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Home My Public Portal About9812 LA ROSA DR_Plumbing__ 76'l 66y(CE-817)-4/72 APPLIC ITA OM-�FOR PLMBING PERMIT COUNTYOFLOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDING ADDRESS 9812 E: La Rosa Drive HARVEY T. BRANDT, COUNTY ENGINEER 'LOCALITY Tem leCit FOR APPLICANT TO FILL IN IPRINT OR TYPE) NEAREST CROSS ST. Baldwin NUMBER FIXTURE OR ITEM @ FEE - WATER CLOSET 1,75 OWNER Leonard Weber' BATH TUB 1,75 AAIL DDRESS 9812 E. La Rosa Drive SHOWER 1,75 CITY Temple City TEL. NO. 285-2772 LAVATORY 1,75 CONTRACTOR Trane H C C SINK 1.75 ADDRESS ' 2034 North Peck Road DISHWASHER 1.75 CITY So. El Monte TEL. NO. - 579-7982 CLOTHES WASHER 1'75 STATE LIC LICENSE NO. 26509 CLASS C-20 SWIMMING POOL RECEPTOR 1.75 DISTRICT NO. GROUP NE OC ES D B LAWN SPRINKLER SYSTEM 1.75 .4" l _I ' WATER HEATER 1.75 .INDUSTRIAL WASTE APPROVAL p, ]- GAS SYSTEM 1 OUTLETS 1.75 INSPECTION RECORD U OUTLETS OVER 5 PER SYSTEM .30 p F- V W H Z Plan Check fee See Reverse PLUMBING PERMIT ISSUING FEE S 3 00 TOTAL FEE 75 APPROVALS DATE •ISPLCTON's BI..H.Tont Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT HOT NATER HEATER HEREBY ACKNOWLEDGE THAT 1 HAVE REPO THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REOU I RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL SIGNATURE OF PERMITTEE I— PERMIT VALIDATION cK. M.0. c4sH PLAN CHECK VALIDATION CK. M.D. CASH 9'4'4^n,MAR 5 5 0 4.75n-�8 70A667 -CE#817 12.64 �. + t APPLICATION FOR PLUMBING PER COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY 1 FOR APPLICANT TO FILL INNEAREST CROSS ST. W (1�, NUMBER FIXTURE OR ITEM EACH FEE A MAILOWNER WATER CLOSET $1.25 qq �,'� ` HATH TUB 1,25 ADDRESS ✓U (Z I<O CITY T CI-(- TEL. NO. L`6S2_-n SHOWER 1.25 LAVATORY 1.25 CONTRACTOR PAO �, ZhIS_r = ILS SINK 1,25 ADDRESS J b9Z.0 GTZAtJ 1> FIIIE? DISHWASHER 1.25 CITY- per, �- SEL. NO. 49 L�(J�U LAUNDRY TUB 1 25 CONTRACTOR'S STATE (il REGISTRATION NO. Z( COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT N GR ZO E P O S`�"eV q� ei 1; WATER HEATER 1.50 D C.1X• Ct1 GAS SYSTEM OUTLETS 1.50 INDUSTRIAL Y WASTE APPROVAL d OUTLETS OVER 5 PER SYSTEM .00 INSPECTIONIRECORD 0 11)g Ar �- ,ihl'�,r�4o�' PF�(9'T a lcrAA /D fyC 0 APPRD OVALS ATE INSPE TOR'S SIGNATURE PERMIT AAPPLIGATION 00 UNDER SLAB WORK �� ROUGH PLUMBING TOTAL FEEGAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ TCATION GAS VENTAND STATE.THAT THE ABOVE IB CORRECT ANOAOMPLY WITH ALL COUNTY ORDINANCES AND STATE LLATING HOT WATER HEATERPWMBING,1HEREBY CERTIFY THAT I AM PROPERLY REGND�OR PLUMBING FIXTURES r t'LICEN BED AS REQUIRED BY LOS ANGELES COUNTATE OF GAS TESTCALIFORNIA OR THAT 1 AM THE LEGAL OWNER OEND TORESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PROUTILITY CO. NOTIFIED SIGNATURE Oro / I ! [/Y �5 J4. OF PERMITTEE FINAL 0/2)%66 r-1 "GA/wI) LIDATION ROBERT A, WOOD cn. M.o. cnBH SUPERVISING MECHANICAL ENG'R L w8673o JAN 11 5 D j;j' O� r 1 TGAGGT-CE#BST 4-64 / APPLICATION FOR PLUMBI G PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ADDRESS 9 i r 1_ Zos JOHN A. LAMBIE. COUNTY ENGINEER CROSS WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY-�'G P L.t., FOR APPLICANT TO FILL IN NEARECROSSST LD W I NUMBER FIXTURE OR ITEM EACH FEE OWNER W F, ZL� WATER CLOSET .SI.25 MAIL q II�� BATH TUB 1,25 ADDRESS ,/ Z L'� !Z SHOWER 1.25 OTY']'E.NkfPLE, ' TY TEL. NO. Z8S 17Z- LAVATORY 1.25 CONTRACTOR o F gWS7 uL SINK 1.25 ADDRESS 1 O 9 Ln G�l,RN DISHWASHER 1.25 CITY i FMpL,�, C,IT�{ TEL. NO.. LAUNDRY TUB 1.25 CONTRACTOR'S I I STATE Q' REGISTRATION NO. Z S98 COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT N G Z HE P S B WATER HEATER 1.50 i J GAS SYSTEM OUTLETS 1'50 INDUSTRIAL D_ WASTE APPROVAL O L UTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD V Ed O H UJ UJ N Z APPROVALS DATE INSPECTOR s SIGNATURE PERMIT S 2 00 UNDER SLAB WORK fJ ROUGH PLUMBING TOTAL FEE GAS PIPING EBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT p TE TN AT THE ABOVE IS CORRECT AND AGREE TO COMPLY LL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER G. ` ' _ EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES Y ��rvI / z 1.10/ D A$ REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST , y NIA OR THAT i AM THE LEGAL OWNER OF,ANO INTEND TO { q N, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED T URE K (7� �. �+ RMITTEE L�-/��/ FINAL V LIDATION ROBERT A. WOOD <K. M.O. CASH SUPERVISING MECHANICAL ENG'R LAi o 9 19 6JnN 2 7 . 5 D 3.5,0- Q 76A667-CE917 3-59 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION Bu¢nlxc / O Q- W JOHN A. LAMBIE. County Engineer ADDRESS !✓ CASSATT D. GRIFFIN, Supt of Building LOCALITY FOR APPLICANT TO FILL IN CRO EST . �-- NUMBER FIXTURE OR ITEM OWNER fL�.rr�r WATER CLOSET MAIL BATH TUB ADDRESS SHOWER CITY TELNO.. 4 Ov LAVATORY CONTRACTOR L., ..,�L/t- SINE ADDRESS. DISHWASHER CITY — TEL. N / / I CONTRACTOR'S "S T ❑ LAUNDRY TUB REGISTRATION NO. COUNTY CLOTHES WASHER DISTRICTNO. GROUP I ZONE P OGESSED BY J WATER.HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD U - Q $1.00 PER ITEM I / p (� OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 OO UNDER SLAB WORK TOTAL FEE tI o® ROUGH PLUMBING GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REDD BY LOS ANGELES COUNTY AND STATE OF // 'GAS I"✓ �r_J CALIFORNIA OR TO{RE1 AM THE LEGAL OWNER OF THE ABOVE GAS TEST `C DESCRIBED RESTPROPERTGNA ,Y,. // UTILITY CO. NOTIFIED SIOF PERME � &'•� FINAL ®A - VA OI,; --,,ROBERT A. WOOD, Ed.0. CK. Ed.0. �(4�tg0/)SUPERVISING MECHANICAL ENG'R am 6 9 8 6 5 "d'O 4 5 A 7.0 C n DEC TION WORKERS'that t I have a certificate cafe of corse APPLICATION FOR PLUMBING PERMIT hereby o certificate haver <ertCome of consent to self 76A666 DPW 6/87 C, I inaire, or o certificate of Workers' Compensation Insurance, 76A667A IILIII or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Polmpany icy No. Co Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING O,'f 1. no , 'wry y� Certified copy is filed with the county building inspec- ADDRESS 0 L /C �k tion department. NUMBER FIXTURE OR ITEM t=N FEE LOCALITY �^ /Q G• . Date Applicom ' WATER CLOSET 5 r5 NEAREST //11 1 CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. 6W W url S COMPENSATION INSURANCE OWNER (This section need not be completed if the work involved by SHOWER p. n the permit Is for one hundred dollars (9100)or less.) ( LAVATORY ADDRESS 0 /G.C1Jr ✓L MAIL I certify that in the performance of the work for which this / 3 permit is issued, I shall not employ any persomin any manner SINK CITY (Q e( TEL. NO. so as to become subject to the Workers Compensation Lows. DISHWASHER CONTRACTOR Date—Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of (' Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITY TEL. NO. With comply with such provisions or this permit shall be LAWN SPRINKLER SYSTEM STATE LIC. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS �`1 O L.G��""— (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER 0 }} and Professions Code, and my license is in full force and effect. 5 PER SYSTEM FINAL VALIDATION p: License Number Lic. Class DATE 'L 0.U FINAL Contractor Date BY I- ❑ I am exempt under Sec. (� SAP.C. for this reason at Plan check fee En Date: PLUMBING PERMIT ISSUING FEE$ Z Signature �( TOTAL FEE 1 Plan check applicant -s SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name �'+t•i I hereby affirm that I am exempt from the Contractor's License -"+'i'}7 zG I 1 Law for the following reason (Section 7031.5, Business and Address -r ve4_ Professions Code): TTF ^ City Tel. No. .L _ hl:r - ` I, as owner of the property, will do the work and the TOTAL- 68= 40 structure is not intended or offered for sole (Section 7044, Business and Professions Code). - CHECK AV 411 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). 00[il-Q'{11 4r 7/92 Lender's Name 2A7 1 Vii'; X513 Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all County ordinances and Slate laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the obove-mentioned-property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date Is WORKERS,6&PENSATION DECLARATION • APPLICATION FOR PLUMBING PERMIT I hereby, affirm.that I micertificate of consent to self in- - 76A667ADPW 4/B7 - sure,or a certificate of Workers'Compensation Insurance,or a CE 817(REV. 8/66) certified copy thereof (Sec. 3800 Lab. C.) , ' Policy No'. Company A COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS ' ❑ : . . _ _ t - Certified copyis hereby furnished. FOR APPLICANT i0 FILL IN (PRINT OR TYPE) BUILDING \.(�Cd Ell ll < _ ertifiecopy is filed with th aunty buildmq inspection ADDRESS 1�J� I� J rdepartment. NUMBER FIXTURE OR ITEM @ FEE LOCALITY _ Date J^)�W� APPican - WATER CLOSET(TOILET) - -.NEAREST G , CERTIFICATE OF EXEMPTION FROM'WORKERS' b BATHTUB ' CROSS ST, COMPENSATION INSURANCE ' SHOWER OWNER (This section need not be completed if the work involved by MAIL _ the.permit'is'for one hundred dollars (5100)or less:)' LAVATORY. ADDRESS ) certifythat in the performance of the work for which this per. SINK P mit is issued, I shall not employ any person in any manner so - / CITV� � Chi TEL NO as io become subject to,the Workers"Compensation Laws. DISHWASHER "n CONTRACTOR l _�\�b Dote - -Applicant CLOTHES WASHER r� r� NOTICE TO'APPLICANT: If,after making this%Certificate of Ex- - ADDRESS SWIMMING POOL RECEPTOR emption, you should become subject to the Workers'Com pe n- - sotion provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEM - CITY TEL. Nall ly with such'provisions.or this permit shall.be deemed revok- STATE uC. ' ed. • - . .WATER HEATER LICENSE NO: ` CLASS .. LICENSED CONTRACTORS DECLARATION DISTRICT NO. P ED BY I hereby affirm that I am.licensed.under provisions of Chapter 1 GAS SYSTEM OUTLETS LSC/I C� 9(commencing with Section 7000)of Division'3 of the Business OUTLETS OVER J L/ U ' and Professions Code, and my license is in full force and ef- a 5 PER SYSTEM FINAL _ VALI ATION 6 QQ Q DATE O License Number: 1;\G � S Lic. Class' I� O Q FINAL •,0 Contractor "1L Dote — CC o O - BY O I am exempt under Sec. - - W B.BP.C. for this reason - , W Plan check fee Z Dote: PLUMBING PERMIT ISSUING FEE $ Signature _ TOTAL FEE 99625A FAMILY' - - 9 9 6 2 O5 A HOME OWNER-BUILDER DECLARATION - Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name - - e a e e e 5 Law for the following reason (Section 7031.5, Business and _ - 'is 2 a.5 0 _Professions Code): Address - .. OCit TeL No. a e;e 5 I, as owner of the property, will do the work and)he Y 2 �,5 0 structure.is not intended or offered for sale(Section 7044, .0 5 Business,and Professions Code): - ", ' S 8 8` CONSTRUCTION LENDING AGENCY - I hereby affirm that there is a construction lending agency for - the performance of the work for which this permit is issued - (Sec. 3097, Civ. C.).- Lender's Nome Lender's Address 'certify that I have, d': leathis application and state that the above informotion'is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby uthorize representatives of this County to enter rupon the - ave- entioned property for inspection purposes:, SEE REVERSE FOR EXPLANATORY LANGUAGE ' Signature of Permittee Date " -