HomeMy Public PortalAbout9545 LA ROSA DR_Plumbing__ 76A667 (CE-817),- 5/73
-APPLICATION FOR�, PLum NG P'ERNIIT 4
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
: BUILDING,'AND SAFETY DIVISION , BUI�oINc
MAKE CHECKS PAYABLE TO: ADDRESS
HARVEY'T. BRANDT, COUNTY ENGINEER,, LOCALITY
FOR'APPLICANT TO FILL'IN (PRINT OR TYPE) CROSS ST. U ,, e f
NUMBER :',FIXTURE OR ITEM - @; FEE-' OWNER IT COO ;'
i� . •1
• WATER CLOSET 1.75
BATH TUB.`• 1.75 ADDRESMA S S
�t
i
SHOWER 1,75 CITY � PLJ�_ TEL•. NOQgs 83
LAVATORY- "1,.75 CONTRACTOR
SINK 1•:75 - ,'-ADDRESS d LYD 61? D AQ6,
DISHWASHER 1,,75 �. ° l
CITY / '/i�yT
/�IL CITV
'TEL. N61/ 2'2 26
CLOTHES WASHER 1'.75 _ STATE. '' LIC
LICENSE;NO. OLl/a p w'd . C'LASSI:'t
SWIMMING POOL RECEPTOR 1•,75
DISTRICT NO. GROUP jjjj�rrrQQQ E R ESSED BY
LAWN SPRINKLER SYSTEM 1,754 u� W
WATER HEATER 1,75' S INDUSTRIAL 1-U
WASTE APPROVAL__
GAS SYSTEM OUTLETS' 1.75 "t - w O
INSPECTION RECORD" cD
OUTLETS OVER -
5 PER SYSTEM. •30 CD
H
U
Plan check fee See,Reverse;
i 'PLUMBING PERMIT ISSUING FEE $ ' 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE - r
Plan check applicant
UNDER SLAB'WORK
Name - ROUGH PLUMBING '
Address GAS PIPING
Clty•- ' Tel. NO. GAS VENT
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 - tz _
WITH- ALL COUNTY ORDINANCES''AND STATE LAWS REGULATING
PLUMBING.;. . G,.S TEST
I 'HEREBY.CERTIFY THAT I AM' PROPERLY REGISTERED AND/OR UTILITY CO 'NOTIFIED
_LICENSED AS REQUIRED 'BY•LOS'ANGELES COUNTY AND STATE OF ,
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN;THE ABOVE DESCRIBED RESIDENTIAL PROPERTY, FINAL _
SIGNATURE . � I
-' OF" PERMITTEE
PERMIT VALIDATION CK: M.O. CASH '
PLAN CHECK VALIDATION CK. M.D. CASH,
3 . ,u 4.7:5
' L ' y, ,
D.B.S.-17 35M SETS 6-46 . APPLICATION FOR PERMIT
DEPARUiENT OF BUILDING 'AND SAFETY
-,COUNTY OF LOS ANGELES
WM. J. FOX.CHIEF ENGINEER
NATURE OF INS.TA TION DI RI . GROUP
�fZONE
n P J }�I .
ROUGH FIXTURES COMPLETE Jr v �' -N P► / (! �/
HEATER CESSPOOL h•SFpTICTANK RECEhIt= , `READY FOR DA 6"18 UED
FIRST INSPECTION
AS-
MISCELLANEOUS
APPLICANT--TFIIkLL pITN�H-�E��A,VILY OUTLINED PORTION
ONLY
JOB
j� /y�J
d. "NAME •7�c�• j�®T(1�I1�IYYN7�1®0 H�iR F ADDRESS L I
� ADDRESS g(r3 19®_ e ,�1�erly Ave
LOCALITY; ,.�/)?+e�
O /�p��q�gp$ �1 NEAREST fJQ �j � y�-r
4 _ CITY {1 1t9�IC��tI Il � Ib � L• �IIH e C 2088 8T:
COUNTY
CERT.No. EXPIRES NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z . MAIL
3 ADDRESS
NORTH O _
61TY TEL.No.
1 AM THE LEGAL POSSQSSOR OF THE .ABOVE. LOS
ANGELES COUNTY CER/TI/FIICATE'OF QUALIFICATION.
PLUM06R
I Alit THE AL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
3 OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK. z
BATH TUB' FURNACE
SHOWER 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 4
METER GAG *=ODA FOUNTAIN GAS PIPING
OUTL 1
GAS VENT I I
GESSPOOL I +1 f n
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
•/ CESSPOOL REPTIC TANK Q SEWER
S 9.0 UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
D.B.17 SM SETS 4-48 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES �`���t��
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE 6 / 4�—' 1 116 7 T
READY FOR
RECEIVED BY DATE ISSUED
HEATER CESSPOOL SEPTIC TANK eC FIRST INSPECTION
GAB MISCELLANEOUS V
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
NAME �� � ADDRE98 3 �•
W
m ADD ESS / 1] LOCALITY
O .
NEAREST
M CITY TEL.NoA J CROSS ST.
COUNTY
T.No. t../�
CER — EXPIRES �� d' NAME
W
LOCATION OF SEPTIC TANK, OR CESSPOOL
Z MAIL `•
3 ADDRESS
NORTH O 917 y
CITY vim" TEL.No. 7 /
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICA,T. F QUALIF ICA
TIO
TIO
PLUMBER
I AM THE LEGAL OWNER OF THE POPERTY DESCRIBED
ABOVE.
�F
W D
3 1 OWNER
CORRECTIONS
SOUTH
J
/ DESCRIPTION OF WORK
ATH TUB FURNACE 6
a
HOWER DISHWASHER 0
AVATORY REFRIGERATOR
/—KITCHEN SINK WATER SOFTENER
FLOOR SINK *=AND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S AME
WATER TER DENTAL LAVATORY ROUGH PLUMBING I r{r
METER GAS aODA FOUNTAIN GAS PIPING
OUTL
GAS VENT I I
CESSPOOL I
TOTAL NUMBER OF FIXTURES T SEPTIC TANK I
CESSPOO+ aEPTICTANK SEWER I I
8
I
TOTAL FEE
UTILITY CO.NOTIFIED
FINAL '3G Y"
76067 - CE817 5/70 CITY OF TEMPLE CITY
APPLICATION FOR PLUMBING ' 'PERMIT
COUNTY OF LOS'ANGELES 21846 U
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
F�RESS 9545 La Rosa
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W:JE�NKINS. SUPT OF BUILDING em le CitFOR APPLICANT TO FILL IN PR NT OR TYPE) e le City Blvd.
NUMBER FIXTURE OR ITEM EACHFEE
OWNER R Abraham
WATER CLOSET 1.50 KAM
BATH TUB 1.50 ADDRESS Same
SHOWER 1.50 CITY TEL. NO.
LAVATORY 1.50 CONTRACTOR GENERAL INSTALLATION CO.
SINK 1.50 ADDRESS 6558 WEST BLVD.
DISHWASHER 1.50 CITY Los Angeles TEL. NO. PL 3-2541
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. C 36 15518.39 CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROSIR- ZO E PROC BY
LAWN SPRINKLER SYSTEM 2.00 L
1 WATER HEATER 1.50 1 75 INDUSTRIAL AP '6./'
WASTE PROVAL
A -
GS SYSTEM OUTLETS 1.50 INSPECTION RECORD
OUTLETS OVER •30 Read for Inspection NOW
5 PER SYSTEM y P
WATER SOFTENER
N
z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE .3
TOTAL FEE 4 7 5 APPROVALS 'DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
Ci[y, Tel. No. HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING. '
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO I
RESIDE IN,THE ABOVE DESCRIBEDRN PR RTY. FINAL
SIGNATURE ` JACK R. ALLEN, sU RVISIN ECH ANICAL EN G'R.
OF PERMITTEE
PERMIT VALID TION CK. M.O CASH
PLAN CHECK VALIDATION CK. M.O. CASH
u 2 sEF` 2 F7D 4.75-
{
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1209270020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS:
ITR: 13620 LT: 20 1 9545 LA ROSA DR
I IFEE DESCRIPTION: QUANTITY• DOM: AMOUNT. 1 TEMP CA 917803827
(ASSESSOR INFORMATION NUMBER: I I I NEAREST CROSS STREET: TEMPLE CITY
18590-014-008 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
164 WATER PIPNG <= 1 1/2 1.00 LIN 16.20
ITENANT: 192 NO PERMIT OWNER-BLDR 166.40 DOL 166.40 (ISSUED ON: PROCESSED BY: PLAN BY:
I I TOTAL FEES 210.40 109/27/12 SR
(OWNER: TEL. NO: 1 IFINAL DATE FINAL CODE: 1
IMENDEZ, JOHN (626) 808-6484-
19545 LA ROSA DR
ITEMP 917803827 1 I�C���F WORK 1
IWATER MAIN COPPER PIPE REPLACEMENT
I
(APPLICANT: TEL. N0: 1 I
ISAME AS OWNER
I 1 (SPECIAL CONDITIONS:
I
I I I I
(CONTRACTOR: TEL. NO: 'I 1APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - I I ( '
I LIC. NO i JUNDER SLAB WORK I I
I IL7 I
I 1 IWATER SERVICE�IC� I
1
PLASTIC Y/N TAL /N
(ARCHITECT OR ENGINEER: TEL. N0: I I I I
I I IROUGH PLUMBING
I LIC. NO: II 1
I I IGAS PIPING 1 I I
I I I
1 IGAS VENT I I I
I I I
1 IHOT WATER HEATER I I I
I I I
1 (PLUMBING FIXTURES I I
I I ILAWN SPRINKLERS
I I 1
IGAS TEST I I
I I I
(UTILITY COMPANY NOTIFIED( I I
1 ICWV I
1 1GRAY'WATER SYSTEM
1 I I I I I
i
I I I I 1 I
(REPORT ID: DPR263 ROUTE TO: BS0508
1 I I I