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Home My Public Portal About10715 LA ROSA DR_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT DOf County Engineer DIVISIONSION OFF BUILDING gi SAFETY WILLIAM J. FOX, County Engineer PLUMBING 1. ISTRICT O. GRO P O FOR APPLICANT TO FILL IN / PLUMBER VALLEY BOULEVARD PL RECEIVED BY READY FOR DATE ISSUED ADDRESS 8300 EAST VALLEY BLVD. FIRST INSPECTION il'7 l3 CITY ROSEMEAD 1 ADDRESS BUILDING 7 No. AT. 2-Z I TEL LICENSE NO. 93M EXPIRES 6.30• LDCALITY r ` NEAREST PERMIT FEES CROSS ST. NUMBER TTRE OP FI%TUR6 OR ITEM FEE OWNER C MAIL WATER CLOSET(TOILET) @ 0.50 ID ADDRESS BATH TUB @ 0.50 TL CITY TENo. SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A 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. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY' @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER GAS SYSTEM--OUTLETS 0.50 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. @ SIGNATURE OF WATER HEATER @ 0.50 PERMITTEE GLOP BINK @ 0.50 INSPECTION RECORD FLOOR SINK @ D.SD FLOOR DRAIN @ O.SO DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 -J Q HOUSE BEWER @ 0.50 Z MISCELLANEOUS 6 J 0 APPROVALS DA/T/-/E INSPECTOR-7NAME ROUGH PLUMBING X11...._. i %SEPTIC Np T CESSPOOL @ 1.00 L SEPTIC TANK: ANKDRAIN ( ) PIT ( ) @ 1.00 PERMIT 1.00 T UTILITY CO.NOTIFIED A TOTAL FEE 3 a Y ��+ FINAL 76A66T DBS#17 6-52 COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY PLUMBING WILLIAM J. FOX. County Engineer PERMIT NU. FOR APPLICANT TO FILL IN DISTRICT NG. GROUP ON PLUMBER VF1i I FY Pnl II F1180ri FIRST DI IIM1ACidi/r /�n - RECEIVED BY READY FOR,"NSPECTDATE ISSUED __.. I _ ADDRESS 8 (jrQ:T V91 7 G .V DI \/.F\ OU NO Id clTr ROSEtViEAD TEL. NO. AT I) - lin ADIDRESS !t COUNTY 93M EXPIRES -4 o- r)"3 LOCALITY L. LICENSE N0. NEAREST PERMIT FEES CROSS ST. NOMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL OL WATER CLOSET(TOILET) ® 0.50 IS ADDRESS _ BATHTUB @ 0.50 CITY TEL NO. SHOWER ® 0.50 1 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 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 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESO)RIBED AS E. GAS SYSTEM 9 OUTLETS @ 0.50 'F!Z/"/rA SIGNATURE OF WATER HEATER ® 0.50 PERMITTE 111,7,te�Azv SLOP SINK a O.So INSPECTION RECORD FLOOR SINK ® 0.50 FLOOR DRAIN 0.50 DISHWASHER 0.50 DRINKING FOUNTAIN @ 0.50 URINAL ® O.SO J Q HOUSE SEWER 0.80 Z MISCELLANEOUS a. O APPROVALS DATE IN.FlC13T0R'. NPME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT 1.00 GAS TEST UTILITY CO. NOTIFIED n TOTAL FEE 9 ? FINAL T4A447 DBS',('17 4-52 '7iiA 667—CE 8 17 8/68 .APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 7ST. & /BUILDING AND SAFETY DMSION / Q pJOHN A. LAMBIE. COUNTY ENGINEERCOLEMAN W. JENKINS. SUP.T. OF BUILDING FOR APPLICANT TO FILL IN (PR NT OR TYPE) .S /INUMBER FIXTURE OR ITEM EACH FEEn -I/ lC'WATER CLOSET 150 Q R DHATH TUB 1.50 SHOWER 150 CITY . c , TEL. NO. {./ - '�7 LAVATORY 1.50 CONTRACTOR SINK 1.50 ADDRESS DISHWASHER 1.50 CITY TEL. NO. CLOTHES WASHER 150 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 150 DI6TR1 NO. ;ROU ZON LAWP E PRO E65ED BY N 0 SPRiNKL ER SYST Ebf 2.0O WATER HEATER 1.50 INDUSTRIAL V WASTE APPROVAL O GAS SYSTEM OUTLETS 1.50 Iso INSPECTION RECORD OUTLETS OVER U 5 PER SYSTEM .30 a h Z Plan check fee 2.5of abuve. See reverse. PLUMBING PERMIT ISSUING F[A-' S 2 00 TOTAL, FEE 3 SO APPROVAL$ DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT (,ll) Tel. N0. HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WIT ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. O�5 /! I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR UTILITY CO. NOTIFIED I ^ LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF A CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO I RESIDE IN. THE ABOVE,DEBCRIBEO RESI TIAL PROPERTY. FINAL ' �� SIGNATURE JACK R. ALLEN, SUPERVI51 ME ANICAL ENG-R. OF PERMITTEE? A PERMIT VALIDATIO C M.o. CASH, PLAN CHECK VALIDATION CK. M.0. CASH 1, o 7 0-G JUL 22 5 0 3 .50- s y'i�ffirm that I have a ION DECLARATION rswserw APPLICATION FOR PLUMBING PERMIT I h��FFreby Tf�rm that f have a certificate of consent to self cs sir (z-so) 'n invLre, or a certificate of Workers'CompensationInsurance,or 1 U a certified copy thereof(Sec. 3900, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ' ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING �I /ID I ^ r O Iii f,A L� Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM • FEE ADDRESS _ A department. WATER TV WATER CLOSET 61 Date Applicant ' NEAREST / / }fs , 1 CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. MM 00 COMPENSATION INSURANCE SHOWER 3 MAIL OWNER 9L ' �7 ,At LAVATORY (This section need not be completed if the work involved ADDRESS N 9. by the permit is for one hundred dollars (5100) or less.) SINK CITY G TEL.NO / 0 I certify that in the performance of the work for which this DISHWASHERt - W_ permit is issued, 1 shall not employ any person in any manner CONTRACTOR 0 so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER ADDRESS ~ U Date Applicant SWIMMING POOL RECEPTOR W NOTICE TO APPLICANT: If, after making this Certificate of CITY 0 TEL. NO. N Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEMS TATE provisions of the Labor Code, you must forth- STATE LIC. — with comply with such provisions or this permit shall be WATER HEATER LICENSE NO. CLASS deemed revoked. I GAS SYSTEM OUTLETS 3 DISTRICT NO. PRO ESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER 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 ness and Professions Code, and my license is in full force and DATE / Z — — �j'r VALIDATION effect. FINAL License Number Lia Class gy Contractor Date ID1 am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ 17. acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE Lie.or Reg.No. Dat¢ Plan check applicant HOME OWNER-BUILDER DECLARATION Neme I hereby affirm that I am exempt from the Contractor's Address - License Law for the following reason (Section 7031.5, Busi- City Tel. No. 3 2 3,5 A x ness and Professions Code): ❑ I, as owner of the property, am exclusively contracting # • • • • • 5 with licensed contractors to construct the project (Section 7044, Business and Professions Code). 2 • • 1 9.00 CONSTRUCTION LENDING AGENCY n . 1 9. 00X0 , 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.). - - 1 1,28-80 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 rep ives of this County to enter upon the _ above-men erty for inspectpurFs. S'gldtlfire of Permittee t Date COUNTY OF LOS ANGELES TEMPLE CITY ' # 05QB CPtUMBING PERMIT' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS P1-0508 0006080031 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 17867 LT: 45 - m �fv457,L•A^ROSASDR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: %TEMP'CA"9178034.10 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: PERSIMMON 8574-002-021 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY 11 CLOTHESWASHER(S) 1.00 FIX 16.20 TENANT: 13 DISHWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 25 LAVATORIES/SINKS 1.00 FIX 16.20 06/08/00 UT 12/05/00 TOTAL FEES 76.35 OWNER: TEL. NO: FINAL DATE FINAL BY: / CODE: ANDREWS PHILIP A;KAREN E TRS - 6 10715 LA ROSA DR n` TEMP 917803410 DESCRIPTIO OF WORK •PAF F.,ORJUZCHEN_REMODEL APPLICANT: TEL. NO. SAME AS OWNER - _ SPECIAL CONDITIONS: ANGELES CO\\ CONTRACTOR: TEL. NO: C7 /��,y\ APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO \� UNDER SLAB WORK WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. N0: _ \l1 ROUGH PLUMBING f >� LIC. N0: 6 vd/ `` (1 GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS � r• �' •\.�•�"i� GAS TEST UTILITY COMPANY NOTIFIED CWV c Service Z!O%i GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508 i