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Home My Public Portal About9805 LA ROSA DR_Plumbing__ 76A61117 tCE-BIJ) - 1/]5 C�I; �� / f� APPLICATION F�I• PLUU NG PERMIT {� COUNTY OF'LOS ANGELES �J DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ,MAKE CHECKS PAYABLE TO. BUILDING. a ADDRESS HARVEY T. BRANDT, COUNTY ENfD GINEER LOCALITY C i FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST CROSS ST. C/✓E-S' NUMBER FIXTURE OR ITEM @ FEE WATER C LOS ET 2.00 OWNER Q MAIL BATH TUB 2.00 ADDRESS SHOWER 2.00 CITY TEL. NO. LAVATORY 2.00 CONTRACT SINK 2.00 ADDRESS DISHWASHER 2.00 y r O .y 3 41� CLOTHES WASHER 2.00 SIC ENSE O. d CLASS A LIC SWIMMING POOL RECEPTOR 2.00 DISTRICT NO.GROUP ONE PR CESS�D BY' LAWN SPRINKLER SVSTE 2.00 / I .5,08 _ ( WATE H 2.00 INDUSTRIAL WASTE APPROVAL d GAS SYSTEM OUTLETS 2.00 INSPECTION REC ORD CO OUTLETS OVER 5 PEO SYSTEM .30 p H U W d N Z Plan check fee See Reve,se PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE ' APPROVALS DATE Ins PLCTO R's slcnATGRE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING y� yy/ Address GAS PIPING . .4 Tel. NO. GAS VENT P ICity - HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER ANO STATE THAT THE ABOVE IB CORRECT AND AGREE COMPLY PLUMBING _FIXTURES t /I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING /7 / ' ^ A� PLUMBING. GAS TEST I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED r LICENSED AS REQUIRED 'BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENT I L PROPERTY FINAL (I" SIGNATU RE i OF PERMITT� Q ` PERMIT VALIDA�N CK. .o: CASH PLAN CHECK VALIDATION CK. M.G.' CASH 6 8 6i;JUh. 10 5 D 4,7 5 e58 76 A 667 - CE 617 7-69 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING g�®� 9805 E. LA ROTA JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY TEMPLE CITY FOR APPLICANT TO FILL IN IRS NT OR-TYPE) NEARESTS CROSS T. NUMBER FIXTURE OR ITEM EACH 'FEE "- WNER WATER CLOSET 1.50 7 SNOW BATH TUB 1.50 Ina 9805 E. LA ROSA SHOWER 1.50 CITY TEMPLE CITY TEL, NO.287j LAVATORY ;,50 CONTRACTOR RAINBOW PLUMBING SINK 1.50 DDRESS P.O. BOX 798 DISHR'ASHE L50 CITY GLENDORA rEL. No. 33CLOTHES tt'ASHER 1.50 LICENSE NO. 219551 CLASS ATE LIC SWIMMING POOL RECEPTOR 1.50 DISTRICT NOS./ GROUP ZONE PR LAWN SPRINKLER SYSTEM 2.00 r©p t WATER HEATER 1.50 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD z OUTLETS OVER .30 O 5 PER SYSTEM W 1 N Z Plan check tee 21,% of ahoY'e. See reverse. PLUMBING PERMIT ISSUING FEE 8 00 TOTAL FEE APPROVALS DATE IrsPEcrOR'B SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS.PIPING GAS VENT Cit)'. Tel, NO. HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT'I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURE$ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING, I HEREBY CERTIFY THAT I AM PROPERLY RE TIERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANG UN Y AND STATE F CALIFORNIA OR THAT A ME LEGAL OWN R F,ANO INTEN TO RESIDE IN,TME AB E D C IBEO REBIDENTIA P OPE RTY. FINAL SIGNATURE .TACK R. ALLEN, SUPERVI51 ANICAL ENG'R. OF PERMITTEE PERMIT VALIDATION CK. M.o. CASH PLAN CHECK VALIDATIY/N cK. M. CASH � c ^.6 L, ,2 6 5 D 11 .75- OWNS- i.