HomeMy Public PortalAbout10133 LA ROSA DR_Plumbing__ ]6A66]C*(CE-BI]B) -9/75
APPLICATION FOR PLUMBING PERMIT {�
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TY PEI BUILDING J
NUMBER FIXTURE OR ITEM @ FEE
ADDRESS / �J
WATER CLOSET LOC A LIT, �;`[��
NEAREST
BATH TUB CROSS ST.
SHOWER OWNER
LAVATORY MAIL
t7 Q ADDRESS _ J
SINN CITY71, ��' +1,C A11V/ TEL. N.P.
DISHWASHER 7 (� CONTRACTOR y
04
CLOTHES WASHER
ADDRESS
SWIMMING POOL RECEPTOR
CITY J1� TEL. NO
LAWN SPRINKLER SYSTEM / }
WATER HEATER LICENSE NO. ') el(6� Z CLASS e—�,J ' y
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DISTRICT NO. GROUP ZONE OC SED BY CD
GAS SYSTEM OUTLETS 1 U I V
OUTLETS OVER J � U = )Q
5 PER SYSTEM INDUSTRIAL U
WASTE APPROVAL W
INSPECTION RECORD H
Z
Plan check fee
PLUMBING PERMIT ISSUING FEE $ 4/
TOTAL FEE
Plan check applicant
Name APPROVALS DATE INs accTOn's sIGNATDRF
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel. NO. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REGOI RED BY LOS ANGELES COUNTY AND STATE OF GAS`TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND II ENO A
RESIDE IN THE ABOVE DESCRIBED RESIDE T4L P OPER TT UTILITY CO. NOTIFIED I
SIGNATURE .ifFd11V _' 1L{'i( v J
OF PERMITTEE FIN4L /fVl 1JI� 1
PLAN CHECK VALIDATION CK. M.O. cnsH PER T VALIDATION crc. M.D.��CASH
8 1 2nAPR 2� 5 2 J.S 0 A5'
76AG67C(CE-BI]B) -9/75
APPLICATION FOR PLUMBING PERMIT
BUILDING "D SAFETY DIV; jN
FOR APPLICANT TO FILL IN (PRINT OR TV PEI BUILDING
NUMBER FIXTURE OR ITEM @ FEE ADDRESSIT
WATER CLOSET LOCALITY
BATH TUB NEAREST
CROSS ST.
SHOWER OWNER
LAVATORY .i MAIL
ADDRESS
SINK CITY TEL. NO.
DISHWASHER CONTRACTO. !,
CLOTHES WASHER
ADDRESS
SWIMMING POOL RECEPTOR
LAWN SPRINKLER SYSTEM CITY E TEL. NO.
STAIE LIC p
WATER HEATER LICENSE NO. CLASS
GAS SYSTEM OUTLETS DIST�NO. GROUP 20NE CESSE�D7BY
OUTLETS OVER J Ov I Z -r LJ�(/.vr.c-,Lr CD
5 PER SYSTEM INDUSTRIAL w
WASTE APPROVAL h
INSPECTION RECORD Z
Plan check fee
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE J�
Plan check applicant
Name APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK 7
Address ROUGH PLUMBING
City Tel. No. GAS PIPING
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
/
PLUMBING,
LICENSED AS REOU I RED BY LOS ANGELES COUNTY AND TATE F GAS TEST -
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AN TEND 0
RESIDE IN THE ABOVE DESCRIBED REST ENTIAL PROPER UTILITY CO. NOTIFIED 1 v
SIGNATURE 1
OF PERMITTEE I.d IFINAL
PLAN CHECK VALIDATION CK. M.G. CASH PERMIT VALIDATION cK. M.O. CASH
7 1 3 DEC 10 -5 0 1 6.5 0 end
TBA6BT -CC#8172-62 TEMPLE COT ]-[,
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER gU1LD1NG
BUILDING AND SAFETY DIVISION ADDRESS /O/33�, GAh'os]STATE
JOHN A. LAMBIE. COUNTY ENGINEER '�2-�
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY / C PG C f'�FOR APPLICANT TO FILL IN CROSS ST. LNUMBER FIXTURE OR ITEM EACH FEE OWNER ,pJNuCLWATER CLOSET $1.25 "MAILBATH TUB 1.25 ADDRESSSHOWER 1.25CITY TEL. NLAVATORY 125 CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NOLAUNDRY TUB 1.25 CONTRACTOR'S REGISTRATION NO.
CLOTHES WASHER 1.25 DISTRICT NO� GROUP ZONE EBBED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD
a
O
u
w
O
h
u
W
d
h
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING f\ \
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT J
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST ` C
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO
RESIOE IN*THE ABOVE DESCRIBED SI MTIAL PRrOrPERTY. UTILITY CO. NOTIFIED O
SIIGNATURE PERMTTEE RO
FINAL
VALIDATTOPF"�1 ROBERT A. WOOD
CK. M.o. (`cASSO SUPERVISING MECHANICAL ENG'R
Lto2 `} 86—� PAR 25 7 D 3 .25~ 5
/4'IiG�YV
COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0909100008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 10821 LT: 12 BL: A 10133 LA ROSA DR I
I IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917803305 1
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
18585-009-018 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, CI
107 BATHTUBS/SHOWERS 4.00 FIX 64.60 1
1 TENANT: I11 CLOTHESWASHER(S) 1.00 FIX 16.20 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
I 113 DISHWASHER(S) 1:00 FIX 16.20 109/10/09 SR 09/10/10
121 HOSE BIBB(S) 4.00 FIX 64.80 1
OWNER: TEL. NO: 125 LAVATORIES/SINKS 6.00 FIX 97.20 1DATE FIY: CODE: 1
WTERENCE (323) 697-2120- 145 WATER CLOSET/URINAL 3.00 FIX 98.60 ATE (((
110133 LA ROSA DR. 147 WATER HEATER(S) 1100 WTH 16.20
ITEMPLE CITY CA 91780 151 IOW PRS GAS 5 OUTLET 1.00 SYS 16.20 IDESCRI TION OF WORK v1
163 WATER PIPING BR/FIX 6.00 FIX 40.50 PLUMBING FOR KITCHEN, BATHROOMS, LAUNDRY, GAS LINE AND WATERI
I TOTAL FEES 408.45 (HEATER I
(APPLICANT: TEL. N0: I1
KWOK (323) 697-2120- 1 I
110133 LA ROSA DR. I ISPECIAL CONDITIONS: 1
ITEMPLE CITY CA 91780 1
I
1CONTRACTOR: TEL. N0: 1 1APPAOVALS DATE INSPECTOR SIGNATURE 1
IT T L CONSTRUCTION CO. (626) 284-1097- 1 1
1405 N CAMPBELL AV LIC. NO .IUNDER SLAB WORK
ALHAMBRA, CA 91801 626157BEIC
IWATER SERVICE I I
IPLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
KWOK, TERENCE (323) 697-2120- 1 ROUGH PLUMBING
1260 E GARVEY AVE. LIC. NO:
(MONTEREY PARK, CA 91755 C24796 IGAS PIPING '
I I I
IGAS VENT
HOT WATER HEATER I
IPLUMBING FIXTURES I
LAWN SPRINKLERS
I GAS TEST
(UTILITY COMPANY NOTIFIED'-{YC I
Cw
I I (GRAY WATER SYSTEM I I I
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(REPORT ID: DPR263 ROUTE T0: BSO508
I I I I I I
.� COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 PLUMBING PERMIT
CEPARTMENT OF PUBLIC WORKS 9701 LAS TUBAS PL 0508 040831000?
BUILDING :-"D SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PRONE: (626) 285-0488 EXT:
LEGAL D: - FEES PAIC °UILDING ADDRESS:
TR: 10821 LT: 12 Bt: A 10133 LA ROSA DR
ASSESSOR INFORMATION NUMBER:
FEE DESCRIPTION: QUANTITY: UOM: -AMOUNT: TP6:P CA 917803305
11 NEAREST CROSS STREET: BALDWIN
8585-007-018 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Ci
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: —� — - TOTAL FEES 43.95 ISSUED CO : PROCESSED BY: PLAN BY_ F.kPIRES ON:
08/31/04 JK 02/27/05
OWNER: TEL 110: - FINAL DAT BY: 'CODE:
10133GONZALEZ,LA LUT. (526) 45'I-G;,i1- EXPIRED
10133 LA ROSA '
TEMPLE CITY DESCRIPTION OF WORK
RELOCATE WATER. HEATER
APPLICANT: TEL. h:0.
SAME AS OWNER
SPECIAL C0,01IIONS:
I
MAS OWNER
SAMEAS Ek- --- N0: APPROVALS DATE ..:SPECTOR SIGNATURE
SA - � I
LIC. NO UNDER S.AR WOCK 1
I
WATER SERVICE j
PLASTIC Y/N METAL Y/N
ARCHI ECT OR ENGINEER EL.MLS
I
i
GAS PIP'NG
HOT WATER HEATR'
MNrl NIG FIXTURES -
LAWN S?RsNKLEP,S -I
GAS i[5E i
i
UTILITY COMPANY NOTIFIED
cuv
GRAY WATER SYSTEM '
REPORT ID: DPR263 ROUTE TO: BSU508
COUNTY OF LOS ANGELES "i EhPLE %I iY :