HomeMy Public PortalAbout9246 LA ROSA DR_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0911170001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID BUILDING ADDRESS:
ITR: 16475 LT- 98 I 9246 LA ROSA DR
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803731 I
(ASSESSOR INFORMATION NUMBER- I I NEAREST CROSS STREET:
18590-027-024 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: JS LOCALITY: TEMPLE CITY, Cl
1 125 LAVATORIES/SINKS 1.00 FIX 16.20
(TENANT: I TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY. EXPIRES ON: I
I 111/17/09 SR 11/17/10 I
(OWNER- TEL. NO- I IFINAL DAT FIN Y: CODE I
IXIE, ZHEN PING (626) 289-0052-
19246 LA ROSA DR
ITEMP 917803731 I ID SCRIPTION OF WORK
I I IPLUMBING FOR KITCHEN REMODEL I
(APPLICANT: TEL. NO: I I
ISAME AS OWNER
I I ISPECIAL CONDITIONS:
I
I I I I
ICONTRACTOR: TEL. NO 1 (APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER - I I I
I LIC. NO I (UNDER SLAB WORK
I I I
IWATER SERVICE I
I
I I IPLASTIC Y/N METAL Y/N I I
(ARCHITECT OR ENGINEER: TEL. NO:
I - I IRDUGH PLUMBING `\_-"r I
1 LIC. NO:
IGAS PIPING I I
IGAS VENT
I I I
I IHOT WATER HEATER I 1
I I I
I I IPLUMBING FIXTURES I I I
I I I
ILAWN SPRINKLERS I I I
IGAS TEST I I I
I 1 11 1
I (UTILITY COMPANY NOTIFIED( I 1
I 1c I I
IGRAY WATER SYSTEM _
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
IREPORT ID: DPR263 ROUTE TO: BS0508
1 I I I
7GA667 DBS 17 11-50 APPLICATION FOR PERMIT
DERAOTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
R .
��FppOR APPLIOANT TO FILL IN
PLUMBER (.0 11 {�� RECEIVED BY READY FOR /PTE ISSUED
ADDRESS � V 11 /U.A FIRST INSPECTION 9)�/ �w
CITY leTEL N BUILDING,{•
ADDRESS
f r
COUNTY LOCALITY
LICENSE NO. b EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL 3 CD e•
WATER CLOSET(TOILET) 0 0.50 >$ ADDRESS 9
BATH TUB 0 0.50 CITY TEL M04
SHOWER @ 0.50 I HERESY 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.
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-1-OUTLETS' 0.50/ THE RESIDENTIAL PR�PEI�TY B BED ABOVE
SIGNATURE ore'I (/�ylr/1 QQQ/1�dJ O`�rkl���
WATER HEATER 0.50 PERMITTEE
SLOP SINK 0.5o INSPECTION-RECORD
FLOGR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN a 0.50
URINAL @ 0.50 J
Q
HOUSE SEWER 0.50 Z_
MIS ELIeANEOUS 2
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING /
OAS PIPING
GAS VENT
CESSPOOL @ 1:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1.00 GAS TEST
UTILITY CO. NOTIFIED A
TOTAL FEE / S� FINAL �®I -,f/j2
V