HomeMy Public PortalAbout9915 LA ROSA DR_Plumbing__ 76A667-CEB17 M9
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING71717'777777
JOHN A. LAMBIE, County. Enginnx ADDRESS
CASSATT D. GRIFFIN, Sup t of Building T
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
u L /� vS
WATER CLOSES
BATH TUB
ADDRESS l U/L�
CITY -�� , TEL NO. t
SHOWER
i
LAVATORY CONT TOR ���
SINE ADDRESS
7
DISHWASHER CTTY 7 TEL NO. `�,/�,'LiJ .
CON 'S ^ STATE
LAUNDRY 7ITB REGISTRATION NO. Gr 1 COUNTY
CLOTHES WASHER DISTRIGT_�O. GROUP ZO PROCESSED BY
WATER HEATID � I v /
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
4P $1.00 PER ITEM
OR FIXTIJRE 5 O O
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 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 THE ABOVE
DESCRIBED RESIDENTIAL P PERTY. UTILITY CO. NOTIFIED
SIGNATURE ,//�� _
OF PERMIiTEF ✓' + L���
FINAL `�✓ O `ct1�
®. VALIDATION ROBERT A. WOOD,
CK. M.o. CABH SUPERVISING MECHANICAL ENG'R
LAC,09 3 6 7 2 APR 18 5 A 3,0 0 M
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County EnElneer PLUMBING 1
FO AP NT TO FILL IN OI P
PERMIT NO.
PLUMBE RECEIVED BY EAOil'T
R' DATE ISSUED
9 ;�O�R� FIRSTINI ON —��_� 11
ADDRESS I� [r
CITY 74ow TEL NoAODREB9
COUNTY A.r LOCALITY
LICE. p, EXPIRES Y—tJ
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL ^
N
WATER CLOSET(TOILET) 0 0.50 IB ADDRE69 (/ .,
BATHTUB a O.SO CITY 7P fTEL No
SHOWER a 0.501 HE Y ACKNOW OE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) a 0.50 APPLIC ION AND BT THAT THE ABOVE IH CORRECT
AND AGREE TO COMPL WITH ALL COUNTY ORDINANCES
KITCHEN BINK Q 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 SSEBS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY a 0.50 ANO ELEB COUNTY lIC iBE, 34t I AM THE LEGAL OWNER
OF THE REBIDENTIA O ERTY D R BOVE.
GAS SYSTEM OUTLETS ® 0.50 BIDNATURE OF �
WATER HEATER a O.SD PERMITTE
SLOP BINK O.5D INSPECTION RECORD
FLOOR SINK O.SO
FLOOR DRAIN 0.50
DISHWASHER ® 0.50
DRINKING FOUNTAIN C.50
URINAL ® 0.50 J
Q
HOUSE SEWER ® 0.50 Z
MISCELLANEOUS V
Y K
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAB PIPING
GAS VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK _
DRAIN ( ) PIT ( ) ® 1.00 SEWER _
PERMIT t.GD GAB TEST J1
TOTAL FEE
UTILITY CO.NOTIFIED.
9 �/�
VAI FINAL
76A667 DBS#17 10/5E v �/
D.B.S.-17 2591 SETS 12-45 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ® w��e
COUNTY OF LOS ANGELES ���■1®8�0l��7 1
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GR/ROUP ZONE PERMIT NO.NO.
ROUGH FIXTURES COMPLETE -
HEATER CESSPOOL 6EPTIC TANK RECEI//VI1ED BY READY FOR. DATE ISSUED
GAS MISCELLANEOUS
Gr �/�i FIRST ISN==CTION
ATPLICAI5,Y >FILL I�N HEAVILY OUTLINED PORTION ONLYJOBI �,/�/�
C NAMEADDRESS7�1.'/"I7 %/ �.✓i��:�l1L.A. l:,
W
f ADDRESS /-/(/ Q .. /p . �/�' 7,�t ��.; [}- LOCALITY ���}t .r r'( ` , -1
v I G-✓/ (( NEAREST
4 CITY TEL.No.' ; r�JJ� fteeud CROSS ST. p�/i 1/LF _'' ,/ Z-'�•>~
COUNTY
CERT.No. 111-f M EXPIRES P� 4 YA G NAME t// /� ✓�� �f/� �-C�. -J `
LOCATION'OF SEPTIC TANK, OR CESSPOOL 2 MAIL
3 ADDRESS
NORTH O 7�� /�y/ - v
CITY f�-✓-/Y�- �� "" TEL.No.
1 AM THE/ 'ECAC POSSESSOR OF THE ABOVE LOS
ANGELES COUF' Y CERTIFICATE'OF QUALIFICATION.
r PWMBUR
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ry ABOVE.
1
y OWNER .
CORRECTIONS
SOUTH
• a
DESCRIPTION OF WORK
co
BATH TUB FURNACE a
SHOWER DISHWASHER
AVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER GAS SODA FOUNTAIN
OUTL GAS PIPING
-GAS VENT
CESSPOOL
TOTAL NUMBER OF FD(TURES
SEPTIC TANK
v _
CESBPOOI SEPTIC TANK SEWER
S
TOTAL FEE / Q E) UTILITY CO.NOTIFIED p
�— �� FINAL
COUNTY OF LOS ANGELES TEMPLE CITY k 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1303200008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 9481 LT: 6 BL: .001 1 9913 LA ROSA DR
I IFEE DESCRIPTION: QUANTITY: DDM: AMOUNT:( TEMP CA 917803923 1
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
18589-007-010 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY CAI
1 121 HOSE BIBB(S) 1.00 FIX 16.20
1TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY:
147 WATER HEATER(S) 1.00 WTH 16.20 103/27/13 SR
151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
(OWNER: TEL. NO I TOTAL FEES 92.60 1F,;1NAL DATE FIN Y: CODE:
19915 91 ROSA8039 DR ' IPT /
(TEMP 917803923 ID CRIPTI, OF WORK
(HOSE BIBB, SINK, WATER HEATER AND GAS LINE I
IAPPLI CANT: TEL. N0: I I I
KHAN, TERENCE (626) 379-4900-
1560 W MAIN ST. C278 ISPECIAL CONDITIONS:
ALHAMBEA CA 91801
I I I
(CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR-SIGNATURE
LANTRIK DEVELOPMENT LLC (626) 379-4900- 1
1560 W MAIN STREET C278 LIC. NO (UNDER SLAB WORK
ISOUTH PASADENA CA 91030 668443
WATER SERVICE I
(PLASTIC YIN METAL YIN 1
(ARCHITECT OR ENGINEER: TEL. NO:
IROUGH PLUMBING
LIC. NO:
IGAS PIPING t1i'o --I
GAS VENT
(HOT WATER HEATER
(PLUMBING FIXTURES
ILAWN SPRINKLERS I
IGAS TEST I
(UTILITY COMPANY NOTIFIEDI
CWV
IGRAY WATER SYSTEM
I I I I I I
(
I I I I I I
I` ADDITIONAL DATA ON FILE
I (REPORT ID: DPR263 ROUTE T0: BSO508 I I I I
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY N 0508 PLUMBING PERMIT
' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1305230021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID BUILDING ADDRESS:
ITR: 9481 LT: 6 BL: .001 1 9913 LA ROSA DR
I (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803923 1
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET:
18589-007-010 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY CAI
I 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 1 1
ITENANT: �11 CLOTHESWASHER(S) 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: 1
121 HOSE BIBB(S) 1.00 FIX 16.20 105/23/13 SR
25 LAVATORIES/SINKS 1.00 FIX 16.20 1
TOWNER: TEL. NO: J45 WATER CLOSET/URINAL 1.00 FIX 16.20 F NAL DATE FIN L Y: CODE:
ICHOW, FRANKIE - I TOTAL FEES 108.80 1 1
19915 LA ROSA DR 1 1
ITEMP 917803923 1 IDSSCRIPTTON OF WORK v1
IBATHTUB/SHOWER, DISHWASHER, HOSE BIBB, LAVATORIE AND WATER
ICLOSET I
(APPLICANT: TEL. NO: 1 1
KHAN, SIMON (626) 318-9839- 1 1
15338 N BURTON AVE I ISPECIAL CONDITIONS: 1
ISAN GABRIEL CA 91775 1 1 1
I I I I
1
1CONTRACTOR: TEL. N0: I (APPROVALS DATE INSPECTOR SIGNATURE 1
ILANTRIK DEVELOPMENT LLC (626) 379-4900- 1 1 1
1560 W MAIN STREET C278 LIC. NO (UNDER SLAB WORK 1 1 1
ALHAMBRA CA 91801 668443 + 1
WATER CERVIS
PLASTIC Y/f METAL N
(ARCHITECT OR ENGINEER: TEL. N0: I I
- IROUGH PLUMBING
LIC. NO: 1 1 1
IGAS PIPING
IGAS VENT
1
I IHOT WATER HEATER
1 I
I (PLUMBING FIXTURES
.
LAWN SPRINKLERS
I
I 1
IGAS TEST I 1 1
1 1-1-
I (UTILITY COMPANY NOTIFIEDI
I I ICWV
1 � (GRAY WATER SYSTEM
I I I I I I
I I I I I II
+ ADDITIONAL DATA ON FILE
I
I
IREPORT ID: DPR263 ROUTE TO: BS0508