HomeMy Public PortalAbout9811 LA ROSA DR_Plumbing__ C.T�76A607-CE817 10-60
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS P/J .p 3RoSa
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM - OWNER
IVT V a.i4.d RL//
WATER CLOSES MAIL
BATH TOB ADDESS
CITY TEL. NO. 4 7—,6
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SHOWER
Z LAVATORY CONTRACTOR a
SINS ADDRESS n 3A/,rr
DISHWASHER - CITY Bio 7EL. FY 7 3 7 5?2
CONTRACTOR-5 ;g7
LAUNDRY TOB REGL4TRAr'ON NO. L-36 STATE
/3 4/U COSTATE
/ CLOTHES WASHER D18T,.R.I�C`T NO. CARO P Z�,N/E P/RgrESSED BY
' WATER HEATER /T /
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GAS SYSTEM INDUSTRW.
WASTE APPROVAL }
INSPECTION RECORD O
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!v ® $1.00 PER ITEM �`1 0G
/ OR FIXTURE S !! APPROVALS q�DATE, INSPECTOR'S SIGNATURE
PERMIT S 2100 UNDER SLAB WORK vj;'- y= ,
TOTAL FEE 1 17--loo ROUGH PLUMBING 1 L
GAS PIPING.
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITHALL COUNTY ORDINANCES AND STATE.LAWS REGULATING
PLUMB INC. .HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES '��
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM- THE LEGAL OWNER OF THE ABOVE GAS TEST / 1 q 10 Ad
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED / /U6L Wil/
SIGNATURE 1 �"
OF PERMITTE FINAL
OcK. ALIDATION ROBERT A. WOOD
M.0. CASH SUPERVISING MECHANICAL ENG'R
Ll,;J8 5 9 1 `0 FEB "i 5 D 1 2_p 0.
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0309220026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
GAL S PAID BUILDfWG ADDR SS:
TR: 9481 LT: 11 9811 LA ROSA DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803921
ASSESSORN ON NUMBER: NEAREST CROSS STREET: GOLDEN WEST
8589-008-025 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN B .
09/22/03 JK 03/20/04
OWNER: TEL. NO: FIN71701 D E FINAL BY: CODE:
LING ZUANG (626) 451-0372- �7-7
9811 LA ROSA DR /// O1 -
TEMPLE CITY 91780 DF XIP UN OF WORK
C/O WATER HEATER
TEL. 0:
MARAVILLA FOUNDATION (323) 721-8883-
5729 UNION PACIFIC SPECIAL CONDITIONS:
COMMERCE 90022
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
MARAVILLA FOUNDATION (323) 721-8883-
5729 UNION PACIFIC LIC. NO UNDER SLAB WORK
COMMERCE, CA 90022 622969 C36
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: L. N0:
ROUGH PLUMBING
LIC. NO:
GAS N�T�T G
GAS VENT
OT W R H ER _
PLUM NG FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
cuv
GRAY WATER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508