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Home My Public Portal About9713 LA ROSA DR_Plumbing__ iEA667 17 5-49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT_NO. GROUP I ZON; PE%MITT PLUMBER 3 RECEIVED BY READY F R LAI ISSUED' FIRST INSPECTION ADDRESS -Z,7 - BUILDING CITY l I TEL. NO. ADDRESS ) / 4I / COUNTY LOCALITY �Nh`>-:� '. ..�� ; f ( LICENSE NO. EXPIRESNEAREST PERMIT FEES CROSS ST. OWNER NVMBER TYPE OF FIXTURE DR ITEM FEETI � MAIL WATER CLOSET (TOILET) @ O.SO $ S`0 ADDRESS( I b J% �y- vG BATH TUB @ 0.50 _d CITY �. , NO. C?CLX O% t_oJr— SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 t-O APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND I/'KITCHEN SINK @ 0.50 C STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS i/ LAUNDRY TUB OR TRAY @ 0.50 S� ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE GAS SYSTEM OUTLETS @ 0.50 S"U �Q SIGNATURE OF WATER HEATER @ 0.60 `o PERMITTEE SLOP SINK @ 0.50 INSPECTION BEC06J FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.501 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 ,J HOUSESEWER @ 0.50 Q Z MISCELLANEOUSU O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING ��- C -0 GAS PIPING GAS VENT CESSPOOL @ 1.001 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.OOI SEWER PERMIT 1.00 GAS TEST TOTAL FEE $/J 5-C� UTILITY CO. NOTIFIED y FINAL COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department Of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer PLUMBING I 49 PCYTJAPP I ANT TO ILL IN APP NO. GROUP ZONE P ER � ISL-/ PLUMBER RE IVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS I / J J BUILDING CITY TEL N J" 71 ADDRESS COUNTY LOCAU_��YT/E LICENSE NO. EXPIRE---- NEAREST PERMIT FEES CROSS sr. Nl1M8ER TYPE OF FI%TtIRE OR ITEM FEE OWNER I MAIL WATER CLOSET(TOILET) @ 0.50 S ADORES � /LiL��di 6363 BATHTUB @ 0.50 TEL No. SHOWER It G.50I H EBY ACKN EDGE THAT I HAVE READ THIS LAVATORY (WABH BASIN) @ 0.50 APPLIC TION AND Tfi THAT THE ABDVE IB CORRECT AND AGREE I COQ LY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PIL BI I CERTIFY THAT I POSSES T E O /VALID LOB IJ.UNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LIC NBE, 1 H JFEGAL,CI NER OF THE RESIDE P OP R D C D A GAB SYSTEM-OUTLETS @ 0.50 BIGNATLMI WATER HEATER @ 0.50 PERMI _ SLOP BINK @ 0.50 INSPECTION RECORD FLOOR SINK @ O.SD FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 J Q HOUSE SEWER @ 0.80 Z SC ANEO 6363 ly O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING _ GAS PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT 1.00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE ^r Q FINAL 7OA667 DRS#17 6-52 WORKERS'at I haveA ION DECLARATION ciiinz^ ) APPLICATION FOR PLUMBING - PERMIT I hereby affirm that I have a certificate of consent to self ce str (z-eo insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800,Lab.C.) �— COUNTY OF LOS ANGELES Cr BUILDING AND SAFETY Policy No. Compan e. ID Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING �'� f A L S ❑ NUMBER FIXTURE OR ITEM O FEE ADDRESS L . Certified copy is filed with the county building inspection department. WATER CLOSET LOCALITY �f' '� �i'. CITY Date Applicant NEAREST 1 � BATHTUB CROSS ST. L, , CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER A. 16 (_l.• S LAVATORY MAIL � (This section need not be completed if the work involved ADDRESS 8 L4:) Q03 >• by the permit is for one hundred dollars (3100) or less.) SINK CITY TEL.NO.o]��.fj�b O 1 certify.that in the performance of the work for which this DISHWASHER 1. V permit is issued, I shall not employ any person in any manner CONTRACTOR so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER0 ADDRESS O xllate Applicant SWIMMING POOL RECEPTOR U NOTICE TO APPLICANT: If, after making this Certificate of CITY TEL.NO. LU Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE - LIC. N Compensation provisions of the Labor Code, you must forth- LICENSE NO. CLA55 Z with comply with such provisions or this permit shall be WATER HEATER deemed revoked. GASTESYSTEV M OUTLETSr DISTRICT NO. Pq0 ESSED'BV . LICENSED CONTRACTORS DECLARATION OULTS OE Slot I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM (commencing with Section 7000)of Division 3 of the Busi- ?� FINAL �/D�y VALIDATION (ness and Professions Code, and my license is in full force and = •eG h 6J DATE !Jffect. FINALcense Number Lic.Class - BV ontractor Date I am exempt from the licensing requirements as,1 am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ (} acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE Lie.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address License Law for the following reason (Section 703 t.5, Busi- City Tal.No. - ness and Professions Code): _ lUI 1, as owner of the property, am exclusively contracting 3 �.5 5 A YajWith licensed contractors to construct the project 5 (Section 7044, Business and Professions Code). - CONSTRUCTION LENDING AGENCY 2 e o 1 '650 1 hereby affirm that there is a construction lending agency s e o 5 Q for the performance of the work for which this permit is mQ issued (Sec.3097,Civ.C.). ' Lender's Name 0 3.0 4—8 2 Lender's Address I certify that I have read this application and state that the , above information is correct. 1 agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the a -men ted prop e'[y for' tion purposes. �� 3l�lYy Signature of Permittee Date f } COUNTY OF LOS ANGELES TEMPLE CITY p 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0609220006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 15683 LT: 15 9713 LA ROSA DR PEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917803951 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8589-010-015 01 PERMIT ISSUANCE PEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, C 25 LAVATORIES/SINKS 1.00 FIX 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 09/22/06 JK 03/21/07 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: DONATO LINDA F (626) 237-0021- iie / 9713 LA ROSA DR L TEMP 917803951 D I FON OF W�ORR P UMBING FOR KITCHEN REMODEL APPLICANT: TEL. NO: NEWMAN (626) 285-2602- 9144 SOUTHVIEW SPECIAL CONDITIONS: SAN GABRIEL CA 91775 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE ROBERT NEWMAN (626) 285-2602- 9144 SOUTNVIEW LIC. NO UNDER SLAB WORK - SAN GABRIEL, CA 91795 432157 B WATER SERVICE PLASTIC YIN METAL YIN ARCHITECT OR ENGINEER: TSL. NO: - ROUGE PLUMBING LIC. N0: I E� GAS PIPING GAS VENT HOT WATER HEATER PLUMPING FIXTURES LAWN SPRINKLERS GAS TEST - UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BSOSOB