HomeMy Public PortalAbout9587 LA ROSA DR_Plumbing__ DEPARTbIENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES I ^ Z
BUILDING tn �
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS yS-9--7
LOCALITY T e VI
FOrR�PPLICAIJT TO LL IN I NEAREST
BUILDING �/4 ���_G✓
ADDRESS (/ CROSS ST.
LOCALITY j7/,.L Li/� ♦ �'7
DISTRICT NO,.'• GROUP ZONE PERMIT
NEAREST I 5 C/J 91,31/O
CROSS ST. RECEIVED BY Ready for Inspection DATE ISSUED
OWNER Aa yr- �: (, tAo-.. �/-1!`•f�
MAIL ,j G m, INDUSTRIAL
ADDRESS ✓a YY %ALJ WASTE APPROVAL
CITYN0.✓lis.-��++� i INSPECTION RECORD
S /' EL. 1'
PLUMBER✓U/'EIPto l? �J
ADDRESS 7'��U
CITY TEL.NO. /
/'
H //(O/17`�' 42 fd l
STATE
LICENSE N0. 4'ea,4` O COUNTY
PERMIT FEES (�Q \\
�c/vs4—I-R� //a S EQ�/Cgy-w Q
JLIMI:CR Tl'PE OF FI%TOGE ON ITEM FEE
\ •' /�d � 1 � ��^�^ / Z
/'WATER CLOSET(TOILET) @ 0.80 S `FD /
_ 0
BATH TUB @ 0.80 ]i4 D
SHOWER @ 0.80 fO /SOS aTLG L/NE �QS-GO'�
LAVATORY(WASH BASIN) @ 0.80 O 1 U�/vs
KITCHEN SINK @ 0.80 OGGp 0 2 Z,i
I - LAUNDRY TUB OR TRAY @ 0.80 .T0
hI0 cn A -r- r-7�-
SLOP SINK @ 0.80
FLOORSINK @ 0.80 �4!] 4p nJ TL"U PJd- � ietT
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80 9
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GASSYSTEM...... ...._OUTLETS @ 1.00 I O.
WATER HEATER @ 1.00 00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
_ UNDER SLAB WORK /T
PERMIT 9 1 00 ROUGH PLUMBING '
TOTAL FEE �1.� 40GAS PIPING
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THI APPLI- GASVENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATERHEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
i HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA-OR TAAT I AM THE LEGAL OWN.
ER OF THE ABOVE PESO B 13tDENTIAL PROPERTY UTILITY CO.NOTIFIED GH /
SIGNATURE /
OF PERMITTEe ,.. , -_. ......_.........._......_.....�� c. .....
FINAL
76A667 UBS 17 1/53 `V
76AG67A Q
CE 8171REV.6/981 LII III
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL I IN(PRINT OR TYPE) BUILDING
ADDRESS
FIXTURE OR ITEM ® FEE
W Ai ER CLOSET LOCALITY F
NEAREST
BATH TUB � CROSS Si.^��
SHOWER OWNER
LAVATORY yy�� MAIL
NUMBER -
OI/ ADDRESS
SINK CITY IITEL.NO.
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL.NO. 7
LAWN SPRINKLER SYSTEM
STATE - C LIC. �-
WATER HEATER LICENSE NO. S O CLASS
GAS SYSTEM OUTLETS APPROVALS DATE RISPE OR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING l' -J' `✓��,�
GAS PIPING O
GAS VENT V
K
HOT WATER HEATER Q
PLUMBING FIXTURES1
GAS TEST N
Plan check fee UTILITY CO.NOTIFIED Z
PLUMBING PERMIT ISSUING FEE$ 00
TOTALFEE 00 FINAL
Plan check applicant PLAN CHECK VALIDATION
Name
Address
City Tel.No.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE z 3 6 61 A
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION N'• 6 • • '• C
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ENSEO AS YYn' J
REQUIRED BY LOS ANGELES COUNIY PNp SigTE O CALIFO NIA OR THP IAM THE G • 6 160 O
LEGAL OWNER OF.AND INTEN_0_TO RESIDE IN THE BOVE DESCfl IB SIDENTIAL
PROPERTY.
• • • 1EL00�
SIGNATURE p
OFPERMITTEE Q A 1 1 —'1
DISTRICT NO. PROCESSED BY 4•
/
INDUSTRIAL
WASTE APPROVAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 9909170002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 19316 LT: 4 9587 LA ROSA DR
FEE DESCRIPTION: QUANTITY: LOM: AMOUNT: TEMP CA 917803827
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: TEMPLE CITY BLVD.
8590-014-031 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID; A4 LOCALITY: TEMPLE CITY, C
13 DISHWASHER(S) 1.00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 2.00 FIX 32.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
47 WATER HEATER(S) 1.00 WTH 16.20 09/17/99 VG 03/15/00
TOTAL FEES 92.55
OWNER: TEL. N FINAL DATE FINAL BY: CODE:
HIROHATA, HELEN (626) 287-8605- Z_24�,9 q
9587 LA ROSA DR CC
TEMP 917803827 DESCRIPTION OF WORK
PLUMBING FOR KITCHEN REMODEL
APPLICANT: TEL. NO:
L & W KITCHENS & BATHS (626) 287-1131-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: S GEL S Co APPROVALS DATE INSPECTOR SIGNATURE
L & W KITCHENS & BATHS (626) 287-1131-
8812 LAS TUNAS DR. LIC. NO UNDER SLAB WORK
SAN GABRIEL, CA 91776 2053448
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. N0: i
LIC. N0: ROUGH PLUMBING 2 S
L _ ) GAS PIPING
GAS VENT
G>� \I� 1,�� �� HOT E HEATER
Lam,IJ V� — �J — PLUMBING FIXTURES
O O r, 1 li
LAWN SPRINKLERS
GAS TEST
A O ®LGy
UTILITY COMPANY NOTIFIED
c Serviicce 4hae�ot CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY N 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1111020014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 19316 LT: 4 9587 LA ROSA DR
IEEE DESCRIPTION: QUANTITY: UOM: AMOUNT: i TEMP CA 917803827
ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
8590-014-031 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
I 153 MED/HIGH GAS 5 OUTS. 1.00 SYS 67.30
(TENANT: I TOTAL FEES 95.10 TISSUED ON: PROCESSED BY: PLAN BY:
111/02/11 SR
OWNER; TEL. N0: FINeIL DATE FINpI. CODE:
h1ASUDA, HELEN (626) 287-8605-
19507 LA ROSA DR
TEMP 917803827
IDS CS RIPTION bF WORK 1
I REPLACE GAS MAIN
APPLICANT: TEL. NO:
GEM PLUMBING (626( 355-3496-
1140 E. MONTECITO AVE 1 ISPECIAL CONDITIONS: 1
SIERRA MADER 91024
CONTRACTOR: TEL. N0: JAPPROVALS DATE INSPECTOR SIGNATURE
G E M PLUMBING, INC (626( 355-3496-
1140 E MONTECITO AVE LIC. NO 1UNDER SLAB WORK
SIERRA FAIRS CA 91024 111308036 .
IWATER SERVICE
(PLASTIC Y/N METAL Y/N
(ARCHITECT OR ENGINEER: TEL. NO:
- IROFGH PLUMBING
LIC. N0:
IGAS PIPING
GAS VENT
I I
IHOT WATER HEATER
I I I
PLUMBING FIXTURES
�LAWN SPRINKLERS
GAS TEST
DT):LITY COMPANY NOTIFIEDiF1h`
cvj
GRAY WATER SYSTEM
I I I I I I
I I I I I I
1 I' AOOITIONAL DATA ON FILE
(REPORT ID: DPR263 ROUTE TO: BS0508
I I 11_ I I I