HomeMy Public PortalAbout5614 ROSEMEAD BLVD_Plumbing__ DEPARTMENT APPLICATION FOR PSR3W
COUNTY
O BUILDING AIM PLUMBING
J FOX.CHIEF ENGINEER
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DEPARTMENT OF BUMDING AND SAFETY PLUMBING
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COUNTY OF LOS ANGELES
WILLIAM J FOX. CHIEF ENGINEER
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BH WER O EO 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY WASH BASIN) O EO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE 70 COMPLY WIT
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KITCHGN BINK O EO STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY O Eo ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
OF THE REBIDHNTIIAA , PROPERTY D RIBED OVH
GAB SYSTEM_OUTLETS O SIGNATURE OF
WATER HEATER O 60
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UTILITY CO NOTIFIED
TOTAL FEE B � O FINAL
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BUILDING DSAFETYDIVISION
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NUMBER FIXTURE OR ITEM O FEE ADDRESS O sG Cc V
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LAWN SPRINKLER SYSTEM
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55 PER STYSW INDUSTRIAL
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INSPECTION RECORD
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Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTALFEE
Plan check applicant
APPROVALS DATE IXSPCCTOR s s10NATURC
Name
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel No GASPIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AID STATE UWS REGULATING PLUMBING HOT WATER HEATER
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY OF IA OR TWAT I AM THE GAS TEST
WN
lfWl OER OF AND INTEND T IDE IN W D CRISED RESIDENTIAL
PROPERTY UTILITYCO NOTIFIED
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OFFEU R
OF PERM nTEE
FINAL
PLAN CHECK VALIDATIO CK Mo CASH PERMIT VALIDATION K Mo C sH
9 0 O'DEG --)0 5 D 10.50-A-3
TFAYEA (CIE •ve) -4/17
APPLICATION FOR PLUMBING PERMIT y�Jl
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING .54;1,4
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NUMBER FIXTURE OR ITEM O FEE AARM
WATER CLOSET LOCALITY
BATHTUB NEAREST
CROSS ST u S
SHOWER OWNER C Q
LAVATORY MAIL
ADDRESS O
SINK CITY L TEL NO
DISHWASHER CONTRACTOR
CLOTHES WASHER
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SWIMMING POOL RECEPTOR
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(AWN SPRINKLER SYSTEM CITY EL NO
STATE LIC
WATER HEATER �..� LICENSE NO �— CLASS C-0
GAS SYSTEM OUTLETS DISTRICT NO GROUP 2 NE ED BY
IST` DIpYyE 3
50 PER YYSTEMR INDUSTRIAL
WASTE APPROVAL cc
INSPECTION RECORD
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Plan check fee
PLUMBING PERMIT ISSUING FEE S
TOTAL FEE
Plan check oppllmnt
NOflle APPROVALS DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel No GAS PIPING
I HEREBY ACKNONM LEDGE THAT I HAVE RETINS AKLICATMN AND STATE GAS VENT
THAT TME ABOVE n CORRECT AND AGREE TO CONPLY MRH ALL C W NTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT I AN FAOIi REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AN THE GAS TEST
LEGAL OWMER OF AMD INTEND TO IN THE pMAIBED RESIDENTIAL
PROPERTY UTILITY CO NOTIFIED
SIGNATUREMITT
OR PEREE FINAL
PLAN CHECK VALIDATION CK No CASH P IT VALIDATION CK No CASH
70 �D 15 5 D 7.50 Aid
COUNTY OF LOS ANGELES TEMPLE CITY 11 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC (ARKS 9701 LAS TUNAS PL 0508 0108310018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA(626) 28510488 BIT
LEGAL ID- FEES PAID BUILDING ADDRESS:
ON FILE 5614 ROSEMEAD BL
FEE DESCRIPTION QUANTITY. LION AVAMT TEMP CA 917801849
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS
5387-028-016 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID- H4 LOCALITY TEMPLE CITY
25 LAVATORIES/SINKS 1 00 FIX 16 20
TOTAL FEES 43.95
ISSUED ON PROCESSix BY PLAN BY Ewqlrg-ow—
MANDALAY SPICES & GROCERIES 08/31/01 JK 02/27/02
OWNER TEL. NO FINA CODE
SU( CINDY S TR CINDY SUI TRUST (213) 266-0222-2207 ATLANTIC L !J $ I
NTPK 917546803 6ESCKI4 FZfO6
MDP SINK
APPLICANT: TEL. NO
J.P. CONSTRUCTION (626) 572-9181-
2714 STINGLE AVE SPtCIAL
ROSEMEAD 91770
5 PTIGELES CO
APPROVALS DATE INSPnTUMMUTM—
J P CONSTRUCTION CO (626) 572-9181- Oro
STINGLE AVE LIC NO UNDER SLAB WORK
ROSEMEAD, CA 91770 LOMITA B/LWATER SERVICE
i PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL NO
ROUGH PLUPWINU
LIC N0GAS PIPING
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GAS VENT
HOT WATER HEATER
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GRAY WATER SYSTEM
ADDITIONAL DATA ON FILE
REPORT ID DPR263 ROUTE TO SS0508