Loading...
HomeMy Public PortalAbout6007 ROSEMEAD BLVD_Plumbing__ 78AG67.CE#817 4 WAJ. PPLICATION FOR PLUMBI PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTYENGINEER BUILDING AN SAFETY .DIVISION BUILDING JOHN A.LAM IE. COUNTY ENGINEER. ADDRESS' p WILLIAMA.JENSEN,SUPT OF BUILDING LOCALITY p . FOR' APPLICANT TO,FILL IN NEAREST CROSS'ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 51.25 r KAM BATH TUB 1.25 S ADDRESS CITY TEL. NO. SHOWER 1.25 LAVATORY 1.85 ;�j CONTRACTO_ - - SINS 1,25 ADDRESS DISHWASHER 1.25 CITY TEL.N _ LAUNDRY TUB' 1.25 CONTRA OR'S STATE REGISTRATION NO. Q COUNTY .p CLOTHES WASHER Lm DISTRICT NO. :GRQUP ZONE P,ROCESSE Y. WATER HEATER 1.50 o. GAS SYSTEM- OUTLETS' 1'� WASTET Ap OVAL O OUTLETS OVER 5 PER SYSTEM .30RNSPECTION,RECORD. V ix Lu law I& Al. � APPROVALS k-,Pp PATE, INSPECTOR'S lIGNAT-1)141 PERMIT $ 2 .00' UNDER SLAB WORK r ROUGH'PLUMBING e•� A�- TOTAL.FEE r� GAS PIPINQ ly J I HEREBY ACKNOWLEDGE THAT 1 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 „�® „g , PLUMBING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ PLUMBING FIXTURES /� •�'� LICENSED.AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST' S.cO CALIFORNIA,OR THAT i AM THE LEGAL.OWNER OF,AND INTEND TO b RESIDE-IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTiLITY'CO.NOTIFIED W S I GNATU RE OF PERMITTEE-zive-Z FINAL DATION ROBERT A.WOOD r 1 CK. M.O. CASH SUPERVISING MECHANICAL ENG'R . a 0 0 807- kPR 2 2 5 D 10.00- 01 •78A887-CE#817 12-84 PPLIC4TION FOR- PLU.MBI`NG- .PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY;.DIVISION, ADDRESS .JOHN'A. LAMBIE. COUNTY:ENGINEER COLEMAN W. JENKINS,SUPT OF BUILDINd,_ LOCALITY FOR APPLICANT TO FILL IN NEAREST ' CROSS ST NUMBER FIXTURE-OR ITEM EACH FEE OI.. '. WATER CLOSET $1:25MAIL - BATH TUB 1:25 ADIL D- SS SHOWER 1.25 CI ' TEL. NO. LAVATORY l,u COIIiTRAC O • SINS 1.25 g ADDRESS DISHWASHER" 1.25 CITY TEL. NO. LAUNDRY TUB 1.25 CONTRACTOR'S STATE. ❑ REGISTRATION NO. COUNTY .❑. CLOTHES WASHER 1.25 -DISTRICT NO. GROUP 'ZONE- PROCESSED BY ' WATER HEATER .1.50 V I © GAS SYSTEM OUTLETS 1:50 INDUSTRIAL WASTE_AP...AOVAL d OUTLETS OVEW5 PER SYSTEM •.90 P 1 INSPECTION RECORD i.. �. 0 ' m IL ' APPROVALS DATE .INSPECTOR'S SIGNATURE PERMIT $ 2 '00'. UNDER SLAB WORK " _ ROUGH-P.LU•MBING TOTAL FEE - GAS PIPING 1 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 PLUMBING. HOT WATERHEATER - _ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS.REOUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM.THE LEGAL OWNER OF AND INTEND TO RESIDE INj•THE ABO ESCR ED RESIDE IAL ROPERTY. UTILITY CO.NOTIFIED SIGNATURE .. ./ Ar OF PERMITTEE FINAL J! S��Yf� VALID ATIO ROBERT A.WOOD ' CK. M.O.:• CASH SUPERVISING.MECHANICAL ENG'R :.. _ i,til;o $ :0 0 AUG 1-9 . .5 D 3.2.5 W WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self in- 20-0026 DPW 4/90 sure,or certificate of Workers'Compensation Insurance,or a 76A667A Rertified copy thereof(Sec. 3800, Lab. C.) " COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company Certified copy is hereby furnished. BUILDING D D ADDRESS FOR APPLICANT TO FILL IN(PRINT OR TYPE) Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM @ FEE department. LOCALITY Date Applicant WATER CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by MAIL the permit Is for one hundred dollars($100)or less.) LAVATORY ADDRESS 6 W d, I certify that in the performance of the work for which this per- SINK CITY TEL.NO. mi issued, I shall not employ any person in any manner so to become subject to the Workers'Compensati n Laws. DISHWASHER CONTRALTO Date b— Applicant ADDRESS CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of Ex- tion,you should become subject to the Workers'Com en- SWIMMING POOL RECEPTOR em P Y I P CITY TEL.NO.- i 0 sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE QLIC. ed. f WATER HEATER 3x 20 LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. R ESSEb BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS "5 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER V and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL ` /�/ A DATION fect. HOSE BIB DATE ® L_7J a License Number Lic. Class FINAL V Contractor Date BY C I am exempt under Sec. t~] B.&P.C. for this reason Pl ® a an check fee to Date: PLUMBING PERMIT ISSUING FEE$ 27 ?>0 a Signature TOTAL FEE s SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Names Law for the following reason (Section 7031.5, Business and Professions Code): Address ACCTA ❑ 1, as owner of the property, will do the work and the City Tel. No. 3303 59.50 structure is not intended or offered for sale(Section 7044, 1 ITEMS Business and Professions Code). CONSTRUCTION LENDING AGENCY TOTAL 59-50 I hereby affirm that there is a construction lending agency for CHECK 59°50 the performance of the work for which this permit is issued CHANGE o00 (Sec. 3097, Civ. C.). Lender's Name 0000-0001 10/19/95 Lender's Address 17900 1 AM 80-49 1 certify that I have read this application and state that the above information is correct.I agree to comply with all County ' ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the aby.e-mentioned pr per for inspection purposes. V � 'A �u; SEE REVERSE FOR EXPLANATORY LANGUAGE S4nafure of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0209190014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL 10: FEES PAID BUILDING ADDRESS: TR: 5904 LT: 155 UN: .002 6007 ROSEMEAD BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801539 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN 5384-017-031 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 2.00 FIX 32.40 25 LAVATORIES/SINKS 2.00 FIX 32.40 ISSUED 0 SS 8 Y: EXPIRES 45 WATER CLOSET/URINAL 2.00 FIX 32.40 09/19/02 JK 03/18/03 . TOTAL FEES 124.95 OWNER: TEL. NO: FINAL DATE FINAL B CODE: TRAN VICTOR D;VUONG AM TO (626) 285-9713- 6007 ROSEMEAD BL 3 3 TEMP 917801539 ESCR 0 R PLUMBING FOR ADDITION/REMODEL A TEL. NO: SAME AS OWNER SPECIAL CONDITIONS: • -- .tet - CONTRACTOR: TEL. 0: -y��_ +� , APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO UNDER WORK O Z �- WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: ROUGH PLUMBING �r LIC. N0: # 'L HOT WATERH R PLUMBING F R S i AWN-SPRINKLERS GAS TEST �•" UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0210180017 " BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: EGL D: FEES PAID OUILDrNG-ADDRESS: TR: 5904 LT: 155 UN: .002 6007 ROSEMEAD BL FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801539 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GARIBALDI 5384-017-031 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY 13 DISHWASHERS) 1.00 FIX 16.20 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED 0 : PROCESSED B BY: EXPIRES 0 : 47 WATER HEATER(S) 1.00 WTH 16.20 10/18/02 JK 04/16/03 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 OWNER' TEL. O: TOTAL FEES 92.55 FINAL DATE FINAL BY: DE: TRAN VICTOR D;VUONG AM TO (626) 285-9713- �1 ��' 6007 ROSEMEAD BL // TEMP 917801539 DESCRIPTION oF WORK PLUMBING FOR KITCHEN REMODEL & WATER HEATER RELOCATION APPLICANT: TEL. SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO UNDER SLAB WORK WATER SERVICE • ' PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: T L. O: � ` ROUGH PLUMBING �L �— LIC. N0: - '- S PI'P NG - GAS i HOT WATER E PLUMBING FIXTURES LAWN SPRINKLER S C/ GAS TEST TI T OMPA I ED e. J WV GRAY WA ER YS M REPORT ID: DPR263 ROUTE TO: SS0508