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HomeMy Public PortalAbout5336 ROSEMEAD BLVD_Plumbing__ 76A667 Des 17 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY Imfta ARMmqk COUNTY OF LOS ANGELES PoLuffitsIN WILLIAM J. FOX, CHIEF ENGINEER DISTRICT NO. GROUP ZONE RMI NU. FOR APPLICANT TO FILL IN PLUMBE i` ♦ RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION _ 3 ADDRESS v BUILDING CITY ' ' .—% ADDRESS t' J C7 I COUNTY LOCALITY LICENSE NO. EXPIRES - NEAREST PERMIT FEES CROSS 5T. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) @ 0.50 $ ADDRESS BATH TUB @ 0.50 CITY TEL. No. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE I5 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. 1CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR-1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPER7,Y DESCRIBED ABOVE. GAS SYSTEM OUTLETS @ 0.50 fjI SIGNATURE OF WATER HEATER @ 0.50 PERMITTEE a _ , SLOP SINK @ 0.5D INSPECTION RECORD FLOOR SINK @ 0.50 / FLOOR DRAIN @ 0.50 DISHWASHER @ O.SO DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 '-` 7y, Q HOUSE SEWER @ 0.50 G� ? MISCELLANEOUS O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING �I GAS PIPING GAS VENT �. CESSFOOL @ 1,00 $ CESSPOOL. _ SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT I 1.00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE $ FINAL 76AF67C (CE-817B) -9/75 APPLICATION FOR PLUMBING PERMIT BUILDING AND S F TY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING Z2 Af NUMBER FIXTURE OR ITEM @ FEE ADDRESS ^" WATER CLOSET 13.00 LOCALITY BATH TUB NEAREST CROSS ST. SHOWER OWNER 9 LAVATORY MAIL ADDRESS SINK CITY TEL. NO. DISHWASHER CONTRACT.O s CLOTHES WASHER ADDRESS e 0�"-f ' SWIMMING POOL RECEPTOR NO.a�1 LAWN SPRINKLER SYSTEM CI Y. TEL./^ STAA LIC WATER HEATER LICENSE NO.2 /^ 3J� CLASS o / DISTR CT NO. GROUP ZONE PRESSE BY V GAS SYSTEM OUTLETS OUTLETS OVER `0"' y O" 5 PER SYSTEM INDUSTRIAL w WASTE APPROVAL � INSPECTION RECORD Plan check fee PLUMBING PERMIT ISSUING FEE $ TOTAL FEE Plan check applicant Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBINGc 7 , City Tel. NO. GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER ? PLUMBING. I HEREBY CERTIFY TM T I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES G�` d6(v LICENSED AS REQUIRED LOS ANGELE COUNTY AND STATE OF GAS TEST �,1,✓� fe CALIFORNIA OR THAT I M THE LEGAL �R OF, AND INTEND TO w, RESIDE IN THE ABOVE SC I EO RESIO L P OPERTY. UTILITY CO. NOTIFIED �.7 ural, SIGNA TU RE OF PERMITTE FINAL cK: j .g' PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CASH 7604ZAN, 2 5 i 16.50 ` ✓ . ' C 76A667A ICE 8178)- 1 1/76 ,-.tPPLICATION FOR PLUMBING PERMIT MIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM @ FEE ADDRESS �j � ��� WATER CLOSET LOCALITY NEAREST A /J BATHTUB CROSS ST. r SHOWER OWNERt LAVATORY MAI L ADDRESS SINK CITY TEL.NO. DISHWASHER CONTRACTOR CLOTHES WASHER r ADDRESS SWIMMING POOL RECEPTOR CITY ���7r� TEL.NO. ~g-7f:00 LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER LICENSE NO. � CLASS Gig GAS SYSTEM OUTLETS DISTRICT NO. I GROUP ZONIJ PR VESSED BY OUTLETS OVER L:�— (9 C, C 5 PER SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD a . z?7 0 Lu �=r u Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE Plan check applicant APPROVALS DATE INSPECTOR'S SIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING City Tel.No. GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES I9 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE E BOVE DESCRIBED RESIDENTIAL GAS TEST PROPERTY. � UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE FINAL /, n s •��� �`,�!> `•` ,�.-<,'I ,'�.� i PLAN CHECK VALIDATION' CK. M.O. CASH PERMIT VALIDATION cK. M.O. CC'ASH 991�J 14 5 0 7.50a 7EAS67 17 5-50 10 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING ���g' COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT,NO. GROUP ZONE PERMIT NO. /O PLUMBER (� _ ( RECEIVED BY READY FOR DATE ISSUED 7 FIRST INSPECTION ADDRESS 611 9 ♦� 4:•..� %0166'' BUILDING CITYadj TEL. NO. ADDRESS COUNTY LOCALITY LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) Q 0.50 S 1 ADDRESS 19A 7 BATH TUB @ 0.501 CITY TEL. NO. SHOWER @ 0.501 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. KITCHEN SINK @ 0.50 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. LI GAS SYSTEM--,,I-OUTLETS @ 0.50 I SIGNATURE OF f r WATER HEATER @ 0.50 I PERMITTEM a:! ` '4 '-Yy .4,,,�.�` SLOP SINK @ 0.501 INSPECTION RECORD FLOOR SINK @ 0.50 1 1 J FLOOR DRAIN @ 0.501 _ J DISHWASHER @ 0.501 J DRINKING FOUNTAIN @ 0.501 URINAL @ 0.501 (� J HOUSESEWER @ 0.501 I a MISCELLANEOUS I I C7 I�J I APPROVALS I� DATE INSPECTOR'S NAME i 1 I ROUGH PLUMBING GAS PIPING 1 1 GAS VENT CESSPOOL @ 7.00 II I CESSPOOL �I ISEPTIC TANK: SEPTIC TANK I DRAIN ( ) PIT ( ) @ 1.00 I SEWER PERMIT . I I.00 GAS TEST UTILITY CO. NOTIFIED I" TOTAL FEE $ 6 FINAL WORKERS'COMPENSATION DECLARATION 76A667A I herkby aifir1n that I have a certificate of consent to self CE 617 (2-60) APPLICATION FOR PLUMBING PERMIT {� insure,or a certificate of Workers'Compensation Insurance,or (J a certified copy thereof(Sec.3800,Lab. .) �. A COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby fur shed. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING Certif' d copy is filed wit t t county ' di i s NUMBER FIXTURE OR ITEM • FEE ADDRESS LL 1Yty WATER CLOSET LOCALITY Ae ,-D te; ApplicanI NEAREST BATH TUB CROSS ST. e CERTIFICATE OF EXEMPTION FRO COMPENSATION INSURANCE SHOWER OWNE LAVATORY MAIL �.3 (This section need not be completed if the work involved ADDRE (rte y by the permit is for one hundred dollars ($100) or less.) SINK CITY EL.N l a0 I certify that in the performance of the work for which this DISHWASHER v /''/ V permit is issued, I shall not employ any person in any manner CONTRACTOR L,. fr so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER �/1// �„/ 0 ADDRESS Date Applicant SWIMMING POOL RECEPTOR U NOTICE TO APPLICANT: If, after making this Certificate of CITY, ' TEL.N >,/ LU Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM f a� P J STATE 1 LIC. / Compensation provisions of the Labor Code, you must forth- LICENSE N . 7�.)3 CLASS — with comply with such provisions or this permit shall be WATER HEATER DIST NO. PRC)CESS deemed revoked. GAS SYSTEM OUTLETS LICENSED CONTRACTORS DECLARATION OUTLETS OVER 1' I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM /9 (commencing with Section 7000) of Division 3 of the Busi- FINAL �r �} o Q� VALIDATION ness and Professions Code, and my license is in full force and DATE r ((J� r effect. s FINAL License Numb Lic.Class �!� BY Contracto Date M 0 \\❑ I am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE :QP 137,7A or Reg.No. Date Plan check applicant 0 0 0 0 0 5 HOME OWNER-BUILDER DECLARATION Name I o 0 1 0.00 I hereby affirm that I am exempt from the Contractor's Address License Law for the following reason (Section.7031.5, Busi- City Tel.No. 0 0 0 1 Q,Q Q X0 ness and Professions Code): 13 I, as owner of the property, am exclusively contracting 7 2 3-80 with licensed contractors to construct the project (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 SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing,.and hereby authori a representatives of is Co nt to enter upon the above tinned proper rns c o pose Signature of Permittee Dat COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0403010017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 5336 ROSEMEAD BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917762211 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: 5388-010-001 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H4 LOCALITY: SAN GABRIEL, C 25 LAVATORIES/SINKS 1.00 FIX 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 03/01/04 VG 08/28/04 OWNER: TEL. NO: F FINAL BY: CODE: CHANG, KEH YAUN (626) 927-9755- 125 N. ALHAMBRA AVE. , t` MONTEREY PARK 91775 DESCRIPT� N K REPLACE EXISTING SINK APPLICANT: TEL. NO: HSU (626) 236-8005- 616 N. OLIVE AVE. SPECIAL CONDITIONS: ALHAMBRA, CA 91801 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE HSU, GEORGE (626) 236-8005- 616 N. OLIVE AVE. LIC. NO UNDER SLAB WORK ALHAMBRA, CA 91801 383572 B WATER SERVICE _ PLASTIC Y/N METAL Y/N ARCHITECT 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 REPORT ID: DPR263 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1102070001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID BUILDING ADDRESS: ON FILE 5336 ROSEMEAD BL 1 IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: SGAB CA 917762211 ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: OLIVE 15388-010-001 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, CI 1 105 BACKFLOW DEVICE(S) 1.00 DEV 16.30 TENANT: I11 CLOTHESWASHER(S) 1.00 FIX 16.30 IISSUED ON: PROCESSED BY: PLAN BY: IGO GO SPA 117 FLOOR DRAIN(S) 1.00 FIX 16.30 102/07/11 SR 1 1 121 HOSE BIBB(S) 2.00 FIX 32.50 1 1 OWNER: TEL. NO: 125 LAVATORIES/SINKS 7.00 FIX 113.90 IFINAL DATE FIN Y: CODE: IYOU, JING (213) 392-2293- 141 TRAP PRIMER(S) 1.00 SYS16.30 I 1 15126 ROSEMEAD BLVD. 145 WATER CLOSET/URINAL 1.00 FIX 16.30 "fit ��I ISAN GABRIEL CA 91776 147 WATER HEATER(S) 1.00 WTH 16.30 IDIESCRIPTION OF WORK 1 151 LOW PRS GAS 5 OUTLET 2.00 SYS 32.50 (TENANT IMPROVEMENT PLUMBING 1 TOTAL FEES 304.50 1 APPLICANT: TEL. NO: ICHIANG, SOLON (213) 392-2293- 15126 ROSEMEAD BLVD. 1 (SPECIAL CONDITIONS: 1 ISAN GABRIEL CA 91776 1 1 1 (CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I ITIM 0 HALE PLUMBING CONTRACTOR (323) 855-8136- 1 1 I 11555 N AVENUE 46 .LIC. NO 1 1UNDER SLAB WORK I ILOS ANGELES, CA 90041 689391 C36 1 I� I 1 I WATER SERVICE I 1 I 1 I (PLASTIC YIN METAL YIN I I I 1ARCHITECT OR ENGINEER: TEL. NO: I I I I ICALLAHAN, DAVID (626) 466-8500- 1 (ROUGH PLUMBING 1 1 1 11024 S. CALIFORNIA ST. LIC. NO: 1 11 I 1 ISAN GABRIEL, CA 91776 NONE 1 IGAS PIPING 1 I 1 I I I I I I I I IGAS VENT I I 1 I I I I I IHOT WATER HEATER 1 1 I I (PLUMBING FIXTURES 1 I I I I (LAWN SPRINKLERS I I I I I I I I I I I IGAS TEST I 11 11 I I I 1UTILITY COMPANY NOTIFIEDI I I I ICWV I (GRAY 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 (REPORT ID: DPR263 ROUTE TO: BS0508 I I I 1 I I I I I I I