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
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/ 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
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76AS67-CM17 SSS -7; H: Pz e (�/ 1'7-
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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. 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