HomeMy Public PortalAbout9539 LA ROSA DR_Plumbing__ D.P.17 SM BETS 4-49 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES I COMPLETE !_ / `�'/ I` U 7
RECE VED BY READY FOR DATE ISSUED
HEATER CESSPOOL 1 SEPTIC TANK FIRST INSPECTION
GAS MISCELLANEOUS ^� C•7
H PPLICANT FILL IN EAVIL-Y OUTLINED PORTION -ONLY
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IL CITY I TEL.No.fl � !_ CROSS ST.
COUNTY CERT.No.�/ EXPIRESI1 AAs -1 J-
(w /•,tfi W NAME `
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL �J
3 ADDRESS
NORTH O
CITY TEL.N01
I AM THE LEGAL PO- 8 S OR OF THE ABOVE LO
ANGELES COUNTY CERTIF �OF QUALIFIC TIO -
FILUMBER
I AM THE LEGAL O ER OF THE R PERTY DESCRI ED
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' OWNER
CORRECTIONS
SOUTH
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DESCRIPTION OF WORK a
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HATH TUB FURNACE U`
ROWER - DISHWASHER Q
LAVATORY REFRIGERATOR
/ KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
1 WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER --DENTAL LAVATORY ROUGH PLUM13INGf
1 gODA FOUNTAIN
METERGAS , -
OUTL GAS PIPING
GAS VENT ( -
CESSPOOL I I
TOTAL NUMBER OF FIXTURES V SEPTIC TANK
CESSPOOI 4EPTIC TANK SEWER I I
S
UTILITY CO.NOTIFIED
TOTAL FEE Q^�
FINAL L6
D.B.S.-17 25M SETS 6-46 APPLICATION FOR PERBUT
,DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES . ' PLUMBING I
Wm-J. FOX. CHIEF ENGINEER
NATURE-OF INSTALLATION DISTRICT.NQ. G ZONE
Z P RMI O.
ROUGH FIXTURES COMPLETE �l /+ / r' / ✓/ySZ_
SEPTIC TANK BY FIRST INSPDY FOR
ECTION DAT IS ED
HEATER CESSPOOL R
AS ISCELLANEOUB (�sfl
APPLICANT FILL IN HEAVILY OUTLINED PORQTI7O/-N ONLY
rc NAME �
C. AM CO. ADDRESS
m ADDRESS 23 No. Cloverly Ave. LOCALITYr�.a?i► � C (JYS J
CITY EWLE CITY,.CALIE. C-I0 S BT.
COUNTY /J
e CERT.No. EXPIRES m NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
I AM THE LEGAL POSBUSSOR OF THE ABOVE' LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PL l f�L(�g1riL
• � ' PLurdega
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
A
D
OWNER
CORRECTIONS
90UTH J
DESCRIPTION OF WORK z
BATH TUB FURNACE 9
HOWER DISHWASHER O
LAVATORY REFRIGERATOR
ITCHEN 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
OUTL SAS PIPING
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SE /�/ ��� SEPTIC TANK I 1 �r I /1 '141V
�/ 'V
CE88POOI PTIC TANK SEWER
S � I I •
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0404210016
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEG ID: FEES PAID BUILDING ADDR S :
TR: 13620 LT: 19 9539 LA ROSA DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803827
ASSESSOR INFORMATION NOR M I NEAREST CROSS STREET: TEMPLE CITY BLVD.
8590-014-007 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED SED B LA B ES N:
13 DISHWASHER(S) 1.00 FIX 16.20 04/21/04 VG 10/18/04
21 HOSE BIBB(S) 1.00 FIX 16.20 -
OWNER: TEL. NO: 25 LAVATORIES/SINKS 3.00 FIX 48.60 FINAL ATE FINAL BY: CODE:
FONG, NGAN CHAO (626) 285-9727- 45 WATER CLOSET/URINAL 2.00 FIX 32.40
9539 LA ROSA DR. 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TEMPLE CITY 91780 TOTAL FEES 205.95 DESCRIPTIO OF WORK
PLUMBING FOR NEW BATHROOMS AND LAUNDRY
APPLICANT: TEL. NO:
LAW (909) 869-0732-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
FONG, NGAN CHAO (626) 285-9727
9539 LA ROSA DR. LIC. NO UNDER SLAB WORK
TEMPLE CITY CA 91780 NONE
WATER SERVICE
PLASTIC Y/N METAL Y/N
AEC O ENGINEER: L. 0: /
ABLEBLE DESIGN (909) 869-0732- J/ ROUGH PLUMBING
20160 PASEO DEL PRADO LIC. NO- lab- A � GAS PIP
IqG
WALNUT, CA 91789
�"&CL GAS VENT i
OT WATER HEATER
/l PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY 0 IFIED
Nv
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS05O8