HomeMy Public PortalAbout9025 HERMOSA DR_Plumbing__ 76A667 CEEV-"n-5i
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT.OF COUNTY ENGINEER BUILDING.
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE; COUNTY ENGINEER ///
CASSATT'D. GRIFFIN, SUP:T OF BUILDING LOCALITY
FOR APPLICANT TO FILL .IN CROSS
CROSS ST.
>>�ANUmBER . FIXTURE OR ITEM -
OWNER
WATER CLOSET MAIL - !�
BATH TUB ADDRESS /
SHOWER CITY TEL.NO.
LAVATORY CONTRACTOR
SINK ADDRESS ;jf
DISHWASHER CITY - L TEL. NO-441 g 7,r Q
LAUNDRY TUB CONTRACTOR'S STATE
..REGISTRATION NO. C COUNTY
CLOTHES WASHER
DISTRI�.T.NO. GROUP Z IyE wEAor FOR I011ECTION
WATER HEATER r'\I _If_. /n(
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
?—//-5'R /'MU T FINISNEA Y_<T
6VA/ER BA(VY Ar Dfboly
APPROVALS
51.00 PER ITEMA - DATE INSPECTOR'S SIGNATURE
Y- OR FIXTURE S �G/0 UNDER SLAB WORK
ROUGH PLUMBING
PERMIT 5 1 00
pp GAS PIPING
3
TOTALFEE I 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 REGULATINGPLUMBING FIXTURES
PLUMBING.
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL ER OF THE ABOVE UTILITY CO. NOTIFIED
DESCRIBED RESIDENTIAL ROPE TY.
SIGNATURE
OFPERM TTEE FINAL
u, ALIDATION ROBERT A. WOOD,
SUPERVISING MECHANICAL ENG'R
M1 M.9. CASH -
LG' 2 3 7'M FEB 13 3 A 3.0 0 9
DAIS 67 APPLICATION FOR PLUMBING PERMIT 1
Dss.IT'DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING 'J t J
JOHN A. LAMBIE: L COUNTY ENGINEER ADDRESS d S 4 �q �7(
CASSATT D,GRIFFIN,SUPT OF BUILDING
LOCALITY I
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. A P E
OWNER l ( y 1,_, .OISTRICT NO. GROUP I ZONE I READY FOR INSPECTION
AO REES �O 2 S //L'/ 1'h�j .S Ct 'j�A_
USTRIAL
CITY . TEL. NO. L2_A WASTE APPROVAL
PLUMBER Zu , I INSPECTION RECORD
ADDRESS / /J_✓!� L GC'
rr AeL<
L
CITY 0-Al) _/-C, TEL. 140:61 37 JV' /
LICENSE NO. 12-o na % 3 7
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $ / ✓ /I/ '
BATHTUB @ $1.00 ... _ ✓ V
SHOWER @ $1.00
LAVATORY (WASHBASIN) $1.00
KITCHEN SINK @ S1.00
DISHWASHER @ '$1.00 U /v11
LAUNDRY TUB OR TRAY '_@ $1.00
CLOTHES WASHER @ 51.00 �� U
WATER HEATER @ $1.00
GAS SY TEM @ $1.00
APPROVALS-
1 DATE INSPECTOR'S SIGNATURE
UNDERSLAB WORK
'
PERMIT S 7 00 ROUGH PLUMBING
GAS PIPING _
_ TOTAL FEEL,96
GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE• LAWS REGULATLNG PLUMBING FIXTURES
PLUMBING,
I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LE�WNER OF THE ABOVE UTILITY CO.NOTIFIED
.
DESCRIBED RESIDENT}AL P ERTY
SIGNATURE E// \/
OF PERMITTE J � FINAL
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD. CHIEF PLBG. INSPECTOR
Cs. n.o. CAS.
LAC04 4 7 8 JAN 2 5 3 5.0 0 m,
0D85173-55
67
73APPLICATION FOR PLUMBING PERMIT
1
BS T DMSION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
WM. J. FOX. COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUP-TOF BUILWM. LOCALITY l�
FOR APPLICANT.TO FILL IN NEAREST r
/. / CROSS ST.
OWNER � i(/��'.ry /�j DISTR,Iy✓CTNO. GROUP ZONE aEnox ron Ixsp¢cTION
MAIL
ADDRESS •a� / ✓
INDUSTRIAL
CITY �/l�Yl „TEL. NO. I WASTE APPROVAL
PLUMBER7/ZINSPECTION RECORD
ADDRESS pN%✓/_t/'.'Y/'
CITY //,tll TEIa O.. �i•�F%� J
LICENSE NO. ��/, '/i
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSETITOI LEI'l S
BATH TUB
SHOWER _
LAVATORY (WASHBASIN)
KITCHEN SINK
DISHWASHER '
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO. ca O.eO APPROVALS
DATE INSPECTORS SIGNATURE
_GAS SYSTEM-OUTLETS @ 1.00
t,
@ In UNDER SLAB WORK
WATER HEATER 1.00
ROUGH PLUMBING
PERMIT S 1 00
GAS PIPING
.TOTAL" .TOTAL FEEOQ GAS VENT
I.HEREBY ACKNOWLEDGE THAT I HAVE READ'THIS.APPLICATION LTEST
R
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING S
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT' I AM THE LEGAL OWNER OF THE ABOVE IEDDESCRIBED RESIDENTIAL PROPERTY. / jSIGNATURE
OF PERM TTE���c"" I�
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION R. A. WOOD, CHIEF PLBG. INSPECTOR
} 4;9.0 4S JUN 21 3 ^ 2.0 0
UU\\
7SA667 ICE-BI]) - 1/75 J _
APPLICATION OR PI�,��MBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: FADSS
HARVEY T. BRANDT, COUNTY ENGINEER (.FOR APPLICANT TO FILL IN (PRINT OR TV PEI ST
ST.NUMBER FIXTURE OR ITEM Cm FEE2.00 WATER CLOSET BATH TUB 2.00 DDRESS
SHOWER 2.00 CITY TEL. NO.
LAVATORY 2.00 CONTRACTOR
SINK 2.00 ADDRESS-qZA— �f•'
DISHWASHER 2,06 C G
CLOTHES WASHER 2.00 STATE /' - UC -
LICENSE NO. 414! Y (! CLASS C--:?
rtl
SWIMMING POOL RECEPTOR 2,00
DISTRICT NO.GROUP NE PR CESSED BY
--(AWN SPRINKLER SYSTEM - 2.00'
WATER HEA INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD
OUTLETS OVER U
5 PER SYSTEM .30
O
I--
U '
W
d
N
Z
Plan check fee SS6 Re V6,65
PLUMBING PERMIT ISSUING FEE S
TOTAL FEE
APPROVALS DATE INSPECTOR'S 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 GAS TEST
PLUMBING.
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LI CEN 5 E0 AS REOU I RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I pM THE LEGAL OWNER OF, AND INT ND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL P OPERTY. FINAL —328 Z'ro,- tit
SIGNATU RE
OF PERMITTEE
RMIT VALIDATION CK. )OL cpsH
PLAN CHECK VALIDATION CK. M.O. CASH
�0 'NOV 3 5 U 7.5 Q A;n
'aAGG' APPLICATION FOR PLUMBING PERMIT 1
oes.IT 10.55APPLICATION
OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles - BUILDING r
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS ��� `)O 11 L
CASSATT D. GRIFFIN, SUPT OF BUILDING .
LOCALITY
FOR APPLICANT TO FILL IN I NEARS sTCROSSF . ew
e
C
OWNER p (--A DISTRICT NO. ' GROUP ZONE REARY FOR IRSPECTION
MAIL 9 _ / I
ADDRESS Y J�1
INDUSTRIAL
CITY I � TEL:NO, WASTE APPROVAL
PLUMPER ��_ INSPECTION RECORD
ADDRESS
CITY TEL. NO. 6 / .)
LICENSE NO. ! Z-G)
D
NUMBER TYPE OF FIXTURE OR ITE_M FEE '
WATER CLOSET (TOILET) @ S1.00 $t•. 06
BATH TUB @ 51.00 _
SHOWER @ 51.00
LAVATORY (WASH BAS IN) - @ $1.00Din
KITCHEN SINK @ S1.00
DISHWASHER @. 51.00
LAUNDRY TUB OR TRAY -@ $1.00
CLOTHES WASHER @ 51.00 ®Q [ " e C
WATER HEATER @ 51.00 Q1 KYf /f//1 7` 7-,,; /I F
GAS SYSTEM @ 51.00 nr AIS-/-,I)LEA Ft?' THIS
/wrR h"7-R -&V
APPROVALS
y DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT 5 1 00 ROUGH PLUMBING Lf Y
GAS PIPING
TOTAL FEE 6 GAS VENT T '
I HEREBY ACKNOWLEDGE THAT I' HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
i HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL NER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIA ROPERTY.
SIGNATURE
OF PERMITTEE , FINAL / X
JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION ROBERT A. WOOD. CHIEF PLBG. INSPECTOR
CK. M.B. GSH
tCc 5 2 0 FEB 11 3 6.0 0 In
,O
WORKERS'
that
I have
a certificate DECLARATION APPLICATION FOR PLUMBING PERMIT
hereby; affirm that hove a certificate of alio ns iu oo self r a M-0026667 DPW 4/07 n
sure,or a certificate of Workers'Compensation Insurance,ror a CE 81 7( ,IL..III
P CE BV(REV. 0/86) '
certified copy thereof (Sec 3800, Lab.{.) -
Policy No. Company _' 'COUNTY OF LOS ANGELES DEPT. OF.PUBLIC,,WORKS
Certified'copy is hereby furnished. I
y r
Certified copy is filed with the county building inspeUion ADDRESS FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ',.) G
department. - NUMBER FIXTURE OR ITEM @ FEE LOCALITY
DateAppicanl '+ r WATER CLOSET (TOILET) - NEAREST -
CERTIFICATE OFEXEMPTIONFROM WORKERS' BATH TUB CROSS ST. ,
COMPENSATION INSURANCE -1 1.
SHOWER OWNER
(This section need not be completed if the work involved by _ MAIL `
the permit is for ($100)or less.) LAVATORY ADDRESS one hundred dollars, .Y/7/l'1✓OC.OI%
I certify that in the performance of the work for which this per- SINK - `l'
mit is issued, I shall not employ any person in any mariner so CI Y TEL. NO� IWA
as to become subject,to the Workers"Compens tion Laws. DISHWASHER JJt/W�''ua
i;/q� ' CONTRACT Rt2 al, xb3f 441h,
Date v Applicant - CLOTHES WASHER -
ADDRESS
NOTICE TO A LICANT: If,after making this Certi icare of x- - �i `
•emption, you should become subject to the Workers Compen- SWIMMING POOLRECEPTOR _
CITY TEL. NO
sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER.SYSTEM.
ly with such provisions.or-this permit shall be deemed revok- STATE LIC
ed. WATER HEATER LICENSE NO. 1 CLASS JIQ
LICENSED CONTRACTORS.DECLARATION . ' DISTRICT NO PR C SED BY
hereby affirm,that.l am.licensed under provisions.of-Chapter _ _ GAS SYSTEM_ __ OUIlETS_ _ _ - _ -:- _ -�-��
9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER
fed Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL
(•' ,fL VALIDATION - a
DATE V 0
License Numbe Tic. Class ear - _ 0
FINAL
Contracto I 6Y• / ¢O
❑ LJ
~
am exempt°under Sec W
IL
B.BP.C, for this reason ► - 0
Plan-check fee
Date: - PLUMBING PERMIT ISSUING FEE $ -
Signature - .. .. -.. - -
TOTAL FEE
SINGLE FAMILY
HOME OWNER-BUILDER DECLARATION Plan check applicant
herebyaffirm That I am exempt from the Contractor's License Name '
Law for the following reason (Section 7031.5, Business and
Professions Code): Address S
1, as'owner of the property, will do the work ond.the City Tel. No.. y "
structure isnot intended or offered for sole(Section 7044, At+(-T•a
Business and Professions Code). ► +F tj(
CONSTRUCTION LENDING AGENCY 3307
1 ITEMS
I hereby affirm that there is a constructionlending agency for - �
the performance of the work for which this permit is issued - TOTAL 20 - 50
-
(Sec 3097, Civ. C.). .. (.HElis IJ,cI}
Lender's Name'• - .(CHANGE
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 , - I]Ill]Ij-I IljjJi jf�! 1,!.yif1
ordinances.and State laws regulating Plumbing, and hereby ^]�j AN �`G1
authorize representatives of this County to enter upon the SL.
a ve-mentia ed property for inspection purposes.ll SEE REVERSE FOR EXPLANATO Ill NGUAGE
Signature of Per tree Da '
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT dF PUBLIC WORKS 9701 LAS TUNAS ""' PL 0508 0704300023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 . . .. ,
PHONE:-(626) 285-.0488 EXT: ,
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 5904 LT: 306 _ 9025 HERMOSA DR T
IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917801836
ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: ROSEMEAD
15384-016-042 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
163 WATER PIPING BR/FIX 6.00 FIX 40.50
(TENANT: 164 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
I TOTAL FEES 84.45 104/30/07 JK 10/29/07
TOWNER: TEL. NO: T - (FINAL DATE-aY D BY: CODE:
1LAI, MIKE (626) 215-9354-, T 1 •.L-�1—IR E
19025 HERMOSA DR T ' Ih II
(TEMP 91]801836 1 ,. (DESCRIPTION OF WORKc i 1
IREPIPING 6 FIXTURES OLD PIPE TO RIDGE COPPER PIPE AND WATER T
MAIN T
APPLICANT: TEL. NO: T
IWANG (909) 948-3191- T 1 1
110264 RING AVE _ SPECIAL CONDITIONS:
IALTA LOMA, CA 91737 1 1 1
TCONTRACTORo - TEL. NO: III \' (APPROVALS DATE INSPECTOR SIGNATURE
TBW IDEAL CONSTRUCTION, INC. (909) 948-3191- I 1
110264 RING AVENUE LIC. NO UNDER SLAB WORK
(ALTA LOMA, CA 91]3] 833565 B
WATER SERVICE
(PLASTIC Y/N !(METAL /N
(ARCHITECT OR ENGINEER: TEL. NO:
IROUGH PLUMBING
LIC. NO: II
IGAS PIPING
(GAS VENT
IHOT WATER HEATER
(PLUMBING FIXTURES
(LAWN SPRINKLERS
GAS TEST
TUTILITY COMPANY NOTIFIEDI I
I Cw
IGRAY WATER SYSTEM
I I I I I
I I 1 II II1 1I
I I III I I 1
I I I I I
IREPORT ID: DPR263 ROUTE T0: BS0508
I I I I I I