HomeMy Public PortalAbout6113 ROSEMEAD BLVD_Plumbing__ 76A887 (CE-617) - 1/75 ' - o , I -
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APPLICATION FOR PLUMBIN&PE MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDINGADDRESS e �•
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY /G L1e
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
�J /Y
NUMBER FIXTURE OR ITEM 0 FEE CROSS ST.
WATER CLOSET
2.00 OWNER �a G
MAIL
BATH TUB 2.00 ADDRESS
SHOWER 2.00 CITY ee S INSTALLERS pNO
LAVATORY 2.00 CONTRACTOPACIF1C INSTALLERS
SINK 2.00 ADDRESS 10920 E. GRAND AV e
DISHWASHER 2.00 CITY IFRAPI — elly5ml 076
CLOTHES WASHER 2.00 STATE LIC
SWIMMING POOL RECEPTOR2.00 1
LICENSE NO. CLASS
DISTRICT NO.GROUPNE PIRCESS D B
LAWN SPRINKLER SYSTEM 2.00 f
WATER HEATER 2geT INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD a
OUTLETS OVERCD
5 PER SYSTEM .30 v
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
Plan check applicant �� APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL 0 NER OF, AND INTEND TO
RESIDE IN THE ABOVE DES IBE ESI EN IAL PAOPERTY. �
FINAL 7 `•�"/4
SIGNATURE f/
OF PERMI'1 TEE
92 PERMIT VALIDATION CK; M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
flW ���8� ' 48 ;5 0 -7.50A98
READY FOR FINAL
09ve
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMi.1
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0407220033
BUILDING AND SAFETY / LAND DEVELOPMENT TE14PLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID 6113 R SEMEADEBL"
TR: 5904 LT: 75
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801541
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LONGDEN
5384-004-019 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, C
03 BACKWATER VALVE(S) 1.00 VAL 46.95
TENANT: 05 BACKFLOW DEVICES) 1.00 DEV 16.20 ISSUED ON: PROCESSED BY: PLA BY: EXPIRES ON:
07 BATHTUBS/SHOWERS 4.00 FIX 64.80 07/22/04 JK 01/18/05
11 CLOTHESWASHER(S) 1.00 FIX 16.20
OWNER: TEL. NO: 21 HOSE BIBB(S) 2.00 FIX 32.40 FINAL DATE F AL BY: CODE:
TENG, MUI FONG (626) 292-1832- 25 LAVATORIES/SINKS 5.00 FIX 81.00 2S-Y-
2105 S.BALDWIN AVE. 27 PRESS REG DEVICES) 1.00 DEV 16.20
ARCADIA, CA 91007 45 WATER CLOSET/URINAL 5.00 FIX 81.00 DESCRIPTON OF WORK
47 WATER HEATER(S) 1.00 WTH 16.20 PLUMBING FOR KITCHEN AND 3 BATHS
51 LOW PRS GAS 5 OUTLET 3.00 SYS 48.60
APPLICANT: TEL. NO: TOTAL FEES 447.30
SAME AS OWNER
SPECIAL-CONDITIONS:
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER WORK c
WATER SERVICE
PLASTIC Y/N METAL Y/
ARCHITECT OR EJGINEER: 79E. 0:
11629 LOWER AZUSA RD., #H387 DAVID (626) LIC.4N06 ROUGH PLUMBING !t
EL MONTE, CA 9178280 NONE GAS P PING 0�
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
T I l I TY COM ANY NOMI IED
CWV _
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: SS0508