HomeMy Public PortalAbout10726 LA ROSA DR_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Dof County Engineer PLUMBING
DIVISIONSION OFF BUILDING & SAFETY
WILLIAM J. FOX. County En Blnner
DISTRICTNO. GRG P OPERMIT NO.
FOR APPLICANT TO FILL IN /6 �� r
P UMBER VALLEY BOULEVARD MINIM RECEIVED BY READY FOR DATE ISSUED
F IRST INSPECTION
ADDRESS .8300 EAST VALLEY BLVD. q ` Y �/-7',�3
ROSEMEAD ADDRESS f / y�
BUILDING
CITY TEL No. AT. Z-Z7"9
COUN END. 93M EXPIRES 6.30• LOCALITY y
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FI%TUq[OR ITCH FEE OWNER
MAIL
WATER CLOSET(TOILET) Q 0.50 ® ADDRESS
BATH TUB Q 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 SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY a 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM—OUTLETS 0 O.SO y �
SIGNATURE OF
WATER HEATER 0 0.50 PERMITTE
SLOP SINK 0.50 INSPECTION RECORD V
FLOOR SINK Q 0.50
FLOOR DRAIN 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN ® 0.50
URINAL ® 0.50 Q
HOUSE SEWER ® D.50 Z
MIlfELLANEOUEl
O
APPROu S
aTE. INSPECTOR-Y N1ME
ROUGH PLUMBINGn,-�
GAS PIPING
GAS VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
GRAIN ( ) PIT ( ) ® 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE G1 771
/J
I FINAL _ I�/ /i4 •J`_
76A667 DBS#17 6-52 V w✓/r
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
-Departmentof CD Engineer P IS U a® B I lam"DIVISIONIONOFOF BUILDING gi SAFETY
WILLIAM J. FOX, County Engineer
O.
FOR APPLICANT TO FILL IN ISTRI GRO N
926Z7-
PLUMBER VALLEY F!r,.r.n P, I Pl.�'; URECEIVED 9Y FIR 6TpINSPECDY TION �A E ISSUED
ADDRESS 83x0 E '; v
nn - B
CITY `\Qv E I:.LP,,(7 TEL. NO. AUILDING
DDRESS
COUNTY
LICENSE NR 93% LOCALITY C."1 EXPIRES
NEAREST '
PERMIT FEES CROSS ST.
NNMnER TYPE OF FI%Tl1RE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ 0.50 9 ADDRESS
BATH TUB @ 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 Q 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUS OR TRAY 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROr �ePERTY DESCRIBED ABOVE.
GAS SYSTEM L
OUTETS 0 O.SO
SIGNATURE E
WATER HEATER 0 0.50 PERMITTE
SLOP SINK 0.50 INSPECTION RECORD
FLOOR SINK O.SO
FLOOR DRAIN @ 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN ® O.SO
URINAL O,SO -1
Q
HOUSE SEWER a 0.90 Z
MISCELLANEOUS 0
Df
0
APPROVALS
_ DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIED 6/J< I. d
TOTAL FEE $ � �
FINAL
T6A667 DBS#17 6-52
COUNTY OF LOS ANGELES TEMPLE CITY $ 0508 PLUMBING PERMIT
DEPARTMENT OF PJBuIC WORKS 9701 LAS TUNAS PL 0508 1107060020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: IFEES PAID I BUILDING ADDRESS:
ITR: 17867 LT: 50 11 10726 LA ROSA DR
I IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803409
(ASSESSOR INFORMATION NUMBER I INEAREST CROSS STREET: EL MONTE
18574-002-026 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.30 1
1 TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.30 (ISSUED ON: PROCESSED BY: PLAN BY: I
45 WATER CLOSET/URINAL 1.00 FIX 16.30 107/08/11 SR I
I I TOTAL FEES 76.70 1
(OWNER: TEL. NO: Fp D FjNAL_BY: CODE:
1 OMER: GU (416) 878-5508- IY/Y///vM'I���` 'F,--NALIAeI/1)
10726 LA ROSA DR
(TEMP 917803909 IDESCRIPTION OF WORK
• PLUMBING FOR NEW MASTER BATHROOM
1APPLICANT: TEL. NO: III
LAM, KEITH (626) 277-8067-
1 ISPECIAL CONDITIONS:
I
CONTRACTOR: TEL. NO:
1APPROVALS DATE INSPECTOR SIGNATURE
ANDRADE CONSTRUCTION (909) 437-4740 1 .
-
116638 VALENCIA AVENUE SUITE 5 LIC. NO UNDER SLAB WORK
FONTANA, CA 92335 878116
I III WATER SERVICE 1
I PLASTIC YIN METAL YIN
1ARCHITECT OR ENGINEER: TEL. NO:
CHI EN YAH ARCHITECT (626) 288-8178- JROUGH PLUMBING
1160 W VALLEY BLVD LIC. NO:
SAN GABRIEL CA 91776 22638 C GAS PIPING
(GAS VENT
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III IHOT WATER HEATER
(PLUMBING FIXTURES
ILAWN SPRINKLERS
(GAS TEST
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1UTILITY COMPANY NOTIFIED( I I
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(GRAY WATER SYSTEM
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IREPORT ID: DPR263 ROUTE TO: BS0508
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