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HomeMy Public PortalAbout9802 LA ROSA DR_Plumbing__ ' 7BA557AICEBI7AI . 8/75 -- APPLICATION FOR Pi'UMBI G PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO- BUILDING A DRESS X �l HARVEY T. BRAN DT, COUNTY ENGINEER LOCA FOR APPLICANT TO FILL IN IPRINT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM @ FEE OWNER WATER CLOSET ' MAIL MCA g0l BATH TUB � ADDRESS SHOWER NO. LAVATORY CONTRACTOf� l SINK ADDRESS DISHWASHER CITY I�� T N 10 CLOTHES WASHER STATE /�JLIC LICENSE NO�,t"Y—J 3�� CLASS �` 1 SWIMMING POOL RECEPTOR '7 LAWN SPRINKLER SYSTEM DISTR IC:NOO.0 /flip UP `1 CESSE BY WATER HEATERiND INDUSTRIAL (f'✓)` WASTE APPROVAL GAS SYSTEM OUTLETS INSPECTION RECORD 1 OUTLETS OVER 1 k� O 5 P SYSTEM l Jti V v W a N Z Pian cNISSUIONTG everse PE S' EEAPPROVALS DATE INSPECTOR'B s NATURB Plan cUNDER SLAB WORK NameROUGH PLUMBING AddresGAS PIPING City Tel. No. GAS VENT HOT WATER HEATER ' I HEREBY.ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION R / AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES, WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST G I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALI FORMA OR THATAM T LEGAL O`M ER OF, AND INTEND TO RESIDE IN THE ABOVE DES BED ESIDENT AL PROPERTY. FINAL CL 3 SIGNATU RE 1 OF PERMITTEE l PERMIT VALIDATION CK. M.D. CASH PLAN CHECK VALIDATION cK. .D CASH 3 7 o�,nn_ so . 5 D 1 360 A9 _ .. _ , _ ✓_dam S.17 aAPPLICATION FOR PLUMBING PERMIT Das-IT D DMSION OF BUILDING AND SAFETY Department of County Engineer County o1 Los Angeles BUILDING WM.J. FOX. COUNTY ENGINEER ADDRESS CASSATT D. GRIFFIN. SUP'T OF BUILOI NG P.EA.YIOR LOCALITY FOR APPLICANT TO F NEARESTCROSS STOWNER , DISTRICT NO. GROU ZONECT ION MAIL 'ADDRESSL /r� 7 INDUSTRIAL CITY TEL. NO. WASTE APPROVAL PLUMBE/ INSPECTION RECORD ADDRESS CITY�iL �TEL.'NO. LICEN O ?T ✓ U� NUMBER TY F FIXTURE OR ITEM FEE WATER CLOSET (TOI LEI') BATHTUB SHOWER LAVATORY (WASH BASIN) KITCHEN SINK ' DISHWASHER LAUNDRY TUB OR TRAY CLOTHES WASHER TOTAL NO. r� o.eo APPROVALS DATE . INSPECTORS SIGNATURE GAS SYSTEM-OUTLETS a 1.00 UNDER SLAB WORK WATER HEATER @ 1.00 ROUGH PLUMBING PERMIT 5 I 1. 00 ''1 GAS PIPING. TOTAL FEE - v GAS VENT IN ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING .PLUMBING FIXTURES PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED B LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOT)FIED CALIFORNIA OR THAT i M THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIA NO ERTY. 1 A SIGNATURE �j A OF PERM ITTEE ✓4 FINAL 1 11 Y WILLIAM J. FOX, COUNTY ENGINEER VALIDATION R.A.WOOD. CHIEF PLBG. INSPECTOR E09.6 5 5 1.2 F,@v 3 3 1 .8 10 Ln 76A667-CE4817 2-66 CITY OF TEMPLE CITY coAPPLIUNTY OF oCAT EON FOR PLUMBING PERMIT LES P 215 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 9802 La Rosa Dr . COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Temple City FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER M. F . White WATER CLOSET $1.25 MAIL ADDRESS Same BATH TUB 1.25 pq 0p SHOWER 1.25 CITY TEL. NO.,O / �0�� LAVATORY 1,25 CONTRACTOR General Installation Co. SINE 1,25 ADDRESS 6558 west Blvd. DISHWASHER 1.25 CITY Los Angeles TEL. NO. PL 3-2541 LAUNDRY TUB 1.25 LICENSE NO.STATEC-36 151839_ CLASS CLOTHES WASHER 1.25 DISTRICT NO. G ZONE PR CES BY 1 WATER HEATER 1.50 �— GAS SYSTEM OUTLETS 1'50 INDUSTRIAL a WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD U tr WATER SOFTENER - Ready for InspectionO Now � W L. N. T. C. #�- 7 H z 7/ 1 APPROVALS DATE INSPECTOWS SIGNATURE PERMIT S 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE 3 50 GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ TH15 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDIOR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANDSTATE OF GAS TEST CALIFORNIA,OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN, THE ABOVE DESCRIBED REF51ppj.ITIR PROP TY. UTi LITY CO. NOTIFIED SIGNATURE I OF PERMITTEE FINAL VALIDATION JACK R. ALLEN CK M.0. CASH SUPERVISING MECHANICAL ENG-R. I (', 9420: API 3 5 D 3J:w 2 DEC TION WORKERS't I have a certificate cafe of coase APPLICATION FOR PLOMBING PERMIT - I hereby alfirm that 1 hove a certificate of conseni'to self 76A667A ' insure, or a certificate of Workers' Compensation Insurance, CE 817(REV. 10/81) or a certified copy thereof (Sec. 3800, Lab. C. COUNTY OF LOS ANGELES BUILDING AND SAFETY XWC009702Compan olden Eagle I-nsurance Cor O5Y Certified copy is hereby furnished. ® - FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDR Iy� Certifiedcopy is filed with the county.building inspec- ADDRESy 802 La RoSa Drive tiori'deportmenttNa.tirT-O. nal Service Corp NUMBER FIXTURE OR ITEM @ -FEE LOCALIT Date 9/19/86 PAAant .,dears P"f 1mbi,'ne WATER CLOSET `'Tem le Cit.. NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' eATHiuB caosSsl(}olden Wes COMPENSATION INSURANCE. SHOWER 'OWNETqlchael Morsch - (This section need not be completed if the work involved.by _ the permit is for one hundred dollars $100 or less. MAIL P ( ) ) LAVATORY _ ADDRESS9802 LaROSa' I certify that in the performance of the work for which this - - permit is issued, I shall not employ any person in any.manner SINK CI so as to become subject to the Workers'Compensation Laws. . ' 1 DISHWASHER 6 .,)0 �iRol ServiceCor /DSA: Sears Date I Applicant CLOTHES WASHER . ADDRESS 11 n NOTICE TO APPLICANT: If, after making this Certificate of OXle Street Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR _ CIT Compensation provisions of the Labor Code, you must forth- B 011th P S LAWN SPRINKLER SYSTEM, 32041 4 with comply with such provisions or this permit shall be - STATE LIC. deemed.revoked. WATER HEATER LICENSE NO. CLASS C36 LICENSED CONTRACTORS DECLARATION - DISTRICT NO. 9ROCESSED BY t hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETSc p e (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER - fJ } and Professions Cade, and my license is in full force and effect. 5 PER SYSTEM FINAL DATE r� VALIDATION V 32 .0414 C36 1 �' p m 1V��Uf131r —f:.Or�J/ ss - FINAL O 1aVi;c,.Sears Plumhinenote 9/19/86 BY W ❑ d Lam exempt under Sec w B::BP.C. for this reason Plan check fee , ? Date: PLUMBING PERMIT ISSUING FEE$ Signature - TOTAL FEE 16 50 SINGLE FAMILY - Plan check applicant ' .. HOME OWNER-BUILDER DECLARATION Name - I hereby affirm-that I am exempt from the Contractor's License Address Low for'the following reason (Section 7031.5, Business and Professions Code): City Tel. No. ❑ I; as owner of the property, will do the work and the, pop , structure is not intended or offered for sale (Section 7044, Business and Professions Code). ;95523A CONSTRUCTION LENDING AGENCY " hereby affirm that thereis a construction lending agency for # e•° • • • 5 the performance of the work for which this permit is issued ^ (Sec. 3097, Civ. C.). I • 0.1 b 5 Lender's Name • e.e 1 6 5 O.0 . Lender's Address - I certify that I have read this application and state that the , 0 9,2 9`8 6 above information is correct. I agree to comply with all County - ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the - above-men ted pro rt'y r i pection purpos SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date ACV •COUNTY OF LOS ANGELES TEMPLE CITY N 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1103160011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 9481 LT: 9 BL: .001 19802 LA ROSA DR I IEEE DESCRIPTION: QUANTITY: COM: AMOUNT: [ TEMP CA 919803920 1 [ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: GOLDEN WEST 18589-022-003 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl 1 147 WATER HEATER(S) 1.00 WTH 16.30 I ITENANT: i TOTAL FEES 44.10 (ISSUED ON: PROCESSED BY: PLAN BY: 103/16/11 SR OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: LI, TONGZHAO (626) 757-7630- 5650 SULTANA AVE. TEMP 917803920 1DESCRIPTION OF WORK REPLACE WATER HEATER (APPLICANT: TEL. N0: , (SAME AS OWNER - 15PECIA1, CONDITIONS: 1 I I I I I CONTRACTOR: TEL. NO: iAPPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC. NO 1UNDER SLAB WORK I 1 I I I WATER SERVICE PLASTIC YIN METAL YIN [ARCHITECT OR ENGINEER: TEL. NO: IROUGH PLUVEING LIC. NO: [GAS PIPING _ [GAS VENT I I HOT WATER HEATER III PLUMBING FIXTURES (LAWN SPRINKLERS E@®? GAS TEST pX'3 11PIED JOTILITY COMPANY NOTIFIEDI CWV GRAY WATER SYSTEM I I III I I I III I I [III I I 1 I I I I I i II I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 I I I I I I COUNTY OF LOS ANGELES TEMPLE CITY k 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1103150003 'BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID BUILDING ADDRESS: ITR: 9481 LT: 9 BL: .001 1 9802 LA ROSA DR 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1TEMP CA 917803920 1 (ASSESSOR INFORMATION NUMBER: I 1 NEAREST CROSS STREET: GOLDEN WEST 1 18589-022-003 101 PERMIT ISSUANCE FEE 2'1.80 I THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl 1 107 BATHTUBS/SHOWERS 2.00 FIX 32.50 1 1 1TENANT: 125 LAVATORIES/SINKS 2.00 FIX 32.50 (ISSUED ON: PROCESSED BY: PLAN BY: I 1 145 WATER CLOSET/URINAL 2.00 FIX 32.50 103/15/11 SR I 1 147 WATER HEATER(S) - 1.00 WTH 16.30 1 1 10WNER: TEL. NO: I TOTAL FEES 141.60 (FINAL DATE FINAL BY: CODE: 1 ILI, TONGZHAO (626) 757-7630- 1 1 15650 SULTANA AVE. I TEMP 917803920 (DESCRIPTION OF WORK - I PLUMBING FOR KITCHEN AND TWO BATHROOMS REMODEL 1APPLICAN T: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: I 1 I I I 1CONTRACTOR: TEL. NO: 1 11APPROVALS DATE INSPECTOR SIGNATURE 1 SAME AS OWNER - LIC. NO 1UNDER SLAB WORK I I WATER SERVICE PLASTIC YIN METAL YIN 1 ARCHITECT OR ENGINEER: TEL. NO: - IROUGH PLUMBING LIC. NO: IDES PIPING 1 . 1 GAS VENT I I HOT WATER HEATER I � I PLUMBING FIXTURES LAWN SPRINKLERS IGAS TEST I I I 1UTILITY COMPANY NOTIFIEDI I I EX PI ® CW I GRAY WATER SYSTEM I I I I I I I I REPORT ID: DPR263 ROUTE T0: BS0508 111 I I I I I I