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HomeMy Public PortalAbout9406 LA ROSA DR_Plumbing__ 7�fA667 (CE-617( - 175 /// APPLICATION F R PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDING ADDRESS 94O6 La Roaa. Drive HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY Temple City FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM @ FEE 2.00 OWNER Mr. & Mrs. Larry Chacorias WATER CLOSET MAIL BATH TUB 2.00 ADDRESS 9406 La Rosa. Drive SHOWER 2.00 CITY Temple City TEL. NO.286-7857 LAVATORY 2.00 CONTRACTOR AAA CONDITIONED AIR, INC. SINK 2.00 ADDRESS 10160 E. Valley Blvd. DISHWASHER 2.00 CITY El Monte TEL. N0. 579-1800 CLOTHES WASHER 2.00 STATELIC LICENSE NO. 293529 CLASS C-20 SWIMMING POOL RECEPTOR 2.00 DISTRICT NO.GROUP ZONE I ROC SED BY LAWN SPRINKLER SYSTEM 2.00 O WATER HEATER 2.006L-0 INDUSTRIAL WASTE APPROVAL C" GAS SYSTEM OUTLETS 2.00 SO 67 INSPECTION RECORD V OUTLETS OVER ,?� q / 5 PER SYSTEM .30 P" r�"� �.dbr �G O Lu Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 0-0 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ •THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST a- PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED L'SACL ENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF IFORNIA OR THAT I A E LEGAL OWNER OF, AND INTEND TO IDE IN THE ABOVE DE(C IBED RESIDENTIAL PROP RTY. FINAL v GNATU RE "] a r � OF PERMITTEE - �✓ PERMIT VALIDATION O-C— O: CASH PLAN CHECK VALIDATION CK. M.O. CASH `J U' 6 7 8 0 tti L �. 76A667 17 2SM SETS 7-48 - APPLICATION FOR PERNaT ,DEP�.RT%ENT OF BUILDING AND SAFE7lY PLUMBING COUNTY OF LOS ANGELES WM.J. FOX.CHIEF ENGINEER NATURE OINSTALLATION DISTRICT NO. GROUP ZONE . P RMIIT O. ROUGH FIXTURES COMPLETE ?/ (�.3 HEATER CESSPOOL I� SEPTIC TANK R ED HY READY FOR DATE 1SSU FIRST INSPECTION — — AS M1 CELLANEOUs APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY ) / NAME JOB � T1( 7. �f-7 ��s � ADDRESS �. / 7 m 11-- , m ADDRESS// / 7aCo(G"4 � LOCALITY J 'NEAREST CITY6 CITY No. CROBB ST. COUNTY LICENSE NO. v EXPIRES NAME LOCATION OF SEPTIC TANK, OR CESSPOOLMAIL 3 � ADDRESS NORTH O CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. A � �e • � � • " I V V ` PLUNGER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. 3 OWNER CORRECTIONS SOUTH - J DESCRIPTION OF WORK _z BATH TUB FURNACE O lx SHOWER DISHWASHER O _.LAVATORY REFRIGERATOR ITCHEN SINK WATER SOFTENER FLOOR SINK SANDTRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING i _METER_GAS --SODA FOUNTAIN OUTL GAG PIPING I GAS VENT I CESSPOOL I / TOTAL NUMBER OF FIXTURES SEPTIC TANK I I CEHSPOOI SEPTIC TANK `j SEWER IUTILITY CO.NOTIFIED TOTAL FEE _ �- -y ��/�(/q FINAL D.B.S.17 25M SETS 10-47 t,( APPLICATION p TloysT g,,/'R PERMIT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES 1 e �+ WM. J. FOX. CHIEF ENGINEER PLUMBING NATURE OF INSTALLATION DIsTitiar N . GROUPI zoNEPERMIT NO. ROUGH FIXTURES COMPLETE Jr A-1 n 9,,-) 14 RECEIVED BY READY FOR DATE ISSUED HEATER CESSPOOL —I SEPTIC TANK FIRST INSPECTION � U GAS MISCELLANEOUS APPLICANjT FILL IN HEAVILY OUTLINED PORTION ONLY JOB E NAME/- ��L 3� _ g,q�if ADDRESS A6 3 gW � �y�� i ADDRESS LOCALITY ��"''�/">'lr O --q NEAREST U A CITY /�� GST/ " TEL.NO. �- CROSS ST. COUT.NO.NTY /�ye CEREXPIR j mel NAME LOCATION OF SEPTIC TANK, Ok CESSPOOL Z MAIL +y ADDRESS NORTH O CITY TEL.No I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICAT OP' UALIFICATION. PLUMM 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED W q ABOVE. 41 y i OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK z / BATH TUB FURNACE 3 SHOWER DISHWASHER 0 -LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSP13CTOR'S NAeA(d WATER HEATER DENTALLAVATORY ROUGH PLUMBING METER__­3_GAS SODA FOUNTAIN OUTL 6A8 PIPING GAS VENT I CESSPOOL TOTAL NUMBER OF FIXTURES �0 SEPTIC TANK I I CESSPOOL *SEPTIC TANK 7 SEWER I I S UTILITY CO.NOTIFIED I TOTAL FEE � FINAL %"'�r'— i WORKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT fo'nerebykiffirm that I have a certificate of consent to self 76A667A insure, or a certificate of Workers' Compensation Insuranc CE 817(REV. 10/81) �J or a certified copy thereof (Sec. 3800, Lob�C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Compan;, Pol Certified copy is hereby furnis � FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING � � �•�C Certift d co filed with th u t uildin in e ADDRESS ��aY t o e a t e NUMB R FIXTURE OR ITEM @ FEEV / LOCALITY WATER CLOSET E� OO ��K. ,/��� j 2_51 Date App scant ® CROSSSST. y CERT ICATE OF4MTION PTIO /I ROM BATH TUB COMPEINSURANCE OWNER SHOWER (This section need not ompl ted if the work involved by MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS G� I certify that in the performance of th ork for which this ,/ �� 01 permit is issued, I sh II not employ an p rson in ny n r SINK CITY L J{ I EL. NO so as to I: me ss j ct to the Wo r ws"'ompen ati. La s. DISHWASHER C� CONTRACT 6ii� a � c '� Date Appli nt CLOTHES WASHER 040 ADDRES 0 j ✓� NOTOA LICANT: If after 7rr}Sking this Ce 'ficate Exert, ou should ecomsubject to the or cers' SWIMMING POOL RECEPTOR CIT %✓ � � /� TEL. NO Compensation provisions o£tabor Code, you ust forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE1) /„ LIC. 6' deemed revoked. WATER HEATER LICENSE NO.J'/✓ 1!! CLASS �G- LICENSED CONTRACTORS DECLARATION © o DISTRICT NO. PROCESSED I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is in full force and effect. 5 PER SYSTEM FINAL VALIDATION �f� - G DATE i License Numbe�`"' / Lic. Classc ✓.^— rfj� FIN U. Contract or "�"�ate / J�°" BY 9491,3A o ❑ I am exempt under Sec. � 8' � # oaaaa5 v B.&P.C. for this reason Plan check fee 'I o o 5 a 5 0 0- Date: N PLUMBING PERMIT ISSUING FEE$ o o o 5&5 0 3 Z Signature TOTAL FEE © 0627-86 Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and Professions Code): City Tel. No. ❑ I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section j 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, Civ. C.). Lender's Name Lender's Address I certify that I have read this application and state that the ab ve information is correct. I agree to comply with all County or' and State laws re uIating Plumbing, and hereby a raze rep r sen ,tiv s ounty to ent upon e bo e- rol" pr ert f i ction purpo s. SEE REVERSE FOR EXPLANATORY LANGUAGE ��1, AW 5i riY7trJ o Per tee Da