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Home My Public Portal About9902 LA ROSA DR_Plumbing__ DEPARTMENT OF BUILDING APPLICATION FOR PERMIT COUNTY OF LOS ANGELES PLUMBING 3 � NATURE OF INSTALLATION DISTRICT o. GROUP No. PERMIT NO. ROUGH _ _ 2 r ,� PLUMBING FIXTURES —�/�II{'COMPLETE HEATER CESSPOOL , 18EPTIC TANKREADY FOR RECEIVERS -DATE ISSUED F113SPr_INS'EC 1 N GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY C NAM A ADORES9 ' � / T mnn- ZI LOCALITY. .4 P&jSL — 7ADDRLEE�SStiTEL. .6CITY,fj � ^ 5NEAREw CROSS 9T. P STATE COUNTY EIDE LICENSE N REG. NO. NAME LOCATION OF SEPTIC TANK, OR CESSPOOL W MAIL 2 ADDRESS NORTH ;r �A CITY L 4C TEL NO. CORRECTIONS 1 m 4 V v- 04P �pp ' SOUTH < DESCRIPTION OF WORK z D BATH TUB FURNACE O SHOWER DISHWASHER IAVATORY REFRIGERATOR KITCHEN BINK WATER SOFTENER FLOOR BINK RAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR-9 NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER_OUTI GAS SODA FOUNTAIN GAS PIPING GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES_ SEPTIC TANK I EPTIC TANK 1 ^� ��CESSPOOL SEWER PERMIT FEE 100 UTILITY CO. NOTIFIED / TOTAL FEE ro FINAL o.a.o nM aero a Aa APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT 0. GROUPI ZONE PERI17IT O. ROUGH FI%TURES COMPLETE �J/ /��/ 7 I/O Z /Vy HEATER CESSPOOL SEPTIC-TANK R EIV D+BY READY FOR DP/O RUED_ ,`ice FIRST INSPECTION GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB K NAME q.�i'. 1^/,� ArL- jpl�4/'J��'� 2(I' �!J ADDRE86i- J ( (- '-,;! M ADDRESS �/.�f�' p'.•�j.J��j±�IJ 'i..0,/�tx.J'"-- LOCALITY !' -a M D NEAREST '1 CITY �gJGx-�yL=Q.L�' /TEL.No.�'.Z rJ/9 CROSS BT. .✓"�i •!L -.' l •% ' a COUNTY �� M 2 `s .I /�+ CERT.No. / ' EXPIRES..2`�T 'TV' W NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 0ADDRESS NORTH O CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOB ANGELES COUNTY CERTIFICATE OF QUALIFICATION. •LUMBER(/ I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. R y OWNER / CORRECTIONS SOUTH J DESCRIPTION OF WORK i BATH TUB FURNACE -�DHOWER DISHWASHER O ' LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR BINK AND TRAP LOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS / WATER CLOSET DRINKING FOUNTAIN D TE I e OW,e NwNET WATER NEATER DENTAL LAVATORY I I � ROUGH PLUMBING F oo METER GAS SODA FOUNTAIN OUTL GAS PIPING GAS VENT CESSPOOL __3_TOTAL NUMBER OF FIXTURES SEPTIC TANK I CESSPOOI SEPTIC TANK SEWER I I =F- 1117 TOTAL FEE /f' 4 G(. UTILITY CO.NOTIFIED FINAL WORKER'S COMPENSATION DECLARATION 76A6660PW 91e9 APPLICATION FOR PLUMBING PERMIT lJ 6A66]A I hereby al4irm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified ' copy thereof(Sec. 3800 Lab. C.) ' COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. Policy No. Company ❑ Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN PRINT OR TYPE BLII,pING ^r ,� ,,rr > Certified copy is filed with the county building inspection ( ) ADDRESS Orn �Yr �r7 G� fir. , department. NUMBER FIXTURE OR ITEM r0 FEE LOCALITYG 6M T L G L' Date Applicant WATER CLOSET /e' NEAREST ''AA CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. - f-44 )ev$!F COMPENSATION INSURANCE ASSESSOR c� (This section need not be Completed If the work Involved by the SHOWER / MAP BOOK /n PAGIPARCEL`tl -O permit is for one hundred dollars($700)or less.) I OWNER LAVATORY ` r.��r ✓ I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to SINK MAIL /I -,0 Q� /w O 5� ADDRESS "� T �'i /t-v K/ become subject to the Workers'Compensation Laws. DISWASHER \ CITY 1wn AfL /I _'7' TEL.NO. j'1- S_7 Date Applicant ' CLOTHES WASHER 1 UO r �L '-'I NOTICE TO APPLICANT: If, after making This Cerlificala of 1 CONTRACTOR 12 LL�,N 01e Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS �. provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY ��r TEL.NO. I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER d (commencing with Section 7000) of Division 3 of the Business and -STATE LIC. O GAS SYSTEM OUTLETS LICENSE NO. CLASS Professions Code, and my license is in full force and effect. V OUTLETS OVER DISTRICT NO. P BV cc 5 PER SYSTEM O Q Q License Number Lic.Class ' [J U FINAL DATE U'Z _ VALIDATION ILL Contractor Date F�'.I:i .i (n El Date /� -� �. OV. -- Z 1 am exempt under Sec. BY — B.BP.C.for this reason �/ (J 1 1 I�� Date: Plan check fee 71_ _ Signature PLUMBING PERMIT ISSUING FEE$ 2� •U , I IJ I AliCHEAK L 8 m 20 ❑ , TOTAL FEE (� riR(J Plan check applicant '?E li f SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Law )1 rip( for the following reason (Section 7031.5. Business and Professions Address I'Ll- S Code): O7On1t i.;='1-'%4 l t'-1 •I ' I,as owner of the property,will do the work and the structure City Tel. No. 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.) 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 ordinances and State laws regul "ng Plumbing, and hereby authorize rep res trinves of thi o ty to ant r upon the above-me tion d proper r inspect' u oses. Ry SEE REVERSE FOR EXPLANATORY LANGUAGE Z41 Signature - f Ey rmittee Da e COUNTY OF LOS ANGELES TEMPLE CITY K 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0500 1112200029 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91980 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ISE: 18 PG: 54 PC: 1 1 9902 LA ROSA DR 1 APRE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803922 ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET: 18589-023-040 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY, Cl 163 WATER PIPING BR/FIX 16.00 FIX 107.50 1TENANT: 164 WATER PIPNG , 1 1/2 1.00 LIN 16.30 11SSUED ON: PROCESSED BY: PLAN BY: 1 192 NO PERMIT OWNER-BLDR 257.00 DOL 257.00 12/20/11 SR I I TOTAL FEES 408.60 1 10WNER: TEL. NO: 1 1FINAL DATE FIN Y: CODE: 1 1LEE, ALAN WOEI (626) 282-9481- 1 19902 LA ROSA DR I ��/�� 1TEMP 917803922 1 1�ESCRIPTION OF WORK 1 I IRE-PIPE 16 PLUMBING FIXTURES AND MAIN LINE APPLICANT: TEL. NO: AGUILAR, RAFAEL (626) 409-4030- ?328 DURFEE AVE UNIT 1SPECIAL CONDITIONS: SEL MONTE, CA 91732 �I 1CONTRACTOR: TEL. N0: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 AGUILAR PLUMBING INC. (626) 409-4030- 1 12326 =FEE AVE LIC. NO 1 1UNDER SLAB WORK 1 1EL MONTE CA 91732 947002-C36 i WATER SERVICE �n P ASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: 14 V IROUGH PLUMBING I I I LSC. NO: GAS PIPING I I I IGAS VENT I I I I I IHOT WATER HEATER I I PLUMBING FIXTURES I I ILAWN SPRINKLERS 1 1 1 I I I GAS TEST I 1 1 JUTZLZTY COMPANY NOTIFIEDI I I I I IGW� 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 I I I I I 1 1- ADllITIONAL DATA ON FILE 1 1 I I � ARE PORT Zll: DPR263 .. ROUTE 1'O: BSO508