HomeMy Public PortalAbout5528-30 ROSEMEAD BLVD_Plumbing__ D H S-17 25M BETS 12-15 ( APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY �����'��
COUNTY OF LOS ANGELES
WY J FOX. CHIEF ENGINEER
NATUREOF INSTALLATIONISTR1 OUIP0 PERMIT NO
ROUGH nX'I71RQY COYPL6'f[ F C
HEATER CESSPOOL SEFTIC TANK REAOY FOR
PI RGT INSPECTION DATE ISSUED
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
SAYE ' ADORESYJOe 1
B ADDRESS �� LOCALITY a
NEAREST` CITY Rpy�-LL. TEL No CROSS ST
COUNTY
CERT No SK►IRES 6 NAYS
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 MAIL
ADDRESS
NORTH O
CRY TEL No
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFIC E OF OU (CATION
PLUN[A
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
BE OM NCI
CORRECTIONS
SOUTH
DESCRIPTION OF WORK
ATN TUB FURNACE �
rWA
ER DISHWASHER Q
TORY REFRIGERATOR
HEN OINK WATER SOFTENER
R OINK RAND TRAP
OINK F ^^R DRAIN
TRAY URINAL APPROVALS
R CLOSET DRINKING FOUNTAIN
DATE INO[CTO[[MAY[
R HEATER -DENTAL LAVATORY ROUGH PLUMBING
^AS SCOA FOUNTAIN OAS PIPINGOUTL
GAO VENT
CESSPOOLL NUMBER OF FIXTURES SEPTIC TANK - J
ie XGGPOOL SEPTIC TANK SEWER /
{ f
TOTAL PEE �
UTILITY CO NOTIFIED
, l
FINAL,
]BASS) {CE-BI]I 4/72 6��y
APPLICATI�OR F�LUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
,HAKE CHECKS PAYABLE TO ADDRESS
HARVEY T BRANDT. COUNTY ENGINEER
LOCALITY Q �'
FOR APPLICANT TO FILL IN (PRINT OR TYPE) CROSS ST
NUMBER FIXTURE OR ITEM ® FEE
OWNERol
WATER CLOSET 1 7S L
M41L J
BATH TUB 1 75 ADDRESS s Q/fJPj�p
SHOWER 1 75 CITY TEL NO
LAVATORY 1 73 CONTRACTOR
SINK 1 75 ADDRESS
DISHWASHER 1 75 CITYZj� TEL NO
CLOTHES WASHER 1 75 STATE �+p n LIC
LICENSE NO oto O• CLASS
SWIMMING POOL RECEPTOR 1 75
DISTRICT NO GROUP ZONE FR ESSED BY
LAWN SPRINKLER SYSTEM 1 75
WATER HEATER 1 73 WASTE 9MOVAL
GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD c..1
OUTLETS OVER 30
5 PER SYSTEM
O
i
Plan check fee S.. R.•.r..
PLUMBING PERMIT ISSUING FEE S 3 00
TOTAL FEE
APPROVALS DATE IH.rccroB B .I.NAruBe
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUM BI NO GAS TEST
I HEREBY CERTI" THAT 1 AM PROPERLY REGISTERED ANO/OR UTILITY CO NOTIFIED
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE Of
CAL(;OMNIA OR THAT C LEGAL OWNER Of NO INTEND O
RCSIOC IN THE ABO ESCRI ED RESIDENT PR RTY FINAL
SIGNATU RE
OF PERM TEE
PERMIT VALIDATION cK Mp c•BH
PLAN CHECK ,DATION CK M ca H �n�J
AP„ 3 1 3 873 SEP 12 5 D 6 .508
11 BB aT 8EM BETS 1&45 I ` APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
'COUNTY OF LOS ANGELES PLUMBING 1
WN J PDX. CHIRP ENGINEER
N
ATURE TIO IST 1 6 /SOUP O� ' PERMIT
FIXTURES COMPLETE / r / G
g
CESSPOOL SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION S
1 LAN
/A//PffPLICANT �FIILL IN/HEAVILY OUTLINED PORTION ONLY
JOB
ADDRPRO/J O fiGLi/r LOCALITY
p, NEAREST
C71�»,.i�n, TEL Ho�(ij��J/� cROEB ST
LI EXPIR C NAME
OF SEPTIC TANK, OR CESSPOOL MAIL
DA nu
NORTH O
CITY TEL H
I AY THE LEGAL POSSESSOR OF THE ABOVE LO8
ANGELES COUNTY CURT�"37c�OP GUALIPICATION
►wreEn �
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER
CORRECTIONS
V
SOUTH
DESCRIPTION OF WORK
ATH TUB F•'RNAC6
NEWER DISHWASHER O
---LAVATORY REFRIGERATOR —y—
ITCHEN SINK WATERSOPTENER
R BINK SAND TRAP
SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CIAYR DRINKING FOUNTAIN
DATE IN�IECTOR•E NAME
WATER HEATER -----DENTAL LAVATORY ROUGH PLUMBING
ETERGAS SODA FOUNTAIN GAB PIPING
OUTL
GAB VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOI- SEPTIC TANK SEWER
B
TOTAL PEE UTILITY CO NOTIFIED
T NA
COUNTY OF LOS ANGELES TEMPLE CITY $ 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0306240029
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 ENT:
LEGAL ID: FEES PAID BUILDING ADDRESS
ON FILE 5528 ROSEMEAD BL
FEE DESCRIPTION QUANTITY UOM AMOUNT: TEMP CA 917801801
ASSESSDR INFORMATION NUMBER: NEAREST CROSS STREET BROADWAY
5387-027-022 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H4 LOCALITY- TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20
TENANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN By EXPIRES ON
06/24/03 JK 12/21/03
OWNER TEL NO' TrUE-5ATE FINAL BY CODE
LIN CHIN LIN (626) "7-4789-
430
/.-�
430 NAOM I AV
ARCD 910077310 6ESCRTPTTumO
NEW HVAC SYSTEM
APPLICANT - Ter. Nr-
CONNOR A/C (626) 286-3157-
4931 ENCINITA AVENUE SPECIAL CONDITIONS
TEMPLE CITY 91780
CONTRACTOR:
TEL NO APPROVALS DATE INSPECTOR SIGNATURE
CONNOR A C (626) 286-3157-
4931 N ENCIMITA LIC- NO LINDER SLAB WORK
TEMPLE CITY, CA 91780 403735 C38WATER SERVICE
'
PLASTIC Y/N METAL Y/M
ARCHITECT OR ENGINEER TEL NO
ROUGH PLUMBING
LIC. NO-
GAS PIPING
GAS VENT
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY KOTIrM
CwV
* ADDITIONAL DATA ON FILE
REPORT ID DPR263 ROUTE TO BS0508