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HomeMy Public PortalAbout10703 LA ROSA DR_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT DSOf CDaaiy EngineerPLUMBING DIVISIONION OF OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer DISTRICT C. RO P O . FOR APPLICANT TO FILL IN / PLUMBER VALLEY BOULEVARD PLUMBING CO. RECEVED BY READY FOR 5 DATE ISSUED F IRST INSPECTION ADDRESS 8300 EAST VALLEY BLVD. "5✓ ROSEMEAD TEL Nv AUD REOB /C6COUNTY DITY ^p AT. 2-2719 LICENSE NO. 93M LOCALITY EXPIRES 6.30 NEAREST PERMIT FEES CROSS ST. �yy� NUM9ER TYPE OF FI%TIIRIE OR ITEM FEE OWNER MAIL ATRCL OSE 7T(TOILET) a 0.50 111 ADDRESS BWATHETUB ® O.SO CITY TEL No. SHOWER O.SO I 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 KITCHEN BINK (pi 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY ® 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAB SYSTEM-OUTLETS @ 0.50 SIGNATURE DF WATER HEATER ® 0.50 PERMITTE SLOP SINK O.SD INSPECTION RECORD FLOOR SINK ® O.SO FLOOR DRAIN @ O.SO DISHWASHER ® O.SD DRINKING FOUNTAIN 0.50 URINAL (a 0.50 Q HOUSE SEWER a O.SO Z MISCELLANEOUS CI 0 0 APPROV,AIS TE INSPECTOR'S AME ROUGH PLUMBIND OAS PIPING GAB VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) 1.00 SEWER PERMIT 1,Dp OAS TEST UTILITY CO. NOTIFIED / wit TOTAL FEE I b O I� FINAL 76A667 DBS#17 6-53 d 9CAO57 APPLICATION FOR .PLUMBING PERMIT ees.IT°DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING WM. J. FOX, COUNTY ENGINEER ADDRESS CASSATT D. GRIFFIN, SIIP'T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. OWNER DISTRICT I GROUPN; I aEADr Foa Ixs PEcr lox MAIL ADDRESS C jV� INDUSTRIAL CITY IY4 ` TEL. NO � d WASTEAPPROVAL PLUMBER INSPECTION RECORD ADDRESS 7 CITY TEL. NO. LICENSE NO. I L) eJ Z NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) - BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN SINK DISHWASHER LAUNDRY TUB OR TRAY CLOTHES WASHER A TOTAL NO. C& 0.80 APPROVALS DATE INSPECTOR'S SIGNATURE GASSYSTEM_OUTLETS rl 1.00 WATER HEATER UNDER SLAB WORK ROUGH PLUMBING PERMIT S 1 00 — GAS PIPING TOTAL FEE i Q GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER ANO 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 I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIA PROPERTY SIGNATURE - OF PERMITTEE FINAL WILLIAM J. FOX. COUNTY ENGINEER VALIDATION R. A. WOOD, CHIEF FLOG. INSPECTOR 826SEP 22 3 1 .80 "1 -- COUNTY OF LOS ANGELES APPLICATION FOR PERMIT ' Department of County Engineer ' DIVISION OF BUILDING & SAFETY LUMBING WILLIAM J. FOX, County Engineer P 11 FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE 'J s� PLUMBER )'1I: CV n!)(II nin Rif OI iiarorw (Y) RECEIVED BY READY FOR DATE�195U,ED - ----....._ __. ^ FIRST INSPECTION ADDRESS A nIl CA^T 4.'%I i '.• m 1•n Pew— VV -- __--' BUILDING Q 1 CITY (1CFhjiFQ TEL No. AT 9.=710 ADDRESS l Q COUNTY LICENSE NO. 93 M EXPIRES LOCALITY S NEAREST PERMIT FEES CROSS ST. NCM9[R TYPE OF FIXTURE OR ITEM FEE OWNER MAIL bKITCHEN CLOSET(TOILET) Q4 O.SG 81 ADDRESS UB ® 0.50 CITY TEL No. R ® 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 1 RY (WASH BASIN) Q 0,50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS RY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER / OF THE RESIDENTIA PROPERTY DESCRIBED BOVE. STEM OUTLETS 0.50 SIGNATURE OF WATER HEATER 0.50 PERMITTEE SLOP BINK ® D.SO INSPECTION RECORD FLOOR BINK ® 0.90 FLOOR DRAIN @ 0.50 DISHWASHER ® 0.50 DRINKING FOUNTAIN 0.50 URINAL 0.50 J Q HOUSE SEWER ® 0.90 Z MISCELLANEOUS O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING '_ OAS PIPING S✓' GAS VENT CESSPOOL Q 1,00 CESSPOOL SEPTICTANK: SEPTIC TANK DRAIN ( ) PIT ( ) ® J.DO SEWER PERMIT 1.00 GAB TEST t _ UTILITY CO.NOTIFIED , TOTAL FEE e U y• FINAL O 7CA667 DBS.$'11 0-52 7eA667-C E.817 10-67 �j Y.fAPPLICATION FOR PLUMBING PERMIT U COUNTY OF LOS ANGELES -- `DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 7 Q 7 I_ COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY ( FOR APPLICANT TO FILL IN IRK NT OR TYPE) NEAREST CROSS SL ..J !9 p NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 �^t ADDRESS Q V L D MAIL BATH TUp 1.50 _ SHOWER 1.50 CITY TEL. NO. CONTRACTOR S' l LAVATORY 1.50 .9 / SINK 1.50 ADDRESS o QLJ Z-,+ a y'7 (�[/ DISHWASHER 1.50 CITY f TEL. NO. ,J-�;' CLOTHES WASHER L50 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ONE P CESSED BY , LAWN SPRINKLER SYSTEM 2.00 �i0 g = ^� (C O -� U WATER HEATER 1.50 INDUSTRIAL APPROVAL - C O GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD U OUTLETS OVER .30 d 5 PER SYSTEM Z Plan check fee 25- of above. See reverse. PLUMBING PERMIT ISSUING FEE S 2 00 TOTAL EEE 3 b APPROVALS DATE INSPECTOR'$SIGNATURE . Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No. HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT 1 HAVE READ TH15 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIOR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTE D TO RESIDE IN. THE ABOVE D CRIBED fl SIDE A PROPERTY. FINAL (� SIGNATURE JACK R. ALLEN, SUPE VISIN HANICAL ENG'R. OF PERMtTTE PERMIT VALIDATION CK. M.O. cgsH PLAN CHECK VALIDATION CK. M.0. CASH . .. LAUD 5 0 :1 auN 13 5 0 3.50- WOR RShatIhaea- cerNcateofATION CE 817 APPLICATION FOR PLUMBING PERMIT I here!y'al�that I have a certificate of consent to self es en Iz-eol insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab. C.) • COUNTY OF LOS, LES U DING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TV BUILDING _ p� ADDRESS O J03 LA VO es(Y Certified copy is filed with the county building inspection NUMBER I FIXTURE OR ITEM FEE LOCAUTV department. WATER CLOSET Date Applicant — NEAREST BATH TUB /� CROSS ST. (MMOL. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER ' AIL LAVATORY M (This section need not be completed if the work involved ADDRESS o () LP ZoSA } by the permit is for one hundred dollars (SI00) or less.) SINKd CITY M C_3-* TEL.NO. _ .t O I certify that in the performance of the work for which this DISHWASHERU permit is issued, I shall not employ any person in any manner CONTRACTOR so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER Q ADDRESS Date Applicant SWIMMING POOL RECEPTOR U NOTICE TO APPLICANT: If, after making this Certificate of CITY O. d Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. Z Compensation provisions of the Labor Code, you must forth- LICENSE NO. CLAS with comply with such provisions or this permit shall be WATER HEATER deemed revoked. GAS SYSTEM OUTLETS DISTRICT NO. _ ESS BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER (C�C/X('� I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL -7 ness and Professions Code, and my license is in full force and DATE VALIDAT ON effect. FINAL License Number Lie. Class BY Contractor Date EJi am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE �. Lie.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name 1 hereby affirm that 1 am exempt from the Contractor's Address License Law for the following reason (Section 7031.5. Busi. City Tel.No. ness and Professions Code): 2 1 !7 5 6 A 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project # o o'• o • 5 (Section 7044, Business and Professions Code). - CONSTRUCTION LENDING AGENCY o 1300 OO I hereby affirm that there is a construction lending agency e o e 1 3,005 for the performance of the work for which this permit is issued(Sec.3097,Civ.C.). 1 5'-8 0 Lender's Name Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned prop rty f mspectian purposes. J?2� �. , �. Signature of Permittee Date • - - COUNTY OF LOS ANGELES TEMPLE CITY - M 0508 PLUMBING-PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL-0508-9707240025 - BUILDING AND SAFETY 7 LAND DEVELOPMENT TEMPLE CITY CA - PHONE: (818) 285-0488 EXT: - LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 17867 LT: 4310703 LA ROSH DRQ FEE DESCRIPTION: QUANTITY: L1014: AMOUNT: TEMP-CA7917803410 A 0 OR ION NUMBER: NEAREST CROSS STREET: 8574-002-019 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE'CITY 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35 IMAM- TOTAL FEES 44.10. ISSUED : PROCESSED Y: PLAN PIR S ON: - 07/24/97 TC 07/24/98 OWNER: TEL. NO: - FINAL DATE INAL BY: E: PURSELL CECILIA A - 10703 LA ROSA DR - TEMP 917803410 D SCRIP 0 0 1 r GAS LINE FOR NEW HEAT AND AIR/COND. 5 M APPLICANT: NO: SUPER COOL AIR COND. (626) 575-5178- SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: i �_..\\ / APPROVAL DATE IN-SPECTOR SIGNATURE SUPER COOL AIR CONDITIONING (818) 575-5178- 2126 SEAMAN AVE LIC. NO ��O SLAB WORK SOUTH EL MONTE CA 91733 C20 / C10 * `��7 \C7� WATER SERVICE PLASTIC Y/N METAL Y/N LIC. NO: / 1r-, ' -- 1,1 \\\ 0 P GAS PIPING GAS VENT HOT WATER HEATER LUMBING PLUMBING FIXTURES LAWN SPRINKLERSf GAS TEST UllLllY ULM CWT � tlq .ervpCe "� GRAY WATER S S *ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: BS0508