HomeMy Public PortalAbout9956 BROADWAY_Plumbing__ DBs.n ass' APPLICATION FOR PLUMBING .PERMIT
1
- DIVISION OF BUILDING AND SAFETY .i
Department of County Engineer
., County of Los Angeles
WM. J. FOX, COUNTY ENGINEER BUILDING 995b E . Broadway
ADDRESS
' CASSATT D. GRIFFIN, BVP'T of BUILDING
LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST
I1 Harker
CROSS ST.
OWNER YI • Y • 11ar RPir - DISTRICTJiFO. I GRP READY FOR INSPECTION
MAIL S
ADDRESS
INDUSTRIAL
CITY TEL. NO. WASTEAPPROVAL
PLUMBER Belvedere Plumbing Co. tcd INSPECTION RECORD
ADDRESS 11900 E. Garvey Ave.
CITY rel Plonte TEL. NO. FO 89836
LICENSE NO. 54932
NUMBER TYPE OF FIXTURE OR ITEM FEE
1 WATER CLOSET (TOILET)
BATH TUB
1 SHOWER
_ 1 LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY '
CLOTHES WASHER
TOTAL NO. rN o.So 4D-- APPROVALS
Z GAS SV STEM�CUTLETB a LOO 1 .00 DATE INSPECTOR'S SIGNATURE
WATER HEATER (a� UNDER SLAB WORK
1.00
ROUGH PLUMBING 1I�0'1
PERMIT 5 7 00 y
GAS PIPING
TOTAL FEE 4.40 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.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL PAYNER OF T E ABOVE UTILITY CO. NOTIFIED p
DESCRIBED RESIDENTI/A�//p ROPERTY. II
SIGNATURE / //edt" ��� � FINAL 12 I TV<c �I+O/`Lc
OF PERMITTEE L.C� V�� ��—
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION R.A. WOOD, CHIEF PLSG. INSPECTOR
08 3 6 4 c711
3 4.4 ^ ��
642i%��
D.B.S.-Ii 25M SETS 6-46 APPLICATION FOR PERMIT
A DF,PARTT OF BUILDING AND SAFETY
COU ��������
' COUNTY OF LOS ANGELES
WM.J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES _I COMPLETE '7 � �f 6$rb
NEATER CESSPOOL BEPTICTANK RECEIVED BY READY FOR DATE ISSUED
SAS M19CELLANEOUB y t� FIRST INSPECTION
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
NAME JOB Y
— /
R ADDRESS -
W
m
ADDRESS
E LOCALITY
Oy CITY NEAREST
. . bJ
CROSS ST.
COUNTY
CERT.No. 1/ EXPIRES 0! NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL 2 MAIL
3 ADDRESS
NORTH O
CITY -7, IR TEL.NO.
1AM THE LEGALLA
BOVE LOSANGELES COUNTY CEION.py1 AM THE LEGAL ODESCRIBED
mm ABOVE.
W D
3 y
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK Q
Z
BATH TUB FURNACE 0
RHOWERDISHWASHER D
/ LAVATORY ` REFRIGERATOR
l KITCHEN SINK V WATER SOFTENER
FLOOR SINK SANDTRAP
GLOP SINK FLOOR DRAIN
le WASH TRAY V URINAL APPROVALS
__d!_WATER CLOSET V DRINKING FOUNTAIN � DATE INSPECTOR'S NAME
t
WATER HEATER ✓ —DENTAL.LAVATORY ROUGH PLUMBING I /- 3V-Y/y I (O ✓1�
METER CODA FOUNTAIN
OUT I
/ OVTL GAS PIPING
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES q Da SEPTIC TANK
CE99P001 SEPTIC TANK SEWER
S UTILITY CO.NOTIFIED I /�" d' I ,
TOTAL FEE G/ �d
FINAL
76A667 (CE-811) - 5/73 /
APPLICATION FOR PLUMBING PERMIT S
DEPAROTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION _
AIA tiE CNECFS PAYABLE TO: BUILDING 99 C � RfL�1�� Wn
ADDRESS J [2Mr )
HARVEY T. BRANDT, COUNTY ENGINEER Y
LOCA LITV i 1
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST 1
NUMBER FIXTURE OR ITEM @ FEE CROSS ST. I..
WATER CLOSET 1,75 OWNER �,1pz2
BATH TUR 1.75 'n^
MAIL Q2GFD���
SHOWER 1.75 CITY \�' i l l�I^I^ � � TEL. NO�g�-7-3C)02-
LAVATORY 1.75 CONTRACTOR `"' `W e.J1 L.1 I�ZO
SINK 1.75 ADDRESS 1 Up c �^ �I E�� C)'to
DISHWASHER 1.75 CITY T(L/'n P)L-7 C!T TEL. N0.7YG-7a70
CLOTHES WASHER 1.75 STATE OQ LIC
O I
SWIMMING POOL RECEPTOR 1.75 LICENSE NO, -a,j CLASS
DISTRICT NO. GROUP ON FR ESSE Y
LAWN SPRINKLER SYSTEM 1,75 Ug T
WATER HEATER 1.75 INDUSTRIAL •Y
WASTE APPROVAL �.:
GAS SYSTEM OUTLETS 1.75d
INSPECTION RECORD U
OUTLETS OVER
5 PER SYSTEM '30 ���. O!✓./2'`_M AI , C/,I/Z- N'� O
OIL.
N
z
Plan check fee SCe Rever-ee
PLUMBING PERMIT ISSUING FEE 5 3 00
TOTAL FEE 4111 �7
APPROVALS DATE INSPECTOR 5 sr.NArDRe
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 n,) �{ I
A
NDSTATE THAT THE A80VE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES �7-7H W. /�� ,/,
ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ING. GAS TEST
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY GO. NOTIFIED
SED AS REDDIREDBYL05ANGELES COUNTY AND STATE OF
ORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
E IN THE ABOVE OESCRIBEORESIDENTIAL PROPERTY. FINALATURE PERMITTEE C 1/CJ✓'J
PERMIT VALIDATION cK. �.o. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
1 1 5l--JUL 19 5 0 4.7 5 nsa
D.B.B.iT 25M BETS 7-47 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING 1COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
FA
URE OF INSTALLATION DISTRICT NO. GROUP ZO E PERMIT NO.
I FIXTURES COMPLETE
t CESSPOOL SEPTIC TANK READY FOR
[p//E10EIV//ESD BY FIRST INSPECTION DA E ISSUED
MISCELLANEOUS _.I>J..Ti G+ /D
APPLICANT FILL IN HEAVILY/OUTLINED PORTION ONLY
JOBRESS LOCALITY
_ NEAREST
G�TEL.No. CROSS ST. �� /G R'J m/ % AJ EXPIRES E' NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
�y ADDRESS
NORTH O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERT171C OF QUA IFICATION
��/y ('�J PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
M
3 y OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK i
BATH TUB FURNACE 9
SHOWER DISHWASHER D
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK BANDTRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL - APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTALLAVATORY ROUGH PLUMBING I I
-METER GAB SODA FOUNTAIN
OUTL GAS PIPING
GAG VENT
CESSPOOL I - -YG V Q A S
TOTAL NUMBEROFFIXTURES SEPTIC TANK I I
CESSPOOL SEPTIC TANK ((/ / / SEWER
TOTAL FEE l.JQ UTILITY CO.NOTIFIED I
��
FINAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 050B 0506140019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91700
PHONE: (626) 285-0408 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 13805 LT: 44 9956 BROADWAY
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917802618
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN
8586-016-019 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 21 HOSE BIBB(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
25 LAVATORIES/SINKS 1.00 FIX 16.20 06/14/05 SK 12/11/05
45 WATER CLOSET/URINAL 1.00 FIX 16.20
OWNER: TEL. NO: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 FINAL PATE FINAL BY: CODE:
LUO, YONG HUA - TOTAL FEES 108.75
9956 BROADWAY
TEMPLE CITY 91780 DESCRIPTION OF WORK
PLUMBING FOR ADDITION AND REMODEL
APPLICANT: TEL. NO:
STEVE WU (626) 912-3289-
18403 VILLA CLARA ST SPECIAL CONDITIONS:
ROWLAND HIS, CA
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
LUO, MARK YONG (626) 614-5877-
9956 BROADWAY LIC. NO UNDER SLAB WORK
TEMPLE CITY, CA 91780 NONE
WATER SERVICE
PLASTIC Y/N METAL Y
ARCHITECT OR ENGINEER: TEL. NO:
WU, STEVE C Y (626) 912-3289- ROUGH PLUMBING
18403 VILLA CLARA ST. LIC. NO:
ROWLAND HEIGHTS, CA 91748 26073 C GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BSOSOB