HomeMy Public PortalAbout9615 LA ROSA DR_Plumbing__ 76A667A (=E B'TAPPL CATAO �FOR�r=MBING PE,
READY FOR FINAL INSPECTION
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE ORITEM ® FEE ADDRESS
WATER CLOSET LOCAL(
NEAREST
BATH TUB CRO ST.
SHOWER OWN
LAVATORY A'I
'ADDR
SINK CITY TEL.
DISHWASHER p
CLOTHES WASHER INSTALLERS
NnAVF
SWIMMING POOL RECEPTOR ,I
EL.N U
LAWN SPRINKLER SYSTEM All W.,T
LIC.
WATERHEATER ID LICENSEN CLASS
GAS SYSTEM OUTLETS IIJJ DISTRICT NO. GRqUU ZONE I FOCESSED BY
d
OUTLETS OVER U
5 PER SYSTEM INDUSTRIAL
WASTE APPROVAL CC
INSPECTION RECORD
U
W
11
N
Z
Pion check fee
PLUMBING PERMIT ISSUING FEE 8 0
TOTAL FEE
Plan check applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Nome
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel.No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST
LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. UTILITYCO.NOTIFIED
SIGNATURE
OF PERM( E -FINAL
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
709ti,f it 110 0 10.00 ;
' COUNTY OF LOS ANGELES TEMPLE CITY N 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1006220021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: F^EES PAID BUILDING ADDRESS:
ITR: 15683 LT: 94 1 9615 LA ROSA DR
IEEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917803867
1ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: TEMPLE CITY
18589-013-016 101 PERMIT ISSUANCE FEE 29.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
I 107 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: III CLOTHESWASHER(S) 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY:
1 113 DISHWASHER(S) 1.00 FIX 16.20 106/22/10 SR
I 121 HOSE BIBB(S) 2.00 FIX 32.40 1
1OWNER: TEL. NO: 125 LAVATORIES/SINKS 2.00 FIX 32.40 IFIENNAL/TATE FI CODE:
IMALONE, ALBERT (626) 797-7551- 145 WATER CLOSET/URINAL 1.00 FIX 16.20
19615 LA ROSA DR. 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
ITEMPLE CITY CA 91780 1 TOTAL FEES 173.55 IDESCRIPTION OF WORK 1
PLUMBING FOR NEW BATHROOM, LAUNDRY AND KITCHEN REMODEL
I
1APPLICAN77: TEL N0: I
IBARHOUM, ELIAS (626) 840-4666- 1
11109 N. MICHIGAN AVE SPECIAL CONDITIONS: I
I PASADENA CA 91104
I I I I
I
(CONTRACTOR: TEL. N0: I (APPROVALS DATE INSPECTOR SIGNATURE
BARHOUM CONSTRUCTION (626) 840-4666-
11109 N. MICHIGAN LIC. NO UNDER SLAB WORK -II
PASADENA, CA 91104 677879 B 42J N�t
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO: -��-
1COMPTON, CHRISTOPHER (818) 841-45 I TROUGH PLUMBING
14000 W RIVERSIDE OR LIC. NO:O:
IBURBANK CA 91501 NONE I IGAS PIPING '
IGAS VENT
I I
I IHOT WATER HEATER
I
IPL USE ING FIXTURES
I
ILAWN SPRINKLERS
I
I [GAS TEST
I I
I (UTILITY COMPANY NOTIFIEDI
I ICw I I I
I 1 (GRAY WATER SYSTEM I 1 1
I i I 1 1 1
I I
I I I I I
I i I I I
I IRE PORT ID: DPR263 ROUTE TO: BB 0508 I I 1 I
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