HomeMy Public PortalAbout6128-6138 ROSEMEAD BLVD_Plumbing__ 76ASS7 01117 7-81 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN I T GROUP ZONE PERMIT
PLUMBE .� p_ EI D BY READY FOR
RECDATE ISSUED-,
FIRST INSPECTION
ADDRESS
BUILDING
CITY <, TEL No DRESS
COUNTY /� LOCALITY -A / 4„O-�P.O
LICENsE NO. C/ EXPIRES _
PERMIT FEES cos s. W .o
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL /
WATER CLOSET(TOILET) (19 0.50 IB ADDRESS �i i1T�wR�BQ}
BATH TUB 40 0.50 CITY TEL No.
SHOWER @ 13.513 1 NERESY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O.sO APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 6 0.50 "ANDSTATE LAWS REGULATING PLUMBING.
r CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOV
GAS SYSTEM OUTLETS ! 0.50
SIGNATURE OF
WATER HEATER 0 0.50 PERMITTEE-
SLOP SINK Q D.sO INSPECTION RECORD
FLOOR SINK a O.sO
FLOOR DRAIN @ 0.50
DISHWASHER ® O.'s0
DRINKING FOUNTAIN 0.50
URINAL @ 0.50 J
HOUSE BEWER ® 0.130 _
Z L" t Mo tr'i9-,.P Z
MISCELLANEOUS M
0
APPROVALS
DATE INBPECTORPS NAME
ROUGH PLUMBING
GAB PIPING
GAS VENT
CESSPOOL ® 1.00 CESSPOOL
SEPTIC TANKI SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE 77
FINAL o-
w.earWa Ecom ae ra nye . APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY _ 1COUNTY OF-LOS ANGELES ` ` 1
Wm.J. FOX.CHIEF ENGINEER
NG
NATl-JR E OF INSTALLATION DISTRICT GROUP ZONE PERMIT�N/O.
ROUGH FIXTURES COMPLETE �� 41 !/
HEATER CESSPOOL 1-1 SEPTIC TANKRECEIVED BY READY FOR DATE ISSUED
fi3 FIRST INSPECTION ��_
SAS- MISCELLANEOUS j%1'4" •'� `
I main
APPLICANT FILL IN. HEAVILY•OUTLINIEDD +PORTION ONLY
JOB
B NAME /\l 'tai •y _ /f, ZJ�pI_Gt�'/1/L- ADDRESSG� ���
g
ADDRESS �( �I `J C V ie+Ll� LOCALITY �/ �'�-'�liC/
J NEAREST v
j CITY Y. C TEL.No. CROSS ST.
COUNTY
CERT.No. EXPIRES NAME i <•4l r3 a_! !.! f sa _1
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIF!ppp�}�}�} OF�QUALIFIptRTION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBRU
ABOVE.
3.• OWNER '
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK a
Z
BATH TUB FURNACE
- lY
ROWER. DISHWASHER Q
LAVATORY REFRIGERATOR
ITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
FWA
LOP SINK FLOOR DRAIN
SH TRAY URINAL APPROVALS
CLOSET CRINKING FOUNTAINDATB iNaPBCTDp'9 NAN6
ATER HEATER ^ENTAL LAVATORY ROUGH.PLUMBINGETEGASODA:FOUNTAIN GAS PIPINGOUTL
GAS VENT
CESSPOOL � l
OTAL NUMBER OF FIXTURES SEPTIC TANKE88POO.L . SEPTIC TANKS
SEWER I
TOTA1. FEE S v V UTILITY CO.NOTIFIED
FINAL
76A667-CE817-8-57 Ile
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND.SAFETY DIVISION ADDRESS ! !f
JOHN A. LAMBIE. COUNTY ENGINEER
CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY _
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR.ITEM
WATER CLOSET OWNER P
BATH TUB
MAIL
Zn-�
�
SHOWER CITYS; TEL.N '
LAVATORY CONTRACTOR D Y'/�'Q'� Loypm-
SINK ADDRESS 1.4 �1? �r�-e
DISHWASHER CITY !�t> EL.NO.,s+
LAUNDRY TUB CONTRACTOR'S a. STATE
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER
DISC O. GRYW
NE. READY FOR INSPECTION
WATER HEATER (y
r
GAS SYSTEM „�„� INDUSTRIAL
WASTE APPROVAL
et? . INSPECTION RECORD
?� := 7,
,F�'l�s'N I�JNIJ Y •�J, '
APPROVALS
j @ $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE
/ OR FIXTURE $ ! ® UNDER SLAB WORK
ROUGH PLUMBING
PERMIT S 1 OO
GAS PIPING '
TOTAL FEE 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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING:FIXTURES
PLUMBING. ,I
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST ,'/,� � /•
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED
DESCRIBED RESIDENTIA ERTY.
LGNPETUREOFRM MIT
//! FINAL .v ST
ROBERT A. WOOD,
VALIDATION
SUPERVISING MECHANICAL ENG'R
CK. M.0. CASH
i
CQMPENSATIONDECLARATION 20.0026 DPW 4/87 APPLICATION FOR PLUMBING PERMIT
err' hat I have U certificate of consent to self in- 76A667A
i i ate of�Workers'Compensation Insurance,or a CE 817(REV.8/86)
PeifI. t rGfi S c. 9800, Lab. C.) 'flNo. ompany I COUNTY OF LOS ANGELES DEPT: OF PUBLIC WORKS
Certified copy is hereby furnished.
[grCertified co is filed with the count bui in FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING 1 .
L� copy� y g inspection ADDRESS b
IA)
department. NUMBER FIXTURE OR ITEM. @ FEE
LOCALITY
Date �� Applicant WATER CLOSET(TOILET) �A NEAREST
CERTIFICATE OF EXEMPTION FROM WORKER '
BATH TUB ROSS ST.
COMPENSATION INSURANCE OWNER
(This section need not be completed if the work Involved by SHOWER MAIL `pi
the permit is for one hundred dollars($100)or less.) LAVATORY �� ADDRESS �Q t L3
I certify that in the performance of the work for which this per-
mit is issued, I shall not employ any person in any manner so SINK TY li TEL. NO. ¢Qr
as to become subject to the Workers'Compensation Laws. DISHWASHER
,., CONTRACTOR M
Date Applicant CLOTHES WASHER ,
NOTICE TO APPLICANT: If, after making this Certificate of Ex- ADDRESS
emption,you should become subject to the Workers'Compen- SWIMMING POOL RECEPTOR
CITY EL. NO. as
' sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEM
ly with such provisions or this permit shall be deemed revok- STATE LIC.
ed. WATER HEATER LICENSE NO. CLASS G
LICENSED CONTRACTORS DECLARATION �f57RICe0. PROCESSED BY
I hereby affirm that I am.licensed under provisions of Chapter y GAS SYSTEM OUTLETS `�/ry
9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER E
and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL ����`g� VALIDATION C
fect. DATE d
License Number Lic. Class��_ V
A� Q FINAL
Contractor .—.t-7 Date — a BY { 0
❑ I am exempt under Sec. LU
W
a
B.BP.C. for this reason
Plan check fee
Date: —19 PLUMBING PERMIT ISSUING FEE$ i(j°`d
Signature �O
- TOTAL FEE F j,�(�
SINGLE FAMILY applicant I '
HOME OWNER-BUILDER DECLARATION Plan check a pP 1 .TAL 6 10 5-0
1 hereby affirm that I am exempt from the Contractor's License Name ;=f 0"!; cj 1
Law for the following reason (Section 7031.5, Business and 1 °'-
4 i s•IGE
Professions Code): Address ,,.j1Elt4;�,j�
❑ I, as owner of the property, will do the work and the City Tel. No.
structure is not intended or offered for sale(Section 7044, �1L1 -(
Business and Professions Code). ®
CONSTRUCTION LENDING AGENCY At, °-f 7
I hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued
(Sec. 3097, Civ. C.).
Lender's Name
Lender's Address
I certify that I have read this application and state that the
above information is correct. I agree to comply with all County 1011.
ordinances and State laws regulating Plumbing, and hereby
authorize epre ntatives of this County to enter upon the
above ti property for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of P rmittee Date
COUNTY OF IAS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1304230008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS:
ITR: 5904 IT: 100 [ 6128 APT A ROSEMEAD BL I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:I TEMP CA 917801500 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSSSTREET: GARIBALDI AVE I
15384-006-011 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY I
1 125 LAVATORIES/SINKS 1.00 FIX 16.20 I I
ITENANT: I TOTAL FEES 44.00 ISSUED ON: PROCESSED BY: PLAN BY: [
I 104/23/13 SR
(OWNER: TEL. NO: I IF DATE FIRL BY: CODE: [
IRICHWELL DEVELOPMENT LLC (626) 535-0388- 1 I 1
12500 E FOOTHILL BLVD I I I
IPASADENA CA 91107 1 IDESCRIPTIO14 OF WORK [
IREPLACE KITCHEN SINK
I
(APPLICANT: TEL. NO: I I I
(DAM, QAN V (626) 757-3442-
306 ELIZABETH AVE I SPECIAL CONDITIONS: [
(MONTEREY PARK 91755
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE [
IT & A CONSTRUCTION CO (626) 757-3442- 1 1 I
306 N ELIZABETH AVENUE LIC. NO (UNDER SLAB WORK I I I
[MONTEREY PARK CA 91755 852143 * 1 I I I
1 WATER SERVICE
I [PLASTIC Y/N METAL Y/N I I [
(ARCHITECT OR ENGINEER: TEL. NO: I I [ I [
I - I IROUGH PLUMBING 1 [ 1
[ LIC. NO: I I
IGAS PIPING
1 I [GAS VENT I I I
[ I IHOT WATER HEATER I I I
I I PLUMBING FIXTURES
ILAWN SPRINKLERS I I I
I I I I I I
I IGAS TEST I I I
I I I I I I
[ I (UTILITY COMPANY NOTIFIEDI I
I I I I
I I ICWv I I I
I I I I I I
I IIGRAY WATER SYSTEM
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I
I* ADDITIONAL DATA ON FILE
I
I I I
I I I I I I
IREPORT ID: DPR263 ROUTE TO: BS0508 I [ I [
a .
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1211270017
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 5904 LT: 99 6138 APT B ROSEMEAD BL
[FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801564
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15384-006-009 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY CAI
I07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 2.00 FIX 32.40 ISSUED ON: PROCESSED BY: PLAN BY:
145 WATER CLOSET/URINAL 1.00 FIX 16.20 11/27/12 SR 1
I TOTAL FEES 92.60 I
OWNER: TEL. NO: IFINAL DATE FINAL BY: CODE:
IRICHWELL DEVELOPMENT LLC (626) 535-0388-
I2500 E FOOTHILL BLVD Il 1
PASADENA CA 91107 IDESCRI TION OF WORK 1
REPLACE TUB, LAVATORIE, WATER CLOSET AND SINK
[APPLICANT: TEL. NO: I
IDAM, QUAN V (626) 757-3442- I 1
1306 ELIZABETH AVE ISPECIAL CONDITIONS:
MONTEREY PARK 91755
CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE
IT & A CONSTRUCTION CO (626) 757-3442- I I
1306 N ELIZABETH AVENUE LIC. NO JUNDER SLAB WORK
MONTEREY PARK CA 91755 852143 * I [
I IWATER SERVICE
I IPLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO: I
- ROUGH PLUMBING y I
LIC. NO: I I
IGAS PIPING
I 1 GAS VENT
IHOT WATER HEATER I I I
I I �
I 1PLUMBING FIXTURES I I
ILAWN SPRINKLERS I I
I 1GAS TEST I I I
I 1 1UTILITY COMPANY NOTIFIED[ I
1 IGRAY WATER SYSTEM I I I I 1 I
1 1 i
II�a
I I 1 I I
I 1* ADDITIONAL DATA ON FILE 1 I
1 1
I [REPORT ID: DPR263 ROUTE TO: BS0508 I I I I
I I [ 1 I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1211270019
BUILDING AND SAFETY / LAND DEVELOPMENT I TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: ] FEES PAID [ BUILDING ADDRESS: I
ITR: 5904 LT. 100 ] 6128 APT F ROSEEMAD BL ]
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:] TEMP CA 917801500 [
]ASSESSOR INFORMATION NUMBER: 'I I NEAREST CROSS STREET: GARIBALDI AVE
15384-006-011 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY 1
107 BATHTUBS/SHOWERS 1.00 FIX 16.20 I 1
[TENANT: 125 LAVATORIES/SINKS 2.00 FIX 32.40 ISSUED ON: PROCESSED BY: PLAN BY: ]
145 WATER CLOSET/URINAL 1.00 FIX 16.20 11/27/12 SR [
1 I TOTAL FEES 92.60
OWNER: TEL. NO: ] ]FINAL DATE FI BY: CODE: ]
[RICHWELL DEVELOPMENT LLC (626) 535-0388- 1 I I
2500 E FOOTHILL BLVD
]PASADENA CA 91107 lI3ESCRIPlrION OF WORK u
[
I I [REPLACE TUB, LAVATORIE, WATER CLOSET AND SINK I
]APPLICANT: TEL. NO: I ] ]
JDAM, QAN V (626) 757-3442- ]
1306 ELIZABETH AVE [ ISPECIAL CONDITIONS:
[MONTEREY PARK 91755 [ I I
[(CONTRACTOR: TEL. NO: I ]APPROVALS DATE INSPECTOR SIGNATURE
T & A CONSTRUCTION CO (626) 757-3442- 1 1
1306 N ELIZABETH AVENUE LIC. NO I [UNDER SLAB WORK I [
]MONTEREY PARK CA 91755 852143 * 1 1 I
I I IWATER SERVICE
I 1 IPLASTIC YIN METAL YIN [ 1 1
ARCHITECT OR ENGINEER: TEL. NO: ] I I I
- I TROUGH PLUMBING 1
LIC. NO: ] I I�1
I [ ]GAS PIPING
IGAS VENT 1 I 1
I I [HOT WATER HEATER I I I
1 I IPLUMBING FIXTURES 1 1 ]
1 1 ILAWN SPRINKLERS I I I
I IGAS TEST I I 1
UTILITY COMPANY NOTIFIED[ [
I T [
I 1CWV I I I
I IGRAY WATER SYSTEM I [ [
I i I I I I
I I i I
1 ]* ADDITIONAL DATA ON FILE [ [ 1
I I I I I I
1 IREPORT ID: DPR263 ROUTE TO: BS0508 [ 1 1 1
I I
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS i 9701 LAS TUNAS
PL 0508 1207160025
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 5904 IT: 99 I I 6138 ROSEMEAD BL I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917801564
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GARIBALDI AVE
15384-006-009 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY I
107 BATHTUBS/SHOWERS 1.00 FIX 16.20 I I
ITENANT: 25 LAVATORIES/SINKS 2.00 FIX 32.40 ISSUED ON: PROCESSED BY: PLAN BY: I
I �45 WATER CLOSET/URINAL 1.00 FIX 16.20 107/16/12 SR I
1 TOTAL FEES 92.60 I I
(OWNERTONY : TEL. NO: I (FINAL DATE FINAL BY: CODE:
Z
16138 ROSEMEAD BLVD.
ITEMPLE CITY CA 91780 I DESCRIPTION OF WORK
I I IREPLACE BATHTUB/SHOWER, LAVATORIE, WATER CLOSET AND KITCHEN I
ISINK FOR REMODEL I
(APPLICANT: TEL. NO: I I I
(DAM, STEVEN (626) 625-5248- I I I
ISPECIAL CONDITIONS: I
I I I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I
ISEASON CONSTRUCTION INC. (626) 625-5248- I
19824 HOWLAND DRIVE LIC. NO I (UNDER SLAB WORK I I I
ITEMPLE CITY, CA 91780 827959-B * I I I I I
IWATER SERVICE
I I IPLASTIC Y/N METAL Y/N
(ARCHITECT OR ENGINEER: TEL. NO: I I I I
I - I IROUGH PLUMBING
LIC. NO:
(GAS PIPING I I
I
I IGAS VENT I
IHOT WATER HEATER I I
I I
I 1PLUMBING FIXTURES I I I
I I I
ILAWN SPRINKLERS I I I
I I I
IGAS TEST I I I
(UTILITY COMPANY NOTIFIED(
ICWV I I I
1 I IGRAY .WATER SYSTEM 1 I I
I I
I I I I
I I I I I 1
I I I
1* ADDITIONAL DATA ON FILE
I I I
IRSPORT ID: DPR263 ROUTE TO: SS0508