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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