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HomeMy Public PortalAbout9814 LA ROSA DR_Plumbing__ 76AG57 -CE>517 I2-64 City of Templd City �37 APPLICATION FOR PLUMBING PERMIT I�JI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS 9814 E. La Rosa Dr. JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPT of BUILDING , LOCALITY Temple City FOR APPLICANT TO FILL IN CROSSSST. Temple City Blvd. NUMBER FIXTURE OR ITEM EACH FEE OWNER C. uinb WATER CLOSES 51.25 MAIL BATH TUB 135 ADDRESS qpme SHOWER 1,25 E- CITY SEL. NO. LAVATORY 155 CONTRACTOR General Installation Co. SINK 135 ADDRESS 6558 West_ Blvd. DISHWASHER 1.25 CITY Los Angeles TEL. NO. FL 3-254[1} STATE LAUNDRY TUB 1.25 REGINSTRATION NO. C-36 151839_ 787COUNTY [� CLOTHES WASHER 1.25 DISTRICT NO. GROJ,IP Z NE PROC SSD BY 1 WATER HEATER 1.50 1 ,50 1 GAS SYSTEM OUTLETS I.50 INDUSTRIAL WASTE APPROVAL d OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V Ready for Inspection Now ¢ Lu W - a N Z APPROVALS DATE INSPECTORSSIGNATURE PERMIT 5 2 00 UNDER SLAB WORK C ROUGH PLUMBING TOTAL FEE 3. SO GAS PIPING 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 HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AND INTEND TO RESIDE IN. THE ABOVE DESCRIBED RESIDE AL PROPE UTILITY CO. NOTIFIED SIGNATURE G((/�/I OF PERMITTEE / FINAL � 6 VALIDATION ROBERT A. WOOD cK. M.D. CASH SUPERVISING MECHANICAL ENG'R L p'5 9:1_8Zg` NOV 18 5 D 350~ 76A667-CE817.8-58 CO 4k /4 _ Ot— Temple City _ SA-442 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING JOHN A. LAMBIE, Count F Eaggineer ADDRESS 814 La Rosa Dr. CASSATr D. GRIFFIN,Sup7t o7 guilding LOCALITY. FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER 1 WATER CLOSET MAIL 1 BATH TUB ADDRESS SHOWER CITY TEL. NO. 1 LAVATORY CONTRACTOR Fontana Plumbing Contr , i SINE ADDRESS E. E t t DISHWASHER Crrrof Industry TEL, NO, ED 7-7226 LAUNDRY TUB CONTRACTOR'S STATE REGISTRATION NO. 96496 COUNTY ❑ CLOTHES WASHER DISTRICT GRr I ZONE PROCESSED BY 1 WATER HEATER 1 1 GAS SYSTEMINDUSTRIAL WASTE APPROVAL INSPECTION RECORD _zC fig✓/ 11DL� /�lrFh TN/O/,PT B/i7 TESYi ✓c fi3!_/ o rrSD//_ L/NE IYl7-,4 _,$I-V /SNFCF1fA.PV rte/= rFHLL )lk- 7,0/0V&APPROVALSOdG 7a T?efR4� !/cN7 @ $1.00 PER ITEM 7 OR FIXTURE 0 17 DATE INSPECTOR'S SIGNATURE UNDERSIe4BWORKPERMIT O ROUGH PLUMBINGTOTAL FEE0 GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE REION GASVENTAND STATE THAT THE ABOVE IS CORRECT APLY HOT WATER HEATERWITH ALL COUNTY ORDINANCES AND STATING PLUMBING. PLUMBING FIXTURES 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REOUIR BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR TH1 AM THE L GAL OWNE OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED REST At P ERTY SIGNATURE OFPERMITTEF FINAL /I•y e'i/S t'V� ROBERT A.WOOD. OF VALIDATION SUPERVISING MECHANICAL ENG'R CK. It.O. CASH 0'0 0 S JUL ?j 5 h ° -� 9.Cr 0 ' �%2(✓/.!'rill(.� 75AU37-CEB17 2-59 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING 9814 La Rosa JOHN A. LAMBIE. County En meet CASSATT D. GRIFFIN, Sup t of Building LOCALITY Temple-city FOR APPLICANT TO FILL IN NEAREST Goldenwest CROSS ST. NUMBER FIXTURE OR ITEM OWNER Alexander Tambe WATER CLOSET _ IL BATH TUB ADDRESS 9812 La Rosa CITY Temple CitfiL. NO. AT 6DO818 - SHOWER LAVATORY CONTRACTOR To be completed by Owner SINK ADDRESS -DISHWASHER CITY TEL, NO. CONTRACTOR'S STATE ❑ LAUNDRY TUB REGISTRATION NO. COUNTY CLOTHES WASHER DISTRICT NO. GROUP ZONE PROCESSED BY WATER HEATER r— .J-- 1 GAS SYSTEM Y INDUSTRIAL WASTE APPROVAL fF' INSPECTION RECORD v $1.00 PER ITEM OR FIXTURE S ./ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK TOTAL FEE ROUGH PLUMBING GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. 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 GAS TEST CALIFORNIA OR THAT' 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITYCO. NOTIFIED SIGNATURE OF PERMITTE FINAL OF VALIDATION ROBERT A. WOOD, ON. M.0. CASH SUPERVISING MECHANICAL ENG'R y k( s66' 16 � OCT28 5 A 7..00 n G�7L•7�6�s'r(1 T6A66J (CE-81') ' 105 04 1 I ^ -/ ^p' e a 1 ' ' APPLICATION FOR. PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: FAUD NG / �i n �� yf SS !-� C-bl��1 HARVEY T. BRAN DT, COUNTY ENGINEER ITYnFOR APPLICANT TO FILL IN (PRINT OR TYPEI ST.STNUMBER FIXTURE OR ITEM @ FEE WATER CLOSET2 0 � �/) )LBATH TUB 2 0SS ' , I SHOWER 2 CITY TEL..NO.� LAVATORY 20 CONTRAI�I� 9#1 I ;- ' SINK 2 0 ADDRESS QC�2 Q© DISHWASHER 2. 0 CITY _ - f T L. NO. 7ow CLOTHES WASHER 2 0 STATE j/�f F LICENSE NO. o CLASS SWIMMING POOL.RECEPTOR p 'LAWN SPRINKLER SYSTEM OC TJRIII fyp.GRQUP /ONE PR CE E V WATER HEATER 2,0 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 2. INSPECTION RECORD U OUTLETS OVER '1 s 5 PER SYSTEMCD V W COCO ' Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE 0 TOTAL FEE � APPROVALS DATE INSPECTOR 5 SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT HOT WATER HEATER IHEREBY ACKNOWLEDGE THAT ( HAVE READ ANIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING_FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST HEREBY CERTIFY THAT I AM PROPERLY REGISTERED PND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNE OF, AND INTEND TO / RES(OE IN THE ABOVE DES CRI&EDR i DENTIA PAO PERTY. FINAL SIGNA TU RE " v OF PERMITTEE - PERMIT VALIDATION CN. M,0. LASH PVALIDATION FOAL � �� ��11 READY 3 S`�:AIJG 12 5` D 7.5 0 ,L!'6 WORKERS' COMPENSATION DECLARATION . APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 20-0026 DPW 6/87 ihsure,.or a certificate of Workers" Compensation Insurance, 76A567A or a certified ropy thereof(Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS Policy No. Company - Certified copy is hereby furnished. ' BUILDI E] Certified APPLICANT TO FILL IN(PRINT OR TYPE) NG _ / � Certified copy is filed with the county building inspec- ADDRESS 'LCIS A tion department. NUMBER FIXTURE OR ITEM @. FEE LOCALITY " Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' t AAiLLT118 r CROSS ST. _C70(c0l COMPENSATION INSURANCE �� SHOWER OWNER -� 4JQ9 U/ (This section need net be completed If the work involved by / ]� the mitttpermit it in for hundred dollars e wow or less.)hi LAVATORY ADDRESS 2 6,53C90 S��/'}�/�tl It-- SINK •s ST' MAIL certify that in the performance of the work for which this ' permit is issued, I shall not employ any persomin any manner SINK CITY { I h (�. � 97341 TEL. NO.-f/l.r 76.2 " 6 so as to become subject to the Workers'Compensation Laws. �r� .( {�`j G' DISHWASHER CONTRACTOR Date c 0 L Applicant` (\r l V I N R 1 CLOTHES WASHER NOTICE AbPLi ANT: If, after 'making this Certificate of ADDRESS Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY TEL. NO. with comply with such provisions or this permit shall be - STATE LIC. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTR YR2cESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER O and Professions Code, and my license is in full force and effect. 5-PER SYSTEM FINAL VALIDATION C DATe� O License Number Lic. Class ACCT,: U. FINAL Contractor Date BY �GUi QL,I__0 ❑ I am exempt under Sec. ,1 I IEMS' V I'A[ 43 �� W' } � B.aP.c. for this reason Plan check fee Nj Date: PLUMBING PERMIT ISSUING FEE$ /3 ® OJECI, 43.I![{Z Signature - - CHNNGE ,1_111 TOTAL FEE ' Plan check applicant SINGLE FAMILY [II�Q[I-1]I lLli i[II `F�4LI HOME OWNER-BUILDER DECLARATION Name I hereby affirm that f am exempt from the Contractor's License 1_G I � IU�e1 Law for the following reason (Section 7031.5, Business and Address Professions Code): City Tel. No. lbJ I, as owner of the property, will do the work and the ' (( structure is not intended or offered for sale (Section 7044, Business and Professions Code). 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,L Lender's Name Lender's Address I certify that I hove read this application and state that the poll - obove information is correct. I agree to comply with all County. ordinances and State lows regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. {� SEE REVERSE FOR EXPLANATORY LANGUAGE y d Signature of Perm itte�- Date - - COUNTY OF LOS ANGELES TEMPLE CITY N 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1004210015 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: FEES PAID BUILDING ADDRESS 1 ITR: 9481 LT: 14 BL: .001 UN: .002 9814 LA ROSA DR 1 I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917803920 1 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: ARDENEL 1 18589-022-031 101 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 597 GRID: A4 SAGACITY: TEMPLE CITY, Cl 147 WATER HEATER(S) 1.00 WTH 16.20 I 1 1TENANT: TOTAL FEES 4395 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 104/21/10 SR 04/21/11 I X I OWNER: TEL. NO: IF AL DATE FIN4LNpx CODE: 1 TBNG, JEFFREY - I I ���La 19819 LA ROSA DR. I I V i1 TEMPLE CITY CA 91780 IDES CR IPT ION OF WORK H REMOVE/REPLACE GAS WATER HEATER APPLICANT: TEL. N0: 1FAST WATER HEATER COMPANY (425) 636-7084- 112601 132ND AVE NE SPECIAL CONDITIONS: KIRKLAND, WA 90034 I I I I (CONTRACTOR: TEL. N0: I (APPROVALS DATE INSPECTOR SIGNATURE 1 IFAST WATER HEATER CO. (425) 814-3124- 1 1 1 112601 132RD AVE NE LIC. NO UNDER SLAB WORK KIRKLAND WA 98034 931237036 WATER SERVICE PLASTIC YIN METAL YIN 1 (ARCHITECT OR ENGINEER: TEL. NO: - I IRODGH PLUMBING I I I LIC. NO: I I I IGAS PIPING I I I I 1 1GA5 VENT 1 1 1 I I I IHOT WATER HEATER I I I PLUMBING FIXTURES 1 1 17- LAWN SPRINKLERS 1 1 1 I IGAS TEST I (UTILITY COMPANY NOTIFIEDI I I I 1CWV (GRAY WATER SYSTEM I I I I I I I I I I I I I I I I I 11 I I I I I I I I I I I I I I I I I I I I I I I I 11- I 11 I 1 1� ADDITIONAL DATA ON FILE I I I I I REPORT ID: pPR263 ROUTE T0: BSO508 I A/ r.