HomeMy Public PortalAbout9815 LA ROSA DR_Plumbing__ 76A607-CE817 10-60 —rle,?I I ! a 17y
APPLICATION .FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES `
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS YPJq
WILLIAM A. JENSEN..BUP'T of BuILDiNU
LOCALITY
_ FOA APPLICANT TO FILL IN NEAACRORESST.NUMBER FIXTURE OR ITEMOWNERWATER CLOSET 'BATA TUB AA HESS ..1 SHOWER - Cf3'Y '�OGLAvxroaY coNSINK ADDRESS'DISHWASHER 1 CITY yyY 3-2V 2-STATE LAUNDRY TUB. REGISTRATION No. C3 G UNTY
CLOTHES WASHER DIBTRIpT NO. GROUP Z NE Pji9ESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL �.
'I INSPECTION RECORD 0
O
r
V
W
a
Z
@ 51.00 PER ITEM
(////� A
/ p OR FIXTURE S p fa4o APPROVALS NN• ��DATEl!f/ WSPECTBrs'SSIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK lF✓/A.Qf'fe2 �e-K�f�l/r�.�r%i
TOTAL FEE ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
D
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT L
WITH ALL COUNTY ORDINANCES AND STATE .LAWS REGULATING
PLUMBwG. HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES j J I c �i I,Aa /yIJ
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE'OP GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE _
DESCRIBED RESIDENTIAL P OPERTY. UTILITY CO. NOTIFIED
SIGNATURE _
..�
OF PERMITTE (✓ f ` FINAL
IJDATION ROBERT A. WOOD -
crc.
M.0. CASH - SUPERVISING MECHANICAL ENG'R
16s' 5 9 3--F�; FEB 1 • 5 U. , . 1 2.,,0 13 k
COUNTY-OF LQS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1201230020
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 9481 LT: 11 UN: .002 9815 LA ROSA DR
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917803921
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
18589-008-009 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 2.00 FIX 32.50 1
ITENANT: III CLOTHESWASHER(S) 1.00 FIX 16.30 (ISSUED ON: PROCESSED BY: PLAN BY:
1 113 DISHWASHERS) 1.00 FIX 16.30 101/23/12 SR
1 121 HOSE BIBB(S) 1-00 FIX 16.30 1
10WNER: TEL. NO: 125 LAVATORIES/SINKS 3.00 FIX 48.80 1FINAL TE FINALL BY: CODE:
ICHENG, ANGELA (626) 378-2485- 1R45 WATER CLOSET/URINAL 2.00 FIX 32.50 1
19815 LA ROSA DR 147 WATER HEATER(S) 1.00 WTH 16.30 1
1
TEMP 917803921 TOTAL FEES 206.80 JEFffSCRIPTION OF WORK
PLUMBING FOR KITCHEN, LAUNDRY ROOM AND BATHROOMS
APPLICANT: TEL. NO:
KWOK, BEN (626) 922-6181-
1720 HILL PL. #3 1 )SPECIAL CONDITIONS: 1
1 LOS ANGELES CA 90012
1CONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
IBEN KWOK CONSTRUCTION CO. (626) 922-6181- 1 1
1720 HILL PLACE #3 LIC. NO 1 1UNDER SLAB WORK 1 1 1
ILOS ANGELES, CA 90012 591589-8 1 1 1 1 1
I 1 1WATER SERVICE 1 1 1
PLASTIC YIN METAL YIN 1
ARCHITECT OR ENGINEER: TEL. NO:
' 1ROUGH PLUM1IDING
LIC. NO: 1 `Y ,
1GAS PIPING
I I I
GAS VENT
HOT WATER HEATER
1
IPLOMBING FIXTURES
1 1 1LAND SPRINKLERS 1 1 1
I I I
I I 1cAs TEST I I I
1 11 1
1UTILITY COMPANY NOTIFIEDI I I
I I I I I I
I I 1CWV I I I
1 1 1GRAY WATER SYSTEM
I I I I I
I I I I I
I I I I I I
I I I I I
I I I I I
I I I I I
I I I I I I
1 I- ADDITIONAL DATA ON FILE I 1 1 I
I I I I I I
REPORT ID: DPR263 ROUTE TO: Bc0508
I I I I I I