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Home My Public Portal About10733 LA ROSA DR_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of Engineer DIVISIONSION OF BUILDING gi SAFETY WILLIAM J. FOX, County Engineer PLUMBINty FOR APPLICANT TO FILL IN DISTRICT NO. GRGLJP 20.EPE; 3 S S2 la �ISSz �r PLUMBER VALI.FY 80111 FVAR0 PI nMRiNr, cn RECEIVED BY READY FOR DATE UED 'n FIRST INSPECTION 'Sr�� ADDRESS 8300 EAST VALI_FY BI VD. BUILDING O ?g CITY ROSEMEAD TEL. N.. AT.. 2-2714 ALREBS JL/�/1 COUNTY LICENSE NO. 93M EXPIRES 6-30-,53 LOCALITY NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXT11RE OR ITEM FEE OWNER _ ��iyr/�/✓ _ MAIL WATER CLOSET (TOILET) a O.Sp $ ADDRESS _ HATH TUB _CITY TEL NO. SHOWER 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. ICERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY a 0.50 AND ELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OAS SYSTEM_„LOUTLETS ® O.SO OF THE RESIDENTIAL j,�PROPERTY DESCRIBED ABOVE. BIOO NATURE F /J� WATER HEATER 0.50 PERMIO SLOP SINK - @ 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER ® 0.50 DRINKING FOUNTAIN ® O.Sp URINAL O.SD J a HOUSE SEWER It 0.50 Z MISCELLANEOUS U 0 0 APPROVALS DATE INSPECT../'. NAME ROUGH PLUMBING /7 iv GAS PIPING ..� E`er OAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) 1.00I SEWER PERMIT LOO GAS TEST / �q UTILITY CO. NOTIFIED TOTAL FEE a I v FINAL U/ 76A667 DBS#17 6-52 COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Departmentof CountyEngineer DIVISION OF BUILDING gi SAFETY PLUMBING 1 WILLIAM J. FOX. County Engineer STRICT NO. GROUP ON . FOR APPLICANT TO FILL IN VALLEY GOULE`J'.RD PLUMBliVG Gu. PLUMBER RECEIVED BY READY FOR DATE ISSUED ADDRESS $300 EAST VALLEY BLVD. Ili FIRST INSPECTION CITY ROSEMEAD TEL No. AT. 2.2/1O BUILDING .7 y ^� ADDRESS D / 1 COUNTY 93M LOCALITY 01 LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) a 0.50 a ADDRESS BATH TUB 0.50 CITY TEL NO. SHOWER 0.50 1 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. I 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 PPRRROPPE.RRTYY DDESCRIBED ABOVE.. OAS SYSTEM—_0UTLET9 0 0.50 WATER HEATER a 0.50 81ONPE MRITTEc' �' sLDP BINK ® o.So INSPECTION RECORD FLOOR BINK a 0.50 FLOOR DRAIN @ 0.50 DISHWASHER 0.50 DRINKING FOUNTAIN @ 0.50 URINAL O.SD Q HOUSE SEWER ® 0.80 Z MISCELLANEOUS to APPROVALS /4ATE 'INBPECTOB'S NAME ROUGH PLUMBING GAB PIPING GAB VENT CESSPOOL Q 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( .) PIT ( ) 1.00 SEWER /I PERMIT 1.00 GAS TEST / d FEE UTILITY CO.NOTIFIED i A A TOTAL $ !/ FINAL 76A667 DHS#17 6-52 L/ WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT {� I:hereby dffirm that I have a certificate of consent to self 76A667A u ins ure;lot aYertificate of Workers' Compensation Insurance, CE 817(REV. 10/81) or a certified copy thereof (Sec. 3800, 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 Certified copy is filed with the county building inspec- ADDRESS tion department. NUMBER FIXTURE OR ITEM rr FEE LOCALITY WATER CLOSET Date Applicant NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROS$ COMPENSATION INSURANCE SHOWER OWNER r (This section need not be completed If the work Involved by MAIL the permit is for one hundred dollars ($100) or less.) LAVATORY ADDRESS 0 (C 5 -- 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 TEL NO. so as to become subject to the Workers Compensation Laws, DISHWASHER CONTRACTOR ` �r l�G .C6 SL r Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate o4 SWIMMING POOL RECEPTOR ,! Z Exemption, you should become subject to the Workers' CITY V��(A(� TEt. N b7��J Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM t4 2 with comply with such provisions or this permit shall be STATE LIG. p? deemed revoked. WATER HEATER LICENSE NO. 0 CLASS �.J LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY 1 hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS - /1 (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER (f and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAVIV (DATION License Number Lic. Class i -- a DATE � FI� 0 Contractor Date ❑ 1 am exempt under Sec. 0 U B.BP.C. for this reason Plan check fee , w NDate: PLUMBING PERMIT ISSUING FEE S Z_ Signature ;17 4.8 A TOTAL FEE Plan check applicant # • is • • e 50 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name 1 Bis, 2 2 5 0 I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and • - 2Z506 Professions Code): City Tel. No. ❑ I, as owner of the property, will do the work and the 0 6 02-86 structure is not intended or offered for sale (Section ► 7044, Business and Professions Code). 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, Ci, 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 State laws regulating Plumbing, and hereby authorize r tives of this County to enter upon the above- t' operV for inspection purposes. 2-8-06 � SEE REVERSE FOR EXPLANATORY LANGUAGE X_ f, Permittee Date • COUNTY OF LOS ANGLES TEMPLE CITY k 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1305020011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 17867 LT: 48 1 10733 LA ROSA DR I IEEE DESCRIPTION: QUANTITY: UPM: AMOUNT: ( TEMP CA 917803410 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET: PERSIMMON 18574-002-024 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: C4 LOCALITY: TEMPLE CITY CAI 1 107 BATHTUBS/SHOWERS 2.00 FIX 32.40 TENANT: Ill CLOTHESWASHER(S) 1.00 FIX 16.20 TISSUED ON: PROCESSED BY: PLAN BY: 1 113 DISHWASHRR(S) 1.00 FIX 16.20 105/02/13 SR 1 125 LAVATORIRS/SINKS 3.00 FIX 48.60 1 1OWNER: TEL. NO: 145 WATER CLOSET/URINAL 2.00 FIX 32.40 1FIN L ATE FINAL Y: CODE: ILIAW, KATHERINE (9D9) 331-1155- TOTAL FEES 113.60 I1� 10733 LA ROSA DR ITEMP 917803410 ID SCRIPTION OF WORK BATHTUB/SHOWERS, DISHWASHER, DISHWASHER, LAVATORIES, SINK AND WATER CLOSETS IAPPLI CANT: TEL. NO: 1 GRANADINO, HUGO (626) 618-2288- 12022 SANTA ANITA AVE (SPECIAL CONDITIONS: IS EL MONT£ CA 91733 ICONTRACTOR: TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE (TOUCHSTONE CONSTRUCTION DEVELOPMENT (626) 618-2288- I I I 2022 SANTA ANITA AVE LIC. NO (UNDER SLAB WORK ISOUTH EL MONTE CA 91733 930018 1 I WATER SERVICE I _ (PLASTIC Y/N METAL Y/N 1ARCHITECT OR ENGINEER: TEL. NO: 1 - TROUGH PLUMBING LIC. NO: I 1-Y9 -1 IGAS PIPING IGAS VENT I I I ' (HOT WATER HEATER (PLUMBING FIXTURES (LAWN SPRINKLERS GAS TEST I I I II I I (UTILITY COMPANY NOTIFIEDI I I Cw (GRAY WATER SYSTEM I II I I II I II* ADDITIONAL DATA ON FILE (REPORT ID: DPR263 ROUTE TO: H50508 I I I I I I