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
_ .. _ ,
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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
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IREPORT ID: DPR263 ROUTE TO: BS0508
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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