HomeMy Public PortalAbout9159 LA ROSA DR_Plumbing__ 76A667-CE0817 10-67 CITY
OF TM W, CITY
'
r APPLICATION FOR PLUMBING PERMIT : -
COUNTY OF LOS ANGELES -'
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION 7NEAREST
_ T D_^ 71..JOHN A. LAMBIE, COUNTY ENGINEER F� 9159La Rosa -Dr.
COLEMAN W. JENKINS. SUPT. OF BUILDING Temple City
FOR APPLICANT TO FILL IN PR NT OTYPE) ncinitsa.
NUMBER FIXTURE OR ITEM EACH FEEOWNER(Ccmlunity'Disposal)Rockenbach/Cont
WATER CLOSET 1.50 MAIL -
BATH TUB 1.50 ADDRES10128 E. Rush St. -
SHOWER 1.50 CITY So. El-Monte TEL. NO. GI 45589
LAVATORY 1.50 CONTRACTOR AeeroPlumbing Co.
SINK 1.50 ADDRESS 28 .5 N.Durfee Ave.
DISHWASHER 1.50 CITY El Monte- TEL. NO. G1 24600
CLOTHES WASHER 1.50 STATE 238485 LIC 0-36
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE P CESSED BY
LAWN SPRINKLER SYSTEM 2.00 /CJ ._ 2 C
WATER HEATER 1.50 INDUSTRIAL V
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD
OUTLETS OVER 30 d
5 PER SYSTEM
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 3 2 00
TOTAL FEE 0LO
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT -
City Tel. No. HOT WATER HEATER - •-
LDSTATE
BY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES _
LL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
G.EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
D AS REQUIRED BY LOS ANGELES CO TY AND STATE OF
NIA OR THAT I AM THE LEGAL OWN F,AND INTEND TON,THE ABOVE DEG RIBED RE DENTI L OPERTY FINAL -URE JACK R. ALLEN, SUP ENG'R.
RMITTEE
PERMIT VALIDATION CK. M O CASH
PLAN CHECK VALIDATION CK. M.O CASH "
76A667-Cf.*B 1 7,.G-65
• �- CITY CF TE dW CMT
APPLICATION FOR PLUMBING PERMIT
COUNTY OF,LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION SUDIDLDDIISNs 8088
JOHN A. LAMBIE, COUNTY ENGINEER tES&,94447 la
COLEMAN W. JENKINS. SUP T OF BUILDING LOCALITY Temple: City
FOR APPLICANT TO FILL IN NEARSCROSS ST EriC7.21it8
NUMBER FIXTURE OR ITEM "" EACH 'FEE OWNER CaIaiunitp Disp Rockenbac Coutr.
WATER CLOSET MAIL _
SS 10128 E. Ru811 St.
BATH TUB 1.25 ADDRE
SHOWER 1.25 CITY oma-El Monte_ `TE . NO.
GI 45589
LAVATORY
ure ; coNTAAcroA Aero Plumbing o;"
SINN • ADDRESS 281,,5-N.- Durfee`Ave.
DISHWASHER 1.2S CIiY El Monte_7"// W. NO.(t'I 2Jk
STATE LIC
LAUNDRY TUB 1.25 LICENSE NO 2384.85 CLASS C''36
CLOTHES WASHER 1.25 DISTRICT NO.' GROUP ZONE P O^ ES Y
l WATER HEATER "' 1.50 1'• 0 / Z
2 GAS SYSTEM OUTLETS 1'50 1. 0, INDUSTRIAL O
WASTE APPROVAL
OUTLETS OVER S PER SYSTEM .90 INSPECTION OMCORD 4U
l urinal I• o
u
w
D_
v7
Z
APPROVALS ATE I SPECT R'S SIGNATURE
PERMIT S '-2• •00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 23.00 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL O R OF,AND INTEND TO
RESIDE IN,THE ABOVE DECO ED RESID AL Y UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL (Y
VALIDATION
CK. M O CASH
• V
Lrto.`:.2 7 8� APR 15 5 .D'