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Home My Public Portal About9969 BROADWAY_Plumbing__ TSA 889.0 E#BIT 10-62 APPLICATION FOR PLUMBING P RMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 9969 E. Broadway WILLIAM A. JENSEN. SUPT OP BUILDING LOCALITY Temple City FOR APPLICANT TO FILL IN NEAREST CROSS ST. i(.L NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET $1.25 OWNER Davis MAIL BATH TUB 1.25 ADDRESS Same SHOWER 1.25 CITY SEL. NO. LAVATORY 1.25 CONTRACTOR paoifir SINE 1.25 ADDRESS 10920 E. Grand DISHWASHER 1.25 CITY Temple City RACTOWSp STATE NO. 442-1234 LAUNDRY TUB 1.25 REGISTRATIONr NO. 211898 COUNTY � CLOTHES WASHER 1.25 DISTRICT NO. G^R)OOUR ZONE P CESSED BY 1 WATER HEATER 1.50 1 0 5 Q cls GAS SYSTEM OUTLETS 1.50 INDUSTRIAL y WASTE APPROVAL 0 OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD u C O r u W a N acement ? APPROVALS DATE INSPECTORS SIGNATURE PERMIT 5 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE O GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY J WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER Wpm a PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES �f LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST ./ CALIFORNIA OR THAT 1 AM E LEGAL OWNER OF,ANO INTEND TO RESIDE IN.THE ABOVE[�E6CRI EO RESIDENTI PROPERTY UTILITY CO.NOTIFIED SIGNATURE _ ^' OF PERMITTEE V LIDATION ROBERT A. WOOD cK. M.0. CASH SUPERVISING MECHANICAL ENG'R 22000 NOV 4 5 0 3.50~ a + 76 A 6(.7 - CE 817 7-69 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST NUMBER FIXTURE OR ITEM EACH FEE CROSS S7. OWNER L WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADDRESS SHOWER 1,50 CITY TFAL. NO. LAVATORY 1.50 C ONTRACTOR SINK 1.50 �' /Z DISHWASHER 1.50 ITY 0 �/ TEL. NO.CLOTHES WASHER (.50 TATE / LIC ICENSE NO.K / / 3 CLA55 SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE CESS Y LAWN SPRINKLER SYSTEM 2.00 /WATER HEATER 1.50NDUSTRIALWASTE APPROVAL ' O GAS SYSTEM OUTLETS 17 INSPECTION RECORD V OUTLETS OVER l0 Z 5 PER SYSTEM `O`_` V W d N Z Plan check fee 255' of above. See reverse. PLUh1RING PERMIT ISSUING FEE S 160 DOTAL FEE APPROVALS DATE OJSPEciOR•S SIGNATURE Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT Cit) Tel. No. HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANOIOR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AND IMENO TO RESIDE IN.THE ABOVE OERCRIBED RESIDENTIAL PR PE FINAL A SIOF PERMITTEE " /��Pµ JACK R. ALLEN, sua RVISING MECHANICAL ENG'R. PER111T VALIDATIOI' cK. M.o. CASH PLAN CHECK vAtIDAT14jN CK. M.O. CASH ...( j Inr_. G3:w "'VR23 5 D 4.75 76 A 6t '—CE 617 8/68 APPLICATION FOR PLUMBING PER IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING / jJ v dolItl JOHN A. LAMBIE, COUNTY ENGINEER ADDAESS y (�(s COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY r FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST 8T / / /� NUMBER FIXTURE OR ITEM EACH FEE OWNER S . WATER CLOSET L50 BATH TUB 1.50 DDRE� yy� 9 13fOA SHOWER 1.50 CIN �/i G1 TEL. NO. LAVATORY 1.50 CONTRACTOR J I Y 6 /J- Arm pr-::,SINK 1.50 ADDRESS (o �, V(9 //' DISHWASHER I.SO CITY I9 J,y �g 1.4 TEL. No. fi CLOTHES WASHER 1.50 STATE LIC LICENSE NO.a Jq 1� CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NOX.ry GRToyjP 20NE POCESSIET LAWN SPRINKLER SYSTEM 2.00 J WATER HEATER 1.50 INDUSTRIAL WASTE APPROVAL O GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD H. OUTLETS OVER30 ti 5 PER SYSTEM Z Plan Check fee 25S> of above. Sec reverse. PLUMBING PI RMIT ISSIIING FEF S 2 00 TOTAL FF.F APPROVALS DATE INSPECTOR'S SIGNATURE Plan Cherk aI'PIloamt UNDER SLAB WORK Name ROUGH PLUMBING Addre s., GAS PIPING GAS VENT C11) tl' No. HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN. THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL SIGNATUREJACK R. OF PERMITTEE ALLEN, su PER VIsw ,G i H4NIC AL ENG'R. PERMIT VALIDATION K. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH IP 9028 t ,9 5 ' 5 D 3.50- e 76A667 (CE-817) - 5/73 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISIONFMB AIA KF_ CHECKS PAYABLE TO:HARVEY T. BRANDT, COUNTY ENGINEERFOR APPLICANT TO FILL IN (PRINT OR TYPEINUMBER FIXTURE OR ITEM a FEWATER CLOSET 1.75 BATH TUB 1.75 v V SHOWER 1.75 CITY � TEL. NO. M q'( LAVATORY 1.75 CONTRACTOR SINK 1.75 ADDRESS el �✓ DISHWASHER 1.75 CITY TEL. NO. CLOTHES WASHER 1.75 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.75 DISTRICT NO. GROUP ZONE PR ESSED,BY LAWN SPRINKLER SYSTEM 1.75 �U / WATER HEATER 1.75 INDUSTRIAL WASTE APPROVAL >- GAS SYSTEM OUTLETS 1.75 CD OUTLETS OVER INSPECTION RECORD U 5 PER SYSTEM .30 z O LD V W d Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE 5 3 00 TOTAL FEE APPROVALS DATE INSPECTOR 9 5 NA T:I RE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING .R2 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 PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REOU I RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL SIGNATURE OF PERMITTEE A`nv PERMIT VALIDATION CKV M.O. PLAN CHECK VALIDATION CK. M.O. CASH �, ,,� CASH 594i"jUel 5 5 U W1J JUj" v , IGABGI ICE-617I - 1/75 APPLICATION F R PLUfdIBING PERMIT A COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING AIAKE CHECKS PAYABLE TO: ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST CROSS ST. ._ NUMBER FIXTURE OR ITEM @ FEE 2.00 OWNER �d ` WATER CLOSET MAIL BATH TUB 2.00 ADDRESS SHOWER 2.00 CITY M �" C NO. / l LAVATORY 2.00 CONTRACTOR SINK 2.00 ADDRESS A DISHWASHER 2.00 CITY TEL. NO. CLOTHES WASHER 2.00 _5 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 2.00 DISTRICT NO,GROUPNE PR ESS D BY LAWN SPRINKLER SYSTEM 'r 2.00 WATER HEATER 2.00 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD 0 OUTLETS OVER U 5 PER SYSTEM .30 C O H U W CL N T.. Plan Check fee Sec R.Ye,.. PLUMBING PERMIT ISSUING FEE 5 3 00 TOTAL FEE _ APPROVALS DATE INSPECTOR 3 SIGNATURE Plan Check applicant �� UNDER SLAB WORK Name ROUGH PLUMBING q, Address GAS PIPING City Tel. NO. GAS VENT HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. `. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED PND/OR UTILITY CO. NOTIFIED 1 LICENSED AS REQUIRED By LOS ANGELES COUNTY AlSTATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AN INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL P40PERT FINAL SIGNATURE OPERMITTEE F PERMIT VALIDATION LCIi.__ M.o. CASH PLAN CHECK VALIDATION CK. M.D. CAS 6 9 0PJUL 28 5 0 6.5 0 A=8 7GA667 (C2-817) - 1/75 awry-% �( - A = APPLICATION FOR PLU 12-x ING PERMIT ' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING-AND SAFETY DIVISION B ILDIN CL�� I MAKE CHECKS PAYABLE TO: HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FBATH CANT TO FILL IN (PRINT OR TYPE) NEARECROSS SST. Gt XTURE OR ITEM �` FEE - LOSET 2.00 OWNER T MAIL �q Q J B 2.00 ADDRES 2.00 CITYRY 2.00 CONTRACTOR SINK 2.00 ADDRESS DISHWASHER 2.00 CITY TEL. NO.33/ofIJ' CLOTHES WASHER 2.00 STATE a 3Si� LIC CLASS SWIMMING POOL RECEPTOR 2.00 LICENSE NO. DISTRICT NO. OUP Z E PR ESSED BYI LAWN SPRINKLER SYSTEM S' (Q 2.00 WATER HEATER 2.00 INDUSTRIAL WASTE APPROVAL d GAS SYSTEM OUTLETS 2.00 I NSPEC TI ON REC ORD U OUTLETS OVER 5 PER SYSTEM .30PL O r w a N 2 Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE S �� TOTAL FEE 10 APPROVALS DATE INSPECTOR 5 SIGNATURE 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 HEREBY CERT(IT THAT AM PflO PEq LT flEGiSTEREO ANO/OR UTILITY CO. NOTIFIED LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I THE L OAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE D CR R $IDENTIAL PROPERTY. FINAL SIG NA TU RE OF PERMITTEE PERMIT VALIDATIONCx. M.D. CASH PLAN CHECK VALIDATION M.D. CASH 7 0 2i"SEP 17 5 o 10.5 0 hyo 026 WOthat I haveCOMPENSATIONcertificate DECLARATION 76667A 9/89 APPLICATION FOR PLUMBING PERMIT ll 4 hereby :dorm that I have a certificate of consent to self insure, ]6A667A or a certificate of Worker's Compensation Insurance, or a certified copy thereof(Sec. 3800 Lab. C.) 13 9 �� _tA)(� COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Policy No. Company ❑ Certified copy is hereby furnished. r FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING A& ,N Certified Copy is filed with the county building inspection ADDRESS Y department. �`..� ®✓1 NUMBER FIXTURE OR ITEM @ FEE LOCALITY �. Date1� ,�� Applicant �/ 4j WATER CLOSET NEAREST yti 'Ir BATH TUB CERTIFICATE OF EXEMPTION FROM WORKERS' CROSS ST. T G COMPENSATION INSURANCE ASSESSOR I 001 (This section need not be completed if the work involved by the SHOWER MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or less.) LAVATORY OWNER a tC HJ f I certify that in the performance of the work for which this permit MAIL is issued, 1 shall not employ any person in any manner so as 10 SINK ADDRESS become subject to the Workers'Compensation Laws. DISWASHER CITY _! TEL.NO _ Date Applicant CLOTHES WASHER CONTRACTOR/ 1, NOTICE TO APPLICANT: If, after making this Certificate of Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS L ti provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY (—� TE'L.NO. 2 d I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER ��CO s (commencing with Section 7000) of Division 3 of the Business and GAS SYSTEM OUTLETS LICENSE N0. CLAS51 O Professions Code,and my license is in full force and effect. DISTRICT NO. OUTLETS OVER n O 5 PER SYSTEM I/ License Number Lie.Class r "�' ~ FINAL S_�6. G/J VAUE)ATIOIN10:3 9 65 w Contractor Date P'I''f" _ _c d ❑ r •_FIE:~_. , I am exempt under Sec. FINAL !? !-INr1 DE: B.BP.C.for this reason BY Signature Date: Plan check fee popPLUMBING PERMIT ISSUING FEE$ ' D i 41LI�)-J�ItI 1'L`!5' / _ F-1 --291FEE d�, 0P t1`T 1 E H171.t=_ SINGLE FAMILY Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Address Cade): ❑ City Tel. No. 1, as owner of the property, will do the work and the structure is not intended or offered for sale (Section 7044, Business and Professions Code). , CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.) Lender's Name Lender's Address I certify that I have read this application and state that the above , information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned propeerty�fo✓lection urpose -7 SEE REVERSE FOR EXPLANATORY LANGUAGE S_i naturer of Fermittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 GPLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0007180002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 L PHONE: (626) 285-0488 EXT: f LEGAL D: FEES PAID BUILDING ADDRESS: TR: 13805 LT: 1 9969;,.,BROADWAY -`-> FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-CA-914862635 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN 8588-015-001 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY 13 DISHWASHER(S) 1.00 FIX 16.20 TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 07/18/00 UT 01/15/01 TOTAL FEES 76.35 i OWNER: TEL. NO: FINAL DATE FINAL CODE: MAICHROWICZ9969BROADW VINCENT H;DEBORAH L 9969 BROADWAY (,-L TEMP 917802635 DESCRIPT ON OF WORK PLUMBING FOR KITCHEN REMODELING APPLICANT: TEL. NO: TOM O'LEARY CONS. - 5823 AGNES SPECIAL CONDITIONS: TEMPLE CITY, CA -- �'iiAcam_=S CO- CONTRACTOR: 'LEARY CONSTRUCTION (818)N287-0927- tSCJ TOMOP f APPROVALS DATE INSPECTOR SIGNATURE 5823 AGNES AVENUE LIC. NO y \ UNDER SLAB WORK TEMPLE CITY, CA 91780 489354 B-1 WATER SERVICE �� ARCHITECT OR ENGINEER: TEL. N0: PLASTIC Y/N METAL Y/N ��- - y ROUGH PLUMBING LIC. NO r GAS PIPING Vf GAS VENT j // O -- ,`/i�A � • �� ,-� HOT WATER HEATER - - - - - PLUMBING FIXTURES 4 > y. • ��I LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED V�0 CWV �%rvice GRAY WATER SYSTEM REPORT ID: OPR263 ROUTE TO: BS0508