HomeMy Public PortalAbout10257 LA ROSA DR_Plumbing__ 76A667 - CE817 5/70 -�, CITY OF TEMPLE CITY
APPLICATIOYW. FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES B11523 11
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSIONtBUILDING10257 La Rosa Dr.
JOHN A. LAMBIE, COUNTY ENGINEERS
COLEMAN W. JENKINS. SUPT. OF BUILDINGTYem le J.tFOR APPLICANT TO FILL IN (PR NT OR TYPE) T
ST.NUMBER FIXTURE OR ITEM EACH FEWATER CLOSET 1.50 Scott
AIL
BATH TUB 1.50S Same
SHOWER 1.50 CITY TEL. NO.
LAVATORY 1.50 CONTRACTOR GENERAL INSTALLATION CO.
SINK 1.50 ADDRESS 6558 WEST BLVD.
DISHWASHER 1.50 CITY Los Angeles TEL. NO. PL 3-2541
CLOTHES WASHER 1.50
STATE LIC
LICENSE NO. (,' 36 151839 CLASS
SWIMMING POOL RECEPTOR 1.50 DIST[tICTDNOI-/ GROLP ZONE P 6D B
LAWN SPRINKLER SYSTEM 2.00 c y VY
1 WATER HEATER 1.50 1 75 _ WASTE
APPROVAL p
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD U
OUTLETSOVER
5 PER SYSTEM .30 Ready for Inspection W 0
WATER SOFTENER / `L,
W
CL
N
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE .S
TOTAL FEE 4 175
APPROVALS DATE INSPECTORS SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO I ,
RESIDE IN, THE ABOVE DESCRIBED RFNT L PRO RTY. FINAL 0 j 7y
(ra
SIGNATURE • JACK R. ALLEI ,'SUPERVISI HANICAL ENG-R.
OF PERMITTEE
PERMIT VA DATION CK. M.o. CASH,
PLAN CHECK VALIDATION CK. M.O. CASH
0 P. A N SEPA 5 D 4.75-
1
COUNTY OF.LOS ANGELES I/ TEMPLE CITY # 0508 PLUMBING PERMIT)
_ - DEPARTMENT Of PUBLIC WORKS 9071 LAS TUNAS - PL 0508 9701220023
BUILDING AND'SAFETY / LAND DEVELOPMENT TEMPLE CITY Clr
PHONE: (818) 285-0488 EXT:
LEGAL D: FEES PA U I LD I HE_AD ESS:
TR: 13531 LT: 9 210257 LA ROSH DR
FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: TEMP"CA 917803307
ASSESSOR OR TIO NUMBER: NEAREST CROSS STREET:
8585-006-009 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.35
TE ANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.35 IS ON: PROCE SED Y: PLA 8 EXPIRES ON:
21 HOSE BIBB(S) 1.00 FIX 16.35 01/22/97 TC 01/22/98
25 LAVATORIES/SINKS 2.00 FIX 32.70
OWNER: TEL. NO: 45 WATER CLOSET/URINAL 1.00 FIX 16.35 FINAL DATE FINA Y. CODE:
DIEP JOSEPH QUYEN PHU;JENNIFER SIU - 47 WATER HEATER(S) 1.00 WTH 16.35 �Q ..(.�,.
10257 LA ROSA DR 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35 �1� 1
158.55 DD SCR 11. ON 0 96RK
TEMP 917803307 TOTAL FEES
PLUMBING FOR NEW KITCHEN AND BATHROOM ADDITION
APPLICANT: TEL. NO:
SAME AS OWNER
.`1 SPECIAL CONDITIONS:_
�f
CONTRACTOR: TEL. N0: y \ `� ;� A PROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER LIC. NO � UNDER SLA R
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO: l�/. ��. O , , �� �r �',
ROUGH PLUMBING f
LIC. NO: i J I__ i �Y
G P ING r l
�\ rtr�ty
GAS VENT
HOT WATER HEATER
GAS TEST
�-7-
`i-;' -9UTTL77 COMPANY NOTI Fl ED
CWV
GRAY WATERSYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
• COUNTY OF IAS ANGELES TEMPLE CITY K 0508 PLUMBING PERMIT
' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0]122]0006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91980
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 13531 LT: 9 10257 LA ROSA DR
FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 917803309
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: AIDED
18585-006-009 J01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
I07 BATHTUBS/SHOWERS 1.00 FIX 16.20 1
(TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
145 WATER CLOSET/URINAL 1.00 FIX 16.20 112/29/09 VG 06/24/00 1
I TOTAL FEES 76.35 1
TOWNER: TEL N0: 1 FINAL D TE FIN BY' CODE:
TAMMY DIEP, SIMONE DIEP (626) 350-4034- 1 1
110257 LA ROSA DR
ITEMP 917803307 1 11EStRI TION OF WORK
PLUMBING FOR NEW BATHROOM
(APPLICANT: TEL NO:
KHAN (626) 318-9039- 1 1
9101 HERMOS DR. I SPECIAL CONDITIONS:
1TEMPLE CITY CA 91780 1 1 1
TCONTRACTOR: TEL. N0: 1 TAPPROVALS DATE INSPECTOR SIGNATURE T
110£5, SIMONE (626) 350-4034-
10257 LA ROSA DR. LIC. NO JUNDER SLAB WORK
ITEMPLE CITY, CA 91780 NONE
WAT£R SERVICE
PLASTIC YIN METAL YIN 1
ARCHITECT OR ENGINEER: TEL, NO:
IROUGH PLUMBING
LIC. NO.
IGAS PIPING j
GAS VENT
1 HOT WATER HEATER
I
PLUMBING FIXTURES
1 I 1LAWN SPRINKLERS I 1 I
CAR TEST
1 I I
(UTILITY COMPANY NpTIFIED
I I Icwv I I I
I (GRAY WATER SYSTEM I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
REPORT ID: DPR263 ROUTE TO: BSO508
1