HomeMy Public PortalAbout10708 LA ROSA DR_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department Of County Engineer 0
DIVISION OF BUILDING gi SAFETY
WILLIAM J. FOX. County Engineer
DISTRICTO. ORO P O
FOR APPLICANT TO FILL IN r J2/
PLUMBER VAI I Fy R0 !ljCt'1011 pi 1168 1V. RECEKO By READY FOR DATES ISSUED
FIRSTINSPECTION
ADDRESS n. � —v OI I �—��
GINO
CITY ROS -EM TEL.NB. 22719 AT ✓J
ADDRESS /O��p /Ja
COUNTY
LICENSE NO. 93M EXPIRES LOCALITY
NEAREST
PERMIT FEES CROSS ST. Jy�
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAI L
WATER CLOSET(TOILET) @ 0.50 8 ADDRESS
BATH TUB @ 0.50 CITY TEL NB.
BHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASHBASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK Q 0.50 AND STATE LAWB REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 A UELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED OVE.
OAS SYSTEM OUTLETS ® 0.50
BIONATURE OF
WATER HEATER @ 0.50 PERM ITTE
SLOP BINK Q 0.50 INSPECTION RECORD
FLOOR BINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN Q 0.50
URINAL @ 0.50 Q
HOUSE SEWER @ 0.50 _Z
MISCELLANEOUS
0
0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 9 1.00 GAB TEST
TOTAL FEE
UTILITY CO.NOTIFIED
i
FINAL
76A667 DBS#17 6-62
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Dof County Engineer
DIVISIONSION OFF BUILDING gi SAFETY
WILLIAM J. FOX, County Engineer PLUMBING 1
DISTRICT NO. GRO P O .
FOR APPLICANT TO FILL IN f— I q'-9
! G
PLUMBER VALLEY BOULE�fARD PLUMBING W. RECEIVED BY READY FOR •J ODATE IBSUED7 _7
F IRBTINSPECTION
ADDRESS 8300 EAST VALLEY BLVD. l� �f n f 7 --J3-
CITY
3
CITY F OSEIYIEAQ TEL. No. W. 2-2/1J ADDRESS 0 70 _ s"
LIDCENSE NO. ^'�'•, E%FIRES\ 6.30- LOCALITY !7r--
COUNTY 01
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FI%TYPE OR ITEM FEE OWNER //`< /Vr/✓I
MAIL
WATER CLOSET (TOILET) @ O.So 9 ADDRESS
BATHTUB @ 0.50 CITY TEL No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDDE THAT 1 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 SINK ® 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 I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS T
SYSTEM_OULETS @ 0.50 e O
SIGNATURE OF
E / i aII J✓>rs( piAM+^r6�
WATR HEATER @ 0.50 PERMITTEE
SLOP SINK @ 0.so INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 J
Q
HOUSE SEWER @ 0.90 Z
MISCELLANEOUS 2
U Of
0
APPROV LS
AT_E INSPECTOR'S. NAME
ROUGH PLUMBING �Oi..✓rZv i0
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST
q UTILITY CO. NOTIFIED A A
TOTAL FEE � `1V[ 0
FINAL
76A667 DBS--17 6-52
7BA667-CE#Bl7 2-66 ,.
APPLICATION FOR PLUMBI G PERM[ ,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS i
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEARESx
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 135 Cl TEL. N
LAVATORY 1.25 CONTRACT R
SINE 1.25 ADDRESS ,;G
DISHWASHER 1.25 Cl: TEL. NO. (/,V
STATE IV LIC
LAUNDRY TUB 1.25 LICENSE NO. CLASS
CLOTHES WASHER 1.25 DISTRICT NO. GROU ZOME PR IS BY
WATER HEATER 1.50 ✓SIJ
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
0
v
w
d
N
Z
APPROVALS DATE INSPECTORS SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 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 HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED A5 REOUI Y LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR TH 1 A THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN! THE
A VE . R
Nr1AL PROPERTY, UTILITY CO. NOTIFIED
SIGNATURE
OF PI I.TT
FINAL •'�
/V iLIM. C JACK R. ALLEN
/
l CK. M.o. cases SUPERVISING MECHANICAL ENG'R.
LAlol 2 9 8 OU20 5 D 3.50-
t r WORKERS COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT
�ij hereby affirm that I have acertifi<at@ of consent to self 20-0026 DPW 6/87
insure, or a certificate of Workers' Compensation Insurance, 76A667A
or a certified copy thereof (Sec.G3800, Lob. C.) l � ' COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
Ocy�078688 CpmpAt. Fund
Certified copy is hereby furnished. �•
FOR APPLICANT TO FILL IN(PRINT OR TYPE) 'BUILDING
,!{��l�/'Certified copy is filed witht c n building ins c- ADDRESS' 10708 La Rosa.-
/— tion department. NUMBER FIXTURE OR ITEM Qi FEE LOCALITY
Ternpli, City
Date 'S/H/89 Applican WATER CLOSET NEAREST
CERTIFICATE OF EXEMPTION FROM WOR BATHTUB CROSS ST.
COMPENSATION INSURANCE SHOWER OWNER .JOel Mendez
(This section need not be completed if the work involved by the permit is for one hundred dollars 5100 or less. MAIL'
P ( ) I LAVATORY ADDRESrsdme
I certify that in the performance of the work for which this
permit is issued, I shall not employ any person in any manner SINK CITY 579-779E6NO.
so as to become subject to the Workers'Compensation Lows. DISHWASHER
C'12Y'i P€onmental EN ineer.
Date Applicant CLOTHES WASHER
NOTICE TO APPLICANT: If, after making this Certificate of - gpDR 61bl N. Poplar
Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR CITYL.
Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM Dan e 385LIC494
with comply with such provisions or this permit shall be STATE LIC.
deemed revoked. WATER HEATER LICENSE NO.475226 C20 CLASS
LICENSED CONTRACTORS DECLARATION D15 RIOT NN1 PR ESSED BY
I hereby offirm:that I am licensed under provisions of Chapter 9 GAS SYSTE TL f B
(commencing with Section 7000) of Division 3 of the Business OUTLETSOVER ' V Lt y,
and Professions Code, and my license is in full force and effect. 5 PER SYSTEM FINAL i VALIDATION 0:
DATEO.
License Number 475 -
976 Lit. Class C20 V
FINAV W
Contractor PNTT, FNq Date 518/89 BY 0
❑ Fi
I am exempt under Sec.
B.BP.C. for this reason
Plan check fee ► Z
Date:
PLUMBING PERMIT ISSUING FEE$
Signature
TOTAL FEE
Plan check applicant '
SINGLE FAMILY r
HOME OWNER-BUILDER DECLARATION Name
I hereby affirm that I am exempt from the Contractor s License Address
Law for the following reason (Section 7031.5, Business and
Professions Code): 5.'
) City Tel. No.
❑ I, as owner of the property, will do the work and the
structure is not intended or offered for sale (Section -
7044, Business and Professions Code). poll IF, 4' !!;I0
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued
(Sec. 3097, Civ. C.).
Lender's Name . ... -
r „r 2c
Lender's
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 PoIll
ordinances d State laws regulating Plumbing, and hereby
authorize e * ntatives of this County to enter upon the
a bo'e- n ed property for inspecI purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1406160019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91980
PHONE: (626) 265-0488 EXT:
ILEGAL ID: I FEES PAID BUILDING ADDRESS: 1
ITR: 17867 LT: 53 I 10708 LA ROSA DR 1
I IFEE DESCRIPTION: QUANTITY: UOM: AM0UNT: 1 TEMP CA 917803409 1
(ASSESSOR INFORMATION NUMBER I i NEAREST CROSS STREET:
18574-002-029 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY CAI
1 113 DISHWASHER(S) 1.00 FIX 16.20 1 1
1TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: -
TOTAL FEES 60.20 106/16/14 SR
TOWNER: TEL. N0: (FINAL DATE FI CODE:
NENDEZ, WENDY (626) 523-6040- .
110708 LA ROSA DR
ITEMP 917803409 1D SC IPTIO OF WOAK
REP ACE DISHWASHER AND SINK FOR KITCHEN REMODEL
APPLICANT: TEL. N0:
IROSS, SHIRON (800) 968-2558- 1
123679 CALABASAS RD SPECIAL CONDITIONS:
CALABASAS CA 91302
I 11 11 I
CONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE
IHI TECH REMODELING GROUP INC. (800) 348-7292- 1 1 1
123679 CALABASAS ROAD STE 1101 LIC. NO 1 1UNDER SLAB WORK 1 1 1
CALABASAS CA 91302 986591
(WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
' ROUGH-PLUMB ING
LIC. NO:
IGAS PIPING
I I I
I I
IGAS VENT I I I
I
IHOT WATER HEATER
I
PLUMBING FIXTURES
(LAWN SPRINKLERS -
I I I
IGAS TEST
1 11 I
1UTILI'PY COMPANY NOTIFIED(
I I Icwv I I I
1 1 (GRAY WATER SYSTEM 1 I 1
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 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 I
I I 11 I I I
I I I I I I
I I I I I I
IRE PORT ID: DPR263 ROUTE T0: HSO508
I