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Home My Public Portal About6503 ROSEMEAD BLVD_Plumbing__ 76A667•CC E-8171-8-71 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES Al- DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS 65o3 Rosemead Blvd. LOCALITY TPMn-t-A City FOR APPLICANT TO FILL IN IPRINT OR TYPE) NEAREST CROSS ST NUMBER FIXTURE OR ITEM v FEE WATER CLOSET 1 75 S-� OWNER Tavak&ne Construction Co. MAIL BATH TUB 1 75 ADDRESS 3LO5 (Irl n AVenW SHOWER 1 75 CITY RiVerBide TEL N07Up-684-4!420 LAVATORY 175 O CONTRACTOR Owen Broso Plum Inc. SINK 1 75 f ADDRESS 1.265 North Baldwin Avenue DISHWASHER 1 75 CITY El Monte TEL NO 443-0076 CLOTHES WASHER 1 75 STATE Lic SWIMMING POOL RECEPTOR 1 75 LICENSE NO 231 741 CLASS C36 LAWN SPRINKLER SYSTEM 1 75 8 ` DISTRICT NO GROUP 2ONE P CESS BY WATER HEATER 1 75 Ug qI N Sy 0• GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD G OUTLETS OVER V 5 PER SYSTEM 30 Z 3 ° N z Plan check fee See reverse pp PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE pD APPROVALS GATE INSPECTOR a SIGNATURE Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel No GAS VENT IHEREBY ACKNOWLEDGE THAT I HAVE NCA. THIS ARPI- ON HOT WATER HEATER ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLU Ma IN., GAS TEST I HERESY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR UTILITY CO NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I THE LEGAL OWNER OF AND INTEND TO Rome IN THE ABOVE e c e nee DeNnA oPe RTr FINAL SIGNATURE OF PERMITTEE A PERMIT VALIDA cR M D CASH PLAN CHECK VALIDATION CR M O CASH 1 !go 9 4 1 173 KhR S 5 b 3 1 0 0 1 T.A.BT =917 B.B. APPLICATION FOR PLUMBING PERMIT 1 BUII.DING AND SAFETY DIVISION Department of County Engm"r County of Los Angel" BUILDINa JOHN LAMBIE COUNTYENa1NEER ADDRESS 6503 R. Rosemead Blvd. CASSATT O GRIFFIN SUPTOF BUILOINO LOCALITY Temple City FOR APPLICANT TO MIN NEAREST CROSS ST OWNER FIM DISTRICT NO ORO�P I ZONE I eBAOY wa Itl.rerrlOR MAIL Ca_ Z ADDRESS INDUSTRIAL CITY TEL NO WASTE APPROVAL PLUMBER Belvedere Plumbing Co. INSPECTION RECORD ADDRESS 11900 E. Garvey Ave. CITY El Monte TEL NO Calif. LICENSE NO 5b932 NUMB" T1T[OF PIXTUI[OR ITEM F[E 1 WATER CLOSET (TOILET) 100 S 1 00 BATH TUB Q v 00 SHOWER 100 1.00 LAVATORY (WASH BASIN) ® $100 1.00 KITCHEN SINK Q v 00 DISHWASHER a 1100 LAUNDRY TUB OR-TRAY 0 •100 CLOTH88 WASHER @ NI 0O WATER HEATER $I 00 OAS SYSTEM SI 00 APPROVALS DATE INSPECTOR 8 SIGNAT RE UNDER BLAB WORK N PERMIT • T 00 ROUGH PLUMBING 0 GAS PIPING TOTAL FEE GAS VENT I HEREBY ACENOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAYS REGULATING l PLUMBING PLUMBING FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR OAS TEST LICENSED AS REQUIRED BY LOS ANGELS[ COU ARD STATE OF CALIFORNIA OR THAT I AM THE LEGAL OW OF ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTI ROPERTT SIGNATURE OF PERMITTEE PINAL r ROBERTA WOOD, JOHN LAMBIE COUNTY ENGINEER ALIDATION SUPERVISING MECHANICAL ENO Ft�ACo 6 0-7M ja g 3 r 4.00 3t 364 I TeAeeT CE#DIT D .1 APPLICATION FOR PLUMBING PERMIT COUNTY OFm. UmTy:2CHNmEffR DEPARTMENT OFA`} B i GLA BRENG 6503 No. Rosemead WILI.AAN A JENSEN, SUPT OF BULDIND I,pGAlirr Savin R. Fine FOB APPLICANT TO FILL IN Duarte NUMBER mxTURe on rTLI OWIom Savin R. Fine WATER CLOOT ADDS 6 0 No . Ro s DATE roe emead EWERcrr7San G T= KO.At -1 LavAroar calflumm ARCO PLUMBING CO. sum ADDS 527 West Garvey DmEWAeDS9 cmMonter EOCII - 0 LRDlmer roe mmm mum EOL 113206-C36 CLOTHES WAemm DNTUQ NCL try 1 WATER MUM —If mDCISMAL O OAS�� WASM APPROVAL V EmPX=OE Racm C O ri N 3 • el m PER RRM 1 OR PIIrm s 1-50 CC APPROVALS DATE INY[CTOR.[IONATUR[ PERMIT s 2 00 UNDER SLAB WORK TOTAL FEE ROUGH PLUMBING OAS PIPING1 A 1 HK1mY ACKNOWLKDO[ THAT 1 HAV[ SAD TNI[ APPLICATION I' AND RAT[ THAT TN[ ADOVK I[ CDR M= AND AOIIQ TO COMPLY GAS VENT i WITH ALL COUNTY OROINANCKS AND STAT[ LAWS R[GULATINO HOT WATER HEATlR / IV FWMSINO 1 HKImY CKRTU� THAT I AM PPOFKRLY R[OIDTSRD "DION PLUMBING FIXTURES I �I YCKMSKD AS RKOUIR[O BY LOS ANO[LV COUNTY AD RAT[ OF GAB THBT CALIFORNIA OR THAT 1 AN TNK LKOAL OWNKS OF THK AROW DKKCRISKD R[SIDKNTIAL PROFKRTY UTILITY CO NOTIFIED / SIGNATURETj ^l OF PmmtTTL FINAL /-v V CR.VALIDATION ROBERT A WOOD M O CASH SUPERVISING MRCHANICAL ENG R LAAo0392 A'ra 3 5 n 350 n .WORKERS'COMPENSATION DECLARATION mania �I hereby affirm that I have a certificate of consent to "if CO ear 1.-.a, APPLICATION FOR PLUMBING PERMIT maurt,or a vertdtcate of Workers'Compensation Insure ,or gcprti ev�thereo Ce C �I COUNTY OF LOS ANGELES / BUILDING AND SAFETY F1 Certified copy is hereby f hed �/ Gj OR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING Certified co in NUMBER FIXTURE OR ITEM • FEE ADDRESS copy a bled with the county budding inspection dap LOCALITY Date rt — GApplicant Inn. l WATER CLOSET NEAREST BATH TUB CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER AIL (This section (teed not be completed if the work involved LAVATORY AMDDRESSL } by the pennant Is for One hundred dollars ($100) or leas) SINK CITY _ TEL NO U I certify that in the performance of the work for which thiso.- permit n issued, 1 shall not employ any person in any manner DISHWASHER CONTRAC R f 2 O ao as to became sublet[ to the Workers' Compensation Lewy CLOTHES WASHER ADDRESS Date Applicant SWIMMING POOL RECEPTOR lL NOTICE TO APPLICANT If, after making this Certificate of CITY TEL NO tajl Exemption, you should become subject to the Workers' LAWN SPRINKLE R SYSTEM STATE LIC Z Compensation provisions of the Labor Code you must forth with comply with such provisions or that permit shell be TER NEATER LICENSE NO CLASS deemed revoked TEM OUTLETS DISTRICT NO R ED B LICENSED CONTRACTORS DECLARATION OUTLETS OVER �� _4? I hereby affirm that 1 em licensed under provisions of Chapter S PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Bust FINAL n AT near and Professions Code, and my license is in full force and DATE O� —� — D� effect FINAL " License Numbers�J Lic Clan�/3-1 — BY Contractor h6 ate�/—Zf-- 7 I am exempt from the ensmg requirements ss I am a Plan Check fee /, licensed architect or a registered profewional engineer PLUMBING PERMIT ISSUING FEES acting in my professional capacity (Section 7051, Bus- mese and Professions Code) TOTAL FEE Lic or Reg No Date Plan chock applicant HOMEOWNER BUILDER DECLARATION Name 1 hereby affirm that I am exempt from the Contractor's Address License Law for the following reason (Section 7031 5, Bust- City TN No -23 1 1 0 A nese and Professions Code) fit . • • . • 51, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business and Professions Code) 2 • • 2 S 0 0 CONSTRUCTION LENDING AGENCY • . e 25006 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit at I 1 1 8-80 Issued (See 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 SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing and hereby authorize representatives of that County to enter upon the above mentioned properly foior)ksspection purposes ai� ( k�—� - /kzr—lvd Signatureof m Perittee Date COUyTY OF LOS ANGELES TEMPLE CITY $ 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0412150038 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT- LEGAL ID: FEES PAID BUILDING ADDRESS ON FILE 6503 ROSEMEAD BL FEE DESCRIPTION QUANTITY LION AMOUNT SGAS CA 917751936 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET EMPEROR 5381-030-009 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID. H1 LOCALITY SAN GABRIEL, C TENANT 17 FLOOR DRAIN(S) 2 DO FIX 32 40 19 FLOOR SINK(S) 2 DO FIX 32 40 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON SAN GABRIEL VALLEY DENTAL GROUP 21 HOSE BIBB(S) 1 DO FIX 16 20 12/15/04 JK 06/13/05 25 LAVATORIES/SINKS 16 DO FIX 259 20 OWNER TEL NO 27 PRESS REG DEVICE(S) 1 00 DEV 16.20 FINAL DAJE FINAL BY: ROSENBERG, JOSEPH (626) 286-2156- 29 ROOF DRAIN(S) 2 00 FIX 32 40 7215 ROSEMEAD BLVD 41 TRAP PRIMER(S) 1 00 SYS 16 20 TEMPLE CITY 91780 45 WATER CLOSET/URINAL 3 00 FIX 48 60 VhbLKlFllUm UP WORK 47 WATER HEATER(S) 1 00 WTH 16 20 PLUMBING FOR TERANT IMPROVEME DENTAL OFFICE 51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 APPLICANT NO TOTAL FEES 513 75 COREY/BRAEUTIGAM (626) 449-9380- 696 E COLORADO #226 SPECIAL CONDITIONS PASADENA, CA 93101 CONTRACTOR —TE- NO: APPR(YVALS-- DATE INSPnTffFTrQWaf9— SOUTH CAL CONSTRUCTION (818) 264-1531- 6419 VARALDEN AVE LIC NO UNDER SLAB WORK RESEDA, CA 91335 756435 B WATER SERVICE ARCHITECT OR ENGINEER TEL NO PLASTIC Y/N METAL Y/N COREY, BRAEUTIGAM (626) 449-9380- 696 E COLORADO BLVD 9226 LIC NO PASADENA, CA 91101 NONE GAS VENT PLUMBING FIXTURES GAS TEST UTILITY COMPANY NOTIFM CWV GRAY WATER SYSTEM REPORT ID. DPR263 ROUTE TO SS0508