HomeMy Public PortalAbout10053 LA ROSA DR_Plumbing__ ' •78A E67 -CE#817 5163 ~ `• ~� / �rn Y. �� ��
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
_ BUILDING AND SAFETY DIVISION BUILDtNc
JOHN:'A. LAMBIE. Cou NTY�ENm NEER ADDRESS
' WILLIAM A JENSEN.,SUP TpOFTBUI@DING
rm .... .r 1. x.:.. - LOCALIT ':q;'A
FOR APPLICANT CANT - '-NEAREST
- - - CROSSST..
NUMBERT' •, FIXTUREOR ITEM EACH FEE OWNER /
WATER,CLOSET 51.25 7MRIL
BATH=TUB 1.25 ADDRESS
SHOWER 1.25 'CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR, -'�
SINE 1.25 ADDRESS
DISHWASHER 1:25 CITY 10 i-v e3 TEL. NO: ���
LAUNDRY SUB 1.25 'CONTRACTOR'S 'STATE JP
BEGL4TAATIONi NO. COUNTY. CI
CLOTHES WASHER 1.25 DISTRICT NrOI GROUP ZONE ESSEDEiY-
WATER HEATER 1.56
Y
CAS SYSTEM .OUTLETS LSD INDUSTRIAL - D•
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .96 U
A INSPECTION RECORD
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9/12fi�
APPROVALS, DATE INSPECTORS SIGNATURE
PERMIT S 2 00 UNDER y^LAH WORK
I ROUGH PLUMBING
TOTAL FEE (l GAS PIPING
HEREBY ACRNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IY CORRECT AND AGREE TO COMPLY
WITH
AL. COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER n
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES I ' IV
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN•TME ABOVE CRIBEO flE51DENTIA PROPERTY. UTILITY CO. NOTIFIED T
SIGNATURE.
OF PERMITTEE - FINAL II G'/G9 r/3P/)
ATION ROBERT A. WOOD CASH SUPERVISING MECHANICAL E
D
NG R
_._ X9;'2 4'•9, _AlJs23 5 v 1 0.0OM a
76A O6]-CE#81] 5/63 ' / EIM /0 IT
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN. SUPT DF BUILDING LOCALITY
l
FOR APPLICANT TO FILL IN It
CROSS
SS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET 51.25 MAIL
BATH TUB 1,25
RD,
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACT R'8 STATE
Af
REGISTRATION NO. �C. COUNTY Cl
CLOTHES WASHER 1.25 DISTRICT NO. G O P ZONE PR S BY
WATER HEATER 1.50 O
GAS SYSTEM OUTLETS 1'50 INDUSTRIAL 0-
O_
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .70 INSPECTION RECORD V
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O
F—
n.
N
l Z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT 5 2 00 UNDER SLAB WORK
O ROUGH PLUMBING
TOTAL FEE
_ GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I CORRECT
READ THIS APPLICATION
AND BALL THAT THE ABOVE 18 CORRECT AND AGREE E COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERYIFY THAT 1 AM PROPERLY REGISTERED ANDIOR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST •71 z yf�,Ae;:j•,.4.f
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO
RE81 OE IN, THE ABOVE DE BEO RE IOENTIAL P P Tv. UTILITY CO.NOTIFIED
SIGNATURE ol
OF PERMITT FINAL '1116A %7
VALIDATION ROBERT A. WOOD
CK. M.0. (/C`ASASN / SUPERVISING MECHANICAL ENG'R
Liao 9 0- 22t2 SEP 5 5 D 350-
COUNTY OF LOS ANGELES. APPLICATION FOR PERMIT
Department of County Engineer � '
DIVISIOIVISIO OF N OF BUILDING gi SAFETY
WILLIAM J. FDX, County Engineer
DISTRI GROUP ZONE P R .
F R APPLICA ❑ FILL I
PLUMBER RpCEIVED BY READY FOR `! DATE ISSUED
l_1 _ BY FIRST INSPECTION
ADDRE ��+'a4J0�
CITY " TEL N.T. 6 / ADDREI55
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER L✓
MAIL
WATER CLOSET(TOILET) ® 0.50 S ADDR S A O I(�
BATH TUB 0.50 CITY
SHOWER D.Sp I HEREBY A KNOWLEDG THA4 I HAVE READ TH19
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK ® 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTI L P PERT DE 9 IBED pVE.
GA9 SYSTEM-OUTLETS @ G.SO
Gil O
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ 0.50 4NSPECTION REC D
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER @ 0.50
GRIN KING FOUNTAIN @ O.SD
URINAL @ 0.50
Q
HOUSE SEWER O.SO _Z
MISCELLANEOUS
D:
AV
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL _
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIED L,
TOTAL FEE S
76AGG7 BBS$'17 6-52 G .J7
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY L � '
WILLIAM J. FOX, County EnOlnw
FLR APPLICANT TO FILL IN DIST RNO. GRD Z❑
PERMIT NLJ.
141J77
j�o/o253
PLUMBER ///�. REC6I VED BY READY FOR pT 1 ED
y "`���""" IAi FIRST INHPECTION / �r,
1
ADORE 99 Q '9111
/ CITY w/ No.�. O ��•"=IWO / _ ;tgec /S_
w TEL �' ADDRESS
r
COUNTY LOCALITY O
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) ® 0.5 $ O ADDR 99
BATHTUB @ O.5 CITY TEL ND. ,l
SHOWER Q 0.5 O 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY
AS BASIN) O. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK Q O. O AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY O. O ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OW £R
OF THE RE5IDENTI L PROPERTY D , OED ABOV /
GAS SYSTEM--OUTLETS 0. O SIGNATURE O
WATER HEATER @ 0.6 PERMITTE
SLOP SINK @ 0.60 qNSPECTION RECORD
FLOOR SINK @ O. ❑
_FLOOR DRAIN ® O 0
DISHWASHER @ .50
DRINKING FOUNTAIN a J.50
URINAL
MOUSE SEW ER ® 0.50 _Z
MISCELLANEOUS
0
O
APPROV LS
/-ATE INSPECTOR•. NAME
ROUGH PLUMBING
GAS PIPING
OAS VENT
CESSPOOL Q 1.00 CESSPOOL
SEPTIC TANK• SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT LOD GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE
$
OI
FINAL
7GA667 DBS$17 10/52
76AB67-CE817 B-BD 7��t✓��2Q,>,� �. �i'
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE,COUNn ENGINEER ADDER? /6 U J
WILLIAM A. JENSEN, SUPT`o F BUILDING )� -
LOCALITY ! C:f^rl-o0l& C1 '
FOR APPLICANT TO FILL'IN. NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER ft
`
T 1
p
WATER.CLOSET MAIL yy -
BATH TUB ADDRESS U ` Q
ctn Paa �.'j" :iEL. No.
SHOWER Qv e
LAVATORY CONTRACTOR `% //`. vy✓
SINE ADDRESS W d.`ply/s l .
DISHWASHER CITY Coo iiv1s- TEL. 210. ��yf 8
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION.NO. / COUNTY.
CLOTHES WASHER - DISTRICT NO(� GROUP ZONE PR ESSEDBY' .
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
GLI INSPECT/ION RECORD
ro
l � �
O
U
V
W
a
N
O $1.00 PER ITEM
Y� OR PIXTDRE $ APPROVALS L.DATE INSPECTOR'S
SIGNATURE
PERMIT $ X 00 UNDER SLAB WORK I E/••��` T 1/
TOTAL FEE ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIO GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 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 i AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED REBID IAL PROPERTY. UTILITY CO.NOTIFIED -'
SIGNATURE
Ry .. /
OF PEMITTE FINAL A A
®r /VALIDATION ROBERT A. WOOD... l/
I/Fy� A.G. SUPERVISING PAECHANICAL ENG'R
LPio2 2 98SEP 7 5 0 8 �^
75A561 n e-50 ie - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY./ FO LOS ANGELES
WILLIAM . FOX, CHIEF ENGINEER
FOR APPLICANT TOFILL IN DIST P,NO. GROU 'ZONE �PERMITNO.-
PLUMBER Bever; Service Corp.W RECEIVED.BY READY.FOR DAEir 17/s.�sJ(u�./ED�7J•fF(�.!/""
p i� FIRST INSPECTION ` -
ADDRESS 11811 Teale St. V - TT�� n'.�:�NQ�
X ,ADD EULoI`G'6 OO .;"'8 �BB' Drive
CITY ('itllyer ('city TEL. NO. E+ 1..21,51 - 1
COUNTY _ _ LOCALITY TP.ln 1@' CZC. :
LICENSE NO. EXPIRES 1
NEAREST
PERMIT FEES
CROSS ST. Baldwin. Ave.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER D. wiezdiski
MAIL
WATER CLOSET (TOILET) @ 0.50 $ ADDRESS Same as $Lave
BATHTUB Q 0.50 CITY TEL. NO.
SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q 0.50 .APPLICATION AND STATE THAT THE ABOVE.IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING.
KITCH EN SINK @� 0.50 1 CERTIFY THAT 1. POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY a 0.50 ANGELES COUNTY LICENSE,?OR 1 AM THE LEGAL OWNER
1 _
GAS SYSTEM OUTLETS 0.50 OF THE RESIDENTIAL PROP ERR,.TY DESCRIBED ABOVE.
Q SIGNATURE OF �^��• /�-!
WATER HEATER Qrt O.so PERMITTEE
SLOP SINK (a O.so I_ INSPECTION RECORD
FLOOR SINK Q 0.50
FLOOR DRAIN @ 0.501
DISHWASHER a 0.501
DRINKING FOUNTAIN @ 0.50.
URINAL @ 0.501
IHOUSESEWER Q 0.501_ Z
MISCELLANEOUS 0
I=
I
I
I
APPROVALS
1 DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
1 CESSPOOL @ 1.00I CESSPOOL
SEPTIC TANK- .SEPTIC TANK
DRAIN, ( ) PIT ( Q 1.001 SEWER
PERMIT . 1.00 GAS TEST
TOTAL FEE S. l1
UTILITY CO. NOTIFIED
J:. 5 0 FINAL
veaeev n e-5o (P7
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
�'
COUNTY LOS ANGELES
FO
WILLIAM J. FOX, CHIEF ENGINEER
NG 2
FOR APPLICANT TO FILL IN DISTRIX NO. GROUPI ZONE PERMIT0.
PLUMBER Inyprn SPS-Vdrn Corp RECEIVED BY READY FOR I A�3 SUED
_ . FIRST INSPECTION 3
ADDRESS •1p t 1` . _ i
�'v�128 'Orr ,.,[ BUILDING
,ti8e
CITY CI1lVPr City TEL. NO. Ff' 72Z'�l ADDRESSCOUNTY
: rtlnCjj L� -I:h'City
LICENSE NO. t EXPIRES =t:v LOCALITY
NEAREST
PERMIT FEES CROSS ST. &ldcr3n Ava:
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER D., WiczdiskiA• �
MAIL
WATER CLOSET (TOILET) @ 0.50 S ADDRESS SRTVIP as Aboyn,
BATHTUB @ O.50 CITY �d' TEL. NO.,
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING.
KITCHEN SINK @ 0.50 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE., OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM-OUTLETS @ 0.50 SIGNATURE OF f-, '
WATER HEATER @ 0.50 PERMITTEE '�`fiR.�hiS
SLOP SINK @ 0.50 INSPECTION'RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 W
r
HOUSESEWER @ 0.50 Q
U_
MISCELLANEOUS -1
a
D
I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
• GAS PIPING
GAS VENT
CESSPOOL Q 1,00 CESSPOOL
SEPTIC TANK:.. SEPTIC TANK
DRAIN ( +). PIT ( ) Q 1.00 SEWER
PERMIT . 1:00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE IS
(� FINAL
CE 8I]IFEV.6/]61
�S
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE( 'BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS 10053 E. La Rosa
WATER CLOSET t,OCALIT� Tem le Cit
NEAREST /
BATHTUB CROSS ST. _ `T'�L<r'T
SHOWER OWNER Peter Bromley
LAvnroev ADDRESS 10053 E. La Rosa
SINK CITY Temple City TEL.NO. 443-7884
DISHWASHER CONTRACTOR G-E-M Plumbing
CLOTHES WASHER ADDRESS 43 N. Baldwin
SWIMMING POOL RECEPTOR
CITY Sierra Madre, Ca. TEL.NO. 355-3496
LAWN SPRINKLER SYSTEM -
WATER HEATER 3 ,00 1 NSE NO. 11''308 CA55 C-36
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR s SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
r
GAS PIPING d
O
GAS VENT r V
HOT WATER HEATER � Y F0
TIGASTESI
G FIXTURES / U
- /Plan check fee O.NOTIFIED ,/J \ l 2
PLUMBING PERMIT ISSUING FEE$ 7TOTAL FEE 10.Plan check applicant N CHECK VALIDATION
Name
Address
City Tel.No.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT PND AGREE TO COMPLY W ITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE f 4 0 t b
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. u u • e
SIGNATURE ^
OFPERMITTEE '� �4'Q• - 2 1 0. 1, ID
DISTRICT NO. ��PRR,O,CE�SSM BY " . 1 1, C
INDUSTRIAL
`� `d/�� 0214 -E0
WASTE APPROVAL
7BA667-CE617 8-57
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �j -
BUILDING AND SAFETY DIVISION `ADDRESS /CI.41,. }` a- �'/`} 'eV;s^ z2.
J OH N,A: LAMBIE "COUNTY ENG`w EER • t,
CASSATTD GRIFFINrSUP i OBl11EoiNG - LOCALITY ��-E/7
FORIAPPLICANT , CIO FILL IN. NEAREST
CROSS ST L, ✓ ,,,
NUMBER F F.IXT(JR�E OR:ITEM
WATER CLOSES OWNER W`�� L.- • +• t`s I
.. MALE. _ 4
BATH TUB• - ADDRESS
CITY TEL.NO. Er.
SHOWER - -'
CONTRACTO i
LAVATORY �"'2/Lc v" [�� '
SINK :ADDRESS �Z02 W LV f ,
DISHWASHER CITY.Gq Ic TEL.NO.tVF11,?&�, _
LAUNDRY TUB CONTRACTOR'S pp STATE
REGISTRATION NO. C J'� �C YCpY,16UNTY C:]
CLOTHES WASHER -
D15TRICT - G�yP- ZO E READ]
FOR iNSIECTma'.
WATER HEATER ,`: x/
GAS SYSTEM - ''INDUSTRIAL
WASTE APPROVAL
INSPECTIONRECORD
APPROVALS
/ @ SLOB PER ITEM DATE _ INSPECTOR'S SIGNATURE
OR FIXTURE S / J UNDER SLAB WORK {�
PERMIT
ROUGH PLUMBING J I_
5 1 00 -
GAS.PIPING -
TOTALFEE GpS VENT _
1 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 FIXTURES
PLUMBING.
I HEREBY.CERTIFY THAT 1 AM PROPERLY; REGISTERED AND/ R, GAS TEST LICENSED AS REOUIRED BY LOS. ANGELES COUNTY AND STA F
CALIFORNIA HE LEG OF THE OVE UTI LITY,CO. NOTIFIED
DESCR ESIDE TIAL PRO flT
S NATURE
OF PERMIT •~ FINAL 7
R'OB E RT A. WOOD. "
OPs VALIDATION SUPERVISING MECHANICAL ENG'R '
LIL' M 0 CASH _L
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� .6�8`54AP.R g � '_37A 2B0 M .
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0108070021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGALFEES PAID BUILDING ADDRESS:
TR: 10821 LT: 7 BL: A 10053 LA ROSA DR
FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA 917803302
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8585-007-011 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: 84 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON: PRO S A S 0 :
45 WATER CLOSET/URINAL 1.00 FIX 16.20 08/07/01 UT 02/03/02
47 WATER HEATER(S) 1.00 WTH 16.20
OWNER: TEL. NO: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 FINAL DA F BY- CODE:
MAI LE, HUYNH (626) 307-9629- TOTAL FEES 108.75
10053 LA ROSA
TEMPLE CITY CA 91780 bE�C P 0
PLUMBING FOR MASTER BATHROOM
APPLICANT: O:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: - APPROVALS DATE INSPE TOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT ENGINEER: N0:
QIU, JAMES (626) 260-4600-
428 PARK AVE LIC. NO: ROUGHPLUMBING
MONTEREY PARK CA NONE
G
S VENT
WATERNOT HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
V
GRAY WATERSYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508