The URL can be used to link to this page

Home My Public Portal About9558 LA ROSA DR_Plumbing__ yexe-ey Ty APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY w2kL COUNTY OF LOS ANGELES WILLIAM J FOX, CHIEF ENGINEER FqR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO �f PLUMBER RECEIVED BY `READY FOR ' DATE ISSUED _ f FIRST INSPECTION ADDRESS BUILDING CITY r ADDRESS __ J(�gN'Y7y COUNTY LOCALITY �t LICENSE NO EXPIRES NEAREST PERMIT FEES CROSS ST A NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER v - MAIL _ WATER CLOSET (TOILET) @ O 50 $ 1 ADDRESS BATH TUB @ O 50 I I CITY TEL NO SHOWER @ O 50I 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ O Sol APPLICATION-AND STATE THAT-THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ O Sol STATE LAWS REGULATING PLUMBING 1 CERTIFY THAT IA POSSESS HE AABOVE VALID LOS LAUNDRY TUB OR TRAY @ O 50 I ANGELES COUNTY LI NSE C I;1 M1- ,�'HE LEGAL OWNER OF THE RESIDENTIALOPERTY D�SCRI.BE•D �6�V� GAS SYSTEM OUTLETS Q O 50 SIGNATURE OF WATER HEATER @ O 50 p- PERMITTEF� -- I SLOPSINK- @ o so 1 'INSPECTION RECORD FLOOR SINK Q O so FLOOR DRAIN @ O 50 DISHWASHER Q O 501 DRINKING FOUNTAIN @ O 50 URINAL @ O So - ...I HOUSE SEWER @ O 501 I Z MISCELLANEOUS I I � I I O I I I I I 1 APPROVALS I I� DATE INSPECTORS NAME ROUGH PLUMBING GAS PIPING GAS VENT f` CESSPOOL @ 1 00 1CESSPOOL SEPTIC TANK I SEPTIC TANK I DRAIN ( ) PIT ( Q t 00I SEWER CIy(/7/ PERMIT I t 00 GAS TEST I e l / I UTILITY CO NOTIFIED _ TOTAL FEE $ I 1 FINAL •z��/-� i 7SA667 17 11-49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT T❑ FILL IN DIERmn R N P ZO P 7 >'fd' 7 PLUMBER • RECEIVEDrBY READY FOR _DATE ISSUED _ J. FIRST INSPECTION `/1 ADDRESS /F]f/ � 1 BUILDING CITY TEL. NgrU a / ADORESS COUNTY S b LOCALITY [ J LICCN3E NO. a S EXPIRES NEAREST PERMIT FEES CROSS ST. V NUMBER TYPE OF FIXTURE OR ITEM FEEOWNER MAIL f WATER CLOSET(TOILET) @ D 50 $ ADDRESS r BATH TUB @ 0 50 CITY TEL. No SHOWER ` @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT LAVATORY (WASH BASIN) @ 0.513 I AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ O 50 I AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER GAS SYSTEM��CUTLETS @ 0.50OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. I SIGNATURE OF _ lJit _ WATER HEAT(R @ 0.513_ I PERMITTEE. SLOP SINK @ 0.501(' INSPECTION RECORD FLOOR SINK @ 0501 FLOOR DRAIN @ 0.50 DISHWASHER @ 0501 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.501 'J HOUSE SEWER @ 0501 Z MISCELLANEOUS (7 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING ,/J//i'l'l f__ry''/'y,,t,---._►..+'��' � . w GAS PIPING OAS VENT CESSPOOL @ 1,1301 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00/1 SEWER D /� Y PERMIT . . . 1.00 GAS TEST f)'� UTILITY CO. NOTIFIED TOTAL FEE $, 1` / FINAL -.- ` / / /v ION WORKER'S h ve a certificate of consent to 76A667 DPW 9/89 APPLICATION' FOR PLUMBING PERMIT I her 76A667A , @py affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof(Sec 3800 Lab C) q3 Company �� COUNTY OF LOS ANGELES l DEPT OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. Policy No � ��Zy. � - - Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING i L-A ADDRESS Certified copy is filed with the county building inspection i department NUMBER FIXTURE OR ITEM @ FEE 'G�1 y�� LOCALITY Date Applicant V WATER CLOSET NEAREST �� ` \� /' \ BATH TUB tv CERTIFICATE OF EXEMPTION FROM WORKERS' CROSS ST F l, COMPENSATION INSURANCE 'ASSESSOR y (This section need not be completed if the work involved by the SHOWER MAP BOOK a PAGE b14 I PARCEL permit is for one hundred dollars($100)or less) OWNERtva Gem I certify tl1at in the performance of the work for which,this permit LAVATORY IL is issued, I shall not employ any person in any manner so as to SINK MA55 ADDRESS become subject to the Workers'Compensation Laws , DISWASHER CIT EL NO 2 Z Date Applicant CLOTHES WASHER CONTRACTOR ` NOTICE TO APPLICANT If, after making this Certificate of QVn01 WNQ%L Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS e provisions or this permit shall be deemed revoked LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY Wd� t, TEL NOI—MI a I hereby affirm that I am licensed under provisions of Chapter 9' WATER HEATER 15 (commencing with Section 7000) of Division 3 of the Business andTATE LIC / GAS SYSTEM OUTLETS /1-3— LICENSE NO 3 CLASS Professions Code,and my license is in full force and effect OUTLETS OVER _ _ ,DISTRICT NO PROCESSED BY _ 5 PER SYSTEM �p/ License Number l•� Lic Class CI U A� Q FINALVALIDATION W ContractorLaAlru'� 1& Date I1 �V, `� DATE a ❑ FINAL a Z I am exempt under Sec BY B&P C for this reason z} Date Plan check fee _ oil. PLUMBING PERMIT ISSUING FEE$ ��y/D Signature � TATAL 41 - 85 El TOTAL FEE SINGLE FAMILY Plan check applicant �(•��yl-is�� t_i.6 HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and Professions Address Code) City Tel No _ ❑ I,as owner of the property,will do the work and the structure }c h�a N is not intended or offered for sale (Section 7044, Business and Professions Code) , CONSTRUCTION LENDING AGENCY I hereby affirm that there,is a construction lending agency for the performance of the work or which this permit is issued (Sec 3097, Civ C) Lender's Name Lender's Address / I certify that I have read this application and state that the above , 1 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 p rposes SEE REVERSE FOR EXPLANATORY LANGUAGE r > WORKER'S COMPENSATION of consent to ` �6A66�A DPW 9/89 APPLICATION FOR-PLUMBING PERMIT J I hereby a+firm that0 have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified copy thereof(Sec 3800 Lab C) C - ' I'51��2.�1-`�2 S�o\��- rky\a COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS f �� DEPT.tOF PUBLIC WORKS DIV. Policy No Company .-- Certified copy is hereby furnished I� FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified co py•is filed with the county building inspection ADDRESS department ttt� + NUMBER FIXTURE OR ITEM Qn FEE LOCALITY Date 11-1-Tb Applicant ��\iY �Qh�`i WATER CLOSET - / 1c OSS ST Tlvi vn \-e._ \� . - CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB _ COMPENSATION INSURANCE ASSESSOR q �t (This section need not be completed if the work involved by the SHOWER MAP BOOK (� PAGE 6t9j PARCELO(.� permit is for one hundred,dollars($100)or less) 1 LAVATORY OWNER �((� I certify that in the performance of the work for which this,permit { MAIL is issued, I shall not employ any person in any manner so as to SINK ADDRESS C_ �� DV. become subject to the Workers-Compensation Laws DISWASHER CITY ty,\ C TEL NO<61%-ZQ�` Date Applicant CLOTHES WASHER CONTRACTOR V Vv NOTICE TO APPLICANT If, after making this Certificate of yy\,D A Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS v provisions or this permit shall be deemed revoked LAWN SPRINKLER SYSTEMD��1� LICENSED CONTRACTORS DECLARATION CITY TEL`N I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER d (commencing with Section 7000) of Division 3 of the Business and STATES LIC 0 Professions Code,and my license is in full force and effect , r GAS SYSTEM OUTLETS LICENSE NO 1 CLASS �� Q DISTRICT NO - PROCESSED BY- 5 PER SYSTEM - -� OUTLETS OVER - p 0 O d License Number Lic Class � Is-'� 1� — U {` \\.- Q \r� �(► [� FINAL ��c�iDATION W Contractor TONY\ Vv101AK \V! , &Da ,��v 1� DATE /J 'A4+F4nr i i'?t n ii i I N FINAL // '`U' 1 Z ❑ I am exempt under Sec 0 BY {��f EF-,_E OF. B&P C for this reason Date Plan check fee _ PLUMBING PERMIT ISSUING FEE$ 1 I =jt! Signature ❑ TOTAL FEE Q i E 1�t�I SINGLE FAMILY Plan check applicant TOT A 19 11D HOMEOWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and Professions Address yt�F�]G Code) ' F] 1, Tel No I,as owner of the property,will do the work and the structure is not intended or offered for sale (Section 7044, BusinessZ 1 i I► and Professions Code) ' I_t ti i_if� _ CONSTRUCTION LENDING AGENCY - �y t 7 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097, Civ C) Lender's Name Lender's Address 1 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 r representatives of this County to enter upon the above-mentioned / pro rty for inspects n pur ses SEE REVERSE FOR EXPLANATORY LANGUAGE Si ature f WerrAitti4l Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0811180021 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID FEES PAID BUILDING ADDRESS I ITR 13329 LT 58 UN 002 19558 LA ROSA DR I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803828 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET TEMPLE CITY 1 18590-018-022 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY, Cl 1 121 HOSE BIBB(S) 1 00 FIX 16 20 I 1 ITENANT 126 MISCELLANEOUS FIXTUR 1 00 FIX 16 20 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON I 163 WATER PIPING BR/FIX 4 00 FIX 27 00 111/18/08 SR 05/17/09 1 1 164 WATER PIPNG <= 1 1/2 1 00 LIN 16 20 1 11 10WNER TEL NO I TOTAL FEES 103 35 IFINAL DAT FIN CODE I IGEE, BEATRIZ (626) 291-2736- 1 1 /} 19558 LA ROSA DR I I ITEMP 917803828 _ I MSCRIPTION OF WORK I ICOPPER REPIPE 4 FIXTURES, WATER MAIN AND EARTH QUAKE VALVE (APPLICANT TEL NO IJUST REPIPES INC (626) 914-1600- 1 I 1237 S GLENDORA AVE I ISPECIAL CONDITIONS I GLENDORA, CA 91741 I I I ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE IJUST REPIPES INC (626) 914-1600- 1237 14-1600-1237 S GLENDORA AVENUE _ __r LIC NO _ _ _ _ _ _ _ _ _ .mi UNDER SLAB WORK 1GLENDORA CA 91741 832258 C36 IWATER SERVICE I IPLASTIC Y/N METAL Y/N I 1 (ARCHITECT OR ENGINEER TEL NO 1 I IROUGH PLUMBING LIC NO IGAS PIPING I I I I I I GAS ;VENT I I I I I I_ i I IHOT WATER HEATER I I I I IPLUMBING FIXTURESI I I I I I ILAWN SPRINKLERS I IGAS TESTI I I I I (UTILITY COMPANY NOTIFIEDI I I I I i, CWV I ' I I I I I I I IGRAY WATER SYSTEM 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 REPORT ID DPR263 ROUTE TO BS0508