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Home My Public Portal About9463 LA ROSA DR_Plumbing__ U.B.17-SM BETS a-as APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES �L��B'�� WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES _I COMPLETE 1 �/ /` O" fI RECEIVED BY READY FOR DATE ISSUED HEATER CESSPOOL SEPTIC TANK d` FIRST INSPECTION GAS MISCELLANEOUS _ APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLYJOB g� NAME ADDRESS ADD ES6�, LOCALITY D /^ � e q NEAREST d p 'I CITY (yl m,c. TEL.N ,. y CROSS 3T. IL COUNTY CERT.No.�" ""/,r') EXPIRES alb w NAME i W LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS cam; NORTH O �} CITY 4'1d TEL.Nok I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFI5E OF QUALIFICA ION. �� /PLUMBER I AM THE LEGAL O, NER OF THF,,P,ROPERTY DES RIBED ABOVE. Id m w a 3 OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK < _z BATH TUB FURNACE a e SHOWER DISHWASHER 0 ` O LAVATORY REFRIGERATOR / KITCHEN SINK WATER SOFTENER —FLOOR SINK QAND TRAP LOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING IA .C,-a. I METEL3�GAS *=ODA FOUNTAIN OUTL GAS PIPING GAS VENT I l s CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOL_ SEPTIC TANK SEWER >l<I TOTAL FEE UTILITY CO.NOTIFIED FINAL Z D.B.S.-17 25M SETS s-4s -' APPLICATION FOR PERMIT DEPENT ,OF BUILDING AND SAFETY �� f�� • COUNTY OF LOS .ANGELES WM.J., FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT o. oRo :40NE PERMIT . ROUGH FIXTURES COMPLETE i / �s HEATER CESSPOOL h SEPTIC TANK ABY - FIRST�DY FOR N D TE IS E AS MISCELLANEOUS ��00:/ APPLICANT II�,TFII'1L$Lg (I�N�QHEAVILY OUTLINED PORTION ONLY ' JOB E NAME 1�I.�• C. 1� H11 QY�lIL'�lt<lt ADDRESS ,Z W mJp, ADDRESS 123 No. C 16yeiyy� AVQ„- . LOCALITY 1 NEAREST CITY - C.1088 ST. COUNTYvA - AAnni� H CERT.No. EXPIRES W NAME Nmol, ti/ LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL k NORTH, ADDRESS O _ CITY TEL.No. 1 AM THE LEGAL POSSESSOR OF-THE ABOVE LOS • ANGELES COUNTY CERTIFICATE OF QUALIFICATION. - PLUMBER 1 AM THE LEGAL OWNER'OF THE PROPERTY DESCRIBED ABOVE. I4 (� OWNER i CORRECTIONS SOUTH J DESCRIPTION OF WORK z BATH TUB FURNACE HOWER DISHWASHER O LAVATORY REFRIGERATOR' KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP 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 GAS PIPING I I' OUTL GAS"VENT EmEzIlmn CESSPOOL 'I• ,l / TOTAL NUMBER OF FIXTURESSEPTIC TANK _ CL ESSPOO " SEPTIC TANK SEWER I 'UTILITY CO.NOTIFIED TOTAL FEE & FINAL- DEPARTMNT OF COUNTY ENGINEER I PLUMBING E 1 DIVISION OF BUILDING AND 'SAFETY PERMIT APPLICATION ' COUNTY OF LOS ANGELES yy BUILDI TNG ` WILLIAM J. FOX, COUNTY ENGINEER l ADDRESS 9463 'E. La Rosa Dr. FOR APPLICANT TO FILL IN LOCALITY Temvle City, NEAREST ADDRESS 7 BUILDING 9463 •E. La Rosa Dr. CRosssT. • Cloverl -Ave . LOCALITY Tempel City DISTRICT N0. G.R./�OlUP ZONE PERMIT N0 tl NEAREST ✓- r q 3 CROSS ST. - Cloyerly Ave,. RECEIVED�BYf,�s Ready for Inspection DATE ISSUED OWNER E. C. RhodesMAIL � p�'�-'► � �� 5 INDUSTRIAL ADDRESS 9463 E. La Rosa Dr. WASTE APPROVAL CITYTemple�� City Q TEL.NO. INSPECTION RECORD PLUMBER �N„I►LI1��[ u &AN Si(JIIPd L6, ADDRESS 1421 Paloma Ave. C CITY Los- An a les TEL NO. RI '5521 ❑STATE _. LICENSE N0. 46A Q COUNTY J PERMIT FEES Q _z NUMBER TYPE OF FIXTURE OR ITEM FEE Vr WATER,CLOSET(TOILET,) -0 0.80 Z - BATH TUB @ 0.80 SHOWER 0.80 LAVATORY (WASH BASIN) @ 0.80It 10,111 11 KITCHEN SINK @ 0.80 91'' LAUNDRY TUB OR TRAY @ 0.80 SLOP SINK @ 0.80 3 'FLOOR'SINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER @ 0.80 DRINKING FOUNTAIN fq 0.80 URINAL � @, 0.80 1 GAS SYSTEM......1 3-.---.OUTLETS 1.00 1 00 ' WATER HEATER @ 1.00 MISCELLANEOUS APPROVALS DATE -INSPECTOR'S SIGNATURE I. UNDERSLASWORK z PERMIT' $ 1 <<00 ROUGH PLUMBING -TOTAL FEEL Q'n GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLIJ' 'GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREEI HOT WATER HEATER- TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. zPLUMBING FIXTURES I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED• AND/OR •LICENSED AS REQUIRED, S ANGELES COUNTY GAS TEST �i AND STATE OF CALIFORNIA OR T T AM THE LEGA Y.OWN-t' ER OF THE ABOVE DESCRIBED I N A ROP UTILITY CO.NOTIFIED SIGNATURE J OF PERMITTEE---_------_--_- -- A FINAL 78A087 DBS 17 1/53 WORKER'S C(aMPENSA710N DECLARATION 200026 DPW 9/89 APPLICATION FOR PLUMBING PERMIT, hereby affirm that I have.a certificate of consent'to self insure, � or a certificate of Worker's Compensation Insuranor, or a certified „ copy thereof(Sec.3800 Lab. C.)_ - COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLI WORKS DIV. Policy No � Company • - - ,' - Certified copy is hereby furnished. r� \ FOR APPLICANT TO FILL IN(PRINT OR TYPE) 'BUILDING, ❑ - Certified copy is filed wrtti the.county budding inspection ADDRESS rrrr�� department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY �L� C j t Date y Applicant - - / WATER CLOSET ��' NEAREST ( / CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB _71 COMPENSATION INSURANCE ASSESSOR (This section need not be;completed If the work Involved by.the SHOWER 5a MAP BOOK PAGE PARCEL „ permit is for one hundred dollars($100)or less.) OWNER I cerhfy,that in the.performance of the work for which this permit LAVATORY ,is issued, I-shall not employ any person in any manner so as to / SINK �D ADDRESS become subject to the Workers' Compensation Laws /: DISWASHER CITY TEL NO ' Date Applicant y CLOTHES WASHER -12 NOTICE TO APPLICANT If, after.making this Certificate of CONTRACTOR Exemption,you•should become subject to the Workers'Compensation ( SWIMMING POOL RECEPTOR WE provisions of the Labor Code, you must forthwith comply with such ADDRESS provisions or this permit shall'be deemed revoked. - LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY j TEL NO �- I hereby affirm that I am licensed under provisions of Chapter 9.- WATER HEATER a (commencing with Section 7000) of Division 3 of the Business and STATE LIC.LICENSE NO, CLA GAS SYSTEM OUTLETS O Professions Code, and my license is in full force and effect. RI N PR SED BY V DI T OUTLETS OVER Sid cc 5 PER SYSTEM U Q License Number Lic.Class H - FINAL DATE VA ATION - �-a Contractor Date N ❑ I am exempt under Sec FINAL z B&P C for this reason Plan'check fee Date- PLUMBING PERMIT ISSUING FEE$ Signature - r - ❑ TOTAL FEE 1' -Plan check applicant - c SINGLE FAMILY _ J HOME OWNER-BUILDER DECLARATION NameC7 ACCT.g, I hereby affirm that I am exempt from the Contractor's License Law T for the following reason.(Section 7031 5,•Business and Professions Address Code)" - .id ��( i? t4,'r� E Code)` 3 � ❑ ( City�Ci Tel.No.2 ,5JXTEM I, as owner of the property,will do the work and the structure is not intended or offered for sale (Section 7044, Business TOTAL 43®00 and Professions Code) \ 1 TOTAL CONSTRUCTION LENDING AGENCY ('-HEX 43.00' 1 hereby affirm`;that there is a construction lending agency for the 'CHANGE eC0 performance of the work for which this permit is issued (Sec. 3097, Lender's Name 00130-113001 7/24/90 1998 1 AM '7:17 Lender's Address l 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-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT ` DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PC-05-d8-97U1090002 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: LEGAL BUILDING S: TR: 13620 LT: 11 9463 L4 ROSA_,DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803840 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8590-011-011 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16.35 T NANT: 25 LAVATORIES/SINKS 1.00 FIX 16.35 ISSUED ON: PROCESSED P 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35 01/09/97 TC 01/09/98 TOTAL FEES 76.80 OWNER: TEL. NO: FINAL DATE FINAL BY: COD5- EDWARDS RICHARD L TR EDWARDS TRUST (818) 285-8455 9463 LA ROSA DR -z 'Z�� TEMP 917803840 DESCRIPTION OFWORK' NEW SHOWER PAN AND REMODEL OF SHOWER NEW BATH SINK AND T GAS LINE FOR GAS LOG APPLICANT:SAME AS OWNEREL. �J SPECIAL CONDITIONS: � i .�• �_ /i \� fir, CONTRACTOR: TEL. N0: �� !i% , •�, �� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER /r f' A("-�• \ �� LIC. NO �'/;7 % � �� -- �� \\\� DER ,SLABWORK WATER SERVICE 1 PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: - -7 PLUMBING �t LIC. N0: GAS PIPING Y GAS VENT HOT WATER HEAT LAWN SPRINKLERS GAS TEST UT-ILITY COMPANY NOTIFIED CwV GRATWATER SYSTEM II REPORT ID: DPR263 ROUTE TO: BS0508 i