HomeMy Public PortalAbout9435 LA ROSA DR_Plumbing__ 76A667-CE9817 10-67 /-/ rj-/5 G/'/ V'
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ann�Ns 935 La Cosa
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST Temple City Blvd. ,
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE '
OWNER Georgia Lee Meehan
MAILWATER CLOSET 1'50 - 9435
ADDRESS La Rosa
BATH TUB 1.50 �7
SHOWER 1,50 CITY
Tem le City TEL. NOAT 1-3954
LAVATORY 1.50 CONTRACTOR Pacific Installer
SINK 1.50 ADDRESS 10920 E.Grand Ave
DISHWASHER 1.50 CITY Temple City TEL. NO.442_707o
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. 211898 CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP,_ ZONE j ^PRwOCESSED BY
LAWN SPRINKLER SYSTEM 2.00 _/ / /! O
1 WATER HEATER 1.50 1 .150 INDUSTRIAL V
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 INSPECTION RECO
OUTLETS OVER i W
5 PER SYSTEM •30 JN
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 3 2 00
TOTAL FEE 3. 5o
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 I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY PLUMBING FIXTURES _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
1 HEREBY CERTIFY THAT 1 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 OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIALPERTY. FINAL 14 16r
.fLly
SIGNATURE JACK R. ALLEN, SUPERVISOGCHANICAL ENG'R.
OF PERMITTEEPERMIT VALIDATIONM 0. CASH
PLAN CHECK VALIDATION CK. M 0 CASH
L&O5 0 s%o� JUN 13 5. 0 :5.5 o ._
f•",i,Zt4;:-"^%'+. '}. 'Al
7,6A667 tCE-817)-:8/79 'yb�,1 l7�
APPLICATION FOR PLUMBING PERMIT t. , >
COUNTY OF LOS ANGELES • ,;_ '
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
BUILDING " i C
MAKE CHECKS PAYABLE TO: ADDRESS' ��i!S %•: A�A�=✓�
HARVEY T. BRANDY, COUNTY ENGINEER LOCALITY 'i'F ffr'r,�� ! �►�
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST T
CROSS ST. l M C)
NUMBER FIXT•URE.OR ITEM @ FEE t
J WATER CLOSET 1,75 OWNER ,;t" E IL
ADDRESS`' �1 j C! T`�lr,
BATH TUB � 1.75 '
SHOWER
CITY f .�S } ! TEL. NO,'2
1.75 i i 1 j �• f � 1��
LAVATORY 1,75 ? CONTRACTOR
SINK- 1.75 ADDRESS ,
DISHWASHER 1.75 CIN TEL. NO.
/ CLOTHES WASHER 1.75 --7 x STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP ZONE FROCESSED BY
LAWN SPRINKLER SYSTEM 1.75771.
--
_
WATER HEATER 1.75R` " INDUSTRIAL- O
WASTE APPROVAL C.>
GAS SYSTEM OUTLETS 1.75 c" INSPECTION RECORDLLJ
OUTLETS OVER 30
5 PER SYSTEM
CD
W
' H
Plan check fee` - See Reverse y "
PLUMBING PERMIT ISSUING FEE $ 3 00
''• - TOTAL FEE —•
APPROVALS DATE INSPECTOR S SIGNATJRE
Plari'check applicant,,,".- UNDER SLAB WORK
;.NameJet f j ROUGH PLUMBING
Address' L
7 Q' ,�
Tel. No.��`� GAS PIPING
Y LII�I� L l✓I ~� - �-'', GAS-VENT
Cit '��''• i�/
HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THISY APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH -ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING.` GAS TEST
I 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 OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY, FINAL
SIGNATURE - -
OF PERMITTEE _ ~•. _ - _ "
PERMIT VALIDATION CK. M,O. CASH.,
PLAN CHECK VALIDATION CK. M.O. CASH - q y
Q.o'' ''T .�f ;� ` : 005 0 4i�ci.r`• Y
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COUNTY OF LOS ANGELES TEMPLE CITY ' # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0110240008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ADDRESS:LEGAL ID: FEES PAID BUILDING
TR: 13620 ' LT: 6 9435 LA ROSA DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803840
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: ALESSANDRO
8590-011-006 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
11 CLOTHESWASHER(S) 1.00 FIX 16.20 . ISSUED 0 PROCESSED BY: PLAN BY-, EXPIRES ON:
13 DISHWASHER(S) 1.00 FIX 16.20- 10/24/01 JK 04/22/02
25 LAVATORIES/SINKS 1.00 FIX 16.20
OWNER: TEL. 45 WATER CLOSET/URINAL 1.00 FIX 16.20 FINAL DATE FINAL B ODE:
TUAN LANG (LINDA) (626) 390-2253- TOTAL FEES 108.75 r d
9435 LA ROSA DR 3�2
TEMP 917803840 DESCRIPTION
PLUMBING FOR ADDITION
SAME AS OWNER -
SPECIAL CONDITIONS:-
GELES c��®
CONTRACTOR: TEL. N0: /�A APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER _
LIC. NO � � D R 9(11
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT W NGI :
ROUGHPLUMBIN
LIC. N0�
GAS PIPING
LL -�
AS VENT
��U Q LV T W E
PLUMBING FIXTURES
•I-• - �'.e g. . . . � LAWN SPRINKLERSGAS TESTf
Q �
` QU• ® �� UTILITY
W
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508