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