HomeMy Public PortalAbout5604 ROSEMEAD BLVD_Plumbing__ 76�A 667,- CE B17 799
• •tAPPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION Ro1LaNNaBDDHrnR S—G oJ. .
JOHN A LAMBIE COUNTY ENGINEERCOLEMAN W JENKINS SUPT OF BUILDING LOCALITYFOR APPLICANT TO FILL IN PR NEAREU
r7P OR TYPE CH NUMBEA FI%TUBE OR ITEM EACH FEEOWNER "T//IV
WATER CLOSET I50 _BATHTUB 150 ADDRESS S4O � A4e'?9SHOWER 150 CITY �tF C/7 TEL NO
LAVATORY 1 50 CONTRACTOR '- rSINK ISO ADDRESS 11 1 /S 13/Q•�✓DISHWASHER 150 CRY -76 TEL NO YY7,41
CLOTHES WASHER 1 50 LIC
�ICENTATE BE NO .Z yaoYqCLASS l —/SWIMMING POOL RECEPTOR L50DISTRICT NO tr GR UP ZON! PR
LAWN SPRINKLER SYSTEM 2 00IF-
WATER HEATER 1 50 INDUSTRIAL
WABTC APPROVAL
GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD +
OUTLETS OVER C¢7
5 PER SYSTEM 30
N
Z
Plan check fee 25a of above See reverse
PLUMBING PERMIT ISSUING FEE E 2 00
TOTAL FEE 3
APPROVALS ATE ❑ oRs n A RE
Plan check applicant UNDER SLAB WORK 13
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No HOT WATER HEATER
LISY ACKNOWLEDGE THAT 1 NAV[ RILAD THIS AALICATION
TE THAT TH[ ASOW a CORRECT AND AGREE TO COMELY PLUMBING FIXTURES
LL COUNT' OnWNANQR AND RAT[ LAWS WGULATINO GAS TEST
OESY C[RTm THAT 1 AM IKOR[RLV I GninliRm AND/OR UTILITY CO NOTIFIED
D AS RWDIRIED SY LM ANGSLIS COUNTY ANO STAT[ OFNIA OK THAT 1 AM THE "GAL OWNER O• A O I TO 12N TH[AUDW DRSCIDIN O ltlaa NTIAL P FINALVR[ JACK R. ALLEN, SUPER /SING HA.ICAL ENG'R
UREPERMIT
PERMT VALIDATION cK 0% CASH
PLAN CHECKIVALIDATION Cl M o CASH ^ '
� J I
15r, 7 6 6,0E Wti18 5,U 350-•
44
TBAeeT.Ctee:T ' k?5"Ioe�APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEUAH'T�Tpp OA�F COUNTY ENGINEER FARL JOHN A LAM�I E� OC-UHTr ENGINEER �b
WILLIAM A JENSEN $UP T OF BUILDING m, �-
FOR APPLICANT TO FML IN JnBTNUMBER FIXTURE OR ITEM EACH F[E s
WATER CLOSET M n j
11 BATH TIB 195 ADDRESS 0
SHOWER 195 CITY - TSI. rO ; i 6
�? LAVATORY 115 CONTRACT �.y
BDXE 125 ADDRESS �[
DD511WASM 125 Tar t S f
ummRY TUB 1 n REGISTRATIONNOrO j comm 8
CLOTIM WASH® 1 n DIST3ICT NO GROUP ZONE I P EBBED BY
WATER HEATER 150
GAS SYSTEM OUTLETS
150 MDUSTRULL
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM m Dmeccnor REco u
41
I lot-
Z
APPROVALS DATE INSPECTOR 8 SIGNATURE
PERMIT s 2 OO UNDER SLAB WORK
e ROUGH PLUMBING
TOTAL PEE GAS PIPING
I HSTATE THAT
THLEDD[ 19 1 HAYS AND THIS w LIGATION GAS VENT
AND
IT FALL TNAT TN[ ABOVE IMA IE LAND S AND AGNELAWS RS COMELY
WITH ALL COUNTY OIIDIXANC[E AND STAT[ LAWS IIEOVLATIMp
PLUMBING
HOT WATER HEATER
I HERESY C[RfIFY THAT I AM PROPERLY REGISTERSD AND/OR PLUMBING FI%TU REB
LICENSED AS REOVIREO BY LOE ANG[L4 COUNTY
OUNT AND STATE DI GAS TEST
CALIFORNIA OR THAT 1 A THE LEGAL OWNER O AND INTEND TO
R[SID[ IN THE ASOWX BIOKO ID[NTIAL P96PURTV UTILITY CO NOTIFIED
SIGNATURE
OF
PER 111=E;
���— """'''......,,, FINAL
• ry'La.M 0 C ROBERTA WOOD
(l.cN�) M o CASH SUPERVISING MECHANICAL ENG R
Lt�,o4 8 0 4�2 1019 5 D 1 4.50—
70A667-CEW617 10.62 CRTY_ OF ��V��,(([//////
APPLICATION FOR PLUMBING PERM1�
COUNTY OF LOS ANGELES
DEPhDTMENT OF MES OZJN1TY ENGINM
Bo�iriN CI_AMB CDUUN-rr D ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY t
FOR APPLICANT TO FILL. IN CROSS NEAREST
7
NUMBER FIXTURE OR ITEM EACH FEE OWNER /
21- WATER CLOSET 11125 () ga MAIL
BATH TOB 125 ADDRESS
SHOWER 125 CITY LF + TEL NO LAVATORY 125 S� CONTRACTOR
SINK 125 ADDRESSDISHWASHER 125 Cm pp n TEELL NOLAUI/DHY SOB 1PS REGISTRATION NO .t l �/ p
CLOTHES WASHER 125 DIB[T�CT NuQ GROUP ZO E E pY
WATER HEATER 1 50
y
OSS SYSTEM-OUTLETS- 150 UmUSTRm
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 50 fSPECTION RECORD A t V
W
q — z
n C
APPROVALS DATE 1rv[PECT �1
PERMIT E 2 00 I R SLAB WORK
ROUGH PLUM /
TOTAL FEE GAS PIPING
I HEREBY ACNNOWLGDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATC THAT TH[ ABOVE 16 CORN[LT AND AOIR[ TO COMPLY
WITH ALL COUNTY ORDIMANCAS AND STATE LAWS REGULATING HOT WATER HEATER
PLUMMING
1 HeROY CERTIPY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LIC[NRSD AS R[OUIIRD BY LOS AMOE4E9 COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM PELEGOWNER OF AND INTEND TO
BESIDE IN THE ABO_V[ e[o RESml.TIAl PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OFPfiRMITf
FINAL
ATION ROBERT A WOOD
CR M O CASH SUPERVISING MECHANICAL ENG R
L-LO8 4 1 1�- FEB 9 5 D 9.50~ 2
jtrR GGcs�rT� / L•9v i / Ai!3 -;;Vj y► Ri.�&,ot
7" 7 D211117 "-BDAPPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY' �'
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF cNBIM[cR
FOR L TO FILL N rC / Q
PLUMBER �yVED BY READY FOR DANT[ ISSUED
FIRST INBPECTION
ADDRESS d- I (
BILD °CITY TEL No ADDRESS ' S If 0
/[
LOUNBE 6 PI G .RESl� LOCALITY T `
NEARS
PERMIT FEES NEAREST'ROBUST e7 �. / ✓,/ A
NUMBER TYF6 OF FIKTIIR[OR IWM F[E OWNER
MAIL
WATER CLOSET(TOILET) @ Dan B ADDRESS
BATH TUB @ Bea CITY TILL NO
SHOWER @ 060 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O BO APPLICATION AND STATE THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK @ DBD AND STAT[ LAWS REGULATING PLUMBING
I H
CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 050 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE R[SID[NTIAL PROP[ DESC B[ ABCV[1
DAB SYSTEM-OUTLETS @ ODD V
SIGNATOR[ OF
WATER HEATER @ 050 PCRMITT[
-22
BLOP BINK @ DBD INSPECTION RECORD
FLOOR BINK @ D BG
FLOOR DRAIN @ OBD
DISHWASHER @ DBD
DRINKING FOUNTAIN @ OBC
URINAL @ M50
HOUSE SEWER O 050 _
MISC[LLAN[OUB13
IC
APPROVALS
DATE INBRDIOR'B MING
ROUGH PLUMBING
GAS PIPING
DAB VENT
139MMOOL @ 100 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 100 SEWER
PERMIT too GAB TEST {
TOTAL FEE
UTILITY CO NOTIFIED ,J v
B /
FINAL /cT
1 - 1
T•AEor 013817 I'•°D APPLICATION FOR PERDIIT
DEPARTMENT OF IIII.DINCi AND SAFETY PLUMBING
�U B N G
COUNTYLOS ANGELES C
WILLIAMAMJ.. rFOX, CHIEF [NOIN[sR
FOR APPLICANT TO FI !J4 OIEFTRIGT MO. GROUP I ZONE PERMIT •
S ZiS'" 3
PLUM![R RECEIVED n READY MR ISSUED
►IRCf INSPECTION
ADDRESS i 2/
BUILDING C (9
CITY TEL NO ADDRESS
COUNTY
IS MO G D LOCALITY
NEAREST
PERMIT FEES CROSS BT 1464
MUMB[K TYFL or rl%TIIIL DI11TO1 F[[ OWNER
MAIL
WATER CLOSET(TOILET) @ [LBO • V ADDRESS
BATH TUB @ 050 CITY TEL No
SNDW[R @ a BD 1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WARN BASIN) @ 050 APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT
AND AOR[[ TC COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK @ 050 AND STAT[ LAWS REGULATING PLUMBING
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUYDRY TUB OR TRAY @ 050 ANGELES COUNTY LICENSE. OR 1 AM T [ Lr^., OWNER
GAH ByBT[Y ^UTL[TS @ O 60 CF THE REBID[ PROPERTY D B AS
SIGNATURE or
WATER HEATER @ O 60 P[RMITT[�vnffO�+n� n�
BLOP SINK @ CBC INSPECTION RECORD
FLOOR SINK @ o sO
FLOOR DRAIN @ 080
DISHWASHER @ ago
DRINKING FOUNTAIN @ 050
URINAL @ G.BO I
HOUSE SEWER @ QBO Z_
M(SCELLANEDUS 0
APPROVALS
T[ 1148 a DR•E NAME
ROUGH PLUMBING
0AS PIPING
BAB VENT
CESSPOOL @ 1 m CESSPOOL
SOrTID TANK• SEPTIC TANK
DRAIN ( ) PIT ( @ 100 SEWER
PERMIT 1.00 BAB TEST
TOTAL FEE S O(� UTILITY CO NOTIFIED
rINAL �' /
7e am IT ll a APPLICATION FOR PERMIT
DEPARTMENT OF- ANG AND SAFETY PLUMBING
COIINTY FF LOS LOS ANGELES
WILLIAM J.. FOX, cHl[► ENGINEERS
FOR APPLICANT TO FILL IN
PLUMBER q[0 rv[D ry READY FOR DAT[ IBBU
FIRST INSPECTION _ `�
ADDRESS _l
CITY TEL No
ADDa TS, SG
COUNTY LOCALITY CH L Ls C
•
PERMIT FEES NGR[BT
CROSR BT A V
MYM•E• TYK OF II% w an mm R[ OWNER CST
MAIL
WATER OL08ET(TOILE ) 0 050 B ADDRESS H
BATH TUB 49 080 CITY TEL Ma.
SHOWER ® 050 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WARN BASIN) DSD APPLICATION AND STATE THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK 050 AND STATE LAWS REGULATING PLUMBING.
I ER
CTIFY THAT 1 POBBEM THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY ago ANGELES COUNTY LICENBE. OR 1 N TN LEGAL OWNER
OF THE RESIDENTIAL P ED ABOVE.
DAB BYST[H_OUTLETS O 050
BIONATURE 0►
WATER HEATER 050 PEINITT[
GLOP BINK ® 660 INSPECTION RECORD
BOOR SINK O 1:150
►LOOR DRAIN a OLEO
D1514WASHICR B 650
RINKINO FOUwTAIN O 050
URINAL 0 650 I
HOUSE SEWER • 650 Z_
MISCELLANEOUS
K
O
APPROVALS
DATE NAME
ROUGH PLUMBING
BAB PIPING
OAR VERT
CESSPOOL @ IDO CESSPOOL
SEPTIC TANKS newaxtcmsmcmm.
DRAIN ) PIT ( 100 BEWER L
PERMIT 100 DAB TEST
TOTAL FEE
UTILITY CO NOTI►IED
rIMALYD
' WORKERS COMPENSATION DECLARATION ' APPLICATION FOR PLUMBING PERMIT
I hereby affvm that I have a certificate of consent to self 20028 DPW 8/87
Insure'or a certificate of Workers' Compensation Insurance 76A667A •
or o certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS ,
Policy No Company •
Pol
Certified copy is hereby furnished
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
a 5 O ` O , Y
Certified copy is hied with the county buildingmapec- ADDRESSG/r
bars deportment NUMBER FIXTURE OR ITEM ® FEE LOCALITY -
Dote Apphtant WATER CLOSET NEAREST t
CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB ^ CROSS ST 1
COMPENSATION INSURANCE o
SHOWER OWWR
W HA
(This"Olon need not be completed If the work Involved by
the permit is for one hundred dollars ($100)or leu ) LAVATORY MAIL
4 ADDRESS np
I enmity that
issu m the performance of the work for which this SINK CITY ��` & ' ND�- 1 3 q
permit is issued 1 stroll not employ any person In any rti Laws Z-V
so m to become subject to the Worker Compensation Laws
x I
DISHWASHER CONTRACTOR
Data Applicant CLOTHES WASHER ADDRESS i
NOTICE TO APPLICANT If, after making this Certificate of
Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR
CITY TEL NO
Comwith comply with
such
r the Labor Code, you mutt forth- LAWN SPRINKLER SYSTEM
with comply with such provisions or this permit shall be STATE LIC
deemed revoked WATER HEATER LICENSE NO CLASS
LICENSED CONTRACTORS DECLARATION GAS SYSTEM OUTLETS DISTRICT NpPROCESSED BY
I hereby affirm that I am licensed under provisions of Chapter 9 d p
(commencing with Section 7000) of Division 3 of the Business OUTLETS OVER u yy
and Professions Code,and my license is in full force and effect S PER SYSTEM FINAL VALIDATION
DATE
License Number Uc Class-
FINAL / a'
Contractor Date BY t G
❑ a
I am exempt sirdar Sec _
B 8P C for this reason Plan check fee Z
Date ,..,
PLUMBING PERMIT ISSUING FEES
Signature
TOTAL FEE Z OO
SINGLE FAMILY Plan check applicant
HOME OWNER-BUILDER DECLARATION Name - 5
1 hereby affirm that I am exempt from the Contractors License
Law for the following reason (Section 7031 S, Business and Address r)i-t T.iv
Prof mmns Code) - 1 City Tel No
owner of the •o t - �17 �v.Ult
I as
property, well do the work and the
structure a not Intended or offered for sale (Section Opp. 1 ITEM
7044, Business and Professions Code) `
CONSTRUCTION LENDING AGENCY r T!ITAL $ Op
I hereby affirm that there is a construction lending agency for i i-HECK 28.00
the performance of the work for which this permit is Issued
(Sec 3097, Civ C ) C{MISE ON
Lenders Name -
Lender a Address
OO�J-OQ171 x/15/91
1 certify that I have read this application and state that the p
above information is correct I agree to comply with all County ► u'` � 1 fM 81:376.
ordinances and State laws regulating Plumbing and hereby
authorize reprelentatives of this County to enter upon the '
above-mentioned property for inspection purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE
00_/4
Signature of Perfnitlaa f DIae '
i
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1103290002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0480 EXT
I.SGAL ID FEES PAID BUILDING ADDRESS
ON FILE 1 5604 5608 ROSEMEAD BL ]
I FEE DESCRIPTION QUANTITY iUOM AMOUNT TEMP CA 917801842
ASSESSOR INFORMATION NUMBER ,"e .. \ I_ f - NEAREST CROSS STREET IAS TUNAS
5387-028-017 01 PERMIT ISSUANCE FEB 27 80 THOMAS PAGE 596 GRID H4 LOCALITY TEMPLE CITY, Cl
125 LAVATORIES/SINKS 1 00 FIX 16 30 I
(TENANT TOTAL FEES \44 10 (ISSUED ON PROCESSED BY PIAN BY
IHADI AUG 1 ` ` _ )�" 103/29/11 SR
]OWNER TEL NO IF DATE FI B CODE
]AUG, HEDI -
16206 IVAR AVE �� 1
TEMPLE CITY CA 91780 IDIPT ION OF RK
(CAP FF SINKS UPSTAIRS AND DO STAIRS RUN COLD WATER DW ]
I ] )TO KITCHEN SINK, BOXED IN DWV PIPING ON OUTSIDE AND STUCCO ]
(APPLICANT TEL NO
GUSTAVO LOPEZ PLUMBING fi ELECTRIC (626) 359-2454-
1835 FRANCITA AVE ISPECLAL CONDITIONS
DUARTE, CA 91010
I I
I CONTRACTOR TEL NO ]APPROVALS DATE INSPECTOR SIGNATURE
IGUSTAVO LOPEZ PLUMBING AND ELECTRIC (626) 359-2454- 1
1835 FRANCITA AVE LIC NO
(UNDER SLAB WORK
DUAATE CA 91010 C-36
I ] WATRR SERVICE
PITS"IC YIN METAL YIN
ARCHITECT OR ENGINEER TEL NO
] LIC NO I IROUG4 PLUMBING
GAS PIPING
( IGAS VENT
IHOT WATER HEATER
. IPLUM4BING FIXTURES
` (LAWN SPRINKLERS
IGAS TEST
(UTILITY COMPANY NOTIFIEDI
- 1 cwV
i
IATER SYSTEM
I I I
I I I
I I
ADDITIONAL DATA ON FILE
J (REPORT ID DPA263 ROUTE 1b BSOSOB
I —I
( I `