HomeMy Public PortalAbout9909 BROADWAY_Plumbing__ 76A667•CE#81710-62
APPLICATION -9—F�OWWPY&UMB. G PERMIT
COUNTY OF'LOS ANGELES �-
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND'SAFETY DIVISION BUILDING /'
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS !/
WILLIAM A. JENSEN, SUPT OP BUILDING
LOCALITY �, _
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. �lil/LJ
NUMBER. FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25
MAIL
BATH TUB 1,25 - ADDRESS !i✓/✓✓��
SHOWER 1,25 CITY TEL. NO.
LAVATORY 1,25 CONTRACTOR-,
SINK 1.25 ADDRESS /a 7
DISHWASHER 1.23 CRY e Z Q�
LAUNDRY TUB 125 CONTRACTOR'S STATE ❑
REGISTRATION Q C/ COUNTY ❑
CLOTHES WASHER L25 DISTRICT NO. GRQUP ZONE PROCESSED BY I
WATER HEATS 1.50 1
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL y
WASTE APPROVAL G
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE U ,GAS PIPING
HEREBY ACKNOWLEDGE THAT I HAVE READ THIG APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLvGA$VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IHOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/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 ABOVEOESCRrrIAB��EO RESIDENT PROPS UTILITY CO. NOTIFIED
SIGNATURE ��
OFPERMIT
TE
FINAL
�yALIDATION ROBERT A' WOOD
CASH SUPERVISING MECHANICAL ENG'R
r,�n0 7 8 7:2 NH21 5 D 3.50—
76A667 (CE-817) - 5/73 _fir /�
APPLICATION FOR P'L✓UL/MBLLI//N/✓PERMIT
COUNTY OF LOS ANGELES '.
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: i-r.: ADDRESS :9909 Broadway
- '
HARVEY T. BRANDT, COUNTY ENGINEER LOCA UTY•`• '1'g 11p12 'City,
.,
F.7,,,WASHER1.7.
ANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSSiST. /�✓V'��'�'
TURE OR ITEM @ FEE ''
OWNER Albert Kratochvil •
OSET 7.75
MAIL 9909 Broadway
`
1.75 Y
1.75 clTv Temple'City `'"TEL.No. 286=1790-
1,75 CONTRACTOR Bryant Heat&�Air COnd
1.75 ADDRESS G1+350r+E. Las Tunas Drive n
ER 1-.75 CITY Jan Gabriel TEL. N0. 286-114.1
CLOTHES (HASHER 1.75 - STATE LIC
LICENSE ND. 221"75.1' - 'CLASS C2
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP ,ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 1.75 1 y�
WATER HEATER- 1.75 INDUSTRIAL �„
WASTE APPROVAL
1 GAS SYSTEM OUTLETS 1.75 3 00 INSPECTION RECORD U
OUTLETS OVER ,30
5 PER SYSTEM
O
U
CIL-
Plan
Plan Check fee See Reverse
PLUMBING PERMIT ISSUING FEE S '
TOTAL FEE 7 50
Fl�.ERSLABW.RK
DATE IvsPm ro R's swrvATUXF
Plan Check applicant
Name ROUGH PLUMBING
Address [j3AS
PING
City Tel. No. ENT ATER HEATERI HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONAND STATE THAT THE ABOVE I5 CORRECT AND AGREE TO COMPLYNG FIXTURES
WITH ALL. COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. STHEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/ORY CO. NOTIFIED J"LICENSED AS REOUIRED BY LOS ANGELES COUNTY ANO STATE OFCALIFORNIA OR THAT IAANSA THE LEGAL OWNER OF, ANO INTEND TO 'RESIDE IN THE ABOVE DESCdd IBEO RESIDENTIAL PROP RT.T.
SIGNATURE \/[�/�//� _ /�/�L
"OF PERMITTEES /�'4 —tf V
PERMIT VALIDATION cK., M.o, I CASH
PLAN CHECK VALIDATION CK. MV CASH '
•, 019,.'1'��:J1lI_-:20 5 0 7.5 O e98
D.BJI.,T 1ENBETa ,-.R - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ��, ®�®�m®� 1
• ` COUNTY OF L03 ANGELES 6� ® ®�
WW J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION 0 R NO. GR P o E �P rMIT O.
ROUGH FI%TUREB I COMPLETb —L- / / /
NEATER CE68POOL. I SEPTICTANK RECEIVED BY READY FOR DATe 188UE0
FIRST INSPECTION
AB' MIBCELLANEOVB J
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
E NANE ADDRESS
W
G ADDRESS
g LOCALITY 042
11 NEAREST a
y CITY &: 2g9.6 TEL.No. CROSS ST.
GOUNTY
CERT.No. EXPIRES C NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
IAM THE, LEGAL P0698BSOR OF THE ABOVE LOB
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMSM
1 AM THE LEGAL OWNER OFTHEPROPERTY DESCRIBED
ABOVE.
OWNER
CORRECTIONS
,
SOUTH
J
DESCRIPTION OF WORK a
z_
BATH TUB FURNACE
E
SHOWER- DISHWASHER Q
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR BINK SANDTRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INaPaOTOR'$MANE
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER GAS &ODA.FOUNTAIN
OUTL GAS PIPING
S.c
• GAB VENT p
CESSPOOL I I� A — �✓ �/
TOTAL NUMBER OP FIXTURES SEPTIC TANK
�CEBBPOO, &EPTICTANK / 't) V HEWER
B --� UTILITY CO.NOTIFIED
TOTAL FEE �` n I J r
/ FINAL
D.B.B.17 EBME 8 1-A8 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY �� 1
COUNTY OF LOS ANGELES
WM.J. FOX, CHIEF ENGINEER
MBIlaugG
NATURE OF INSTALLATION DISTRIICCT'NO. GROUP O E P ERMIT NO.
L
UGHICOMPLETE r A-� 7D 7 IS .
RECEIVED BY READY FORDATBISSUED
ATER CESSPOOL —I SEPTIC TANK FIRST INSPECTIONS MISCELLAN UB �l
p '�'�APPLICANT FIILL /IN HEAVILY OUTLINED
q PORTION ONLY
JOB
K AQi .� LIOu E(7aZ �(umLiin �O. ADDRESS d�0 J ��J-E�6r'.•C �.jfJ/^✓
ADDRESS 9OO 2r �Ll�e(iGrRi1 y� LOCALITY
NEAREST
y,} Llil�C� l/
.A CITY 1�/sv>u�LZLL/✓TEL.No.et��/��/�/� CROSS ST. �_le Z
COUNTY /J� ,q pIPIRESZ 3&-9
CERT.NO. 7 /cr � NAME / ✓im:�lA/
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
3 ADDRESS
NORTH O
CITY TEL.NO.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOB
E
ANGLES COUNTY CERTIFICATE OF QUALIFICATION!
PLUMBm1 4'
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
p ABOVE.
OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK a
z_
/ BATH TUB FURNACE p_
m
SHOWER DISHWASHER p
Z LAVATORY REFRIGERATOR
/ L•ITCHEN BINK WATERSOFTENER
FLOOR SINK SANDTRAP
GLOP BINK FLOOR DRAIN
r WASH TRAY URINAL APPROVALS
2'WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAM¢
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
I ����I��JI.1_ .. Af.-1
/ METED : GAB SODA FOUNTAIN - GAB PIPING
OUTL
GAS VENT I I
CESSPOOL I.
TOTAL NUMBER OF FIKTUREB O
-SEPTIC TANK I 1
CESSPOOL SEPTIC TANK SEWER I i
UTILITY CO.NOTIFIED
TTAL FEE O �^� A G �a
�� FINAL I it/?'r_AA i' -1
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Departmentof County Engineer
DIVISION OF BUILDING & SFETY PLUMBING j
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT N - GROUP I ZONE PERMIT .
;3,S__7
7
PLUMBER //C�(/)/}w �(' i�P.�4/ RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADD R E S 8 0
/� / ( BUILDING 9� j1 ✓� / -
CITY !��
_,EL- NO. (p �� ADD HERS 7 (is.n >�,LQ_/yp�¢yE+.'u'a�A
COUNTY i/O-7.7 A9 EXPIRES O ,3/ Jam{ LOCALITY
LICENSE NO. T' / NEAREST a
PERMIT FEES CROSS ST.
O
NNMOER TYPE OF FIXTURE OR ITEM FEE OWNER /fpMAIL
LYL
<7
ADORES. „'OF r, .
WATER CLOSET(TOILET) 0 0.50 $
BATH TUB 0 0.50 _CITY TEL. No.
SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) Q 0.50APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
_ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY Q 0.50 AND ELEB COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS ® 0.50Mti `y)
-- SIGNATURE OF
WATER HEATER Q 0.50 PERMITTEF
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK ® 0.50
FLOOR DRAIN O.SO
DISHWASHER Q 0.50
DRINKING FOUNTAIN ® 0.50
URINAL 0.50
Q
HOUSE SEWER Q 0.50 Z
MISCELLANEOUS
D
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
3 . _
GAS PIPING
GAS VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK: _ SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 _SEWER
PERMIT I 1.00 GAS TEST _
UTILITY CO.NOTIFIED _
TOTAL FEE $ / �O I .�.3
FINAL ��
7GAGG7 DRS#17 6-52
T°ABB° APPLICATION FOR PLUMBING PERMIT 1
eaB.IT(DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING �O
JOHN A. LAMBIE. COUNTY ENGINEER AOD RESS
CASSATT D. GRIFFIN, SUPT CIF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
/ CROSS ST.
OWNER _.ac. J'U-LA_� DIST!I O. GROUP NE REAOY FOR INSPECTION
MAIL
ADDRESSIF
nn /) - INDUSTRIAL
CITY D� CLCp TEL. NO.. ` WASTE APPROVAL
PLUMBER ,QygdJ2JPocK-Qc�d� Y u.M�Acnq INSPECTION RECORD
ADDRESS n l7 IULj,LY D�"-1
CITY &C✓�jL, /.e+7C��{+//t44 1,,TEL. NO(� I,-,
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $I.00 S
BATHTUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ S1.00
GAS SYSTEM @ $1.00
.�x.ei tsti eo
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT S 1 00 ROUGH PLUMBING
00 GAS PIPING
TOTAL FEE O./ -- Gas.VENT
I HEREBY ACKNOWLEDGE THAT 1 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. PLUMBING FIXTURES
I HEREBY CERTIFY THAT AFi1 PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REDUIRED R LOS /,NGELES COU"Y
AND, STATE OF
CALIFORNIA OR THAT I AM T LEGAL OW E OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIA .ROP RTY. /
SIGNATURE ♦ ��
OF PERM ITTEE J 91FINAL C7
wmagemm
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD. CHIEF PLBG. INSPECTOR
CK. Y.0, CASH
n.
%0 a s 3 a JUN 4 3 2 .0 0 ID
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMPING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0706260002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0486 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 13805 LT: 11 1 1 9909 BROADWAY
I IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917802635
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET: BALDWIN
18588-015-011 I01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
107 BATHTUBS/SHOWERS 2.00 FIX 32.40 I
(TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
145 WATER CLOSET/URINAL 1.00 FIX 16.20 106/26/07 SR 12/23/07 1
TOTAL FEES 92.55 1
IOWNER: TEL. 5-2 1 FINAL DATES\�g1p BY: CODE:
(YAP, HAMIDJAYA (626) 285-2]27- 1 I �'^ 1
19909 BROADWAY �•
ITEMP 917802635 IDESCRIPTION OF WORK I
PLUMB ING FOR NEW BATHROOM
APPLICANT: TEL. N0:
IYAP (626) 285-2727- 1
19909 BROADWAY I SPECIAL CONDITIONS:
ITEMPLE CITY CA 91780 1
1CONTRACTOR: TEL. N0: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
HAMIDJAYA YAP (626) 285-2727- 1
19909 BROADWAY LIC. NO 1UNDER SLAB WORK
ITEMPLE CITY, CA 91780 NONE 1 'I
(WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
IROUGH PLUMBING
LIC. NO: I
1GAS PIPING
I
I I (GAS VENT I I I
I
I IHOT WATER HEATER
I I
(PLUMBING FIXTURES
(LAWN SPRINKLERS
I I
(GAS TEST
I I
(UTILITY COMPANY NOTIFIED( I
I I Icwv I I I
I I (GRAY WATER SYSTEM I I
I I I I I I
I I 11 I I I
I� I II I I I
I I I I I I
I I I I I
I I I A I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I 1REPORT ID: DPR263 ROUTE TO: HSO508 I I I I
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9'101 LAS TUNAS PL 0508 1210010001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT: -
ILEGAL ID: I FEES PAID BUILDING ADDRESS:
ITR: 13805 IT: 11 1 9909 BROADWAY
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TIME CA 917802635
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET: BALDWIN
18588-015-011 101 PERMIT ISSUANCE PER 29.80 THOMAS PAGE: 597 GRID: A3 LOCALITY. TEMPLE CITY, Cl
107 BATHTUBS/SHOWERS 1.00 FIX 16.20
ITENANT: 125 LAVATORIES/SINKS 2.00 FIX 32.40 (ISSUED ON: PROCESSED BY: PLAN BY:
145 WATER CLOSET/URINAL 1.00 FIX 16.20 110/01/12 SR
I TOTAL FEES 92.60 1
OWNER: TEL. NO: I IFINAL D TE FINAL Y: CODE:
YAP, F.AMIDJAYA (626) 285-2727-
19909 BROADWAY 2r
ITEMP 917802635 ID SCRIPTION OF WORK IIII
(BATHTUB/SHOWER, 2 LAVATORIES AND WATER CLOSET FOR NEW
IBATHROOM
1APPLICANT: TEL. N0:
(YAP, HAM IDJAYA (626) 285-2727-
19909 BROADWAY (SPECIAL CONDITIONS:
ITEMPLE CITY CA 91780
(CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE
Pl,V.IDJAYA YAP (626) 285-2727-
19909 BROADWAY LIC. NO (UNDER SLAB WORK I/
0-4
ITEMPLE CITY, CA 91780 NONE 1(y
IWATER SERVICE
(PLASTIC YIN METAL YIN
111 ARCHITECT OR ENGINEER: TEL. NO: TROUGH PLUMBING
LIC. NO:
IGAS PIPING
IGAS VENT I I
I
1111 IHOT WATER HEATER _
IPL UMBING FIXTURES
LAWN SPRINKLERS
• GAS TEST
I I
1 11
1UTILITY COMPANY NOTIFIED(
Cwv
(GRAY WATER SYSTEM
I I III I I
I I � 111 1111 �
I l I II II I
REPORT ID: DPR263 ROUTE TO: B50508