HomeMy Public PortalAbout9521 LA ROSA DR_Plumbing__ ,1A667-CEIf817 10-67
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNEAREST
JOHN A. LAMBIE. COUNTY ENGINEER � /q d S
COLEMAN W. JENKINS. SUPT OF BUILDING
FOR APPLICANT TO FILL IN PR NT OR TYPE) - -
NUMBER FIXTURE OR ITEM EACH FEE caoss sr.
/ WATER CLOSET 1.50 / Q OWNER
MAIL
BATH TUB 1.50 ADDRESS
/ SHOWER 1.50 CITY TEL. NO.
LAVATORY 1.50 �� CONTRACTOR
SINK 1.50 ADDRESS �, 3 G r'AI,1'7'.¢
DISHWASHER 1.50 CITY �. TEL. NO,,?,V4LIC
CLOTHES WASHER 1.50 STATE
LICENSE NO 7/1 CLASS C
SWIMMING POOL RECEPTOR 1.50 DISTR'CTNO. GROUP ZONF� PROCESSED BY O
VV 88 �(rL]'
LAWN SPRINKLER SYSTEM 2.00 �.p
U
WATER HEATER 1.50 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD U
OUTLETS OVER - Lu
5 PER SYSTEM .30 N
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE $ 2 00
TOTAL FEE
APPROVALS
ATJE 1 PECTO 'S IGNATURE'
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 AND AGREE TO COMPLY PLUMBING FIXTURES -
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING. _
I HEREBY CERTIFY THAT I AM PR OPE Y REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANG E CO TY AND STATE OF
CALIFORNIA OR THAT I AM THELEOWN OF,A D INTEND TO -
RESIDE IN, THE ABOVE DESCRIBED RE DENT PROP Y FINAL
SIGNATURE I
( JACK R. ALLEN, SUPERVISI HANICAL ENG'-R.
OF PERMITTEE •.
PERMIT VALIDATIO cK. M O CASH
PLAN CHECK VALIDATION IVCK. M.O. CASH
o.e.17 Btu SETS 4-43 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COU ��������
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE / PERMIT NO.
ROUGH FIXTURES ICOMPLETE _i / / // U 7
I /J
HEATER CESSPOOL - SEPTIC TANKREREADY FOR
CEIVED BY DATE ISSUED
/a y� FIRST INSPECTION ' 6
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
NAM E"v''lV�,+TrS�'(�c 1• \/ ADDRESS V
W f �y
m ADDRESS• ,/ r"v _ 'Chi__ .� LOCALITY l �w
E
NEAREST r
a CITY TEL.NO. 11 CROSS ST.
COUNT
CERT.No. r" EXPIRES, m � K NAME
LOCATION OF SEPTIC TANK, OR CESSPoof, Z MAIL L y
3 ADDRESS
NORTH 0 !-
� CITY 4-- T Q_JTadfh
I AM THE LEGAL POSSESS R OF THE ABOVE LOS
i ANGELES COUNTY CERTIFIC OF QUALIFICA 10
i
PLUMBER
I AM THE LEGAL OWN R OF THE PPERTY DESCRIBED
ABOVE. FV
F m
3 OWNER
CORRECTIONS
SOUTH
.,i
DESCRIPTION OF WORK 4
1 BATH TUB FURNACE
-SHOWER DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
LOP SINK FLOOR DRAIN T Cr
WASH TRAY URINAL APPROVALS
/ WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
—METER-- GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CESSPOOL I
TOTAL NUMBER OF FIXTURES d4l 4-6 SEPTIC TANK
CESSPOOI SEPTIC TANK SEWER
( S UTILITY CO.NOTIFIED
I TOTAL FEE '�`IV�� FINAL
79ABS7 17 a-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN
DISTRICT NO. GRPERMIT NO.
OUP ZONE R .
PLUMBER M• C• "® J�ECEIVED BY READY FOR DATE ISSUED
(/ / FIRST INSPECTION / �—
ADDRESS 123 N
rv nn1
CITY TEMPpL llrfW. N� LIF ADDRESS 7,► &
_
- -
COUNTY
LICENSE NO. EXPIRES LOCALITY
NEAREST
PERMT FEES CROSS STv'O
�
//'} �.w�.�►.,
OWNER I- I
NUMBER I TYPE OF FIXTURE OR ITEM � FEE MAIL ��/�J
'WATER CLOSET (TOILET) @ 0,501 $ I ADDRES;>�1 cN�cS7//PfT?�.-.R
BATHTUB @ 0.501 I CITY TEL. NO.
SHOWER @ 0.501 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 ISTATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
�
LAUNDRY TUB OR TRAY Q 0.501 ANGELES COUNTY LICENSE. OR I 'AM THE LEGAL OWNER
OF THE.RESIDENTIAL PRO ERTY D£SCRCBED ABOVE.
GAS SYSTEM OUTLETS @ 0.501 .-
7t fT
1 •SIGF�I:dTURE= OFI
WATER HEATER @ 0.50 I '•zPERMITTE
SLOP SINK @ 0,101 'INSPECTION RECORD
FLOOR SINK @ 0.50 I /`�//�/'—�
FLOOR DRAIN @ 0.50 I
DISHWASHER Q 0.101
DRINKING FOUNTAIN Q 0.501
URINAL @ 0.501 ,J
HOUSE SEWER @ 0.50 I� Q
LMISCELLANEOUS U'
I
I
APPROVALS,
DATE INSPECTOR'S NAME
ROUGH PLUMBING `
GAS PIPING
GAS VENT
I CESSPOOL Q 1.001 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST
r �,9 UTILITY CO. NOTIFIED
TOTAL FEE
�`�✓' FINAL J���_,._,,,•i//1 rj �r
/ ., /.
APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY Ala
COUNTY OF LOS ANGELES PLUMBING
' , WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT N . GRgUP I ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE �^
HEATER CESSPOOL SEPTIC TANK ECEIVED CY READY FOR -.DATE ISSUED
5 •FIRST INSPECTION
AS MISCELLANEOUS ��". 4"�y
A� Q�A�` PPLIC/Ap�NT FILL IN HEAVILY OUTLINyED PORTION ONLY
It V
NAME �o C. 1 9 AA �(f �� ADDReiM!� � 7, Pte- '
O
ADDRESS �G.l�������v�eLOCALITY
NEAREST fir/
CITY CROSS ST.-,V l) fb rL`�'tf".4.JV!
COUNTAMMIRL 9 0 �-
CERT.No. EXPIRES W NAME �j�f /,L'
LOCATION OF SEP'T'IC TANK,OR CESSPOOL 3 MAIL
ADDRESS'/J'7/ -J
NORTH O r��/ '
CITY i 'T i TEL.No.
IAM. THE LEGAL POSSESSOR OF THE ABODE LOB
ANGELES COUNTY CERTIFICATE OF„QUALIFICATION.
�P( PLUMBER
I AM•THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
a
OWNER'
Y CORRECTIONS
SOUTH w
DESCRIPTION OF WORK
BATH TUB FURNACE J
CL
SHOWER- DISHWASHER Q
_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
METER__GAS _SODA FOUNTAIN GAS PIPING I I
OUTL
•• GAS VENT
. CESSPOOL II ,rO 9 .��,,��✓.
TOTAL NUMBER OF FIXTURES —��/ SEPTIC TANK
CESSPOOL___ S�• SEPTIC TANK - `�” SEWER I
` S UTILITY•CO.NOTIPIED I
TOTAL FEE
'�' FINAL �� /
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS
PL 0508 1307100001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS: 1
ITR: 13620 LT: 16 I 9521 LA ROSA DR 1
I IFEE DESCRIPTION- QUANTITY: UOM: AMOUNT: ( TEMP CA 917803827 1
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18590-014-004 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE. 596 GRID: J5 LOCALITY: TEMPLE CITY CAI
107 BATHTUBS/SHOWERS 2.00 FIX 32.40 1
(TENANT: Ill CLOTHESWASHER(S) 1.00 FIX 16.20 JISSUED ON: PROCESSED BY: PLAN BY. 1
1 113 DISHWASHER(S) 1.00 FIX 16.20 107/10/13 SR
125 LAVATORIES/SINKS 3.00 FIX 48.60 1
OWNER: TEL NO: 145 WATER CLOSET/URINAL 2.00 FIX 32.40 IFINAL QNTE FINAL BY: CODE-
IYAO, CHUN LEE (626) 696-0648- 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
19521 LA ROSA DR ITOTAL FEES 189.80 1 I
TEMP 917803827 1 ID RIP ION OF WORK
BATHTUB/SHOWER, CLOTHESWAS R, DISHWASHER, LAVATORIES, SINK, 1
(WATER CLOSETS AND GAS LINE
1APPLICANT. _ TEL. NO:
SAME AS OWNER _ 1
1 1 ISPECIAL CONDITIONS:
� � I
� I
CONTRACTOR. TEL. NO: I APPROVALS _ DATE INSPECTOR SIGNATURE
ISAME AS OWNER -
LIC. NO 1UNDER SLAB WORK
1 I II I
I (WATER SERVICE 1 1 1
_ (PLASTIC YIN METAL YIN
(ARCHITECT OR ENGINEER: TEL. NO: 1
- 1TROUGH PLUMBING
LIC. NO
1 IGAS PIPING
1 I IGAS VENT I 1 I
I IHOT WATER HEATER
1 I I I
(PLUMBING FIXTURES
1 I I I
1 I ILAWN SPRINKLERS I I I
IGAS TEST
I I 1UTILITY COMPANY NOTIFIED( I I
1 I CWV
1 1GRAY ATER SYSTEM 1 I 1
1 1 I I I I
1 I I I I I
1 1 I i I I
I I I
1 1REPORT ID: DPR263 ROUTE TO: BS0508 i 1 I