HomeMy Public PortalAbout9627 LA ROSA DR_Plumbing__ '6667 DBS 17 tt-SD APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
'COUNTY OF LOS ANGELES PLUMBING o J'
WILLIAM J. FOX, CHIEF ENGINEER
FOR p?.PPLICANT TO ILL IN O. 7�
PLUMBER EIYED BY READY POR DA EE ISSUED
IN��PECTION
ADDRESS S ` / / HN09
00,V �vJ
BUDING
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CITY g TEL No� q Q l �q•
COUNTY LOCALITY ,��
LICENSE NO. EXPIRES + NEAREST
PERMIT FEES CROSS ST J[/iiCl/.PaL��eR1Gi)
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0 0.50 S ADDRESS
BATH TUB a 0.50 CITY TEL No.
SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) (9 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
;KITCHEN SINK Q 0.50 AND STATE LAWS REGULATING PLUMSI
I CERTIFY THAT 1 POSSESS THE ROVE VALID LOB
LAU NDRY'TUB- OR TRAY @ p.sa ANGELES COUNTY LIC DR 1 AM HE LEGAL OWNER
DF THE RE6IDENTIA PE RTYiOE9 RIBED ABOVE.
GAB SYBTEMpUTlET9 D.SO SIGNATURE OF
WATER HEATER O.SO PERMITTE
SLOP BINK - Q 0.50 'INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER ® 0.50
DRINKING FOUNTAIN 0.50
URINAL 0.50 Q
HOUSE SEWER - 0.50 Z
MISC LLA OUB 0
a
0
APPROVALS
DATE INSPEOTORPB NAME
ROUGH PLUMBING 1
GAS PIPING ",
GAB VENT A/
CESSPOOL @ 1:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK J
DRAIN ( ) PIT ( ) a 1.00 SEWER
PERMIT 1.00 GAB TEST
UTILITY CO.NOTIFIED
TOTAL FEE 9 -/
C)4 FINAL
COUNTY OF LOS ANGELES TEMPLE CITY 4 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1007150005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91760
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 15683 LT: 92 9627 LA ROSA DR
I IFEE DESCRIPTION: QUANTITY: UDM: AMOUNT: TEMP CA 917803867
ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: CAMELLIA
18589-013-014 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
107 BATHTUBS/SHOWERS 2.00 FIX 32.50 1
(TENANT: 113 DISHWASHER(S) 1.00 FIX 16.30 (ISSUED ON: PROCESSED BY: PLAN BY:
125 LAVATORIES/SINKS 3.00 FIX 48.80 07/15/10 SR
I 145 WATER CLOSET/URINAL 2.00 FIX 32.50 1
1OWNER: TEL. N0: I TOTAL FEES 157.90 (FINAL DATE FINAL BY: CODE:
WEN, CHIOU SHIANG (626) 286-8606- 1 i/� /�
9627 LA ROSA DR �(
TEMP 917803667 1TESORIPTION OF WORK
I (PLUMBING FOR KITCHEN REMODEL AND TWO BATHROOMS REMODEL
1APPLICANT: TEL. N0:
SAME AS OWNER -
111 (SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: (APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERVICE
PLASTIC YIN METAL YIN
(ARCHITECT OR ENGINEER: TEL. NO:
- IROUGH PLUMPING
LIC. NO: I
(GAS PIPING
IGAS VENT I
I
' IHOT WATER HEATER
I
PLUMBING FIXTURES
LAWN SPRINKLERS
I I
I I (GAB TEST I I I
I I I I
DTILITY COMPANY NOTIFI EDI
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1 I (GRAY WATER SYSTEM I I 1
I I I I I I
II 11 I �I 11
11 I I I I
11 I I I I I
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(REPORT ID: DPR263 ROUTE T0: BSO508