Loading...
HomeMy Public PortalAbout10720 LA ROSA DR_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J. FOX. County Engineer PLUMBING 1 STR C G. GROUP ZO q FOR APPLICANT TO FILL IN /3 VALLEY BOULEVARD PLUMBING CO. RECEIVED BY READY FOR DATE ISSUED PLUMBER / FIR ST INSPECTION ADDRESS 8300 EAST VALLEY BLVD. q ROSEMEAD 1 ADORESB CITY TEL No. AT. 2-2719 COUNTY 93M 6.30• LOCALITY C a LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS ST. /yy/ G NUMBER TYPE OF FIXTNRC OR ITCH FEE OWNER //G • ��— '" _ MAIL WATER CLOSET(TOILET) @ O.SO B ADDRESS --BATHTUB ® 0.50 CITY TEL No. SHOWER @ C.SC1 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ O.SO 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 I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ C.SO ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS BYSTEM--OUTLETS @ 0.50 SIGNATURE OF a. WATER NEATER @ 0.50 PERMITTEEEE SLOP SINK @ O.SO INSPECTION RECORD v FLOOR SINK @ 0.50 FLOOR DRAIN @ O.SO DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 J Q HOUSE SEWER @ 0.90 Z MISCELLANEOUS XX 6 Y � O APPROVAL'S DATE' INSPECTOR'S/(.AME ROUGH PLUMBING GAS PIPING GAB VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.001 1 SEWER PERMIT 1.00 GAS TEST TOTAL FEE UTILITY CO.NOTIFIED /A�A /I FINAL / (/�-�� Irl7 J 76A667 DDS#17 6-52 v 7 – COUNTY OF LDS ANGELES APPLICATION FOR PERMIT Department of CD Engineer DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer PLUMBING 1 FOR APPLICANT TO FILL IN PERMIT IND B R T NO. ROUPZ❑ � stela z� -�1 PLUMBER VALLEY BOULF!(4Ri II9q. iV/ / RECEI ED BY RNE EADY FOR DATE ISSUED Yd FIRST INSPECTION 1` I 5-3 — ADDRESS 8300 EAST VALLA � FiC`�AV.^/- g BUILDING �]• O CITY ROSEf1S ESD TEL No. ADDRESS COUNTY93M LOCALITY LICENSE NO. EXPIRES 6-3 - NEAREST PERMIT FEES CRO99ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL Y�YY WATER CLOSET(TOILET) 0.50 S ADDRESS BATH TUB ® 0.50 CITY TEL. No. SHOWER ® 0.50 I HEREBY ACKNOWLEDGE 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 BINK ® 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB LAUNDRY TUB OR TRAY a 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER / OF THE RESIDENTIAL PROPERTY DESCRIBED AB VE. BAB SYSTEM OUTLETS ® 0.50 / SIGNATURE OF E WATER HEATER 0 0.50 PERMITTE SLOP SINK O.so INSPECTION RECORD el FLOOR BINK ® 0.50 FLOOR DRAIN 0.50 DISHWASHER @ O.So DRINKING FOUNTAIN ® 0.50 URINAL O.SO J Q HOUSE SEWER ® 0.90 Z MISCELLANEOUS to R' APPROVALS DATE, INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING / O GAS VENT CESSPOOL 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK GRAIN ( ) PIT ( ) @ 1.00SEWER PERMIT 1.00 vas TEST P UTILITY CO. NOTIFIED n de TOTAL FEE 9 FINAL 76A667 DBSl—17 6-52 76A667-CE*817 2-66 ell"I" APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHMA. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCAL FOR APPLICANT TO FILL IN NEAREST CROSS S NUMBER FIXTURE OR ITEM EACH FEE OWN WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS M�VXQ. Cl TEL. NO. SHOWER 1.25 LAVATORY 1.25 CONTRACTO SINK 1.25 ADDREB O ,, x DISHWASHER 1.25 T TEL. N ,Q'v LAUNDRY TUB 1 25 STATE LIC LICENSE NO. CLA55 CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P CESSED BY IM WATER HEATER 1.50 GAS SYSTEM OUTLETS 1'50 INDUSTRIAL > WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 o INSPECTION RECORD CD C O F- U W d y Z APPROVALS DATE INSPECTOR S SIGNATURE PERMIT IC 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ ICATION GAS VENT ANO STATE THAT THE ABOVE IS CORRECT AND AOMPLYWITH ALL COUNTY ORDINANCES AND STATE LLATING HOT WATER HEATER PLUMBING.1 HEREBY CERTIFY THAT 1 AM PROPERLY REND/OR PLUMBING FI%TURES LICENSED AS REQUIRED BY LOS ANGELES COUNTATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OEND TORESIDE IN, THE ABOVE DESCRIBED REBI IAL PROUTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE FINAL -G (��LIDRTION JACK R. ALLEPN cK. / ..0. cnsH SUPERVISING MECHANICAL ENG -- LNL� 6,9-1.4� OCT 17 5 D 3:50- - ... �✓V�YK/ -� •WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT ^ I hereby,affirm that I have a certificate of consent to self 76A667A insure oqqa certificate of Workers' Compensation Insurance, CE 817(REV. 8/86) ILJI or a cilltti£ed copy thereof (Sec. 3800, Lab. C.) 1f70028COUNTY OF LOS ANGELES DEPT. OF-PUBLIC WORKS Policy 0L9r3,g. . ❑ Certified copy is hereby furnished. © FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed wi tou ty buil Ing inspec- ADDRESS 10720 La osa tion department. NUMBER FIXTURE OR ITEM ® FEE LOCgLITV Temple Cit Dote 10�1 2�8 7 Appligan - WATER CLOSET NEAREST - CERTIFICATE OF EXEMPTIO FROM WOR RS' BATH TUB CROSS ST. COMPENSATION I URANCE SHOWER OWNER Green - (This section need not be consist d if the work involve by MAIL the permit is for one hundred d ars ($100)or less.) LAVATORY ADDRESS 10720 1 aro sa I certify that in the performance of the work for which this CITY permit is issued, I shall not employ any person in any manner SINK CTenl le City TEL. NO. 448-8471 so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Verco Plumbing, Inc . Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' CITY TEL NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM 771-7533 with comply with such provisions or this permit shall be STATE IIC. deemed revoked. 1 WATER HEATER 0 6 00 LICENSE NO. 484333 cLAss C 3 6 LICENSED CONTRACTORS DECLARATION DISTRICT O. t PR SSED BY I hereby off irm.that I am licensed under provisionsofChapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER �r A and Professions Code,and my cense is in full force and effect. 5 PER SYSTEM FINAL - O DATE _2 LIDATION 71 V License N r Lic. Class C36 G FIN 0 Contracto Date 10/12/87 12/8- F B _ W ❑ I am xempI under ec 6 N 2 B.BP . for this reason Plan check fee - Date: PLUMBING PERMIT ISSUING FEE$ 10 5 0 Signature TOTAL FEE 16 50 ' Plan check applicant ' SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractors Licensegddrass Law for.the following reason (Section 7031.5, Business and Professions Code): City Tel. No. e e e Ie ❑ ],'as owner of the property, will do the work and the 1 • e 1 6 5 0 structure is not intended or offered for sale (Section 7044, Business and Professions Code). e .e e 1 &505 CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending agency for 1 Z�� 4,�8 7 the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). ' 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 ordinances and Stat laws regulating Plumbing, and hereby 'outhori represent fives of this County to enter upon the ' a va nlioned roperty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 10/12/87 gnature of Per irtee Date