HomeMy Public PortalAbout10039 LA ROSA DR_Plumbing__ 76A667-CE817-8-58
01
APPLICATION FOR PLUMBING PERMIT 1
' COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JJOHN Al LAMBIE, CountF Evg�n••I, ADDRESS
CASSAT10039 La Rosa Drive
T D. GRIFFIN, Supt of Bu'Uding LOCALITY Temple City
FOR APPLICANT TO FELL IN .cBN o s$sT. Baldwin Park
NUMBER FIXTURE OR ITEM Haugen
OWNER S
WATER CLOSET MAIL
I f BATH TUB ADDRESS 10035 La Rosa Drive
SHOWERCITY Temple City TEL. NO.
1 LAVATORY CONTRACTOR Rnhhins Rn Wann PI
SINK ADDRESS 872 Norwalk Blvd.
DISHWASHER cIT$,os Nietos TEL. NO.OX. I
LAUNDRY TUB ncclsTBAcnox No. 1562'72 C-36 It
1 CLOTHES WASHER DISTRICT NO. GROUP ZONE P
WATER HEATER J�
1 GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
L Eek 9 ? !CI
7-
7-
x-
7-
L-7 /
I h....�/w Lf C/SRb I 6
�/ APPROVALS
7 @ OR D PFIXTURE 8 OOER ITEM DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK /I'L
PERMIT $ �E2 00 ROUGH PLUMBING r� ♦�� TN,e,.
TOTAL FEE 7• GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT i u
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
1 HEREBY CERTIFY THA AM PROPERLY REGISTERED AND/OR GAS
LICENSED AS REQUIRED OS ANGELES COUNYT AND STATE OF
CALIFORNIA OR THAT THE LEGAL OWNE OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDE T ROPERTY.
SIGNATURE OFPERM nE FINAL
INVALIDATION ROBERT A.WOOD.
1 SUPERVISING MECHANICAL ENG'R
CK. M.0. CASH
ACC 6 5 7 8 OCT 2 7 5 A 9.0 0
76A667-CE817-B-58
APPLICATION
NTPP ios ATIION FOR PLUMBING PERMIT
cou1
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
TORN A. LAM BE. County En in..r ADDRESS
CASSATT D. GRIFFIN.Supt of Building LOCALITY T
emplp City
FOR APPLICANT TO FILL. IN cxos�s sTT. Ba awin
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET
BATH TUB a'A REss 10035 La Rosa. Dr.]Rd,SHOWER CITY Tem C' TEL. NO. j
LAVATORY CONTRACTOR Vhn.. F. Lumble
SING ADDRESS 672 San BernardinoDISHWASHER CTM El Monte rCONTRACTOR'S TEL' NO• GI LAUNDRY TUBAEGISTRAATION NO. 155334 ATE EI
CLOTHES WASHER DISTRI CT NO, GROUP Z//OH�NE P OCESSED BY
WATER HEATER �, H–
1 GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
1 Water System INSPECTION RECORD
7—c= –4"o TJ D,
7�r CV.
APPROVALS
OR FDITUREER EM S 2 00 DATE INSPECTOR'S SIGNATURE
•y UNDER SLAB WORK
PERMIT $ ?100 ROUGH PLUMBING
TOTAL FEE GAS PIPING 1 — 7
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT I'�
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 I AM PROPERLY REGISTERED AND/OR GASTEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTTTyyy AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF E ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL)R
SIGNATURE / 14�f//-/ FINAL
OF PERMITTE
ROBERT A.WOOD.
®. ALIDATION SUPERVISING MECHANICAL ENG'R
CK.
H.0. CASH
An 6 8 2 1 n Dr C '->4 5 A 4.00
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
' DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9807310004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 10821 LT: 5 BL: A 10039 LA ROSA DR
FEE DESCRIPTION: QUANTITY: UOM: .AMOUNT.: TEMP CA 917803302
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN
8585-007-044 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 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 07/31/98 UT 07/31/99
45 WATER CLOSET/URINAL 1.00 FIX 16.20
OWNER: TEL. NO: TOTAL FEES 92.55 FINAL DATE FINAL BY: gCODE:
FRAGOSO, JESUS (626) 443-1276- S_ZF._L}j ,� 11
10039 LA ROSA DR. r/
TEMPLE, CITY DESCRIPTION OF WORK
PLUMBING FOR ADDITION
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
GELES CO
CONTRACTOR: TEL. NO: SOS (/�J,,L APPROVALS DATE INSPECTORSAME SIGN
LIC. NO UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. N0: 1111111
GAS PIPING
GAS
M LC Y\S(3II LL S HOT WATER HEATER
LU RIN12
G FI%TURES
> LAWN SPRINKLERS
O 0 q�)jH'�- GAS TEST
0 � ®
UTILITY COMPANY NOTIFIED
service Tha* cwv
GRAY WATER SYSTEM
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REPORT ID: DPR263 ROUTE TO: RS0508