HomeMy Public PortalAbout9423 LA ROSA DR_Plumbing__ 76 A 667—CE 817 8/68
APPLICATION FOR .PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
• BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS t
COLEMAN W. JENKINS. SUPT OF BUILDING LOCALITY T �j
FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST
CROSS ST. ,flJG�E L L/�
NUMBER FIXTURE OR ITEM EACH FEE
OWNERAll
WATER CLOSET 1.50
MAIL )�
BATH TUB 1.50 ADDRESS
SHOWER 1.50 L. N _ 71
LAVATORY 1.50 CONTRACTOR
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY �//;7 TEL. NO.
CLOTHES WASHER 1.50 STATE
LICENSE N / CLASS,
SWIM1t1ING POOL RECEPTOR 1.50 DISTRICT NO. :rP ZONE PR CES BY r
LAWN SPRINKLER SYSTEM 2.00
i
WATER HEATER 1.50 INDUSTRIAL Z
WASTE APPROVAL o
GAS SYSTEM OUTLETS 1.50 INSPECTIO ORD W
OUTLETS OVER CL_
5 PER SYSTEM •30 /v 7C, Z
`I
I
,I
Plan check fee 25%.of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE
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
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS-REQUIRED BY LOS ANGELES COUNTY AND STATE-OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER F,AND INTEND TO
RESIDE IN. THE ABOVE RIBED ESIDENTIAL OPERT V. FINALVAI '71
SIGNATURE JACK R. ALLEN, SUPERVISIN ECHANICAL ENG-R.
OF PERMITTEE
PERMIT VALIDATIONC M.O. CASH
PLAN CHECK VALIDATION CK M.O CASH
.,.s,
67X_' JAN 8 .5 D 3.5 0�
COUNTY OF LOS ANGELES _ TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1007080019
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID. FEES PAID I BUILDING ADDRESS: 1
ITR: 13620 LT: 4 1 9423 LA ROSA DR 1
1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803840
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18590-011-004 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, Cl
1 105 BACKFLOW DEVICE(S) 2.00 DEV 32.50 I 1
(TENANT: 107 BATHTUBS/SHOWERS 3.00 FIX 48.80 11SSUED ON: PROCESSED BY: PLAN BY: 1
I 121 HOSE BIBB(S) 2.00 FIX 32.50 107/08/10 SR 1
I 125 LAVATORIES/SINKS . 3.00 FIX 48.80 1 I
1OWNER: TEL. NO: 145 WATER CLOSET/URINAL 3.00 FIX 48.80 IFINAL DATE FINAL Y: CODE: I
IYU, JING (626) 759-3857- 147 WATER HEATER(S) 1.00 WTH 16.30 1p ►�'�\
19423 LA ROSA DR 160 DWV REPAIR OR ALTER 1.00 SYS 16.30 11 _( D
ITEMP 917803840 1 TOTAL FEES 271.80 1b�TI N OF WORK I
I (PLUMBING FOR NEW BATHROOM, REMODEL (E) BATHROOMS AND REPLACE(
IWATER HEATER I
(APPLICANT: TEL. NO:
ILIU, TIENKUANG (626) 348-7137- I 1 I
19698 TELSTAR AVE I ISPECIAL CONDITIONS: 1
1EL MONTE, CA 91731
(CONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE I
IYU, JING - (626) 759-3857- 1 1 I
19423 LA ROSA DRIVE LIC. NO 1 1UNDER SLAB WORK 1 1 1
ITEMPLE CITY, CA 91780 NONE 1 I I I 1
1 1 IWATER SERVICE
I I IPLASTIC YIN METAL YIN I I 1
1ARCHITECT OR ENGINEER: TEL. NO: 1 I I I I
ILIU, TIENKUANG (626) 279-2865- 1 IROUGH PLUMBING I I
19698 TLESTAR AVE #308 LIC. NO: I I 1 I I
1EL MONTE, CA 91731 NONE * 1 IGAS PIPING
I I I
I I IGAS VENT I I 1
I I I
IHOT WATER HEATER 1
1
I 1PLUMBING FIXTURES 1
I I
I ILAWN SPRINKLERS I I 1
I I I
I I IGAS TEST 1 1
I I I
I (UTILITY COMPANY NOTIFIEDI I I
I I IcWV I I I
I 1GRAY WATER SYSTEM
I �jI I
I I I I I I
I I I I I I
I I I I I I
I I* ADDITIONAL DATA ON FILE
I I I I
I IREPORT ID: ,DPR263 ROUTE TO: BS0508 1 I 1 1
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1008180018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: ,(626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 13620 LT: 4 9423 LA ROSA DR
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803840 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18590-011-004 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, Cl
1 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.30 1
TENANT: I - TOTAL FEES 44.10 JISSUED ON: PROCESSED BY: PLAN BY.
108/18/10 SR
OWNER: TEL. NO- IFINAL DATE FIN BY: CODE:
IYU, JING (626) 759-3857- 1
19423 LA ROSA DR I -' I
ITEMP 917803840 _ I DESCRIPTION OF WORK I
IGAS LINE FOR HVAC SYSTEM
(APPLICANT: TEL. NO: I
ILIU, TIENKUANG (626) 348-7137-
19698 TELSTAR AVE I (SPECIAL CONDITIONS: 1
1EL MONTE, CA 91731 1 I 1
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
IYU, JING (626) 759-3857-, 1 I 1
1425 N. FIRST STREET D LIC. NO (UNDER SLAB WORK I I I
IALHAMBRA, CA 91801 NONE 1 1-1 1
1 IWATER SERVICE
1 1 (PLASTIC YIN METAL YIN 1 1
(ARCHITECT OR ENGINEER: TEL. NO: I I I I
ILIU, TIENKUANG (626) 279-2865- 1 IROUGH PLUMBING
1 1 1
19698 TLESTAR AVE #308 LIC. N0:
EL MONTE, CA 91731 NONE " i (GAS PIPING
1 1 IGAS VENT 1 1
1 I IHOT WATER HEATER 1 1 1
I I I
1 I IPLUMBING FIXTURES
I I I
1 1 - ILAWN SPRINKLERS 1 1
I I I
IGAS TEST I I
I I _ 1
1 I (UTILITY COMPANY NOTIFIED( I
I I 1CWV I I I
I I 1GRAY 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
1 i• ADDITIONAL DATA ON FILE
I I I I I I
IREPORT ID: DPR263 ROUTE TO: BS0508 1 1 1
I I I I I I