HomeMy Public PortalAbout9570 LA ROSA DR_Plumbing__ !
APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTR4,ST NO GRrUP 4N' RM0�0
PLUMBER Belvedere Plumbing Co. HEEIVEYAREADY FOR I DATEISSUED
t' ' FIRST INSPECTION �q � v'
ADDRESS 1y3 Sa- Palm /
BUILDING La Rosa Dr.
CITY Alhambra TEL NO AT-`(�L-%O21C ADDRESS
COUNTY �j L c LOCALITY Tpm l P. City
LICENSE NO 808M EXPIRES 613Q -
� �'- NEAREST
'PERMIT FEES CROSS ST Frank
NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
1 I WATER CLOSET (TOILET) Q O 50 S I_5 ADDRESS
-I BATH TUB Q O 50 I I50 CITY TEL NO
SHOWER Q O 50 I I I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) Q O 50 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q 0 $01 STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O SO ANGELES COUNTY LICENSE OR 1 AM;THE LEGAL OWNER
OF THE RESIDENT L) ROPERTY DESCRIBED ABOVE.
OF
-1 I GAS SYSTEM_ _OUTLETS Q O 50 1 -__50 SIGNATURE
� E
WATER HEATER Q O 50 0 PERMITTEE' /
SLOP SINK Q O 50 INSPECTION RECORD
FLOOR SINK Q O 5_01
IFLOOR DRAIN Q O 501
IDISHWASHER n O 501 O fel
DRINKING FOUNTAIN Q O 50
URINAL Q O 501 G .Q
HOUSESEWER Q O 501 I CAZQ 4- Z
MISCELLANEOUS I D
�I �r It
APPROVALS
DATE INSPECTORS NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q 1 00 CESSPOOL
SEPTIC TANK I� SEPTIC TANK
I DRAIN ( ) PIT ( ) Q I OO I I SEWER
PERMIT I 1 00 GAS TEST ./
i
I I UTILITY CO NOTIFIED
TOTAL FEE I{ 50 I !I/'
111 FINAL
{•e>cse7 >I' °-so 1 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING
WILLIAM J FOX, CHIEF ENGINEER `
FOR APPLICANT TO FILL IN DISTR�T NO. GROUP1 ZONE PERMIT NO
PLUMBER ♦ Corp-/� RE IVED BY READY FOR DATE SUED
$� �r-M�aQr/iQQ- r}- / FIRST INSPECTION a �/
ADDRESS 11 1 ThAl -e �St• V
BUILDING
CITY- ver TEL NO ADDRESS
COUNTYLOCALITY Cita
LICENSE NO O+ � 0_EXPIRES' 6 T
NEAR ST
PERMIT FEES CROSSEST S11 mat I)rive
OWNER R. ('� NAAAtrnm
NUMBER TYPE OF FIXTURE OR ITEM FEE -
MAIL ., 1.
WATER CLOSET (TOILET) @ O 50 $ ADDRESS Same as above
BATH TUB @ O 50 CITY TEL NO
SHOWER @ O 50 I 1 1 HEREBY 'ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) @ O 50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O 50 STATE LAWS REGULATING PLUMBING
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED%ABOVE.
GAS SYSTEM OUTLETS @ O 50 SIGNATURE OF
WATER HEATER @ O 50 PERMITTE
SLOP SINK @ 0 50IN PECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN @ O 50
DISHWASHER @ O SO
DRINKING FOUNTAIN @ O 50
URINAL @ O 50 W
F-
HOUSE SEWER @ O SO V
MISCELLANEOUS J
IL
Water Softener 0 D
APPROVALS
DATE INSPECTOR S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1 00 CESSPOOL
SEPTIC TANK I SEPTIC TANK
DRAIN ( ) PIT ( @ I Do SEWER
PERMIT . I 1 00 GAS TEST
I UTILITY CO NOTIFIED
TOTAL FEE $
FINAL
v
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508_97-11260015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
GAL D: - - S PAID BUILDING ADD S
TR: 13329 LT: 59 9570 LA ROSA DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: CT_E_MPCk_9,1-7803828
AS ORM B : NEAEST CROSS STREET:
8590-015-010 01 PERMIT ISSUANCE FEE 27.75_ THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY-
07 BATHTUBS/SHOWERS 1.00 FIX 16.35
TENANT: 11 CLOTHESWASHER(S) 1.00 FIX 16.35 ISSUED 0 ROC LAN EXPIR
25 LAVATORIES/SINKS 1.00 FIX 16.35 12/02/97 UT 12/0 98
45 WATER CLOSET/URINAL 1.00 FIX 16.35
OWNER: TEL. NO: 47 WATER HEATER(S) 1.00 WTH 16.35 FINAL DATE FINAL BY CODE:
NIU,SHI JUN (818) 454-2560- 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35
9570 LA ROSA DR TOTAL FEES 125.85
TEMP 917803828 DESCRIPTION OF WORK
PLUMBING FOR ADDITION OF BATHROMVkD RELOCATE WATER HEATER
APPLICANT: L.
SAME AS OWNER
ECIAL CONDITIONS:
&�LES
CONTRACTOR: TEL. NO: �� ®� AP ROVALS DATE INS CTOR SIGNAT
SAME AS OWNER -
LIC. NO c_ UNDER SLA K z
® � WATER SERVICE
PLASTIC Y/N METAL Y N
ARCHITECT GIN 0:
ROUGH L
LIC. N0: � � • Z
GAS PIPING
GAS VENT
PUB"UC WORKSHOT ,
ER HEATER
O C
PLUMBING
O0co LAWN SPRINKLER
OGAS TEST
bf COMPANY NOTIFIED
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GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508