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Home My Public Portal About9436 LA ROSA DR_Plumbing__ I7 DBS-17 1 O-S9 APPLICATION FOR PLUM BI IVG PERMIT .� DBS-1 DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS CASSATT D,GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. �I OWNER R04 , W 1.+.'S DISTRICT NO. GROUP ZONE READY FOR INSPECTION MAIL - / S p^ ADDRESS /`, �T INDUSTRIAL CITY TEL. NO. WASTE APPROVAL PLUMBER �,�� A� f.�.� INSPECTION RECORD ADDRESS �O CITY EL. NO-. !�+ LICENSE NO. / NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 - GAS SYSTEM @ $1.00 0 APPROVALS DATE INSPECTORS SIGNATURE UNDER SLAB WORK PERMIT $ I 1 -00 ROUGH PLUMBING _ GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION - AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER•OF THE ABOVE UTILITY CO. NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. ,q SIGNATURE t� G ,/;. OF PERMITTEE LIC [F�+�a�-�(.C�� FINAL JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR 1 - M.0. CASH Xa 2 r 'a IrON 14 3 2.0 0 � / 76A687A (CE 8178) -477 ' r` "-�~' APPLICATION FOR PLU IVB ING PERMIT BUILDING AND SAFETY DIVISION `J FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM Q FEE ADDRESS 91+36 La Rosa WATER CLOSET LOCALITY Temple Cit BATH TUB NEAREST CROSS ST SHOWER OWNER Rosemead Construction LAVATORY MAIL ADDRESS 527 So- Atlantic SINK CITY Monterey Park " TEL NO 443-95 DISHWASHER CONTRACTOR Owen Bros. Plumbing, I CLOTHES WASHER ADDRESS X265 N.. Baldwin Ave. SWIMMING POOL RECEPTOR CITY El Monte TEL.NO —Q 78 LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER /1 LICENSE NO 231 M CLASS C36-20 GAS SYSTEM OUTLETS DISTRICT NO GROUP ZONE PROCESSEDBY OUTLETS OVER $ ti BY 5 PER SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD Lu Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE - Plan check applicant Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel No GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES HOT WATER HEATER AND STATE LAWS REGULATING PLUMBING ' I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST !f LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED SIGNATURE 42 OF PERMITTEE FINAL P =Et K'V_ DATION-- _ _ ci M O^, CASK,— : PERMIT VALIDATION M.Q CASH HOLDER: `�n 'f`�,rc�N�� 7.4 .�TAP� 6 � u. . LICY NUMBER: W G PO ,� 77/- 76A667 APPLICATION FOR tl LNd' YY/D Dd' PERMIT NG .i CE 817 8-5 UILDING AND SAFETY DMSION Department of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE,COUNTY ENGINEER ADDRESS Qi CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL INNEAREST CROSS ST. -� OWNER DISTRICT NO. GROUP ZONE READY FOR INSPECTION MAIL tt''//,P ' ADDRESS I INDUSTRIAL - CIT TEL.NO. WASTE APPROVAL PLUMBER .� INSPECTION RECORD ADDRESS CITY TEL. NO. s ` LICENSE NO. d NUMBER TYPE OF FIXTURE&R ITEM FEE WATER CLOSET (TOILET) @ $1.00 BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 j ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICAHOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULAPLUMBING FIXTURES PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANGAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATCALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE AUTILITY CO.NOTIFIED DESCRIBED RESIDENTIA PROPERTY. SIGNATURE OF PERMITTEE FINAL ROBERT A.WOOD, JOHN A. LAMBIE.COUNTY ENGINEER VALIDATION SUPERVISING MECHANICAL ENG'R� CK. M.0. AS L-CO 9 ? 1 7 u ,UPJ 2 7 3 2.00 �7.5A667(CE-017) - 5/73 APPLICATION, F'6R 'PLUMBING � - P_ ERMIT • COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FADDRESS ILDING MAKE CHECKS PAYABLE TO: HARVEY T. BRANDT, COUNTY ENGINEER CALITYFOR APPLICANT TO FILL IN (PRINT O TY PEI AREST OSS ST., NUMBER FIXTURE OR ITEM FEE 01 WATER CLOSET 1.45 OWNER •MAIL BATH TUB1.�5 ADDRESS' 1P "- t SHOWER 1, 5 CITY TEL. NO. Z r LAVATORY 'J 1. 5 CONTRACTOR �_ v SINK 1. 5 ADDRESS _? DISHWASHER 1. 5 9 CITY TEL. NO. CLOTHES WASHER 1. 5 STATELIC LICENSE CLASS'.c �'-�CEJ SWIMMING POOL RECEPTOR 1. 5 DISTRICOT N_Q. GR P ' "'ZONE FR ESSED'BY LAWN SPRINKLER SYSTEM 1. 5 G-E�d .1J WATER HEATER 1. 5 INDUSTRIAL 'J STE APPROVAL y GAS SYSTEM OUTLETS 1. 5 °- INSPECTION RECORD ' V OUTLETS OVER 5 PER SYSTEM .30 u•i .7...•z p • - y Lu c _ Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE iNs aEcroR 5 SIGNATURE Plan check applicant >` UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING- City Tel. NO. GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I 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 PLUMBING. GAS TEST 1HEREBY CERTIF AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS R IRED BY LO ANGELES COUN-TY AND STATE OF , CALIFORNIA O THAT I-AM THE,LEG t OWNER OF,'AND INTEND TO RESIDE IN T 'ABOVE DE IBE R IDENTI PER TV. FINAL SIGNAT RE OF P MIT PERMIT VALIDATION cK M.0. CASH PLAN CHECK VALIDATION CK. M.0. CASH 826�APR 24 5. D ' 4.75 ®� _ . _ WORKERS'COMPENSATION DECLAMT,ION 'J APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of-consent to self 76A667A insure, or a certificate of Workers,',Compensation Insurance, CE 817(REV 10/81) ' or a certified copy thereof (Sec. 3800, Lab C. COUNTY OF LOS ANGELES BUILDING AND SAFETY , Policy No. Company Certified copy,is hereby furnished. " FOR APPLICANT TO FILL IN(PRINT OR TYPE)• ° BUILDING %) Certified copy is filed with.the county building inspec- ADDRESS 14 2 tion department. NUMBER - FIXTURE OR ITEM @ FEE LOCALITY -•�-+ WATER CLOSET Dare Appli4ant NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATHTUB CROSS ST COMPENSATION INSURANCE OWNER' (This section'iieed not be completed if the work involved by SHOWER the permit is for one hundred dollars $100 or less. MAIL n P ( ) ) LAVATORY•- ADDRESS 5,4;►7 I certify-that in the performance of the work for-which this permit is issued, I shall not employ any person in any manner, SINK CITY TEL NO so as to become subject to the Workers'-Compensation Laws. DISHWASHER CONTRACTOR ;E� Date Applicant' CLOTHES WASHER NOTICE TO APPLICANT- If, after making this Certificate of ADDRESS 3t^ � iw Ex'e'mpTion, you should become subject to the Workers' ' SWIMMING POOL RECEPTOR CITYTEL NO �/ Compensation provisions-of the Labor Code, you must forth- �ITOs %,•rfs LAWN SPRINKLER SYSTEM with comply with such provisions -or This permit shall be r� LIC deemed revoked. WATER HEATER' LICENSE NO �`T W`7 CLASS �� LICENSED CONTRACTORS DECLARATIONDISTRICT N PROCESSED PY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS �� (commencing with Section 7000) of Division 3 of The Business OUTLETS OVER and Professions Code, and my license is in full force and effect. 5 PER SYSTEM FDIAN EL VALIDATION O� License Number a?��clV L,,: Clas's�3ln. (yy eova 5 O f3 ��T lat. w w Date BY FINAL . Contractor P � I am exempt under Sec ILA• B.&P C. for this reason, Plan check fee Date- ' PLUMBING PERMIT ISSUING FEE$ �Q O '�.C• C �� Signature ' TOTAL FEE �Q �Q f�'/Z•�/ Plan check applicant SINGLE FAMILY \� 8 61' .7 Name A HOME OWNER-BUILDER DECLARATION ` I hereby affirm-that I am exempt from the Contractor's License her o a 0,0-o Law for the following reason (Section 7031.5, Business and Address Professions Code)' City Tel. No 24e o 3'�.„'� .' ❑ , I, as owner of The property, will do the work and the o"o,o j'Q 5 a'c=i structure is not intended or offered for sale (Section 7044, Business and.Professions Code) ( G 7L R—8,2' 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,'Gv. C.). Lender's Name Lender's Address I certify that I have read this application and state that the above information is correct I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-menti ned grope or inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE , L. -Sig re of Permittee to •` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0802040006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1 ITR: 13329 LT: 38 UN: .002 1 I 9436 LA ROSA DR 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803841 I (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: HELEO 18590-022-014 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE. 596 GRID: J5 LOCALITY: TEMPLE CITY, Cl 1 125 LAVATORIES/SINKS 1.00 FIX 16.20 1 1 (TENANT: I TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 1 1 102/04/08 SR 08/02/08 I 1 1OWNER: _ TEL. NO: IFINAL DAT `, BY CODE: ICHANG, ANDY Y (626) 614-0638- i 1 �� 1 19436 LA ROSA DR ITEMP 917803841 1 IDESCRIPTION OF WORK 1 I IREPLACE KITCHEN SINK 1 I I I I (APPLICANT: TEL. NO: 1 I ISAME AS OWNER I 1 ISPECIAL CONDITIONS: I I I I I ICONTRACTOR: TEL. NO: 1 . �,. (APPROVALS DATE INSPECTOR SIGNATURE 1 ISAME AS OWNER - 1 I 1 I LIC. NO 1 1UNDER SLAB WORK I I I I I I I I 1 I IWATER SERVICE I I 1 1 I IPLASTIC YIN METAL YIN 1 1 I (ARCHITECT OR ENGINEER: TEL. NO: I _ I I I I 1 - 1 IROUGH PLUMBING I I I I LIC. NO: I I I I I • IGAS PIPING I I I 1 I IGAS VENT 1 1 1 I I I I I 1 1 IHOT WATER HEATER I I I I I I I I 1 1 IPLUMBING FIXTURES 1 1 1 I I I I I 1 I I ILAWN SPRINKLERS 1 1 1 I I I I I I 1 1 IGAS TEST I I 1 I I I I 1 I 1UTILITY COMPANY NOTIFIEDI I I I I I I I I I I 1CWV I I I I I I I I I I 1 IGRAY WATER SYSTEM 1 1 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 I I I I I I I • I -, I I I I I I, IREPORT ID: DPR263 ROUTE TO: BS0508 1 1 I I I I I I I I