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HomeMy Public PortalAbout9450 LA ROSA DR_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer DISTRICT NO. ROUP ON FOR APPLIC NT ❑ FILL IN -/ �8� 9 PLUMBERRECE VED BY READY FOR DATE FIRST INSPECTION ADDRESS / UILDING CITY TEL NO. ` C ADDRESS /^p COUNTY ,I� LOCALITY `` r LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) 0.50 !� �a ADDRESS BATH TUB a 0.50 CITY TEL NO. SHOWER Q 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) CL 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY'ORDINANCES KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POBBEBB THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGALW OF THE RESIDENTI PR Y D RTESCRI ABO GAS SYBTEM--L—OUTLET9 O.SO SIGNATURE OF WATER HEATER 0.50 PERMITTEE- SLOP SINK O.9D INSPECTION RECORD FLOOR SINK O.SO FLOOR DRAIN 0.50 ¢' .voE�� S /i 1•f�Z ,�,,,,�� DISHWASHER 0.50 DRINKING FOUNTAIN 0.50 URINAL 0.50 Q HOUSE SEWER O.BO Z MISCELLANEOUS CJ Q. O APPROVALS DAT INSPECTOR'S NAME ROUGH PLUMBING / �"►� GAS PIPING OAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK, SEPTIC TANK DRAIN ( ) PIT ( ) 1.00 SEWER PERMIT . . 1.00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE FINAL 76A667 DBS#17 6-52 t1 f s 75ASS7 I7 5-90 18 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES' Z " ''`- L I N G 1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. IS- s PLUMBER RECEIVED BY READY FOR DATE ISSUE15' BURKEMOWARD 1. FIRST INSPECTION - -ev^c 5-/ ADDRESS •9436 N.k9GSE .AD _..._ ` ��3 Apo SiI 26CJ BUILDING2.4 EL MONTE, CALIF�1t+lIE90• ADDRESS CITY _ " � COUNTY LOCALITY L er/� LICENSE NO. EXPIRES i NEAREST � ^ PERMIT FEES, CROSS ST. enc LJ NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) Q 0.50 S ADDRESS iBATH TUB Q 0.50 I CITY TEL. NO. SHOWER Q 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND LAVATORY (WASH BASIN) Q 0.50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK Q 0.50 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LICENSE. OR I THE LEGAL OWNER OF THE RESIDENTIAL®PQRP•PE TY D CRIB ABOVE. 1 GAS SYSTEM OUTLETS Q 0.50 1 SIGNATURE OF LC / iJ WATER HEATER Q 0:50 PERMITTEE .••///""" VVV QQP-///!!!''' ��..�✓C SLOP SINK Q 0.501 INSPECTION RECORD FLOOR SINK Q 0.50 FLOOR DRAIN _a__0.50 1 1 DISHWASHER Q 0.501 DRINKING FOUNTAIN Q 0.501 URINAL y Q 0.501 _I 1 HOUSESEWER O 501 5 Z MISCELLANEOUS 1 1 1 1 1 APPROVALS DATE INSPECTOR'S NAME 1 ROUGH PLUMBING 1 GAS PIPING 1 GAS VENT 1 CESSPOOL Q 7.00 I � "P � CESSPOOL 1 SEPTIC TANK: 1 SEPTIC TANK DRAIN ( ) PIT ( ) Q 1.001 SEWER PERMIT . I 1.00 GAS TEST UTILITY CO. NOTIFIED �--� /'.!e $ TOTAL FEE I �� FINAL APPLICATION FOR PERbUT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES . L WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. /� S y�7/� PLUMBER Belvedere Plumbing Co. RECEII RECEIVED BY READY FOR DATE ISSUED /1/`"!/"I FIRST INSPECTION ADDRESS 136 S. Palm Ave. BUIL ADD EISS 2066 La Rosa Rd. CITY Alhambra TEL. NOAT95025 Cit COUNTY LICENSE NO. 808M EXPIRES 6/30/51 LOCALITY Temple Clty NEAREST PERMIT FEES CRSS ST. Heleo NUMBER 1 TYPE OF FIXTURE OR ITEM FEE OWNER L. E. Burns 1/ MAIL WATER CLOSET (TOILET) Q 0.50 I S 50 ADDRESS 1/1 BATH TUB Q 0.50 �0 CITY' TEL. NO. 1 ,1 SHOWER Q 0.501 50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS -1 LAVATORY (WASH BASIN) Q O 50 I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK Q 0.50 I 5 0 STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY n 0.501 0 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. .I GAS SYSTEM'_OUTLETS © O SOI 0 SIGNATURE OF WATER HEATER Q 0.501 0 PERMITTEE �a�e SLOP SINK Q 0.501 INSPECTION RECORD FLOOR SINK Q O 50 FLOOR DRAIN Q 0.501 DISHWASHER Q 0.501 DRINKING FOUNTAIN Q 0.501 �/'7�✓ -l•-y'a9� r��. .7J��1-'' URINAL Q 0.50 t 7%' ifJO ,!✓��?'°`.�,�...��/� J HOUSESEWER Q O 501 1 �� Q MISCELLANEOUS -- 1 off 0 I 1 I I I 1 APPROVALS IDATE INSPECTOR'S NAME 1 ROUGH PLUMBING 1 GAS PIPING 1 I GAS VENT �/J l fY t V CESSPOOL Q 1.00I CESSPOOL SEPTIC TANK: 1 1 SEPTIC TANK I DRAIN ( ) PIT ( Q 1.001 I SEWER 1 PERMIT . I 1.00 GAS TEST UTILITY CO. NOTIFIED I TOTAL FEE 5 100 FINAL I '` 869 M 76A667-CE817-8-58 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING JOHN A. LALE, Countg Eainoor ADDRESS LAM LE, D. GRIFFIN,Supt of Building LOC FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET _ BATH TUB ADDRESS i SHOWER CITY TEL. NO. LAVATORY CONTRACTOR j SINK ADDRESS DISHWASHER CITY NO. CONTRACTOR' TATE LAUNDRY TUB REGISTRATION NO. COUNTY CLOTHES WASHER DISTRI GRpg�j KONE PROCESSED BY WATER HEATER -j . GAS SYSTEM INDUSTRIAL WASTE APPROVAL (INSPECTION RECORD 9 n APPROVALS �- OR FPER ITEM $ g DATE INSPECTOR'S SIGNATURE PAEN LABWORK- PERMIT $ 2100PLUMBING TOTAL FEE Q ING v 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIONT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYTER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. G FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ORTLICENSED AS REQUIRED BY LOS A GELES COUNTY AND STATE OFCALIFORNIA OR THAT I AP THE LEGAL OWNER OF THE ABOVECO.NOTIFIED DESCRIBED RESIDENTIAL �P TSIGNATURE e. ` ff OF PERM ITTE ROE3ERTA.9V0OD. ®P ALIDATION SUPERVISING MECHANICAL ENG'R M.0. CASH , 76A667-CE817-8-58 APPLICATION FOR PLUMBING PERMIT co DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING CW A. LAMBIE, Count? Eng�aeer ADDRESS CASSATT D. GRIFFIN,Sup t of BujLcr LOCALITY , FOR APPLICANT TO FILL IN NEAREST - CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL BATH TUB ADDRESS CITY EL. NO SHOWE . R ' LAVATORY CONTRACTOR SINS ADDRESS O� DISHWASHER CITY TEL. NO. ~ CONTRAC OR'S S TATE LAUNDRY TUB REGISTRATION NO. -3 COUNTY ❑ CLOTHES WASHER ;DISTRICT NO. •GROUP XNE P CESSED BY WATER HEATER .C'- GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS I @ $1.00 PER ITEM OR FI%TORE $ V i90 DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 2100 ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY-ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT U / 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 ROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS/ GELES COUNTY AND STATE OF CALIFORNIA OR THAT I LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTI P SIGNATURE C FINAL OF PERMITTE ROBERT A.'WOOD. Op VALIDATION SUPERVISING MECHANICAL ENG'R CK. M.0. CASH C 0 4 79 -1 JUL 3 0 ' 5 A 3 .0 0 WORKERS'COMPENSATION DECLARATION A` 20-0026 DPW 4/90 PPLICATION FOR PLUMBING PERMIT. I hereby„affirm that I have a•certificate of.consent to self in- 76A667A L• sure,or a certificate of Workers'Compensation Insurance,or a certified co thereof 3800, Lab. C.) Policy.No. Company copy _Qn5 L COUNTY OF LOS.ANGELES DEPT. OF PUBLIC WORKS Certified copy is hereby furnished. FOR APPLICANT TO-FILL IN(PRINT,OR TYPE) BUILDING ❑ • Certified copy is filed with the county building inspection ADDRESS " department./ NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST J COMPENSATION INSURANCE- SHOWER OWNER (This section•need not be completed if the work Involved by MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this per- SINK mit is issued, I shall not employ any person in any manner so CITY 4g TEL:N as to become subject to the Workers Compensation Laws. •. DISHWASHER - CONTRACTOR Date Applicant CLOTHES WASHER, NOTICE TO APPLICANT: If, after making this Certificate of Ex- ADDRESS emption,you should become subject to the Workers'.Compen- SWIMMING POOL RECEPTOR sation provisions of the Labor Code, you must forthwith comp- CITY TEL N LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE LIC ed, WATER HEATER O LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION. DISTRICT NO 4�7_Y I'hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS �Q 9(commencing with Section 7000)of Division 3 of-the Business OUTLETS OVER and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION ,fect. HOSE BIB DATE License Number Lic. Class a FINAL Contractor Date BY U Q 0 1 am exempt under Sec. 0- B.BP.C. for this reasonW Plan check fee a Date: I PLUMBING PERMIT ISSUING FEE$ 2'I © , Z Signature TOTAL FEE SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section 7031.5, Business and ACCTi4 Professions Code). Address .7.703 43e40 EJ I,'os owner of the property, will do the work and the City Tel. No. I ITEM structure is not intended or offered for sale(Section 7044, _ Business and Professions Code). TOTAL 4�5 . 40 CONSTRUCTION LENDING AGENCY , CASH 43a40 I•hereby affirm that there is a construction lendingagency-fore eQQ the performance of the work for which this permit is issued (Sec 3097, Civ. C.). Lender's Name tJ1J1J 8/ 3I95 Lender's Address 1678 I AM 9-09 I certify that I have read this application and state that the Poo.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-mentioned property for inspection purposes. 1. S SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT. I hereby, affirm that I have a certificate of consent to self in: 76AA6D627AG4W>4/90 Buie,oC&-0_-rtifioate of Workers'Compensation Insurance,or a certified copy thereof(Sec 3800, Lab. C.) Policy No Company Ci�I� COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS [� Certified copy is hereby furnished. 1u� FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspection ADDRESS department. NUMBER FIXTURE OR ITEM (d FEE LOCALIT Dote Applicant _ WATER CLOSET(TOILET) 7 NEAREST CERTIFICATE OF EXEMPTION FROM WORKS' BATH TUB CROSS ST. ER COMPENSATION INSURANCE SHOWER - OWNER (This section need not be completed if the work involved by MAIL- • I the permit is for one hundred dollars($100)or less.) LAVATORY: ADDRESS I certify that in the performance of the work for which this per- SINK CITY TE mit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation laws: DISHWASHER CONTRACTOR { Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- cd JIGI emption,you should become subject to the Workers'Compen- SWIMMING POOL RECEPTOR CITY TE sotion provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE, LIC ed. WATER HEATER LICENSE NO CLASSAc LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY 1 hereby affirm that I'am licensed under provisions of Chapter GAS SYSTEM OUTLETS &I 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER O and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION fect. n HOSE BIB DATE a License Number Lic. Class FINAL V Contractor .� rIf BY fz El. I am exempt under Sec B.BP.0 for this reason Plan check fee W c N Date: _ PLUMBING PERMIT ISSUING FEE$ 2 Signature TOTAL'FEE SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section 7031.5, Business and �! •~ _ Professions Code)- Address TOA 1 m •�"5 0 I, as owner of the property, will do the workand the City . Tel. No. t -211 structure is not intended or offered for sale(Section 7044; CHECK Business and Professions Code) - CHANGE I CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for _ _ the performance of the work for which this permit is issued 00010-0001 6,�'20j if_t (Sec 3097, Civ C.). 0194 f AM 7151`1 Lender's Name Lender's Address I certify•that I have read this application ond•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-mentioned property for inspection purposes. G .6" ' A SEE.REVERSE FOR EXPLANATORY LANGUAGE Signature of Permute .ate '