HomeMy Public PortalAbout6236 ROSEMEAD BLVD_Plumbing__ 76A667 (CE-817)-8-71 C, '594, �Jw /� (f,-/�
APPLICAf ON FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER y�
BUILDING AND SAFETY DIVISION NG
FNEAREST
LDING
LD I ,3(0
FOR APPLICANT TO FILL IN (PRINT OR TYPE) CROSS T. i//
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75
MAIL
BATH TUB 1.75 ADDRESS �r r
SHOWER 1.75
CITY TEL. NO,p
LAVATORY 1.35 CONTRA OR
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY TEL. NO.
CLOTHES WASHER 1.75 STATE LIC
SWIMMING POOL'RECEPTOR 1.75 LICENSE NO. CLASS
DISTRICT O. GROUP ZONE RO S BY
LAWN SPRINKLER SYSTEM 1.75 -
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V
OUTLETS OVER
5 PER SYSTEM .30
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Plan check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE1�4D
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER �'�`t�,.`f•�, �,,+..� �.� r_���,'
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/.OR UTILITY CO. NOTIFIED "-
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL OPERTY. �
� FINAL !n-7�-�? -��•351
SIGNATURE ,
OF PERMITTEE �v � � � -
PERMIT VALIDATION C.K. .O. CASH
PLAN CHECK VALIDATION CK. M.O. ASH
c ,
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0901200012
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 LT: 92 UN: .002 I 6236 ROSEMEAD BL 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917801566 I
[ASSESSOR INFORMATION NUMBER: 1 I NEAREST CROSSSTREET: I
15384-005-007 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
I 147 WATER HEATER(S) 1.00 WTH 16.20 1
ITENANT: [ TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
(UNIT E [ 101/20/09 SR 07/19/09
[OWNER: TEL. NO: [ IFI AL DATE FINAL BY: CODE: 1
IMR. CHAD (818) 339-4734- [ 1 [
16236 ROSEMEAD BLVD. [ 1 ,� 1
[TEMPLE CITY CA 91780 I 1DE IPTIO OF WORK 1
I I (INSTALL ONE WATER HEATER 1
(APPLICANT: TEL. NO: I I [
1JMD PLUMBING (818) 322-8810- 1 1 1
126500 W. AGOURA RD. i (SPECIAL CONDITIONS:
ICALABASAS, CA 91302
I
(CONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE 1
1JMD PLUMBING (818) 320-8810- I 1 I
126500 W. AGOURA ROAD LIC. NO 1UNDER SLAB WORK [ 1 I
ISUITE 102-410 911375 C36 1 I 1 1 I
ICALABASAS, CA 91302 1 IWATER SERVICE 1 1 I
1 [PLASTIC YIN METAL YIN I 1 I
(ARCHITECT OR ENGINEER: TEL. NO: [ 1 I I
[ - [ [ROUGH PLUMBING 177I
1 LIC. NO: 1 1 I 1
IGAS PIPING
I I[ IGAS VENT [ I I
IHOT WATER HEATER [ I I
1 1 IPLUMBING FIXTURES 1 1 I
I I ILAWN SPRINKLERS 1 I I
I I I I I I
IGAS TEST 1 I
I I I I I
I 1UTILITY COMPANY NOTIFIED[ 1
I I 1CWv I I I
I IGRAY 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 l i i
I I I I I
I I I I I
1 (REPORT ID: DPR263 ROUTE TO: BS0508 I 1 I 1
I I I I I I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0901200013
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 LT: 92 UN: .002 I 1 6236 ROSEMEAD BL I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917801566 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
15384-005-007 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, Cl
107 BATHTUBS/SHOWERS 2.00 FIX 32.40 1 I
1TENANT: 125 LAVATORIES/SINKS 3.00 FIX 48.60 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
(UNIT F 145 WATER CLOSET/URINAL 2.00 FIX 32.40 101/20/09 SR 07/19/09 1
1 147 WATER HEATER(S) 1.00 WTH 16.20 1 I
IOWNER: TEL, NO: I TOTAL FEES 157.35 IFINAL DATE FINAL BY: CODE: I
MR. CHAD (81 8) 339-4734- 1 1 �
16236 ROSEMEAD BLVD. 1 1 I
ITEMPLE CITY CA 91780 1 IDES RIPTIO OF WORK
(PLUMBING FOR KITCHEN, BATHROOMS, AND WATER HEATER
(APPLICANT: TEL. NO:
IJMD PLUMBING (818) 322-8810- I I I
1265000 W. AGOOU 1RD. i (SPECIAL CONDITIONS:
65
I
302
ICONTRACTOR: TEL. NO: I
I I 1APPROVALS DATE INSPECTOR SIGNATURE
IJMD PLUMBING (818) 320-8810- I 1 I 1
126500 W. AGOURA ROAD LIC. NO (UNDER SLAB WORK
ISUITE 102-410 911375 C36 I I I I
ICALABASAS, CA 91302 1 IWATER SERVICE I I
(PLASTIC YIN METAL YIN 1 I
1ARCHITECT OR ENGINEER: TEL. NO: 1 I I I I
(ROUGH PLUMBING
LIC. NO: I I I�
IGAS PIPING
IGAS VENT I I I
(HOT WATER HEATER I I I
1 IPLUMBING FIXTURES 1 I I
ILAWN SPRINKLERS I I
I I I I
IGAS TEST I I
(UTILITY COMPANY NOTIFIED( I
1CWV I I 1
(GRAY 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
(REPORT ID: DPR263 ROUTE TO: BS0508 I I I I
I