25 LAVATORIES/SINKS 3.00 FIX 48.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
45 WATER CLOSET/URINAL 2.00 FIX 32.40 04/14/05 JK 10/11/05
47 WATER HEATER(S) 1.00 WTH 16.20
OWNER: TEL. NO: TOTAL FEES 157.35 FINAL DATE FI L BY: CODE:
KWAN, JOSEPH (310) 416-2566-
9716 BROADWAY
TEMP 917803212 UFSTRUPTTONOP WORK
PLUMBING FOR NEW BATHROOM,$_
APPLICANT: TEL. NO: 1 ��
PHUNK (310) 416-2566-
9059 WOOLLEY ST SPECIAL CONDITIONS:
TEMPLE CITY CA 91780
CONTRACTOR: TEL. NO: APPROVAL - DATE INSPECTOR SIGNATURE
P S REMODELING CORPORATION (626) 378-2781-
TEMPL059 EOCITY,, CA 91780 754089BST LIC. 0 UNDER SLAB WORK �-
WATER SERGICE
PLASTIC YINMETAL Y/N
ARCHITECT OR ENGINEER: . NO:
ROUGH PLUMBING
LIC. N0:
GAS P G
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIF ED
CWV
GRAY WATERSYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508