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HomeMy Public PortalAbout5200, 5202, 5204 ROSEMEAD BLVD_Plumbing__ 76A667A TR�CPLE CII CE 617 IRA-1.6/76) TRUPIE V ©S APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING -NUMBER FIXTURE OR ITEM @ FEE ADDRESS 5200 Rosemead Blvd WATER CLOSET LOCALITY Temp City NEAREST BATH TUB CROSS ST. SHOWER OWNER Cal. Stereo Co. MAIL LAVATORY ADDRESS SINK CITY TEL.NO. DISHWASHER CONTRACTOR Potrero Plumbing CO CLOTHES WASHER ADDRESSz654 San rie I SWIMMING POOL RECEPTOR CITY Rosemead TEL.NO. 2831473 LAWN SPRINKLER SYSTEM TATELIC.LIC. C WATER HEATER LICENSE NO. CLASS 333 6 GAS SYSTEM OUTLETS 12 W APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING GAS PIPING ICS GAS VENT G HOT WATER HEATER (QOM PLUMBING FIXTURES JCUJ GAS TEST Plan check fee UTILITY CO.NOTIFIED G� PLUMBING PERMIT ISSUING FEE$ o 19 00 FINAL TOTAL FEE Plan check applicant PLAN CHECK VALIDATION Nome c Address �vC y o y /7-5A City Tel.No. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE n THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES `)2 A 0 AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS � O O 0 O 0 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL 7 O O 1 C, 00 PROPERTY. I� ' t//{/�f�)/J w/ /� SIGNATURE 'Jq �'�" "O J ^ I �U I.: OF PERMITTEE V DIST4j,NO�U PROCESS D BY O I/: a fj 7 C) INDUSTRIAL WASTE APPROVAL 76A667A 287®9751 County Engineer CE em t4EE .6f78t --�, C ! � 5908 Kauffman Avenue ©s � � �� Cit Calif.e 91780 APPLHCA0VFi0R FLU gi t SRM RT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE( BUILDING NUMBER FITURE OR ITEM @ FEE ADDRESSL�� LOCALITY--r `� g WATER CLOSET -0 NEAREST ' lI BATH TUB CROSS ST. SHOWER 104)OC) OWNERLAVATORMAIL j ADDRESS 6 a Blvd. SINK CITY Temple City., Calif JEL.NO. DISHWASHER CONTRACTOR Potrero Plumbing Cop Inco CLOTHES WASHER ADDRESS 2654 No. San Gabriel Blvd. SWIMMING POOL RECEPTOR CITY Rosemead. TEL.NO. 283-147 LAWN SPRINKLER SYSTEM STATE WATER HEATER ��I LICENSE NO 3g—!>24975 �'�c c ass C-36 UNDER _.-„ GAS SYSTEM OUTLETS APPROVALS !J `/7�DATE INSPECTOR'S SIGNATURE o T, SLABWOR OUTLETS OVER S PER SYSTEM ROUGH PLUMBING - —� ✓" "GAS PIPING Q c GAS VENT HOT WATER HEATER QO +'PLUMBING FIXTURES C � GAS TEST Plan check fee UTILITY CO.NOTIFIED PLUMBING PERMIT ISSUING FEE$ d9 a TOTAL FEE !� FINAL �V Pion check applicant �J PLAN CHECK VALIDATION Name Address City Tel. No. IHEREBY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION AND STATE _ J{ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES T✓3 2 C,G A AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS >rs U O : O REOU IR ED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL 2 O O 79,O C PROPERTY. r l.� SIGNATURE O U O 7 9 Q U C.,J OF PERMITTEE DISTRICT NO. P ED Y INDUSTRIAL WASTE APPROVAL WORKERS'COMPENSATION DECLARATION APPLICATION FOF, PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self -20-0026 DPW 6/87 yt , y insure, or a certificate of Workers' Compensation Insurance, 76A667A ,or acertified copy thereof(Sec. 3800, Lob. C.) _ COUNTY. OF"LOS ANGELES DEPT OF PUBLIC WORKS Poli No. Company Certified copy copy is hereby furnished. BUILDING ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS F Certified copy Ls filed with the county building inspec- tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant f WATER CLOSET NEAREST -- BATH TUB CROSS ST. CERTIFICATE OF EXEMPTIO ROM WORK S' ; COMPENSATION.I SURANCE OWNER (This.section need not be completed if the work involved by SHOWER the permit is for one hundred dollars $100 or less. MAIL p ( ) ) LAVATORY ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL. NO. so as to become subject to the Workers'Compensation Laws. DISHWASHERs CONTRACTOR Date Applicant CLOTHES WASHER NOTICE TO APPLICANT; If, after making this Certifi_ote of ADDRESS � • SWIMMING POOL RECEPTOR � ^� ✓ Exemption, you should become subject to the Workers' CITY TEL. NO. Compensation provisions of the Labor Code, you mutt forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. 3 d deemed revoked. WATER HEATER _ ICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION j DIST C `O. PROCEdi�Al I hereby affirm that I am licensed under provisions of Cl-apter 9 GAS SYSTEM LETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force anc effect. 5 PER SYSTEM FINAL VALIDATION DATE License Number Lic. Class_4 FINAL Contractor �_r3 4 6 Date 4 2 BY f ❑ I am exempt under Sec. B.&P.C. for this reason Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ Signature �.� TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Jcense Address Law for the following reason (Section 7031,5, Business and Professions Code): City Tel. No. --- - - ❑ I, as owner of the property, will do the work cnd the structure is not intended or offered for sale (;lection _ 7044, Business and Professions Code). ® +I I -D=aro ti=- CONSTRUCTION LENDING AGENCY hereby affirm that there is a construction lending oge:icy for the performance of the work for which this permit is issued :tara; L- (Sec. 3097, Civ. C.). ; Lender's Name Lender's Address I certify that I have read this application and state iiiat the ► -��' �i above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE VVORKER5'COMPENSATION DECLARATION AP-PLICATION FOR PLUMBING PERMIT I �ere�iy e�ffirm that I have a certificate of consent to self 20-0026 DPW 6/87 insure, or a certificate of Workers' Compensation Insurance, 76A667A or a certified copy thereof (Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. CompanyI Certified copy is hereby furnishe . 17FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Aa-salez"- 9L Certified copy is filed with the county building inspec- ADDRESS tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date ZApplicant r� &U� WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work Involved by MAIL the permit is for one hundred dollars($100)-or less.) LAVATORY ADDRESS + I certify that in the performance of the work for which this permit is issued, I shall not employ an person in an manner SINK CITY a TEL. NO. P P Y YP Y L so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITY TEL. NO. LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE L1C. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. j��,,! PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS r� (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER �i o and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL y VALIDATION DATE S !3. License Number�j Lic. Cl ' ass � FINAL Contractor t t Date zi BY ❑ I am exempt under Sec. �J B.&P.C. for this reason 7K6-8,07K6-8,0 /y Plan check fee ® � Date: PLUMBING PERMIT ISSUING FEE$ aAl. 711- Signature TOTAL'FEE o Plan check applicant SINGLE FAMILY #ADO S- HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and Professions Code): City Tel. No. ❑ I, as owner of the property, will do the work and the structure 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 Ij f1� the performance of the work for which this permit is issued lOJ (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 Sate laws regulating Plumbing, and hereby authorize represe tatives of this County to enter upon the above-mentione o or inspection pur SEE REVERSE FOR EXPLANATORY LANGUAGE 1 q� . S4re of Per ittee Dat WORKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT 1 hereby affirm that I have a certificate of consent to self 20-0026 DPW 6/87 irtsure, or a certificate of,yVorkers'Compensation Insurance, 76A667A dr a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Pol ,e�)icy No. Company "✓ I? Certified copy is hereby furnis ed. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspec- C/Y J� NUMBER FIXTURE OR ITEM @ FEE ADDRES tion department. LOCALITY WATER CLOSET Date '�Applicant NEAREST CERTIFICATE OF EXEMPTIO IRANCE OM WORKERS' BATH TUB CROSS ST. COMPENSATION IN OWNER (This section need not be completed if the work Involved by SHOWER MAIL (� the permit is for one hundred dollars ($100)or less.) LAVATORY �� ADDRESS 7" 1 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner CITY (L TEL. NO. L so as to become subject to the Workers'Compensation Laws. DISHWASHERA ldAAl CONTRACTOR my a Date Applicant CLOTHES WASHER DDRESS D- � NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' CITY TEL. NO., 2..l Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STAT LIC. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. �,v_PROCESSED BY f I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER !/0 and Professions Code,and my FINAL VALIDATION license is in full force and effect. 5 PER SYSTEM ^�/ DATE —Z�`9� License Numbw,1-2 Lic. Class R Q Y.� FINAL Contractor 1 &ZV &ote BY 0. ❑ 1 am exempt under Sec. V LtJ B.BP.C. for this reason Plan check fee Caq Dat � PLUMBING PERMIT ISSUING FEE$ S Signature TOTAL FEES Plan check applicant SINGLE F 1LY _F HOME OWNER-BUILD R DECLARATION Name I hereby affirm that I am exemp from the Contractor's License ..(.}= Law for the followingreason ection 7031.5, Business and Address ..�q -. Professions Code): City Tel. No. ❑ 1, as owner of the prop rty, will do the work and the -"'- structure is not intende or offered for sale (Section ® - •� _ = 7044, Business and Prof ssions Code). CONSTRUCTIO LENDING AGENCY A�!._% I hereby affirm that there is construction lending agency for4 " l i!= the performance of the w rk for which this permit is issued ' (Sec. 3097, Civ. C.). Lender's Nome—�, - r. Lender's Address iI";= •- 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 re ulating Plumbing, and hereby authorize repres Ives o his County to enter upon the above-me boned'pro r inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE I Signature ol Permittee Date WORKERS'COMPENSATION DECLARATION20-0026 PW 4/87 APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self in- 76A667A sure,or 6 certificate of Workers'Compensation Insurance,or a CE 817 (REV. 8/86) certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company ❑ Certified copy is hereby furnished_. BUILDING FOR APPLICANT TO FILL IN (PRINT OR TYPE) Certified copy is filed with the county building inspection ADDRESS •2.�-,� department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY ,�& WATER CLOSET(TOILET) LG Vr Date Applicant NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. — C) COMPENSATION INSURANCE OWNERWma ON --'o ff}� SHOWER ioc (This section need not be completed if the work involved by MAIL f/ the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS 6/ IV I certify that in the performance of the work for which this per- SINKj mit is issued, I shall not employ any person in any manner so CITY w TEL NO. as to become subject to the Workers'Compensation Laws. DISHWASHER G� CONTRACTOR Date- � " Applicants/��� v CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of Ex- ADDRESS SWIMMING POOL RECEPTOR Y. emption,you should become subject to the Workers'Compen- CITY TEL. NO. _ cation provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEMew ly with such provisions or this permit shall be deemed revok- STATE r LIC. A ed. WATER HEATER .3� 6AL /� LICENSE NO. Lf CLASS C+ ' LICENSED CONTRACTORS DECLARATION (! DISTRICT NO. P 6CESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM / OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VAL ION fect. aQ O DATE License Number Lic. Classj1--c—to 8 ,Q FINA Contractor__rV'C.L r Date Z'A4 d BY ®. 0 1 am exempt under Sec. B.BP.C. for this reason 8 5 9 0 Plan check fee , o ° ,, 5 g Date: PLUMBING PERMIT ISSUING FEE$ 1 ° ° 314,15 Signature A TOTAL FEE ° ° i.5 0 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant 2, 08 - 8 7 I hereby affirm that I am exempt from the Contractor's License Name Low for the following reason (Section 7031.5, Business and Professions Code): Address ❑ I, as owner of the property, will do the work and the City Tel. No. structure is not intended or offered for sale(Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY oil :28553A I hereby affirm that there is a construction lending agency for ° ° 3 5 the performance of the work for which this permit is issued o 0 (Sec. 3097, Civ. C.). • a ° ° 3G,50�_ Lender's Name 1 209.-87 Lender's Address I certify that I have read this application and state that the above information is correct. 1 agree to comply with all County ► ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County 'to enter upon the abov mentioned property for inspection,purposes. ( � G•L .` in SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date WORKERS'COMPENSATION DECLARATION 20-0026 DPW 4/90 APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self in- 76A667A sure,or a certificate of WorkersS Compensation Insurance,ora n certilfecl'&py S'nereof (Sec. 3800, Lab. C.) U Policy No. Company COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ❑ Certified copy is filed with the county building inspection ADDRESS department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB' CROSS SL 1��i!>)�% ayJ COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars (;100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this per- SINKr'z D mit is issued, I shall not employ any person in any manner so CITY TEL. NO. as to become'subject to the Workers'Compensati n Lc s; DISHWASHER / n CONTRACTOR ��•�� �A Date. Applicant CLOTHES APWASHER �� ��� ��� HO NOTICE TO APPLICANT: If, after m kin this Certificate of Ex- SWIMMING POOL RECEPTOR ADDRESS emption,you should become subject to the Workers'Compen, CITYlam«��^� TEL. NI*,5 4, sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with suchrovisions or this permit shall_be deemed revok- STATE //�� LIC. �i�/ ed. p p WATER HEATER _ LICENSE NO. C.- 36. CLASS 4122 gy'� LICENSED CONTRACTORS DECLARATION. DISTRICT NaPRO I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS rD A 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION fect. L' !_ HOSE BIB DATE License Number 7 Z z g�� Lic. Class C'3`�' ,,/��� " I +SDK SCA} �` FINAL 0 Contractor U"i r ��Date 7 9 BY C) ❑ O. I am exempt under Sec. U B.BP.C. for this reasonPlan Check fee pop.PLUMBING PERMIT ISSUING FEE$ Z� 30 Signature TOTAL FEE 6 SINGLE FAMILY ' HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Nome [ Law for the following reason (Section 7031.5, Business and o8 Professions Code): Address ❑ I, as owner of the property, will do the work and the City Tel. No. 3303 172..20 structure is notintended or offered for sale(Section 7044, Business and Professions Code). ITEMS CONSTRUCTION LENDING AGENCY TOTAL 172—0 I hereby affirm that there is a construction lending agency for CHECK 172.20 the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).' CHANGE .00 Lender's Name 0000-0001 9/ 7/95 Lender's Address I certify that I have read this application and state that the 2200 1 PM 4 59 above information is correct. I agree to comply with all County ► ordinances and State lows regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned roper for inspection purpose;. r SEE REVERSE FOR EXPLANATORY LANGUAGE Sign f,Bermittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0212300024 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE PHONE: (626) 285-0488 EXT: ±L=CAL ID: FEES PAID BUILDING ADDRESS: K: 62 PG: 74 PC: 1 5200 ROSEMEAD BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917762279 IASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BROADWAY '5338-019-031 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRI.D:: H5___-LOCALITY: TEMPLE CITY 25 LAVATORIES/SINKS 1.00 FIX 16.20 TENANT: 45 WATER CLOSET/URINAL 2.00 FIX 32.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: OLYMPIA 47 WATER HEATER(S) 1.00 WTH 16.20 05/22/03 JK 11/18/03 TOTAL FEES 92.55 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: CHEN I CHANG;SHIU H (818) 441-4698- 2700 MONTEREY RD r` -1 SMAR 911081730 DESCRIPTIONTF WORK T.I.- ADD RESTRM;NEW STOREFRONT;REMOVE EXISTING STAIRCASE DONE W/O PERMITS APPLICANT: TEL. NO: SAM STEPHENSON (626) 653-0409- 2207 W MERCED SPECIAL CONDITIONS: WEST COVINA 91790 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE LEDFORD SERVICES (909) 765-5557- 41082 TAVA LN. LIC. NO UNDER SLAB WORK HEMET, CA 92544 429636 A * �,7'"� WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: LIC. N0: ROUGH PLUMBING GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM * ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0212300024 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL D: FEES PAID BUILDING ADDRESS: BK: 62 PG: 74 PC: 1 5200 ROSEMEAD BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917762279 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BROADWAY 5388-019-031 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H5 LOCALITY: TEMPLE CITY 25 LAVATORIES/SINKS 1.00 FIX 16.20 TENANT: 45 WATER CLOSET/URINAL 2.00 FIX 32.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: OLYMPIA 47 WATER HEATER(S) 1.00 WTH 16.20 05/22/03 JK 11/18/03 TOTAL FEES 92.55 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: CHEN I CHANG;SHIU H (818) 441-4698- Qatm 2700 MONTEREY RDS(xr SMAR 911081730 DESCRIPTION OF WORK T.I.- ADD RESTRM;NEW STOREFRONT;REMOVE EXISTING STAIRCASE DONE W/O PERMITS APPLICANT: TEL. NO: SAM STEPHENSON (626) 653-0409- 2207 W MERCED SPECIAL CONDITIONS: WEST COVINA 91790 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE LEDFORD SERVICES (909) 765-5557- 41082 TAVA LN. LIC. NO UNDER SLAB WORK HEMET, CA 92544 429636 A WATER SERVICE PLASTIC Y/N METAL Y/N RCHITECT OR ENGINEER: TEL. NO: ROUGH PLUMBING LIC. NO: GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM * ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0701090003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 5202 ROSEMEAD BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917762279 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5388-019-007 - 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H5 LOCALITY: TEMPLE CITY, C 25 LAVATORIES/SINKS 4.00 FIX 64.80 TENANT: TOTAL FEES 92.55. ISSU2D ON: PROCESSED BY: PLAN BY: EXPIRES ON: MESEEME INC. 01/09/.07 JK 07/08/07 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: CHEN I CHANG;SHIU H (818) 441-4698- �� 2700 MONTEREY RD 1- SMAR 911081730 DESCRIPTION OF WORK INSTALL 4 SINKS APPLICANT: TEL. NO: MARB ROOTER SERVICE AND PLUMBING (626) 831-0743- P.O. BOX 1681 SPECIAL CONDITIONS: DUARTE, CA 91009 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE MARB ROOTER SERVICE AND PLUMBING (626) 831-0743- P. 0. BOX 1681 LIC. NO UNDER SLAB WORK DUARTE, CA 91009 658111 C36 I _ WATER SERVICE PLA:'TIC YIN METAL YIN ARCHITECT OR ENGINEER: TEL. NO: _ - ROUGH PLUMBING LIC. N0: GAS PIPING GAS VENT HOT WATER HEATER PLUI4BING FIXTURES j LAWN SPRINKLERS . GAS TEST UTILITY COMPANY NOTIFIED 1 CWV GREY WATER SYSTEM i REPORT ID: DPR263 ROUTE TO: BS0508