Loading...
HomeMy Public PortalAbout5818 ROSEMEAD BLVD_Plumbing__ 76A667A ICE 8 17131-11/76 APPILICATION,,FOR PL -MBING PERMIT BUILDING AND SAFETY ISION FBATHTUB OR APPLICANT TO FILL IN(PRINT ORTYPE) BUILDING FIXTURE OR ITEM @ FEE ADDRESS NEAREST R CLOSET LOCALITY C -a CROS ST. AVEER OWNER TORY MAIL ADDRESS CITY TEL.WASHER CONTRACTO��ES WASHER ADDR SWIMMING POOL RECEPTOR 7E i�• LAWN SPRINKLER SYSTEM09 SATE / LICp / WATER HEA LICENSE NO�® ��/!J CLASS GAS SYSTEM OUTLETS DISTRICT NO. GROG Z NE PR ESSE BY OUTLETS OVER 5 PER SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD in 6 Plan check fee PLUMBING PERMIT ISSUING FEE$ d,_ V TOTAL FEE 71 Plan check applicant Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK Address 1. ROUGH PLUMBING City Tel.No. GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE j -�) OF PERMITT FINAL PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONCK. M.O. CASH 5 9 1 DEC 9 5 U 7.5 0 es APPLICATION FOR PLUMBING PERMIT ,ss.17 toss.t� ,1 _ DMSION OF BUILDING AND SAFETY 1 Department of Con Of LOS Aag®198 BUILDING �f Q, JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS a / CASSATT D,GRIFFIN,SUPT of BUILDING LOCALITY. Ie e! FOR APPLICANT TO FILL IN NEARESCROSS T. 4A.S OWNER IVA 0 ,'DISTRI . NO. GROUP I ONE I READY FOR INSPECTION MAIL ADDRESS INDUSTRIAL CITY TEL.NO. WASTE APPROVAL PLUMBER /�JxJ� �. eSTE INSPECTION RECORD ADDRESS �6/ e// . ./ ` CITY 4 TEL.NO. D d LICENSE NO. 16-9 ea' 9 , NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 $ 40 to ` 01= AQ BATH TUH Q $1.00 SHOWER @ $1.00 ©� LAVATORY-(WASH BASIN) @ $1.00 DD KITCHEN SINK @ $1.00 10go f'�C1 /"A /I?hO!v DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY Q $1.00 t�O z-CLOTHES WASHER @ $1.00 WATER HEATER. @ $1.00 Op GAS SYSTEM @ $1.00 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT S 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT ,'I p4i& w I. HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONHOT WATER HEATER Ir V` V V AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL .COUNTY ORDINANCES AND STATE LAUDS REGULATING PLUMBING FIXTURES PLUMBING. rr �j ! HEREBY CERTIFY THAT PAM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 M THE LEGAL OWN F THE ABOVE U `„ UTILITY CO.NOTIFIED r�7((� DESCRIBED RESIDENTIAL ROPERTY. ; SIGNATURE OF PERMITTEE• FINAL !i �� (,•iy1 11�f /_;� 1 OHN A.LAMBIE.COUNTY ENGINEER VALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR es. M.e. cAsx ! ��5 4 7 P, APR2 6 3 1 1 .0 0 5' COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0305130008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: -FEES PAID BUILDING ADDRESS: TR: 5905 LT: 131 5818 ROSEMEAD BL- FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA 917801831 ASSESSOR 0 B R: NEAREST CROSS STREET: LAS TUNAS 5387-014-028 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 ' GRID:- H3 LOCAL I TY:'TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 25 LAVATORIES/SINKS 1.00 FIX 16.20ISSUED . PROCESSED BY: PLAN B --EXPIRES ON: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 05/13/03 JK 11/09/03 TOTAL FEES 76.35 OWNER: EL. NO: FINA' DATE FINAL BY: CODE: SALANA;ADEL A (626) 533-2734- / 5818 ROSEMEAD BL TEMPLE CITY 91780 IWCRIPTIUN OF WORK ADD BEDROOM AND BATH PLINT: TEL.--NO: TOTAL WHEN DONE:3BR/3BA ADEL A SALAMA (626) 533-2736- 5818 ROSEMEAD SL SPECIAL CONDITIONS: TEMPLE CITY 91780 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECT0 SIGNATURE SAN MICHAEL GENERAL CONTRACTOR (626) 533-2734- 5818 ROSEMEAD BLVD. LIC. NO UNDER SM WORK TEMPLE CITY, CA 91780 777203 B ���7� 3 i WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECTR E L. 0: RO G B G LIC. N0: - GAS PIPING S VENT NOT WATERR PLUMBING FI R S LAWN SPRINKLERS S TEST UTILITY-COMPANY NOTIFIEff Cu GRAY E SYS REPORT ID: DPR263 ROUTE TO: SS0508