HomeMy Public PortalAbout9405 LA ROSA DR_Plumbing__ 76 A 667 - CE 617 7-69
APPLICATION FOR PLUMBING PELIT
COUNTY OF LOS ANGELES ' •
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING• �� (1
JOHN A.•LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS: SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST. eSS
NUMBER * FIXTURE OR ITEM EACH FEE C
OWNER Q 1. J
WATER CLOSET
MAIL
BATH TUB 1. 0 ADDRESS I,
SHOWER 1. 0 CITY TEL. NO. 9*9--Y
LAVATORY 1. 0 CONTRACTOR
SINK 1. 0 ADDRESS L
DISHWASHER 1. o CITY TEL. NO.
CLOTHES WASHER 1.;0 STATE LIC -
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.iO
' DISTRICT NO. GROUP E PRO ESSED BY _
LAWN SPRINKLER SYSTEM 2.)0 ,_ l
d
WATER HEATER 140 INDUSTRIAL O
WASTE APPROVAL
GAS SYSTEM OUTLETS 1 0 INSPECTION REC RD tJ
OUTLETSOVER0 z
' S PER SYSTEM TEM
' � N
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 00
TOTAL FEE• SQ
APPROVALS - DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK -
Name ROUGH PLUMBING '
AddreSS 40 059 br, GAS PIPING
GASVENT-
City C Tel. No. oHOT WATER HEATER
1 HEREBY A KNOWLEDGE'TH T 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING. - '
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED -
LICENSED AS REQUIRED Y L09 ANGELES COUNTY,AND STATE OF ,
CALIFORNIA OR TN AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE A VE•DES IBED RESIDENT PR Y. FINAL
SIGNATURE ,JACK R. ALLEN, SUPERVISING MECHANICAL -
OF PERMI TEE
PERMIT VALIDATION CK. M O. CASH
PLAN CHECK ALIDATION CK. M 0 CASH
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508` " i a
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS P 904096012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGA ID: FEES PAID SS:
TR: 13620 LT: 1 405 LA ROSH DRRQ�
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TE P`CA 91'78Q3840
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ALESSANDRO
8590-011-001 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95 TSSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
04/07/99 UT 04/07/00
OWNER: TEL. N0: FINAL DATE FINAL 2�F CODE:
STEPP HELENE C (626) 287-9867- _
9405 LA ROSA DR
TEMP 917803840 DE-RUFT—ION OF WORK
EXTEND GAS SUPPLY LINE TO ATTIC FOR NEW HVAC SYSTEM
APPLI
BRYANT HTG. 8 AIR COND., INC. (626) 286-1141-
1350 E. LAS TUNAS DR SPECIAL CONDITIONS:
SAN GABRIEL, CA
Glii I S Cp
CONTRACTOR: TEL. ®� ��1� APPROVALS DATE INSPECTOR SIGNATURE
BRYANT HEATING AND AIR (626) 286-1141- b
1350 E LAS TUNAS DR LIC. NO UNDER SLAB WORK
SAN GABRIEL CA 91776 221751 C20
W T R SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECTR 0:
/ ROUGHPLUMBING
LIC. NO: L 1111111 GAS PIPING
GAS
U UBUC WOHOT WATER HEATER
RKS
PLUMBI I NG FIXTURES
LAWN 0 O 0
j� SPRINKLERS
U ❑ GAS TEST �
s� ®5
UTILITY ED
C 0WV
ServiceV �Th�� 1°�
GRAY ER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1112060004
BUILDING AND SAFETY / LAND DEVELOPMENT ' TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 13620 LT: 1 I I 9405 LA ROSA DR 1
I IFEE DESCRIPTION- QUANTITY: UOM. AMOUNT: ( TEMP CA 917803840 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET. 1
18590-011-001 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: JS LOCALITY: TEMPLE CITY, Cl
1 164 WATER PIPNG <= 1 1/2 1.00 LIN 16.30 I I•
(TENANT: TOTAL FEES 44.10 (ISSUED ON: PROCESSED BY: PLAN BY: I
I 112/06/11 SR I
(OWNER: TEL. NO: I (FINAL ZDTE FINAL BY: CODE:
ISTEPP HELENE C (626) 287-9867- 1 I 210
19405 LA ROSA DR I I I�
ITEMP 917803840 jDt9CRIPTION OF WORK
IREPLACE WATER MAIN
I I I I
(APPLICANT. TEL. NO: I
ISAME AS OWNER - I
I ISPECIAL CONDITIONS:
I I I 1 I
(CONTRACTOR. TEL. NO: I (APPROVALS ATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - I I
LIC. NO I IUNDEP SLAB WORK I I I
I I I I I I
I (WATER SERVICE I
(PLASTIC YIN MET Y
(ARCHITECT OR ENGINEER• TEL. N0: I I II 11�C1 �I v I
- I (ROUGH PLUMBING
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1 LIC. NO- I I I I
IGAS PIPING
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IGAS VENT I I
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I IHOT WATER HEATER I 1
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I IPLUMBING FIXTURES I I I
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11 I
I 1 (LAWN:SPRINKLERS I I I
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IGAS TEST
I I1 11
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(UTILITY COMPANY NOTIFIEDI I I
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1 IGRAY RATER SYSTEM
I I I I I I
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1 IRE PORT ID. DPR263 ROUTE TO BS0508 I I