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HomeMy Public PortalAbout10116 LA ROSA DR_Plumbing__ 76AGQ7-CE81712/59 TEMPLE CHTY APPLICATION FOR PLUMBING PERMIT. COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING kND SAFETY DIVISION BUILDING / JOHN A. L MBIE. COUNTY ENGINEER ADDRESS WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY e FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER eS' WATER CLOSET RATE TUB ADDRESS CITY TEL. NO. !Q SHOWER CONTRACT P LAVATORY SINB ADDRESS r DISHWASHER CITY a TEL. NO. CO CT R'S STATE ❑ LAUNDRY TUR REGISTRATION NO. COU ❑ CLOTHES WASHER DISTR_ICJ NO,�+(J GROUP ZONE PROCESS BY WATER HEATER •.� U I GAS YSTEM INDUSTRIA. WASTE APPROVAL jel Q INSPECTION RECORD a J!1'T S6CY U 0 t� P �f o U W 0. z z / 0 $1.00 PER TTEM / OR CIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 100 UNDER SLAB WORK TOTAL FEE LI-�1 ROUGH PLUMBING EFF"' "'•••��� GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS RE BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR HAT AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RES] ENTIA PROPERTY. UTILITY CO.NOTIFIED / SIGNATURE I Af OF PERM ITTE ®r VALIDATION ROBERT A. WOOD. cr. M.0. cpsx SUPERVISING MECHANICAL ENG'R D]o 0 J 7 o „ Ger ? 5 i D 3 .00 n^ 76AS67-CM17 SSS -7; H: Pz e (�/ 1'7- ! APPLICATION FOR PLUMBING PERMIT, COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER _ BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, County. E�ineer ADDRESS CASSATT D. GRIFFIN, Supt of Building LE G T LOCALITY FOR APPLICANT TO FILL IN NEARESCROSS TT. 1 NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL 4rell >C BATH TUB ADDRESS CITY TEL NO. SHOWER �/ CONTRACTOR ' /V f �6 6, LAVATORY SINE ADDRESS �n'Q sop/ S (I DISHWASHER CITY COLEOd/�j� TEL. NOD O.J 7 CONTRACTOR'S 6 STATE LAUNDRY TUB REGISTRATION NO. �S 7 b COUNTY ❑ CLOTHES WASHERI DISTTRIICCTNO. • GROUP - - R CESS BY WATER HEATER -i / CIf/ r GAS SYSTEMINDUSTRIAL - WASTE APPROVAL INSPECTION RECORD i /O"�'�j�.O /L!•,I/,i AVT�rfd/ .iui�l .(J7.Y✓ 0 $1.00 PER ITEM OR FDCTURE O APPROVALS g D TE INSPECTOR'S SIGNATURE PERMIT 0 UNDER SLAB WORK AV/9�TOTALFEE Q ROUGH PLUMBINGGAS PIPING iHEREBY ACKNOWLEDGE THAT 1 HAVE READ IONANDSTATE THAT THE ABOVE IS CORRECT AND LY GAS VENTWITH ALL COUNTY ORDINANCES AND STATE LING HOT WATER HEATERPLUMBING.1 HEREBY CERTIFY THAT I A PROPERLY RE /OR PLUMBING FIXTURES LICENSED AS REQUIRED Y ANGELES COUNTY AND ATE OF GAS TEST 0-Lz3-GD N CALIFORNIA OR THAT A E LEGAL OWNER OF T ABOVE DESCRIBED RESIOENTI RTY. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTE ®r VAMATION ROBERT A. WOOD. U.0. CASH SUPERVISING MECHANICAL ENG'R LLjo4 7 6 9 aur > 5 c 1 1 .0 U" r: • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0605260017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 ERT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 10821 10116 LA ROSA DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803303 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8585-013-006 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: H4 LOCALITY: TEMPLE CITY, C 01 BATHTUBS/SHOWERS 1.00 PIX 16.20 TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 05/26/06 JK 11/22/06 TOTAL FEES 76.35 OWNER: TEL. NO: FINAL DAT XPIRIHY: CODE: SANTIN, EVELYN (626) 444-2928- 10116 LA ROSA DR. TEMPLE CITY CA 91780 DESCRIPTI -OF OORK BATHROOM REMODEL SHOWER, LAVATORIE, WATER CLOSET APPLICANT: TEL. NO: MORAD (818) 519-7706- 12348 MAGNOLIA BL. v SPECIAL CONDITIONS: VALLEY VILLAGE 91607 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE HIGH STAR CONSTRUCTION (888) 272-6868- 18375 VENTURA BLVD. #206 LIC. NO UNDER SLAB WORK TARZANA, CA 91356 877520 H ., fWATER SERVICE PLASTIC YIN METAL YIN ARCHITECT OR ENGINEER: TEL. NO: ROUGH PLUMBING LIC. NO: GAB PIPING ' GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: ES0506