The URL can be used to link to this page

Home My Public Portal About5585 ROSEMEAD BLVD_Plumbing__ ouooe lae-Rnel .*/TE V[ie/I7T�✓� -/ APPLICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION rDISHWASHER LICANT TO FILL IN (PRINT OR TY PEI BUILDING FIXTURE OR ITEM ® FEE ADDRESS CLOSET �J LOCALITY UB NEAREST CROSS ST OWNER ORY MAIL ADDRESS CITY TFL NO SHER CONTRACTOR ES WASHER ADDRESSNG POOL RECEPTORPRINKLER SYSTEM CITY / TEL NO 3.Z,3-// STATr LIC WATER HEATER LICENSE NO /9 9CLASS.'3E-YZ d DISTRICT NO GROUP 20NE P CES BVCD GAS SYSTEM OUTLETS (/-7) c.D OUTLETS OVER sJ O �- '�' C- 5 PER SYSTEM IND LJ57RIAL ��JJ�+ ' ' WASTEAPPROVA ,0,6,.•✓'oAY` INSPECTION RECORD — 7 G nq I-c"� c /� r NPI,, heck-fee L 9 PLUMBING PERMIT ISSUING FEE S SP 6-S AA, /n/ - L4Jlr! TOTAL FEE "— A"'/,�E.I'"-h- r4m c+ - Plow S Plan check applicant Nagle APPROVALS DATE iMSPECTOR s SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING 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 PLUM SING I HERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICE MBE0 AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM E LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DE R ED R I NTIAL R OPERTY UTILITY CO NOTIFIED SIGNATURE OF PERMITTEE FINAL PLAN CHECK VALIDATION CA M 0 CASH PE I VALIDATION cX G CASH 749�ff 14 5 0 82.5pe:a RKER S I hereby affirm that I have a certicate Dof uwanntIXfoist Insure �DPW �e/� APPLICATION FOR PLUMBING PERMIT or a cert*ate of Worker a Compensation Insurance, or a certified copy thereof(Sec MID Lab C) / Policy No /*IdL%e,Ccmpany-f2&4�/�l1 COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS DEPT OF PUBLIC WORKS DIV ❑ Camfled copy Ie hereby fumadied FOR APPLICANT TO FILL IN(PRINT OR TYPE) WREIN WG ✓LJ department cagy Is filed with the county bull�rg inspection AODRESS depeRment .` _ I ,( NUMBER FIXTURE OR ITEM ® FEE � LX7/l 41 en A 1nr, rQ NEAREST Date �D--�- y� Applicant WATER CLOSET NEARE6T CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB CROSS ST COMPENSATION INSURANCE ASSESSOR MAS BOOR PAGE PARCEL (This section need not be completed If the work Involved by the SHOWER permit Is for one hundred dollars({100)or lees) LAVATORY OWNER I comfy that to the performance of the work for which this permit is issued I shall not employ any person in any manner so as to SINK ADDRESS become subject to the Workers Compensation Laws ' DISWASHER CITY TEL NO 7 Date APPlcem CLOTHES WASHER NOTICE TO APPLICANT If after making this Certificate of CONTRACTOR ,P Exemption you should become subject to the Workers Compensation SWIMMING POOL RECEPTOR provisions of the Labor Cade you must forthwith comply with such ADDRESS h provisions or this permit shell be deemed revoked LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION Grrylckic4lha 1 hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER ^ TEL NO Q}, (commencing with Section 7000)of Division 3 of the Business and STATE '` — LIC - 8 Professions Code and my license is in full force and effect GAS SYSTEM OUTLETS LICENSE NO J CLASS OVER _ t DISTRICT-NO yGPROCESSED Ir 5 PER SYSTEM License,Number 4 14 Lic Close � se-G�. O VALDATION Camracwp�S DA CL ElI am FINAL Z exempt under Seo BY B AP C for this reeeun c Date Plan check fee J Signature PLUMBING PERMIT ISSUING FEE$ , fC I .i ❑ TOTAL FEE SINGLE FAMILY check eck applKlard 1 ITEC S HOME OWNER-BUILDER DECLARATION Name T11TAL 39 . 30 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 6 Business and Professions Address - CHEM 37.30 Code) ❑ city Tel No CHAPS ,M I as owner of the property will do the work and the structure is not Intended or offered for sale (Section 7066 Business and Professions Code) CONSTRUCTION LENDING AGENCY ccc; I hereby affirm that there is a construction lending agency for the JJJ- 1 AN 9-2.3 performance of the work for which this permit Is issued (Sec 3097 Civ C) Lender a Name Lender a Address I certify that I have read this application and state that the above 010.Information is correct I agree to comply with all County ordinances and State laws regulating Plumbing and hereby authorize representative$of this Coun to enter upon the above mentioned pro f Inepec Dlh p e SEE REVERSE FOR EXPLANATORY LANGUAGE g— 9d— SignSWTe 0f �i Daae • COUNTY OF LOS ANGELES TEMPLE CITY Y 0508 rPt[f1BTNG-PEM DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS LPL-0508-980622OOOD BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE (818) 285-0488 EXT: LEGAL ID FEES PAID BUILDING ADDRESS BK 105 PG- 86 PC- 6 5585-RCISEIIIM BL7 FEE DESCRIPTION QUANTITY LION AMOUNT TEMP-CA-947801802 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LAS TUNAS 5387-032-062 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY, C 03 BACKWATER VALVE(S) 1 00 VAL 46 95 TENANT 25 LAVATORIES/SINKS 1 00 FIX 16 35 ISSUED ON PROCESSED BY. PLAN BY EXPIRES ON SAY-ON 47 WATER HEATER(S) 1 00 WTH 16 35 06/22/98 LIT 06/22/99 TOTAL FEES 107.40 OWNER --TEF No FINAL DATE CODE SAV ON R 2100 SWIFTGAVE L 00 _ Mzz q3� OAK BROOK, IL G INSTALLATION OF PHOTO SINK/W TH-BACKFLOW VALVE_ /INSTAHOT APPLICANT NO WATER HEATER AND EMERGENCY EYE-WASH 1 DYNASTY PLUMBING, INC (714) 450-0495- 208 TECHNOLOGY STA SPECIAL CONDITIONS IRVINE, CA � C, G APPROVALSCONTRACTOR / OANELES c0(j DYNASTY PLUMBING, INC (714) 968-8655- 208 TECHNOLOGY DR, STE A LIC NO UNDER SLAB WORK IRVINE, CA 92718 5701860-36 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER TEL NO g ROUGH PLUMBING \` LTC NOGAS VENT I SQ-) rJ�!�� 1� In ll�' NOT WATER HUTMF— PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST A _ o�L orrn,v Fav xarrFT>� 1 J REPORT ID DPR263 ROUTE TO BSO5O8 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0702080011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS BK 105 PO 86 PC 6 5585 ROSEMEAD BL 1 IFEE DESCRIPTION QUANTITY DOM AMOUNT TEMP CA 917801802 1 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET IAS TUNAS I53B7-032-062 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY, C� 125 LAVATORIES/SINKS 1 00 FIX 16 20 1(TENANT 45 WATER CLOSET/URINAL 1 00 FIX 16 20 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON CVS PHARMACY TOTAL PEES 60 15 02/08/07 JK 08/07/07 I I IOWNER TEL NO (FINAL DATE FINAp AY CODE CVS REALITY CO (401) 770-3578- 11 CVS DR W OONSOCKET /'/• 1 IRI 02895 DESCRIPTION OF MURK 1 IPLUMING FOR UNISEX TOILET ROOM APPLICANT TEL NO IMCO ARCHITECTURE (626) 793-9119- 1 1 11055 E COLORADO BL SPECIAL CONDITIONS 1 PASADENA CA 91106 1 1CONTAACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE 1 ISTEVE JMIUS CONSTRUCTION (949) 369-7820- 1 1 1230 CALLS PINLORESCO LIC NO (UNDER SLAB MORD[ 1 1 ISM CLEM6NTE, CA 92672 553607 B I- I WATER SERVICE 1 1 I PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER TEL NO 1 - ROUGH PLUMPING LIC NO 54 1 GAS PIPING I 1 I GAS VENT I 1 HOT WATER HEATER PLUMING FIXTURES 1 1 LAWN SPRINKLERS 1 1 IGAS TEST 1 1 I I (UTILITY COMPANY NOTIFIgD I 1 I CWV I (MAY WATER SYSTEM I I I I I I I I i I I I I I I 1 I I I I I I I 1RSPORT IO DPR263 ROUTE TO 850508 1 I 1 I I