HomeMy Public PortalAbout10629 ROSEGLEN ST_Plumbing__ OOUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DepRen+ of County EnOnser
PLUMBING 1
1�M$ION OF BIIII..DING & SAFETY
WILLIAM J. FOX, Osanty Eollsew
FOR APPLICANT TO FILL IN
PLUMS[ IVKD n. FOV4LR BOULPARD PLUMBING Co. R OR DATE ISRUKD
�� FIRST INE K13TION ' _
D R E!'i
• BUILDING L
CITY TEL'
No. A'DDR¢i P /�
COUNTY LJ30ALITY - w
LICKmag NIL 0214L E"IRra
���r.w NEAREST
PERMIT FEES DROP BT.
NUMBER TM OF F xTURI OR fTKM FEE 13WNEA C
MAIL
WATER CLOSET(TOILET) ! o.ma s ADORE
BATH TUB ! 13.B0 CITY TEL. No.
■HEWER ! 0.511 1 HKR"Y ACKNEWLKDGK THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) ! 0.613 APPLICATION AND STATE THAT THE ABEVK IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY 13RDIMANDEN
KIT13HKN BINK ! D.no AND STATE LAWS REGULATING PLUMBING.
1 CIQTIFY THAT I POLIMEBS THE ASEVE VALEq LO■
LAUNDRY TUB OR TRAY ! 0.1513 ANGELES COUNTY u13EN0E• OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DKShRIB[D Al L
GAA IYw,E UTLJLT'B ! D.BD
WATER HEATER ! 0.60 IJGHA RMI OF /�'
SLOP SINK ! 0.513 INSPECTION RECORD
FLOOR SINK ! 13.00
FLOOR DRAIN ! O.BD
DINHWABHKR ! D.SC
DRINKING FOUNTAIN ! D.Bn
URINAL ! 0.513 Q
HOUSE SEWER ! 0.So Z_
M 1 SC ALAN EO US F3
IY
O
APPROVALS
DATE OTORM NAME
ROUGH PLUMSINB
GAS PIPING
EAM VENT
CKMKPOOL ! 1.00 CESSPOOL
■EPTIO TANKi BEFT 10 TANK
DRAIN ( ) PIT ! 1.00 BKWER
PERMIT . . 1.00 GAD TEBT
unuTY O0.No. FI[D
TOTAL REE Q
rIMALf'
TEA08T DBB#1T. 6 6!
COUNTY OF LOS ANGELES TEMPLE CITY 0508 PLUBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TU AS PL 0508 0405110014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID ERJILDING ADDRESS:
TR: 19189 LT: 48 10629 ROSEGLEN ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804133
ASSESSOR INFORMATION NUMM-- - NEAREST CROSS STREET: PAL MAL
a5a5-028-001 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C4. LOCALITY: TEMPLE CITY, C
47 WATER HEATER(S) 1.00 WTH 16.20
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 .
TOTAL FEES 60.15 05/11/04 VG 11/07/04
OWNER: TEL. NO: FI FINAL BY: CODE:
RIZUTO JACK P•PATRICIA S TRS (626) 444-7218-
10629 ROSEGLEh ST v
TEMP 917804133 DESa IPTION OF WORK
RELOCATE i REPLACE EXISTING HATER HEATER
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO:
SAME AS MINER -
APPROVALS DATE I ETOR SIGNATURE
LIC. NO
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT DR ENGINEER: TEL. NO: ROUGH PLO99TRU-
LIC. NO:
GAS PIPING
GAS VE-NT
HOT WATER HEATER
LAWN SPRINKLERF-
GAS TEST
UTILIT-Y COMPANY NOT
CwV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508