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Home My Public Portal About5570 ROSEMEAD BLVD_Plumbing__ 76A881—CE 817488 APPLICATION FOR PLUMSI G PERVfT COUNTY OF'LOS ANGELES DEPARTMENT OF COUNTY ENGINMfBATDD �D BUIIAING AND SAFETY DMSION570 OS�J� JOHN A LAMBIE COUNTY ENGINEER ADDRESS MAID COLEMAN W JENKINS SUPT OF BUILDING1f OCi ` FOR APPLICANT TO PILL IN PR NEAUW NT OR TYPE NUMBER FIXTURE OR ITEM EACH FEff rj WATER CLOSET ISO BATH TUB 1 5pNAM NAIL 346�0 SHOWER 1 50 LAVATORY ISO COIRRACTOR 6I IC, IN�/ S L' SINK 1 50 ADDRESS 1099-o .•JV %vi DISHWASHER 1 50 F 110 -76 7 O CLOTHES WASHER 1 50 STATE ' LIC LICENSE NO CLASS SWIMMING POOL RECEPTOR l 50 DISTRICT N GROUP ZONE P my LAWN SPRINKLER SYSTEM 2 00 d WATER HEATER 1 50 BIDOSTAIAI. 8 WASTE APPROVAL GAS SYSTEM OUTLETS I50BISPL ON C D Z OUTLETS OVER C O 5 PER SYSTEM J0 /� YD F. Plan check fee 25% of above See reverse PLUMBING PERMIT ISSUING FEE S 2 00 TOTAL FEE APPROVALS DATE IHBKCT011 SBIONATUR[ Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT Glly Tel No HOT WATER HEATER 1 HERIRY ACKNOWLEDGE THAT 1 HAV[ BRAD THIS AWLICATION AND STAT[ THAT THE ABOVE IE CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY 01101NANCtl AND STATE "WE WOULATING GAS TEST PLUMBING 1 HEREBY CERTIFY THAT 1 AM IWERLY WGISTRWO AND/OR UTI LITYCO NOTIFIED R LICENSED AS REQUIRED BY LOB AHOELIS COUNTY AND STATE OF CALIFORNIA ER OR THAT 1 AM THE LEGAL OWNAMD INTEN0 TO BESIDE IN THE AWY[DEBCRIBRD ID[NTML Rn FINAL SIGNATURE JACK R ALLEN, SUPE VIAING MECHANICAL ENG'R OF PERMITTEEPERMIT VALIDATION (9) M D CASH PLAN CHECK VALIDATION CK MO CASH r,, 3555�R FEB 2 5D 350" T°A•ET APPLICATION FOR PLUMBING PERMIT R 1 DB[ 1T 10. D ON OF BU=ING AND SAFETY D"wbnmd of CoaBt7 Engl¢em COnBty of LOB Angeles BUILDING C !� JOHN A LAMBIE COUNTY ENGINEER ADDRESS '7 0 CASSATT D GRIFFIN,SUP T OF BUILDING LOCALITY F B APPLICANT TO FILL IN NEAREST c oss " OWNER — DISTRICT N ROUP ONE S/I READY roe INSPECTION MAIL ADDRESS INDUSTRIAL CITY6 NO WASTEAPPROVAL PLUMBER y� INSPECTION RECORD ADDRESS 15 CITY T.A. NO LICENSE NO 7 9v 3 7 NUMB R T E OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ it DO O BATH TUB a st oo SHOWER Q it oo LAVATORY (WASH BASIN) @ $too KITCHEN SINK i1 00 p� DISHWASHER ® it 00 LAUNDRY TUB OR TRAY Q it 00 O CLOTHES WASHER Q Coo If WATER HEATER pp 1 00 Qp GAS SYSTEM 13 C^Z s1D0 O Aj 06 d APPROVALS /oa � •AT INSPE OR 9 1GNATURE 1 00 UNDER SLAB WORK , IIe PERMIT i ROUGH PLUMBING i GAS PIPING TOTAL FEE Q GAS VENT 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITYCO NOTIFIED DESCRIBED RESIDENTIAL PROPERTY If— SIGNATURE _ OF PERMITTEE FINAL JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF FLOG INSPECTOR C[ M • GIM AD 2 0 3& SEP11 3 2 9.00 � 701447A (Ci 017011 -4/77 APPLICATION FOR PLUMBING PERMIT BUIL�SAFETY DIVISION FORAPPLICANTTO FILL IN I PRINTOR TYPE) BUILDING 5 S7� NUMBER FIXTURE OR ITEM O FEE WATER CLOSET LOCAUTY BATH TUB NEAREST CROSSST SHOWER OWNER LAVATORY MAIL ADDRESS SINK B 6 CITY TEL NO DISHWASHER CONTRACTOR POtre" Co. Ih0• CLOTHES WASHER ADDRESS 2654 No. San (labriel Blvd. SWIMMING POOL RECEPTOR BaseMad TEL NO 283-11473 CITY LAWN SPRINKLER SYSTEM STATE 2lS753 CL C-36 WATER HEATER LICENSE NO CLASS GAS SSLSYSTEEMM OUTLETS J r ROLL I D 5PER SYSOVMR INDUSTRIAL /✓ �Y WASTE APPROVAL INSPECTION RECORD GW — N _S /0 9 Plan check fee `3 PLUMBING PERMIT ISSUING FEE$ / TOTAL FEE Q(� /� o O Plan check applKant r o Name APPROVALS DATE iMWECTOR 5 SIGNATUAE UNDER SLAB WORK AddmB ROUGH PLUMBING X26 City Tel No GAS PIPING I HEREBY ACRNOWLLDGB THAT 1 HAVE READ THLS AFPLN:ATION AND STATE GAS VENT �� THAT THE ABOVE IS COARCT AND AGREE TO COMPLY WTTH ALL COUNTY ORDINANCES AND STATE LAWS AEGUTATINC PLUMBING HOT WATER HEATER 1 HEREBY CERTIFY THAT I AM PROMRLY REGISTERED AND/OR MENSED AS PLUMBING FIXTURES REQUIRED BY LOSE=COUNTY AND STATE OF CALIFORNIA OR NAT I AM THE GAS TEST L LEGAL OWNER OF AHD ND TO RESIDS IN THE ABOVE DMIN11BO ASSIDENTIAL PROPERTY UTIUTYCO NOTIFIED SIGNATURE I of vERMme FINAL PLAN CHECK VALIDATION CA No CASH PERMIT VALIDATION CK M 0 CASH WORKERS COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT "I htneby affirm that I have a certificate of consent to self 20 0026 DPW 6/87 •insure or o certificate of Workers Compensation Insurance, 76A667A or a1a:ertr9fr,° copy thereof (Sec y b C >W� COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS Certified copy is hereby furnished Un FOR APPIICANi TO FILL IN(PRINT OR TYPE) BUILDING5[• 0 OI fr ^rtified copy rs filed with the �$ymy building rnapec- ADDRESS .!� /M C deporime t QCF'-�tr� NUMBER FIXTURE OR ITEM ® FEE LOCALITY Apph4am O(OYl+�S s+t WATER CLOSET �� NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB CROSS Sr COMPENSATION INSURANCE OWNER (This section need not be completed If the work Invelwd by SHOWER D O MAIL the perwitt Is for ono hundred dollars($100)or less) LAVATORY ADDRESS SQ I certify that in the performance of the work for which this 1 permit is issued, I shall not employ any person in any manner SINK CITY TEL NOZ pf, so as to become subject to the Workers Compensation Laws p DISHWASHER COAg NTRACTORA��- /APO 4L 1 Dote Applicant CLOTHES WASHER NOTICE TO APPLICANT If often making this Certificate of SWIMMING POOL RECEPTOR ADDRESS zs GLS. Exemption you should become subject to the Workers Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY / ;1 y TEL NO 962_Z with comply with such provisions or this permit shall be STATE p-�KQ�� LIC �J deemed revoked WATER HEATER LICENSE NO p / / CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS • " (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER lJ }} and Professions Code, and my license is in full force and effect 5 PER SYSTEM FINAL VALIDATION a` \ n `+ � � � DATE I2 J O License Nu Lrc Class ` O 1KG v "� TY rtVC. d11 FINAL ` � Contractor ' •Date ❑ I am exempt under Sec B dP C for this reason plan check fee I I Z Dote PLUMBING PERMIT ISSUING FEE$ 6"0 ... Signature TOTAL FEE Plan check applicant SINGLE FAMILY i s HOME OWNER-BUILDER DECLARATION Name 1 hereby offnm that I am exempt from the Contractor s License address '• Ts# Law for the following reason (Section 7031 5, Business and Professions Code) City Tel No 3W 82'50 ❑ I, as owner of the property will do the work and the 1 A M structure is not intended or offered for sale (Section TOTAL 8� �O 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY DECK 82.50 1 hereby affirm that there Is a construction lending agency for M/�L��AAustryS� rRs the performance of the work for which this permit is issued evTwa .W (Sec 3D97, Civ C ) ntwYf Lender s Name GOOD-0001 $/ IM Lender's Address 4811 1 AM 9137 1 certify that I have read this application and state that the ► above informationis coned I agree to comply with all County ordinances and State laws regulating Plumbing and hereby authorize reprelentotives of this County to enter upon the ve mention operty for inspection purposes 8 SEE REVERE FOR EXPLANATORY LANGUAGE nature of Permitteee Z I�0 -Dote tDa ote e L WORKERS Ihave COMPENSATION cafe of corse APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 76Aee7A �� insure or a certificate of Workers Compensation Insurance CE 817(REV 10/81) or a certifie Policy y N6 �d copy thereCompanyof (Sec 3800, Lab C ) / i u3 / 9 s�IE Nomo COUNTY OF LOS ANGELES BUILDING AND SAFETY 1"- r Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDINGJ� M EEAQ Certified copy is fled with the county budding mapec- ADDRESS v 1I' I {/.�{d rtment T NUMBER FIXTURE OR ITEM ® FEE LOCALITY Dote Apphsont • i(�` / W O WATER CLOSET re ~ C IFICATE OF EXEMPTION FROM WORKERS BATH TUB CROSS S NA S COMPENSATION INSURANCE OWNER C (This section need not be completed If the work lnvoived by SHOWER CJ the pormN Is for one hundred dellen($100)or less ) LAVATORY MAAD IL O I certify that in the performance of the work for which this SEMEAD permit is issued I shall not employ any person in any manner SINK CITU GM TEL NO so as to become subject to the Workers Compensation Laws DISHWASHER A /� CONTRACTOR f1 L+ Date Applicant CLOTHES WASHER NOTICE TO APPLICANT If after making this Certificate of ADDRESS G30 m Exemption you should become subject to the Workers SWIMMING POOL RECEPTOR /� ��'�rn Compensation provisions of the Labor Code, you must forth LAWN SPRINKLER SYSTEM CIN O ` \1 TEL ^ �,� with comply with such provisions or this permit shall be STATE v v LIC deemed revoked WATER HEATER LICENSE NO CIASS LICENSED CONTRACTORS DECLARATION DISTRICT NO SSED BY I hereby affirm that I am licensed under provisions of CFapter D GAS SYSTEM OUTLETS O (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER y and Professions Code,and my license is in full force and effect 5 PER SYSTEM FINAL �L[� VALIDATION d License Number I is Class DATE I�r " V FINAL K Contractor Date BY r O H ❑ 1am exempt under Sec d 8 8P C for this reason J in Dote Pian check fee ► Z PLUMBING PERMIT ISSUING FEE$ 6 Signature 3 P 8 8 P TOTAL FEE Plan check applicant x . . . . . 5 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name 2 e e 1 G 5 0 1 hereby affirm that I am exempt from the Contractor z License Address s vs e 1 F D Law for the following reason (Section 7031 5, Business and Professions Code) City Tel No 07.22-83 ❑ I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section Poo704, Business and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there iso construction lending agency for the performance of the work for which this permit is issued (Sec 3D97 Civ C ) Lender's Nome Lender's Address I certify that I have read this application and state that the 110,above information is correct I ogree to comply with all County o dinances and State laws regulating Plumbing, and hereby u ize representative of this County to enter upon the a e mention o f spe<non pu s 7 z� p V SEE REVERSE FOR EXPLANATORY LANGUAGE i nature of Pe mnte to I COUNTY OF LOS ANGELES TEMPLE CITY Y 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0511080004 BUILDING AND SAPETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 1 PHONE (616) 185-0488 EXT I LEGAL ID FEES PAID BUILDING ADDRESS ON FILE { 5570 ROSEMEAD BL FEE DESCRIPTION QUANTITY UO11 AMOUNT TEMP CA 917801801 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET ' 5387-078-019 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 MID H4 LOCALITY TEMPLE CITY C 13 INTERCHPTOR(S) 1 00 SYS 16 10 TENANT I TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 11/08/05 JX 05/07/06 OWNER TEL NO 1 FIMAL DATE FINAL BY CODE SEARS ROEBUCK CO (847) 186-8616- // /rJ 3333 BEV®tLY RD X HOFFMAN ESTATES IL ` D SC"IPT'IOH OF WORK ARANION EXISTING CLARIFIER IN PLACE APPLICANT TEL NO ) URS CORPORATION (714) 433-7783- 1010 H FIRST ST SPEC-AL CONDITIONS SANTA ANA CA 91705 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE ONE CORP (714) 433-7783- �I 1010 S FIRST ST SUITE 400 LIC NO UNDE SLAB WORK SANTA AHA CA 90705 560739 1 WAYS, SERVICE PLASTIC YIN METAL YIN ARCHITECT OR ENGINEER TEL NO I ROUGI PLUMBING LIC BO GAS (+IPIHG GAS VENT HOT lATIM NEATEN I PLUN3ING FIXTURES I LANNSDRINXLSRB I GAS LEST UTILITY COMPANY NOTIFIED CIN MAY NATER SYSTEM I i I i r ( 1 REPORT ID DPU63 ROUTE TO ES0508