HomeMy Public PortalAbout9527 LA ROSA DR_Plumbing__ 76A667 (CE-817)-4/72
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION Q�
MAKE CHECKS PAYABLE TO: ADDRELD I SS 2 LA ROSA DR. P# 38B&CSF
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY TEMPLE CITY
APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
F7WATER
FIXTURE OR ITEM @ FEE
CLOSET 1.75 OWNER K. GORDON
MAIL
H TUB 1.75 ADDRESS 9527 LA ROSA DR.
SHOWER PAN 1.75 1 i5 CITY TEMPLE C I TY TEL. NO.
LAVATORY 1,75 CONTRACTOR L. M. HAMMY INC.
SINK 1.75 ADDRESS
W" MAIN ST.
DISHWASHER 1.75 CITY ALHAMBRA TEL. No 282-2151
CLOTHES WASHER 1'75 STATE LICENSE TA TE
NO. 171598 CLASS X36
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP ZONE FRO ESSE BY
LAWN SPRINKLER SYSTEM 1.75 �•�g /
WATER HEATER 1.75 V I
INDUSTRIAL
WASTE APPROVAL p
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V
OUTLETS OVER CD
5 PER SYSTEM .30 V
W
c-
N
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00-7
TOTAL FEE 15
APPROVALS DATE INSPECTOR 4 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
LRES'�'IDE
ss GAS PIPING
Tel. NO. GAS VENT
HOT WATER HEATER
REBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
LL COUNTY ORDINANCES AND STATE LAWS REGULATING
NG. GAS TEST
REBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR UTILITY CO. NOTIFIED
D AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF
NIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
IN THE ABOVE D ED RE DENTIAL PROPERTY. FINAL
TUREPER MITT "
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VVIDATION CK. M.O. CASH
4 �?� 9 2 r:;.. MM 3 5 0 4 .7 5M 1
76A667 17 25M SETS 7-4e APPLICATION FOR PERMIT .
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WM. J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT O. GROUP O E PERMIT NO.
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL I-I SEPTIC TANK RECEIVEDODY READY FOR DATE ISSUED
�i FIRST INSPECTION
__i-iMISCE LANEOUS _ f
AS �jj��
�B //A��PPLICAIN�T��F�IL$L�pIN�(HEEAVILY OUTLINEDPORTIONONLY
a. NAME M. C. NOT ilrGIC1L'�M CO. ADDRESS I f r � /t
ADDRESS
Iy��2.1S No. Cloyerly AvQ. LOCALITY f
A. CITY gF'���d�1 C ,��TEL•!�q•�e r_ CROSS ST. 0• N Cl/l�''
COUNTY �F �7 NAME
LOCATION
�
LOCATION OF SEPTIC TANK,I LICENSE NO. POR CESSPOOL
3 MAIL
ADDRESS
NORTH O
CITY TEL.No.
IAM THEE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIF CA F UAL�ICjATION.
`e' 9
Paumomit
AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
ATH TUB FURNACE m
Q'
ROWER 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 INSPKCTOR'S HANK
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I
METER-GAS SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
-CESSPOOL--------SEPTIC TANK SEWER
$ / UTILITY CO.NOTIFIED I
TOTAL FEE
FINAL
D.B.S.-17 25M SETS 6-46 APPLICATION FOR PERMT
DEPART-IdENT' OF BUILDING AND -SAFETY'. '
COUNTY OF LOS ANGELES
PLUMBINGWm. J. FOX. CHIEF ENGINEER
NATURE OFINSTALLATION DISTRI.M
NO. GROUP ONE PERMIT
ROUGH FIXTURESCOMPLETE +/
HEATER ;CESSPOOL I—I SEPTIC TANK CEIVEDBY-_ READY FOR DATE 18SUggED
. AS MISCELLANEOUS FIRST INSPECTION. � ���
APPLICANT FILL IN HEAVILY OUTLINEDtF��, PORTION //ONLY �q{
NAME . ' • NOTTINGHAM CO. ADDRESS�J/LG �.�Q_ CLQ~/,� moi.- dJ "
ADDRESS 123 No. Cloverly Ave. LOCALITY r9.t/w'42 &e,6L I
T��MU NEAREST -
J CITY Y A:�1T� CROSS ST.
ILCOUNTY
CERT.No. , EXPIRES W NAME
LOCATION OF SEPTIC TANK,'OR CESSPOOL 2 MAIL
- 3 ADDRESS�� S ,r! <,�"LL/.,+7 ✓`�:gJ'tat-n"�..�- 6,1•t�
NORTH O
CITY TEL.No.
1 AM THE LEGAL POSSQSSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICA,/TION.
` /'fie�-r 1�1� 77 fey L,1 o t?-.-
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE. - - -
a
OWNER
i - - CORRECTIONS
SOUTH J
DESCRIPTION OF WORK
BATH TUB FURNACE
—SHOWER DISHWASHER D
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 NAM9
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I
METER_GAS ; _ SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT-
. I 2
CESSPOOL
TOTAL NUMBER OF
/ FCS SEPTIC TANK
ECE88POO � fTANK I I
SEWER 'I -
$• /
UTILITY CO.NOTIFIED
70TAL'FEE
FINAL
D•a.17 SM SETS 4-43 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY j
COUNTY OF. LOS ANGELES �`���I��
Wm. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
00FIRST INSPECTION F
GAS MISCELLANEOUS '[�bi�'
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB ,p�
E NAME ADDRESS�C
ADD f 9
/ S 7 3 fl y o i
m L..6�' � � LOCALITY
D
NEAREST
r^ .� '
'I _CITY ' 1 TEL.No. / ,} CROS8 ST.
IL
COUNTY �• /� /� "L
CERT.NO. LJ �/ �/JG I EXPIRE6 j ' K NAME
LOCATION OF SEPTIC TANK OR CESSPOOL ZW
MAIL
3 ADDRESS L L
NORTH O
CITY TEL.N
1
1 AM THE LEGALPOSSESS R OF THE ABOVE LOS
ANGELES COUNTY CERTIFIC!j,'F OF QUALIFICAT,IO
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCBED
ABOVE.
tF .
W D
i OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK
ATH TUB FURNACE
ROWER DISHWASHER A 0
/ LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK --------SAND TRAP
/1 LOP SINK FLOOR DRAIN '
r WASH TRAY URINAL APPROVALS
• WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NAVW
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER 6A8 SODA FOUNTAIN
OUTL 6A8 PIPING
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES G� SEPTIC TANK
CESSPOOL SEPTIC TANK SEWER
>6 UTILITY CO.NOTIFIED
I TOTAL FEE
FINAL
78A867 • APPLICATION F O R -P•LUIVI BIIV C� PEFi I�IT
DB6-17 I�61JIlVIDION OP BUILDING AND SAFETY
"Department of County Engineer
County•of Los Angeles BUILDING ��/�1
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS p�► �C/
CASSATT D. GRIFFIN,SUPT OF BUILDING
LOCALITY v
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
MAIL OWNER DISTRICT NO. OUP (/y7-PNE READY FOR INSPECTION
ADDRESS
INDUSTRIAL
CITY TEL. NO. QD WASTE APPROVAL
PLUMBER " INSPECTION RECORD
ADDRESS
CITY TEL. NO.
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASHBASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ S1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 , 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE lay GAS VENT
1 HEREBY ACKNOWLEDGE THAT I 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 THAT I AM THE LEGAL OWNER OF T EOV UTILITY CO.NOTIFIED
DESCRIBED RESESIDENTIALPROPERTY.n
SIGNATURE V
OF PERMITTEE FINAL
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
CK. N.0. CASH
"An0:.; 1 6;,�,SEP 27 3 2.0 0 In
7
9BS-17 10-BS APPLICATION, FOR PLUMBING PERMIT" 1
DBS-1
DIVISION OF BUILDING AND SAFETY
1 Deportment of County Engineer
County of Los Angeles BUILDINGr
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ( 0
CASSATT D. GRIFFIN,SUPT OF BUILDING -
LOCALITY
F R APPLICANT TO F IN NEAREST
I CROSS ST.
OWNER e& DISTRICT GROUP ZONE I READY FOR INSPECTION
MAIL ^ O&A , I r/
MAILADDR ' / I
CITY TEL.'NO. b INDUSTRIAL dV WASTE APPROVAL
PLUMBER -r,� ., . - INSPECTION RECORD
ADDRESS
CITY TEL. NO.
LICENSE NO,
NUMBER TYPE OF FIXTURE OR ITEM —FEE r �+� ;'=`.7 A/zv
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 , 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT I 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 FIXTURE
PLUMBING. S _
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER 0 THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIALy�,P,ROPERTY.
SIGNATURE il.(..
OF PERMITTEE {/—� �� FINAL
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
CK. M.0., CASH
L ;a-9 5'7:ot SEP 2 3 3 6.00 P
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1206290006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID BUILDING ADDRESS: 1
ITR: 13620 LT: 17 I 1 9527 LA ROSA DR 1
I IFEE DESCRIPTION QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803827 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
18590-014-005 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE- 596 GRID: J5 LOCALITY: TEMPLE CITY CAI
1 107 BATHTUBS/SHOWERS 2.00 FIX 32.40 1
(TENANT: 113 DISHWASHER(S) 1.00 FIX 16 20 (ISSUED ON: PROCESSED BY: PLAN BY:
1 125 LAVATORIES/SINKS 2.00 FIX 32.40 106/29/12 SR 1
I I TOTAL FEES 108.80 1
(OWNER. TEL. NO: I IFI4AL DATE, FINAL BY: CODE: 1
IKIM, ANGIE (626) 589-7836- 1 11
19527 LA ROSA DR I I 1�
ITEMP 917803827 1 IDE PTIO OF WORK
I I IREPLACE KITCHEN AND BATHROOM FIXTURES 1
(APPLICANT: TEL. NO: I
ISAME AS OWNER - I
I I ISPECIAL CONDITIONS: 1
I I I I
I I I I
ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER _ - I
I LIC. NO I 1UNDER SLAB WORK I 1 1
I I I I I I
IWATER SERVICE I I 1
I 1 IPLASTIC Y/N METAL Y/N 1 1
(ARCHITECT OR ENGINEER: TEL. NO: 1 I I I I
I - 1 IROUGH PLUMBING I
1 LIC. NO: ' I I I I
I I IGAS PIPING I I
I IGAS VENT I I
I I I I
I IHOT WATER HEATER I I 1
I I I I
I I IPLUMBING FIXTURES 1 I
I I I I I I
1 ILAWN SPRINKLERS 1 I I
I 1 IGAS TEST 1 I
I I I I I
I I 1UTILITY COMPANY NOTIFIEDI I I
I I I I I I
I I ICWV I I
I I I I I
1 IGRAY WATER SYSTEM I I 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 I I I I
I I I I I I
IREPORT ID: DPR263 ROUTE TO: BS0508 I I I
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF Pi3BLIC WORKS 9701 LAS TUNAS PL 0508 1207110025
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE- (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 13620 LT: 17 9527 LA ROSA DR
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803827
ASSESSOR INFORMATION NUMBER: - NEAREST CROSS STREET:
8590-014-005 _ 101 PERMIT ISSUANCE FEE - 27.80 THOMAS PAGE: 596 GRID: J5 LOCALITY- TEMPLE CITY CAI
125 LAVATORIES/SINKS _ 1.00 FIX 16.20
TENANT: TOTAL FEES 44.00 JISSUED ON- PROCESSED BY: PLAN BY:
107/11/12 SR
(OWNER: TEL. NO: IFI AL DATE FI Y: CODE:
IKIM, ANGIE (626) 589-7836- 1 _
19527 LA ROSA DR I •
(TEMP 917803827 10ECRIPTION OF WORK
- i KITCHEN SINK CHANGEOUT
APPLICANT: TEL. NO: _
SAME AS OWNER - 1
ISPECIAL CONDITIONS: I
CONTRACTOR:SAME AS OWNER TEL NO: - (APPROVALS DATE INSPECTOR SIGNATURE
- I
I
LIC. NO i (UNDER SLAB WORK -
� � I
IWATER SERVICE I
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER TEL NO
- _ ROUGH PLUMBING
LIC. NO:'
I
I I - (GAS PIPING I
� I
IGAS VENT I I
IHOT WATER HEATER
IPLUMBING FIXTURES
LAWN SPRINKLERS I I
GAS TEST I
' - UTILITY COMPANY NOTIFIED I I
1 I ICWV I I
I (GRAY WATER SYSTEM I I 1
1 1 I I I I
I I I I I I
1 1 I I I I
I I I I I I
' (REPORT ID. DPR263 - ROUTE TO: BS0508
I I I I