HomeMy Public PortalAbout9225 ROSEGLEN ST_Plumbing__ 7GA667 -CRi&17 12-84 CITY OF TEPM1PLE CITY 11755
APPLIC T ING PERMIT
COUNTY OF LOS ANGELS
DEPARTMENT OF COUNTY ENGINEER
BUILD �,S I'Y �MSION AD RM 9225 Rosa 1 n
JO N A. I ouNTY Nal►d EER
COLEMAN W. JENKINS, 5UP'T OF BUILDING _ 1Q(•ALITi Tmmplu Cit
FOR APPLICANT TO FILL IN mriLEM
NUMBER FIXTURE OR ITEM [ACR FQ[ CROAS ST. EncanitA Ave.
OWl� Dola L tal
WATER CLOSET 11.25 HAIL
RATH TUB 135 ADDEW SlaMe
SHOWER 1=5 = TEL NO.
LAVATORT 1,25 CONTRACTOR General Installation Co.
as 13a ADDHFJSB 6668 west Blvd.
DMEWASM 135 CrrT Los Angeles TEL NO. FL 3-2541
LAUNDRY TUB 135 REG TRAATION XO. C-36 161839_ 787�u
CLOTLMS WASHER 135 DIfT aROu NE [la[D DY
WATER BEATER 1.50
--GAS SYSTEK OUTLETS ls0ASTE� APPROVAL
OUTLETS OVER 5 PER SYSTEN .70 INBpECTIOX RECORD
1 water softener V
0 Ready for Inspection Nov
0
W
CL
Z
T
APPROVALS DPtE CTOWS ONATUR[
PERMIT s 2 pp UNDER SLAB WORK I
ROUGH PLUMBING
TOTAL FEE 3 50 GAS PIPING
I HKPMNY ACNNOWLCDO[ THAT 1 HAV[ R=AD THIS APPLICATION GAS VENT
AND fTATI THAT 1lil AIOVI 19 CO XIWCT AND Aa RL[ TO COMPLY
wm+ ALL COUNTY oRDINANaS AND STATE uw• R[auunNa HOT WATER HEATER
PLUM�INa.
1 HLmT CLMFY THAT 1 AM PROP[RLY RIGISTL® AND/OR PLUMBING FIXTURES
LI CLit✓m AS RiOUIR1m ■Y LOi ANIaLL@ COUNTY AND /TAT[ OF
CAUFOORN IA OR THAT 1 AM THIS LRGAL OWN[R OF,AND INTLiD TO GAS TEST
R>nID[ IN,THK AMOVI DW. CRIL[D Rr§ Aly�ol�% UTILITY CO. NOTIFIED
•IGNATUR[ C/�/_p
OF PERM ITTKK FINAL G
ALIDATION ROBERT A. WOOD
c M.o. CAs11 SUPERVISING MECHANICAL ENG'R
?'Q Vr, 12 5 D 3.50- T
+ti/
"^°W7
D"-17
+ APPLICATION FOR PLUMBING PERMIT
DMffiON OF BU=ING AND $AFLTY .
D.pgflm of Conan &Wbi--
Lou0f I.0s &Vol" BUILDING
JOHN A, L.�.MBIE, CouNTY ENGIND
i]EA ADRESS a cz-
CABBATT D,¢RIFKIN,BUP T of BUILpINa
LOCALITY �r. c-
71
FOR APPIJdANT TO FIU IN NEAFiB�T
C:RQSz
OWNKR DISTRICT NO. GROUP ZONE OGD!1101 INSPECTION
I1A
AD R
INDUSTRIAL
CITY TKL., NO WASTE APPRbVA
PLUM YR Valler Plumbin 'Co. INPEMON RWORD
AbDRMS 442 W. Fleet -o. d P1.
,,-,r Glendora T[L.. NO. Ed —1293
UCENAR NO_ 160847
HUMmiQt Tyft OF rucTUR!<OR n-m ME
�✓ W T*1R CLOSET iTO1LET) 2 #1.0(5
13ATH TUC a IF 1.00
SH WET! 1.00
LAVATORY (WASH BAHIft) 1.00
KITCHxNZINK 1.00
DISHWASHER 9 q 1.00
LAUNDRY TUB OR TRAY x'1,00
CLOT B`.B WASHER 4 1.0
WATIN HEATER 11.00
O BYSTBSI 1:00
APPROVALS
D TE INSPE 31811)1�NAT]IJREUNDER W RROUGH PLUMf3ING'
PI;RHIT t 1 00 /
_ GAB PIPLNO
TQTAL FEE 46V
KKT
I HEREBY A-CQNOMLEDGE THAT I HAVE READ THI APPLICAT40M
AND STATE THAT THE ABOVE IS COAR8,r-4SD AGREB'. TO COIFPLY HOT WATER HEATERWIT}� ALI, COUNTY ORDINANCES AND 3TALAR.3 REGULATING
PLUMBING, PLUMBING F'1)('i'UREA•
I HUUT CERTIFY THAT 1 AN PROPERLY R£G18TERED AND/OR -1hdT
LICEN
$10 Af R5QUI BY LOel [T�'ANGEL.E� COUIAND STATE OF
CALIFORNIA OR THAT I AN rHF "r-AL 6WNER OF THE ABOVE uTuxry CO.NO'TIF'IED
DESCRIBED REti10ENT4A1 P QP
SIGNATURE 001, '
OR PH"IT'f>< FINAL
JOHN A LAMBIE. COIUNTY ENOINKKA VALIDATION ROQERT A.WOOD, GHIEF PL.DG. INaPECTOR
VIMAU
IS.�. CAJItl
2.2 13 3 A' 10.00 '9
WORURS'COMPENSATION DECLARATION -76As67A
I by aTftrm that I have at „
certificate of consent to self ca: APPLICATION FOR PLUME3ING PERMIT
i en, or a'cepHfloate of Workers'Compensatlod Ipstn-ance,or Tenle.-City
a cer)lfSed copy thowf(Sec. 3800,Lab.C.) COUNTY OF LOS ANGELES RUI LINNO AND SAFETY
Peucy W$311281�.Mpany geemont Indemhity Co.
7
0 Cgrtlfled copy Whereby furnished. FL*ABE
R APPLICANT TO FILL 1N (PRINT QFI TYPE:) BUN-DING
Ceftiffed copy is filed i the coty�ty ky g anapectlon FIXT1JFE Ofd ITEM ADDRE$8 9225 Rose en
@Cl P]D OCALITYDate AAppllcan' WATER CLOSET NEAREST
Temple
/City
BATH TUBCpdBS 8T. 'S/ �/
CER$'ItICATF,OF V_XEMPTION FROM WORKERS'
COMPENSATION INSURANCE SHOWER OWNER M J- suluvan
MAIL
(This
(This section need not be O
leted if the work invelved LAVATRY. ADJIRESS gZ25 Roeeglen
by the permit is for Qne hundred dollam (;100) or le1s.) BINK CITYezi) y 7E L.NO.
I certify Ibat in the parformsoce'of She work for which thla dISHWASHEFI CONTr le Ci gprOve r 2 '9 8
permit Js issued, I shoji not employ ane parson In any manner '
so is to become subject to the VKorkeri' Compegsation Laws. CLOTHESWABHEFi 4 I ccO
o so
Date- _ Applies f_ ADDRSS$ 1742 • gioadyQy FU—
SWIMMING Pbm, RECEPTOR
NOTICE TO APPLICANT:If, after m►klrna this Cettificate'of CITYGOXIdena 48 TEL.N31 w
9xemptlon"� ywi should become subject to the Workerd LAWN SPFIINKLEB-SYSTEM) STATE LIC.
Compensation provisions of the Labor Code, you most forth-
with comply with.such provisions or this permit aball be 1 WATEFI1+EATEFI Cliange u L C NSE NO. CLASS Cs _
deemed revoked. GAS SYSTEM OUTLETS D18TRIP,T NO. PR CES$E4 S
LICENSED CONTRACTORS DECLARATION OUTLETS OVER ✓Oe
I`hereby affirm'that I ■m Ilcegsed"der provisions of Chapter 6 PER SYSTEM
4 (commencing with Section 7000) of Division 3 of the Bust- FINAL
nbas and Profeadons Code, ani my license is In fell force and DATE _
VALIDATION
effect. �
License Number Lic.Class G -7" FINAL
Contractor Plumbin.R Data 4-13
I am exempt from the Heanstng requirements as 1 am a Plaid chw*fee r �
l ilcpnled archlt&4 or a registered professionO engineer PLUMBFNGPERMITISBUIN.Q FEE$ 1O.
I acting W my professional capacity (SectLbn 1051, Bus- F /
Ir inessand Professions Code). TOTAL FEE '
tic.or Re$.No. Date Ian chock applFcant
HOLE OWNER-BUILDER DECLARATION Nona Z Q, A
I hereby Affh-m that I am. exempt from the Contractor' s cddrais # 0 0 o a,. 5
License Law for the following tpason (Sect16n.7031.5, Bull- city
Td.No.
nes►and Professions Co"): - 2 0 0 1 6'5 0
I, a1 awner of the property, nm excfuaively contmataj 0'o 0 1 6,5 0
with incensed contractors to crt
onruct tho project «
(Section 7044,Busipess and Professions Code}.
• 0'60 a 3
CONSTRUCTION LENDING AGENCY '
I hen'eby affirm that there Is a construction} lending agency
for the perforhtance of the work for WWclr this pprmh L
issued(Sec. 3097,Civ.C.).
Lender's Name
Lender's Address
I certify that I b4iro read this application and state that the
above information is correct.I agree to comply with all County
ordinances and State law& regulating Plumbing, and hereby SEE REVERSE FOR EXPLANATORI LANCUA(11;
authorise repiesentatives of this County to enter upon the
■bovo-m onad property for Inspection purposes.
Signature of Permittee Date
COUNTY OF LOS ANGEi.R_9 TEMPLE CITY f 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0907150001
BUILDING AND SAFETY / LAND DEVELAPY= TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID B=IMG ADDRESS:
TR: 24021 LT: 5 9225 R0SSOLEN ST
FEE DESCRIPTION: QUANTITY: UC@4: AlIDUNT: TEMXP CA 917803710
ASSESSOR 11NFORNATION NUMBER: bE3ARR4T CROSS STREET: ENCINITA
8590-030-005 01 PRRY= ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: JS LOCALITY: TEMPLE CITY, C
13 DISH101SHER(S) 1.00 FEY 16.20
21 H09E BIBB(S) 2.00 FII 32.40 ISSUEDON: PROCESSED BY: PLAN BY: EZPIRR9 ON:
25 L?.VATOREEB/S R7R.9 1.00 FIX 16.20 07/15/09 9R 07/15/10
47 WATER HEATER(9) 1.00 KPH 16.20
0WNER: TEL. NO: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 Y: CODE:
SULLIVAN, SEAN (626) 286-4650- 63 NXTER PIPING BR/FII 8.00 FII 54.00 T-
1
138 N. ENCINITAS 64 WATER PIPNG <- 1 1/2 1.00 LIN 16.20 �,)
MONROVIA TOTAL FEES 195.15 D CRIPTION OF WORT
PLUMSING FOR 1C IVHR T RMADD1 , RELOCATE WATER HEATER, REPIPE
8 PL (RING FIXTURES AND ►TATER NUUN
APPLICANT: TEL. NO:
BRILLHART (626) 357-4701-
1809 'WARDELL AVE. SPECIAL CONDITIONS:
DUARTE, CA 91010
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
BRIIZ4U.RT CONSTRUCTION (626) 357-4701-
1809 WARDELL AVENUE LIC. 190 OtmER SLAB WORK
DUARTE, CA 91010 696912 B
WATER SERVICE
PLJ1MC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
_ ROUGH PLCffIMBI2rG
LIC. 90:
GAS PIPING jr
GAS VENT
HOT WATER HEATER
PLUMBING FIYTVRES
Lim 9Ppamazm
GAS TEST
UTILITY COMPANY NOTZFIID
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508