HomeMy Public PortalAbout8837 LAS TUNAS DR_Plumbing__ 17 7-40 25M - APPLICATION FOR PERMIT
DEPARTMENT-OF BUILDING AND SAFETY COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT No. _
ROUGH - 16 1
PLUMBING FIXTURES COMPLETE I RECEIVED BY READY FOR DATEISSUED
HEATER CESSPOOL SEPTIC TANK ./nFIRST INSPECTION
GAS MISCELLANEOUS ,� /y� 1,
APPLICANT,7FILL IN HEAVILY OUTLINED PORTION ONLY `
C JOB
NAME I� I/v{'/��%�f /Y✓1�,� ADDRESS
m ADDRESS`S /��_j/ all n_ .�,�(i11.Y� L /q LOCALITY
M1 CITY / .� �iPIiIM'1'+NJ TEL No �22" J CROSSNEAREST. I
COUNTY / /y '4,011 �
CERT. NO./ K 2 EXPIRES W NAME 1`J3
MAIL
OCATION OF SEPTIC TANK, OR CESSPOOL O ADDRESS
NORTH
,y CITY TEL No,
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE. V
N 1
W m
OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK a
z
BATH Tae FURNACE �
SHOWER DISHWASHER
LAVATORY REFRIGERATOR 0
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR GRAIN
WASH TRAY URINAL ; APPROVALS-' `:;; ' -.' -
WATER CLOSET DRINKING FOUNTAIN d DATE1 / /INSPecioa's NwMe__
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
-METER-GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CESSPOOL
TOTAL-NUMBER OF FIXTURES SEPTIC TANK
/ CESSPOOL SEPTIC TANK SEWER
$ _ I UTILITY CO. NOTIFIED
TOTAL FEE � ,-�D FINAL /T/`¢ L'i�6+
APPLICATION FOR PERMITDEPARTMENT'(Wi BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES1
WM. J. FOX. CHIEF ENGINEER
PHEATER
TURE OF INSTALLATION DISTRICT-NO. GROUP _ZO E P RMIT NO.
_ 1 2
FIXTURES COMPLETE
I—I SEPTIC TANK RE ED•BY J
IMEBCELLOANEOU6 READY FOR DAT618811ED�FIRST INSPECTION ;ZI,.FF7j141APPLICA NTFILLIN HEAVILY OUTLINED PPORTION ONLY
„��..sy(/J/� /(/yy�Aiyl//� ADDRESS FTf ) ,/✓//JAi w .. _ �s A
m ADDRESS l�b� �. ''% i( /��(�O/ LOCALITY / O,._..,
f a
NEAREST u _
TY
CROSSOT.
COUNw ,�J r
CERT.NO./�,X EXPIRES W NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 03: ADDRESS
NORTH O,
CITY TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE" OF QUALIFICATION.
-� PLYIIBHR �
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE. J
> V
2 N OWNER
Y CORRECTIONS
SOUTH J
DESCRIPTION OF WORK i
BATH TUB FURNACE 2
Ir
HOWER DISHWASHER D
AVATORY REFRIGERATOR
ITCHEN SINK WATERSOFTENER
":: E�
SINK SANDTRAP
NK FLOOR DRAIN
RAY URINAL APPROVALS
CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
HEATER DENTAL LAVATORY ROUGH PLUMBING
GAS SODA FOUNTAIN SAB PIPING
OUTLGAS VENT
CESSPOOL- -- -UMBER OF FIXTURES b d SEPTIC TANK
OI SEPTICTANK SEWER
9UTILITY CO.NOTIPI[D
d� AL /g ��
°a.'17 2S. SETS 7-"7 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OX. LOS ANGELES
VIM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRIC N . GROUP ZONE fyPERMIZT (NMOL/.
ROUGH FIXTURES COMPLETE / /
HEATER CESSPOOL I—ISEPTICTANK RECEIVED BY READY FOR DATEISSUED
FIRST INSPECTION _
GAB- MISCELLA
APPLICANT FILL IN HEAVILY OUTLINED PORTIONL ONLY
JOB
1 ,
E NAME I MM 6.� �� Q IU L/ K. ADDRESS , 4► r �1S 1 Mfr 1q ( %
BE ADDRESS J N O r f� 1� RI 11°+ D LOCALITY T C_
NEAREST
y CITY /I L H IT M nA.`/1 09 TEL.NO. CROSS ST. A/, n 1. I' f� (�
COUNTY /`� EXPIRES a NAME r/T S R W A I� •`
CERT.NO. I I # I n ( '•a� (1
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 AMAIL
DDRESS I LaJ �S LAS T 41N' M
NORTH O
CITY i L TEL.NO.
1 AM THE LEGAL POSBEBSOR OF HE ABOVE LOB
ANGELES COUNTY CERTIFICATE OF QUA IFICATION.
PLUN060.V
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
p ABOVE.
3
OWNER '
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
BATH TUB FURNACE [7
ix
ROWER DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN BINK WATER SOFTENER
FLOOR BINK SANDTRAP
GLOP BINK FLOOR DRAIN
WASH TRAY ,/ �/` URINAL APPROVALS
WATER CLOSET �.L_DRINKING FOUNTAIN
DATE INSPECTOR'S HANK
WATER NEATER Ny� / DENTAL LAVATORY UMBING IMETER{O T� ��ODA' NGLL _ _TOTAL NUMBER OF FIXTURES NK ICESSPO011 SEPTIC TANK I0O.NOTIFIED ITOTAL FEE ,/f /j'/�/7 /lr i
D.B.S.-17 25121 SETS 12-4; APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ' ��������
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO, GROUP ZONE PERMIT NO.
ROUGH ✓'FIXTURES COMPLETE �✓ C� i
HEATER CESSPOOL I SEPTIC TANK REC IVED BY READY FOR DATE ISSUED
FIRST INSPECTION
GAB MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINEJOBD PORTION ONLY
R NAME �T//JHTI G rO �/J �. ADDRESS �T✓ 4 / QS C�
' M "'TTT 1 �/ Avg
_ /
ADDRESS
7.2 /f4j1-1Q H2/e. Av ,e/7�I� LOCALITY���/yJ _ 7
'1 CITY IZ 1&4A t1Y.41e TEL.NO.� 'J/r�-� _ CROSS BTNEAREST. STP/��L.p
L
COUNTY Q
CERT.No. /} EXPIRES W NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
ADDRESS ���7
NORTH O
CITY � ♦ TEL. No.
I 'AM THE LEGAL .POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF OUALIIF CATION.
v r / FL.UMRRR
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
' p ABOVE.
1
O OWNER
CORRECTIONS
SOUTH
a
DESCRIPTION OF WORK
ATH TUB FURNACE a
w
ROWER DISHWASHER ai
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINKSANOTRAP
SLOP BINK FLOOR DRAIN
WASH-TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INOPRCTOR'R NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER-GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CESSPOOL \ I
,TOTAL NUMBER OF FIXL SEPTIC TANK
CEBSPO01 SESEWER
j;=
o ..UTILITY CO.NOTIFIED
TOTAL FEE FINAL
D.B.S.» 25M BETS ,-.B APPLICATION FOR-PERMIT
DEPARTMENT OF 13UILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES
Wm.J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRRI o. Ro F o E MI .
ROUGH FIXTURES COMPLETE v '
READY POR
HEATER __
CESSPOOL i—I SEPTIC TANK R-eC,EI/VED BY DATEISSUED
FIRST INSPECTION
A9� MISCELLANEOUS
r
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB /,y rt
a. NAME (.[�"`[/L` (JC%�2�/J ADDRESS 1r. 7A
AZZ / 9�3e�
ZADDREES/SS�S V �J /J ]/pery LOCALITYyEA EST
CITY%f{�f/ypJ'�G�fdje/TbMO. n� I� S//CRDSfl BT,CO{y TY
CE#T.No. NAMELOCATION OF SEPTIC TANK, OR CESSPOOL Z MAILADDRESS i�NORTH 1 AM THE LEGAL POSSESSOR OF THANGELES COUN�=%ICAT.B OF QUALIP f/�7/ia.. Rte'//P 1P�L3LU CH//eCN'
I AM THE LEGAL OWNER OF HT 6'PROPERTY DESCRIBED
ABOVE.
m
D
OWNBR
CORRECTIONS
SOUTH _ ,{ - J
DESCRIPTION OF WORK i
ATH TUB FURNACE j
C
HOW6R DISHWASHER
AVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
B - -
F=
nOOR BINK BAND TRAP
GLOP BINK FLOOR DRAIN - -
-WASH TRAY URINAL \ APPROVALS
WATER CLOSET- DRINKING FOUNTAIN
DATE I INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING C
METER—GAS RODA FOUNTAIN GAS PIPING I
OUTL /
GAS VENT
��yy CESSPOOL
TOTAL NUMBER OF FIXTURES 6 p SEPTIC TANK I I
CE88P0pV REPTICTANK O 10SEWER
S may' UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
D.B.B.IT 2SM BETE TMT APPLICATION FOR PERMIT
COUNTY
DEPARTF BUILDING AND SAFETY ��� '
COUNTY OF LOS ANGELES
VVM.J. FOX. CHIEF ENGINEER
MBING
NATURE OF INSTALLATION DISTRICT NO. GRO P O E PERMIT NO.
ROUGH FIXTURE$ COMPLETE
—I
HEATER _I CESSPOOL SEPTIC TANK FIRST INSPECTION
R CEIV D BY READY FOR DATE 198UED
' GAB MIBC ELLANEOUB � ��
APPLICANT FILL IN7HEAVILY"OUTLINED PORTION ONLY
2 OB
NAME .J.C/JL//+CJ/0,/Q .�("1 ,ADDRESS
ADDR EBS G� 7 LOCALITY /�Cr
O 1 0 NEAREST
y CITY /�'� TEL.No. CROSS ST. !Ll
COUNTY L�
CERT.No. EXPIRES m NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
3 ADDRESS
NORTH O
CITV TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOB
ANGELES COUNTY CERTIFICATE OFQUALIFICATION./
PLUMHHR
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
R
D
{ IR OWNER
-1 CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK z
BATH TUB FURNACE
a'
SHOWER DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN BINK WATER SOFTENER
FLOOR BINK $AND TRAP'
GLOP BINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NAM[
WATER HEATER DENTAL LAVATORY .ROUGH PLUMBING I I
METER GAS SODA FOUNTAIN
OUTL GAB PIPING
GAS VENT
CESSPOOL I �
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOO14—SEPTIC TANK 6910 SEWER I I
TOTAL FEE UTILITY CO.NOTIFIED I I A
FINAL l¢•PS "`�
U.e. " m41 E5M APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO GROUP ZONE PERMIT NO
ROUGH FIXTURES GOMPLEfE _
HEATER CESSPOOL I—ISEPTICTANK I_ /E,,// /.JY FIRST AINSPECTION /DY FOR DATE %U��
GAS MISCELLANEOUS
\/ /y—L//•Y 3 L
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONJOB f�
LY
NAMEADDRESS
itOCALITY �p
d _CITY CROSS95T.
COUNTY ^
CERT. No. EXPIRES Id NAME
= MAIL V
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 ADDR E99
NORTH O
CITY TEL.No.
! AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFIC QUA IFICATION.
—: PLUMOER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
4
N
3 y OWNER
CORRECTIONS
SOUTH G
Z_
DESCRIPTION OF WORK O
rc
BATH TUB FURNACE Q
SHOWER DISHWASHER
_—LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER Y
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
_ WASH TRAY --_URINAL APPROVALS
—_WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
—METER GAS --SODA FOUNTAIN GAS PIPING
OUTL 1 —
2
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES I I SEPTIC TANK `
CESSPOOL SEPTICTANK / O SEWER
B UTILITY CO. NOTIFIED
TOTAL FEE FINAL /-I/lc
I` LA
t 1L 'si �1 w' PLUMBING
9 .. �s'^ p*)c
/ WORKEP.S'COMPENSATION DECLARATION APVLI ATION FOR PLUMBING FERMI I
hrelflrm that I have o certificate of consent to self 761667A
'retire, ar a certificate of Workers' Compensation Insurance, CE 817 (RE f. 8/86)
o certified "copy thereof (Sec. 3800, Lab. C.) t
COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
Company
Tied copy is hereby furnished. _ BUILDING- �'•
FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS'
ti tied copy is filed with the county building inspec- ' NUMBER FIXTURE OR ITEM FEE-
,an
63 7
dearrtt rrmppeeel�Mt. bzl
LOCALITY 7 g
=/ =APPicant./ �"`� G«- WATER CLOSET 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 MAiI �f
the.permit is for one hundred dollars ($100) or less.) LAVATORY _ ADDRESS. (/f.� ///L!
1W' /
I certify that in the performance of the work for which this
0 O
permit is issued, I shall not employ any person in any manner SINK CITY TEL. NO. I
so as to become subject io the Workers'Compensotion Laws. DISHWASHER
CONTRACTOR- _ GVC `U�Si
Date Applicant CLOTHES WASHER SS ADDREJ`
NOTICE TO APPLICANT If, after making this Certificate of &7 7
-Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR
Gompensation provisions of.the Labor Code, you must forth- LAWN SPRINKLECITY TEL. NOZ/�;73R SYSTEM w J
with comply with such provisions or this permit shall be STATE // ' CL /t �•}
deemed revoked. � WATER NEATER �! E9 LICENSE NO. ((y �` CLASS Gi rJ
LICENSED CONTRACTORS DECLARATION L DISTRICT N SSED BY
I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS
(commencing with'Section-7000) of Division 3-of the Business OUTLETS OVER C
and Professions Code,and my license is in full force and:effpc. 5 PER SYSTEM FINAL i
^J� (/p DATE J z � .VA ATION
license Number—
•���/� Lic Clas�
/mss-.aJ W� L� BN C¢.1
Contracto Dote
❑ I am exempt under Sec IL
YA
B:BP.C. for this reason 2
Plan check fee �6 9 1.2 A
Date: PLUMBING PERMIT ISSUING FEE E - Q -
Signature - #''� • • • • 5
TOTAL FEE lk 15
' Plan check applicant 1 e e 2 a 5 O _
SINGLE.FAMILY " - • e - 2a50'0
HOME OWNER-BUILDER DECLARATION Name '
I hereby affirm that I am exempt from the Contractor's License Address - '` U.2.3$a 7
Law for-the following reason (Section 7031.5, Business and
Professions.Code): City. Tel. No.
❑ 1, as owner of the property, will do the work and the
structure is not intended or offered for sole (Section - - ►
7044, Business.and Professions Code).
CONSTRUCTION LENDINGAGENCYr _
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 Poo
ordinances and State laws regulating Plumbing,and hereby -
•�a^�uthor' a representatives of this County to enter upon the -
c� -mentioned property r rasp ction put oses. -
�/ /��7 • . . SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permit ee Date