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HomeMy Public PortalAbout9838 LA ROSA DR_Plumbing__ :61661 -CE#eIT 2-62 " APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES i DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING G� JOHN A. LAMBIE. COUNTY ENGINEER. ADDRESS WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST 1 CROSS ST. L NUMBER - FIXTURE OR ITEM EACH FEE I " 'OWNER WATER CLOSET $1.25 MAIL HATH TUB 1,25 ADDRESS ^i L CITY c TEL. NO. SHOWER 1.25 LAVATORY 1,25 CONTRA A SINE 1,25 ADDRESS DISHWASHER 1.25 CITY TEL. N -,.-Be� LAUNDRY TUB I,gS CONTRACT T STATE REGISTRA7 N NO. ��/, COUNTY ❑ CLOTHES WASHER 1.25 D 'DII�N�+_ 5 BY WATER HEATER 1.50 (JT/ GAS SYSTEM OUTLETS 1.50 INDUSTRIAL ' WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .00 INSPECTION!RECORD d �. .�' 1, fir' 3 CAu Z APPROVALS DATE—, INSPECTOR'B'S�iATU RE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE J e GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY GAS'VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER �p��t► PLUMBING. _ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANOIOR PLUMBING F IXTU RE S LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST,, CALIFORNIA OR THAT I T "EGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE,D SC ED RESIDENTIAL PROPERTY"/ J/ UTILITY CO. NOTIFIED •.,� SIGNATURE /�As1 i �1 / f.ILf e l OF PERMITTE "A'.Voe v� FINAL VALIDATIQN--",,ROBERT N. WOOD F CK M.a., CC45�. )SUPERVISING MECHANICAL ENG R Liao 4,. 5 0 0 2 AN 16 5 D 3.50- xis .. EBT oB..n loss APPLICATION FOR PLUMBING PERMIT ' es DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 2 CASSATT D. GRIFFIN, SUPT OF BUILDING � �+ ` LOCALITY ESK4,)PPLICANT TO &ILL IN NEAREST CROSS ST. OWNER I/ DISTRICT NO. UP I CIE I READY FOR INSPECTION MAIL ADDRESS OOE !! INDUSTRIAL CITY TEL. NO. WASTEAPPROVAL PLUM &0�52 INSPECTION RECORD ADDRESS CITYzaZ STEL. NO. i LICENSE O� •, J B/� NUMBER TYPE OF FIXTURE OR ITEM FEE]^ WATER CLOSET (TOILET) @ -$1.00 $ D BATH TUB .@ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ 51.00 WATER HEATER @ $1.00 GAS SYSTEM @ .$1.00 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT S 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE eL GAS VENT 7/ \ 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER �! 1 A AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ` WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES ' ✓J�✓/,i�.�z�4..-.�1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST , LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1THE 'LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED t DESCRIBED RESIDENTIAL OP Y, SIGNATURE ��,,,, OF PERM ITTEE FINAL )'VO.~Z,O ;! JA ,.;1- JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR CH. M. 9. CASH `�D9 6 2 4 At1G?7 - 3 2.0:0 75A5n it 5-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER FOR.APPLICANT TO FILL IN DISTRICT_NO. GROUP ZONE PERMIT NO. t'�" `�— / —7 (�v PLUMBE RECEI VED BY READY FOR DATEISSUED FIRST INSPECTION //�4 ADDRESS y/�JfrT-�}vr� /"1/ `�, !1 TEL. N ADOREIN (JV4,G' CITY LICENSE I O.I aI/ I M 04 G�367 tV LOCALITYL�'I. EXPIRES 10 NEAREST PERMIT FEES caoss sr. NUM6ER TYPE OF FIXTURE OR ITEM FEE OWNER ��f�W✓ �,�..r v MAIL 'WATER CLOSET (TOILET) C 0.50 5 MAIL ESS /'� /� BATHTUB O.50 CITY _ J TEL. N -X—/ 0 SHOWER C 0.501_ I HE o/ ACKNOWLF,'D GE THAT I HAVE READ'THIS LAVATORY (WASH BASIN) n O.50 APPLICAII N ANI, STAB" " HAT THE ABOVE IS CORRECT AND AGREE TO COMPLY VS1'fH ALL COUNTY ORDINANCES AND KITCHEN SINK t@ 0.50 STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.501 ANGELES COUNTY LI NSE -0 1 AM THE LEGAL OWNER OF THE RESIDENTIAL RO ERTY DESCftIB ABO E. GAS SYSTEM—OUTLETS Qa 0.501 SIGNATURE OF � I WATER HEATER @ 0.50 PERMITTEE J SLOP SINK c 0.501 INSPECTION RECORD I FLOOR SINK @ 0.501 FLOOR DRAIN (a 0.501 DISHWASHER Q 0.501 DRINKING FOUNTAIN URINAL HOUSESEWER @ 0.50) Q Z MISCELLANEOUS /;(/ it U Y " nI v o E APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.001 CESSPOOL SEPTIC TANK' SEPTIC TANK 1 DRAIN ( ) PIT ( 1.Do SEWER PERMIT 1.00 GAS TEST /I TOTAL FEE UTILITY CO. NOTIFIED / 1� 6 FINAL �f sdAeeT n B-SO - APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY . Ste` COUNTY OF LOS ANGELES WILLIAM . FOX. CHIEF ENGINEER F APPLICANT TOAF LL IN DISTRICT DI O. GROUP ZONE PERMIT NO. 14 W PLUMBER RECEIVED BY REASPECT GATE ISSUED FIRST INSPECTION ADDRESS V/ BUILDING CITY J/� TEL N . _qiCOUNTY G.IV/�/S ADDRESS LICENSE /�/,r 1 ' EXPIRES �.J� V ! LOCALITY �- NEAREST PERMIT FEES crxoss sr. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) @ 0.50 S ADDRESS J BATHTUB C 0.50 CIT TEL NO ' ` SHOWER C 0.501 1 HE BY ACKNO EDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLI DO AND ST E, HAT THE ABOVE IS CORRECT AND AGRE TO COMPLY E, ALL COUNTY ORDINANCES AND KITCHEN SINK 0.501 STATE LAWS REGULATING PLUMBING. LAUNDRY TUB OR TRAY O.SOI I CERTIFY THAT I POSSESS THE ABOVE VALID LOS ANGELES COUNTY LICENSE.-E OR I AM THE LEGAL OWNER @ 1 OF THE RE5ID ENTIAI.FIPRpPTV.SCRIBE GAS SYSTEM OUTLETS 0.50 ". / Q �J] SIGNATURE OF WATER HEATER CSI 0.50 V �/ PERMITTEE SLOP SINK 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 'y1 FLOOR DRAIN 3 0.501 ti f DISHWASHER a 0.50TT DRINKING FOUNTAIN Q 0.501 IURINAL 0.50 __ -J HOUSESEWER [Ci 0.501 Q Z MISCELLANEOUS U� O I I 11 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL Lol--] CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) 00SEWER PERMIT I.Do GAS TEST UTILITY CO. NOTIFIED TOTAL FEE $ / �,j!/ FINAL v WORKERS'COMPENSATION DECLARATION 7SA657A �- I hereby affirm that I have acertificateof consent to self CE en (z-es) APPLICATION FO R PLUMBING PERMIT insure, or a;certificate of Workers'Compensation Insurance,or . . a ceAlfied copy thereof(Sec. 3800,Lab.C.) COUNTY-0F LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) , BUILDING Certified copy E tiled with the county building inspection NUMBER FIXTURE OR ITEM d FEE ADDRESS LOCALITY T department. WATER CLOSET Date Applicant NEAREST - BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' p COMPENSATION INSURANCE SHOWER OWNER T/?JCA- u 1ZFAJ_ MAIL C (This section need not be completed if the work involved .LAVATORY ADDRESS )��L by thepermit is for one hundred dollars ($100) or less.) tLJfpp SINK CITY rc 'G TEL. I certify that in the performance of the work for which this .DISHWASHERI ,1 U permit is issued, I-shall not emp y any pe'son In o y manner CONTRACTOR V•••To /y S P4U HRIA16 so as to become subject to the r r ' mpe ion Laws. CLOTHES WASHER yy�� ADDRESS LJ {{�U 1 O Uate �-Applicant SWIMMING POOL RECEPTOR _ Roy U NOTICE TO APPLICANT: If a-er making this � ificate of CITY MQAf�CUt TEL. NO.,,y:7S Exemption, you should b e subject to the Workers' LAWN SPRINKLER SYSTEM C STATE •'•� /y LIC. `, N Compensation provisions of t e Labor Code, you must forth- LICENSE NO. / �'1 CLASS C- with comply with such provisions or this permit shall be .WATER HEATER deemed revoked. GAS SYSTEM OUTLETS DISTRICT NO. PROCESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER LJ G ( GZ I hereby affirm that 1 am licensed under provisions of Chapter 5 PER SYST 9 (commencing with Section 7000) of Division 3 of the Busi- CFINAL VALIDATION ness and Professions Code, and my license is in full force and / IrlAe> DATE 3—Z5�. effect.. n (y FINAL - n 7 1 Z C_ I r License Number ) Lia Class-7S G.— y'�U FI Contractor Date 7 I am exempt from the licensing requirements as I am a Plan check fee licensed architect or 'a registered professional engineer - PLUMBING PERMIT ISSUING FEE$ S d �G acting in my professional capacity (Section-7051, Bus- iness and Professions Code). TOTAL FEE11 J O Lic.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name ' S hereby affirm that I am exempt from the Contractor's Address - License Law.for the following reason (Section. 7031.5, Busi- Ciry - - Tel.No. ness and Professions Code): - - _ ag 3 3 6 6 A- ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project # a o o a 5 (Section 7044; Business and Professions Code). - 2 a:• 1 650 CONSTRUCTION LENDING AGENCY I heretiy affirm that there is a.construction lending agency - ^ • > 1 6 5 0 for the performance of the work for which this permit is issued(Sec.3097,Civ.C.). Q 3.2 3'--8'2 Lender's Name ' 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 SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and tate.laws regulating Plumbing, and hereby authorize repres tativ¢ of this County to enter upon the ' abo -me lone prope t for inspection purposes. - _ tg ature rf ermittee. Date C�a COUNTY-OF LOS ANGELES TEMPLE CITY N 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1203280032 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA.91780 , PHONE: (626) 285-0468 EXT: (LEGAL ID: FEES PAIDBUILDING ADDRESS11 : ITR: 9981 LT: 16 UN: .002 I 9838 LA ROSA DR I IEEE DESCRIPTION: QUANTITY: DOE: AMOUNT:( TEMP CA 917803920 ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 8589-022-014 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl I 107 BATHTUBS/SHOWERS 3.00 FIX 48.60 1 1 (TENANT: 121 HOSE BIBB(S) 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: 1 125 LAVATORIES/SINKS 4.00 FIX 64.80 103/28/12 SR 1 145 WATER CLOSET/URINAL 3.00 FIX 48.60 1 1OWNER: TEL. NO: 147 WATER HEATER(S) 1.00 WTH 16.20 _i FI AL%ATE Fdoff I,�BY: CODE: I WU, ZI DING (626) 487-2884- 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 1 ,/lypl'/1 19898 LA ROSA DR TOTAL FEES_ 238.40 ITEMP 917803920 1 IDES RIPTION OF WORK PLUMBING FOR KITCHEN, 2 BATHROOMS, WATER HEATER AND GAS LINEI (APPLICANT: TEL. NO: „I I ITRINH, BEN (626) 864-2372- ' 1 1813 PONTENOVA AVE SPECIAL CONDITIONS: HACIENDA HIS 91745 1 I I CONTRACTOR: TEL. N0: (APPROVALS DATE INSPECTOR SIGNATURE WU, ZI JING (626) 487-2884- 19838 LA ROSA DRIVE LIC. NO (UNDER SLAB'WORK ITEMPLE CITY, CA 91780 NONE 1 1 1 IWATER SERVICE PLASTIC YIN METAL YIN ARCHITECT OR ENGINEER: TEL. NO: I ITRINH, BEN (626) 864-2372- 1 IROUGH PLUMBING II 1 1 1813 PONTENOVA AVENUE LIC. NO: 1 1 (HACIENDA HTS, CA 91745 NONE (GAS PIPING IGAS VENT IHOT WATER HEATER I 1 1 (PLUMBING FIXTURES I 1 LAWN SPRINKLERS I I I (GAS TEST (UTILITY COMPANY NOTIFIEDI Gw GRAY WATER SYSTEM I I I I I I I I I 1 I I I I I I I I I IREPORT ID: DPR263 ROUTE TO. BS0508 I I I I I I • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1210150018 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: 1LEGAL ID: FEES .PAID BUILDING ADDRESS: 1 TR: 9481 LT: 16 UN: .002 9836 LA ROSA DR 1FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: I TEMP CA 917803920 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 8589-022-014 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl 1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 ITENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 1TSSUED ON: PROCESSED BY: PLAN BY: 1 145 WATER CLOSET/URINAL 1.00 FIX 16.20 110/15/12 SR 1 1 I TOTAL FEES 76.40 1 1 10WNER: TEL 110: 1FIZIA�LDATE Y: CODE: 1WU, ZI JI (626) 487-2884- 1 ,` ��� 19898 LA ROSOS H DA 1TEMP 917803920 1 DESCRIPTION OF WORK 1 REPLACE BATHTUB/SHOWER, LAVATORIE AND WATER CLOSET FOR 1REMODEL (E) BATHROOM 1 1APPLICANT: TEL. NO: 1 SAME AS OWNER _ SPECIAL CONDITIONS: I � I 1 1 CONTRACTOR; TEL. NO: JAPPROVALS DATE INSPECTOR SIGNATURE 1SAME AS OWNER - LIC. NO 1 1UNDER SLAB WORK 1 1 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: 1TRINH, BEN (626) 864-2372- 1 1ROUGH PLUMBING 1 813 PONTENOVA AVENUE LIC. NO: HACIENDA HTS, CA 91745 NONE 1 1GAS PIPING 1GAS VENT I I I 1HOT WATER HEATER 1 1 1 PLUMBING FIXTURES 1 1 1LAWN SPRINKLERS ISAR TEST 1 1 1UTILITY COMPANY NOTIFIED 1 1 GWV -1-1- GRAY WATER SYSTEM I I 1 I 1 I I I I I I 1REPORT ID: DPR 263 ROUTE T0: 850508