HomeMy Public PortalAbout8841-41 1/2 LAS TUNAS DR_Plumbing__ APPLICATION FOR PLUMBING PERMIT 1
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DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING �f /
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 3
CASSATT D.GRIFFIN, SUPT OF BUILDING
LOCALITY (Y
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER p y/y /J, ✓/ DISTRIC�. GR P DONE I REq RY FOR INSPECTION
MAIL //"7 �{ir7 CJ �i'�✓ K.J L 3
ADDRESS
INDUSTRIAL
CITY 11I TEL. NO. WASTE APPROVAL
PLUMBER Alzw INSPECTION RECORD
✓
ADDRESS C.•-+ 1 Cc l�f` }4'��rf� .Jrc1t..
CITY J G TGE L. NO. ,J / /7 71T+.. �ts Q_ . ��-1�"'[al�r'n
LICENSE NO. /eV//FJ r�V' (g/ ��W 4 `♦♦ I d' ' �.�. I C�YY��$ C1t+1 L4'+/
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ 51.00 $
BATH TUB @ 51.00 ffO-
SHOWER @ S1.00 AA �'/��� (j);TY✓�. 15N/SLC /lD R/Z .SO/C L//Yt .
LAVATORY (WASH BASIN) @ $1.00 C�
KITCHEN SINK @ S1.00 .17
l36LpW ZNn FLt�nR L`F✓tJUG/f"y9 GST
DISHWASHER @ $1.00 FII LL V!///�FT FRILL /kS nfcRgit-
LAUNDRYTUBORTRAY @ $1.00 074 YN/.r. ✓;'Y
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00 �RJrJ I'F/IFY /T/rt7///.y � q�O T.
G S SYSTEM - @ 51.00 OO /•-T THE ?NA G//inn l7N0 /J'T
T1,14 PnhF 7Hr7;?7&T/TF_ g014AI gp,S7 ad
_ I/FN•�^ /S Ton GLOS,E TD W6Q0 � D081 moi.
APPROVALS , y
- jay [,ATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK '+ T
R /
PERMIT $ t 00 ROUGH PLUMBING
—
GAS PIPING
i
TOTAL FEE���
GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST 1, 1I T.. ID 2G 5- I A
LICENSED AS REQUIRED BY LDS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UT ILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY. 11 iS 111
SIGNATURE Y-r4
OF PE RM ITTEE� FINAL Y U
JOHN A. LAMBIE. COUNTY ENGINVALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
CK. U.0. CASH
EAN 27 z � � .0
0 N
h
71
dI
�CE- EV.6/TBI
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SFEJ,
s �
FORAPPLICANT TO FILL IN PRINT ORTYPEI BUILDING (/
NUMBER FIXTURE OR ITEM ® FEE ADDRESS
LOCALITY Lr �' C
WATER CLOSET e...(�
NEAREST
BATHTUB CROSS$i.
SHOWER OWNER T
LAVATORY W ADDRESSGO ...70• /�A �//
SINK CITY1178k I" TEL.rNO� o
DISHWASHER CONTRACTO / LMAIC LU
CLOTHES WASHER ADDRESS'
SWIMMING POOL RECEPTOR
CITY� TEL.NIas]. ' p O D
LAWN SPRINKLER SYSTEM STATE ,,// i./ LIC tx
WATER HEATER LICENSE NO. //Yb 46 CLASS
GAS SYSTEM OUTLETS APPROVALS QATE IN4Eaj6R'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK AJVlt 'YjjAA&-
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING 0
GAS VENT V
K
HOT WATER HEATER Q
PLUMBING FIXTURES
GAS TEST N
Plan check fee UTILITYCO.NOTIHED 1 2
PLUMBING PERMIT ISSUING FEE$ (}-� 7O/-'Q/AU Y >5�
TOTAL FEE Gyp FINAL .S�ll• '"/ I...��C . .�
CC...•
Plan check applicant PLAN CHECK VALIDATION Y
Name
Address
City Tel.No.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THEABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS ;Q 5 4 1.6 A
REQUIRED BY L05 ANGELES COUNTY AND STATEOFOOF/F CALIFORNIA�IFOR THAT I AM THE
LEGAL OWNER OF,AND INTEND TO RESIDE TH.r \Y DESCRIBED RESIDENTIAL .A p O O p p 5
PROPERTY. - f�f1
SIGNATURE /i //T� L • p 1 9.00
OF PERMITTEE -
DISTRICT NO. ROC D BY
0 p p 1 9,0 D U
07. 1 2-79
INDUSTRIAL
WASTE APPROVAL
96AG69A �L
CE 814(REV.BOB) ll'S11
®L
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FORAPPLICANT TO FILL IN IPRINTORTYPEI ADDRESS 9 BUILDING^1( /
v�
NUMBER FIXTURE OR ITEM ® FEE
LOCALITY
-
WATERCLOSET -C- .
NEAREST
BATH TUB CROSS ST,
SHOWER OWNER C
LAVATORY MAIL I[;^��Q�
ADDRESS Tw LY Y/
SINK CITY TEL.NO.5711&S
DISHWASHER CONTR
CLOTHES WASHER ADDRESS vV
SWIMMING POOL RECEPTOR ic,
TY/_ A/ . ITE N 6
LAWN SPRINKLER SYSTEM
ATE 7 �.�Q LIC.
WATER HEATER ENSE NO.. CLASS
ZGAS SYSTEM 7/6UTLETS 3 APPROVALS DATE INSPECTOR's SIGNATURE
OUTLETS OVER NDER SLAB WORK
5PER SYSTEM OUGH PLUMBING
Y
AS PIPING6
GAS VENT V
J(C—� FINAL
WATER HEATER O
BING FIXTURES V
EST
Plan check fee Y CO.NOTIFIED 2
PLUMBING PERMIT ISSUING FEE$ 7 n
TOTAL FEE Plan check applicant —� ` �Gt/— AN CHECK VALIDATION
Nome A 1 4 Q 1 A
Addresst; I # o IT o 0 o 5City 'tl -t-�� C Tel.No. --?&/66 2 0 a 1 3j. 0 Q
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE 15 CORRECTANO AGREE TOCOMPLYWITH ALLCOUNTY ORDINANCES O p O 1 �Q/�JU
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM PROP E Y REGISTERED ANO/OR LICENSED AS 11. 17-78
REQUIRED BY LOS ANGELES COU N ATE OF CALIFORNIA OR THAT I AM THE
LEGAL OWNER OF.AND INTEND q IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY.
SIGNATURE
OF PERMITTEE
DISTRICT NO. PROCESSED BY
INDUSTRIAL
WASTE APPROVAL
D.B. 17 10.41 25M ' APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO GROUP ZONE PERMIT NO
sROUGH FIXTURES —
"�/ 6768/
ME
HEATER CESSPOOL. H.EPTPlC TANK I_ /1�/ FIRST INSPECTION
RECEIVED BY READY FOR DATE ISSUED
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ON)
.IOB
p
NAME&aiADDRESS
m ADDRESS LOCALITY i!
f
D I NEAREST
C _CITY TEL.No. CROSS ST.
COUNTY
CERT.No. EXPIRES W NAME /( _
LOCATION OF SEPTIC TANK, OR CESSPOOL ; MAIL
EB9
NORTH O
CITY TEL.No.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELEO COUNTY CERTIFICATE OF O�LLLF ON. j
r/`//,An PLUMBER ,•nVl�(
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
I-
0 m
W
yOWNER
CORRECTIONS
— J
SOUTH Q
Z
DESCRIPTION OF WORK —
a
BATH TUB —FURNACE O
SHOWER DISHWASHER
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK BAND TRAP
GLOP SINK FLOOR DRAIN
WASH TRAY —_URINAL APPROVALS
—WATER CLOSET DRINKING FOUNTAIN DATE INBPECTOR•S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
-METER—GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT y/f
CESSPOOL
TOTAL NUMBER OF FIXTURES I SEPTIC TANK
CESSPOOL SEPTIC TANK / O•D SEWER
8 UTILITY CO. NOTIFIED 1117
TOTAL FEE FINAL
J6AG6]A [T
CE 817 IRE V.6/981 'uI
(tA .
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRIM OR TYPE) BUILDING� � ,
NUMBER FIXTURE OR ITEM ® FEE ADDRESS •
/ LOCALITY'7t--C
(/ WATER CLOSET NEAREST
BATH TUB CROSS ST. Ut2A4
V
SHOWER OWN
v LAVATORY MAIL
ADDRESS
SINK CIT � TEL NO. S�[i
DISHWASHER CONTRACTO&1a
y CV
. CLOTHES WASHER ADDRESW,iZ) �L
SWIMMING POOL RECEPTOR WW
eeir TEL NO.S�6/�•
LAWN SPRINKLER SYSTEM STATE // LIC. C"7
WATER HEATER LICENSE NO 7Q(A' CLASS J
GAS SYSTEM OUTLETS ✓ APPROVALS DATE INSPECIIO�C5 SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
t
GAS PIPING 0
GAS VENT IJ
HOT WATER HEATER C
PLUMBING FIXTURES
{� �I �..
GAS TEST J// 2 G"/./ 1,:6
Plan check fee UTIu7YCO,N TIFIED - - Z
PLUMBING PERMIT ISSUING FEES _ y
TOTAL FEE
FINAL �O A �. r
Plan check applicant PLAN CHECK VALIDATION
Nome
Address
City Tel.No. { 1 8 Q 4 A
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TOCOMPLY WITH ALLCOVNTY ORDINANCES N 6 0 0 C
AND STATE LAWS REGULATING PLUMBING- PERMIT VALIDATION fi J
1 HEREBY CERTIFY THAT 1 AM RO PE FLY REGISTERED AND/OR LICENSED AS O e 2 O O O
REQUIRED BY L05 ANGELES COU V ATE OF CALIFORNIA OR THAT I AM THE L C O�
LEGAL OWNER OF.AND
INTEs
D N THE ABOVE DESCRIBED RE
SIDENTIAL
PROPERTYC a
O O
L
SIGNATURE q1 3-78
OFPERMIEET
DSTRICTsOCED BY
INDUSTOWASTE .
APPLICATION FOR PERMIT
DEPARTMElff OF BUILDING AND SAFETY ��� � �
COUNTY OF LOS ANGELES
Wm. J. FOX.CHIEF ENGINEER '
NATURE OF INSTALLATION DISTRRIIIC/NO: GROUP ZO2E PERMIT NO.
ROUGH FIXTURES COMPLETE V ✓/ �� /
READY FOR
HEATER CESSPOOL —I SEPTIC TANK RECEIVED an jJ, FIRST INSPECTION " B I�UE�
AS MISCELLANEOUS `:am6 ,O` h"
APPLICANT
/� FILLeIIN, HEAVILY OUTLINED PORT(ION ONLYJOB
E' . .NAME A�ia� �.....�J�I )1.�U�Ij/+//A�rI ADDRESS /A
ADDRESS /HrT.//J�✓ Jl.(!/�+T�q 4 LOCALITY 7 ,;4, ,
y CITY ( I Y �.. ._. AT TEL.NO. � a 6 'ZG� 'Ross ST.
AA77 II
COUNTY
CERT.No. Z 7 ") EXPIRES W NAME (n,.�..../J ......�ar
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3. ADDRESS
NORTH O
CITY TEL.NO.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATWOF QUALIFICATION.
PLUMBCH
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE. V
w
OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK i
BATH TUB FURNACE
KNOWER DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN BINK WATER SOFTENER
FLOOR SINK SANDTRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
I WATER CLOSET DRINKING FOUNTAIN DATE INOPECTOR'O NAY[
r
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER 9 GAB SODA FOUNTAIN OAS PIPING
OUTL
GAB VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOr SEPTIC TANK SEWER I
S T UTILITY CO.NOTIFIED
TOTAL FEE �V FINAL
D. B. IT 7-40 :EM APPLICATION FOR PERMIT
DEPARTM,VNT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES �, �g
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO: GROUP ZONE PERMIT No.
ROUGH IC z 6/ 46I25--V
PLUMBING FIXTURES COMPLETE RECEIVED BY READY FOR DATEISSUED
HEATER CESSPOOL I SEPTICTANK FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILLI IN HEAVILY OUTLINED
/PORTION ONLY//
JOB
a NAME tt J,e/(' 2/jlV,e�/1/Y71.� ADDRES6 ��/lf7 / U//��/ .✓1� / .Lw�P[i1
ADDRESS LOCALITY
yclrY�f �i� t-a. I".f TEL No CROSSSST.COUNY
CERT.TNd. 2 9 7 Z EXPIRES W NAME 11 i�.�LbtMJ
LOCATION OF SEPTIC TANK, OR CESSPOOL O ADDRESS
NORTH
CITY TEL No.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFI TE OF QUALIFICATION.
PLUMBER //
/1 V
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE. V
M
N >
W y
.3 OWNER
CORRECTIONS
I
SOUTH
DESCRIPTION OF WORK
a
z
BATN TUR FURNACE �
SHOWER DISHWASHER S:
O
_LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS /
WATER CLOSET DRINKING FOUNTAIN DATE
I.NSPECTOR'E NAME _
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER-GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES I � 7 SEPTIC TANK
/ CESSPOOL SEPTIC TANK SEWER
$ qq UTILITY CO. NOTIFIED
TOTAL FEE � ��J FINAL /I/g -'a>
s
I .
7SAO" n s49 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ® �
COUNTY FO LOS ANGELES �D
WILLIAM J. FOX, CHIEF ENGINEER
BMW
FOR APPLICANT TO FILL IN DISTRICT NO. I GROUP I ZONE PERMITNO.
PLUMBER / /I/� �,.. a RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION � .
ADDRESS](
CITY !.f �.r3>-�G¢. A A�EL. NO. ADD EI
NG
iSS
COUNTY LOCALITY J ✓v/� �.�. R1-I ?
LICENSE NO. S EXPIRES NEAREST ✓ l
PERMIT FEES CROSS ST. y,Jn �. 7
NVMOER TYPE OF FIXTV RE OR ITEM FEE OWNER _ r
MAIL
WATER CLOSET (TOILET) @ O.SOS I ADDRESS
BATHTUB @ 0.501 CITY TEL. NO.
I SHOWER @ O.SO lI I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS
LAVATORY (WASH BASIN) @ O.SOI APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.501 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.501 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL
/PROPERTY DESCRIBED ABOVEe
GAS SYSTEM OUTLETS @ 0.501 SIGNATURE OF
WATER HEATER @ 0.501 PERMITTEE
�',l Y .1f0 ✓✓WWI
SLOP SINK @ 0.501 INSPECTION RECORD/
FLOORAT
OR D @ 0.50
FLOR DRAIN @ 0.501
DISHWASHER
DRINK ING FOUNTAIN Q 0.5011
URINAL @ 0.501
J �
I HOUSE SEWER @ 0.501 Z
MISCELLANEOUS 'I17�
0
I I�
1 Imo_
APPROVALS
iDATE INSPECTOR'S NAME
ROUGH PLUMBING
I_ GAS PIPING
�- GAS VENT
CESSPOOL @ 1.00CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.001 1 SEWER
PERMIT . 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE: ���V\
S�I l FINAL
D.B.S.17 25M SES 7 7 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
Vim. J. FOX. CHIEF ENGINEER PLUMBING
NATURE OF INSTALLATION I DISTRICT O. cRo P zo E PER IT NO.
ROU
COMPLETE
MT
I MIBCELLANE IUS I SEPTIC TANK _ RECEIVED BY DATE ED
READY FOR
NEATER
CESSPOOL FIRST INSPECTION // ,��✓��,
,�pAPPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
rc
NAM EM ADDRESS
W I �
m ADDRESS �Z/S 1.A-C LOCALITY i
E
NEAREST r� '� -�a _r i
C CITY TEL.NO. Q -CROSS 8T. v q
COON
CERT.NO. f EXPIRES W ryAME
LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL
3 ADDRESS I J U
NORTH O
CITY /iC4 TEL.NO
1 AM THE LEGAL POSSE9 R OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF OUALIFICATIPN�..
PwMoea
1 AM THE LEGAL OWN ROP THE PROPERTY DESCRIBED
q ABOVE.
W D
3 � OWRER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK z
BATH TUB FURNACE
1�
SHOWER DISHWASHER D
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER _
FLOOR BINK SANDTRAP
GLOP SINK FLOOR DRAIN -
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN I DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY. ROUGH PLUMBING I
METE GAB SODA FOUNTAIN I
OUTL GAS PIPING I
GAS VENT I I
CESSPOOL I
TOTAL NUMBER OF FIXTURES / _ SEPTIC TANK I I
CESBPOO�_REPTIC TANK SEWER I I
'. ^ Q UTILITY CO.NOTIFIED I II
TOTAL FEE ( /
FINAL ! .ri�
1
WORKERS'at I have ar ION DEC of
raweerw � . APPLICATION FOR PLUMBING PERMIT
1 hereby affirm that I have a certificate of coInsur Insurance,
self• ce'en Iz•Sop
insl'ce or-a certificate of Workers'Compensation Insurance,or
a certified copy thereof(Sec. 3800, Lab.C.)
COUNTY OF LOS ANGELES � BUILDING AND SAFETY
Policy No. Company /
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) , BUILDING
.� ADDRESS AV
Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM • FEE
LOCALI
department. WATER CLOSET G
Date Applicant NEAREST
BATH TUB CROSS ST. C}
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE SHOWER OWNER
7-
MAILF (�/
(This section need not be completed if the work Involved LAVATORY e ADDRESS/`✓a/
by the permit is for one hundred dollars ($100) or less.) SINK ��� CITY 517 r TEL.Nr_� O
I certify that in the performance of the work for which this DISHWASHER 2
permit is issued, 1 shall not employ any person iCONTRAOR n any manner � � � 0
so as to 3 subject to orkers' mp sa[ion Laws. CLOTHES WASHER % 7 /,/ W
ADDRESS (O / (-
Date Applican SWIMMING POOL RECEPTOR l]_
NOT CE TO APPLICANT: If, after making this Certificate of Cl G� TEL. NO .� W
Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE r LIC. ' Z
Compensation provisions of the Labor Code, you must forth- WATER HEATER LICENSE NO. Q� d CLAS C S
with comply with such provisions or this permit shall be
deemed revoked. GAS SYSTEM OUTLETS DIST NO. p�BSiS EED BV)
LICENSED CONTRACTORS DECLARATION / OUTLETS OVER G!/ l(�
I hereby affirm that I ant licensed under provisions of Chapter 5 PER SYSTEM
9 (commencing with Section 7000) of Division 3 of the Busi- FINAL ��., VALIDAT N
ness and Professions Code, and my license is in full force and DATE �Z
effect. / bI� AU
/� I, C-� FINAL 1,
License Number. Ham- J Lic.Class ) � y, J� BY
Contract o -u N� Date — L(/OQ pr v
1 am e mpt from th rnensing requirements as I am a
licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$
acting in my professional capacity (Section 7051, Bus-
iness and Professions Code). TOTAL FEE
Lie.or Reg.No. Date Plan check applicant
HOME OWNER-BUILDER DECLARATION Name '
I hereby affirm that I am exempt from the Contractor's Address
License Law for the following reason (Section 7031.5, Busi- City - Tel. No. �0 3 7 2 6 A
ness and Professions Code):
❑ I, as owner of the property, am exclusively contracting 19 , "Y�� # o o e o - 5
with licensed contractors to construct the project t
(Section 7044, Business and Professions Code). 2 0 - 37,00
CONSTRUCTION LENDING AGENCY ^ e a 3 7 0 05
I hereby affirm that there is a construction lending agency
for the performance of the work for which this permit is 0 1. 13-81
issued (Sec. 3097,Civ.C.). '
Lender's Name
r
Lender's Address
1 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 this County to enter upon the
ab mentioned p pperrlyyy r inspection purpo s.
iW WLdC4't�
Signature of rmitfeee ate
COUNTY OF IAS ANGELES TEMPLE CITY i1 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0704030008
BUILDING ADD SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 3623 LT: 68 UN: .002 8841 LAS IDEAS DR
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: 1 TEMP CA 917801821
ASSESSOR INFORMATION NUMBER I V NEAREST CROSS STREET:
15387-011-009 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, C
125 LAVATORIES/SINKS 1.00 FIX 16.20
1TENANT: I TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
IS20 BAR GRILL RESTAURANT 1 104/03/07 SK 09/30/07
1 1 1_
IOWNER: TEL. NO: FI AL DATE s� FIN . CODE:
ITSU-TSAI CHAD (626) 285-6920- „ /7�s-J� cif �!
19722 LONGDEN AVE.
JTEMPEL CITY CA 91780 �D SCRIPTION OF WORK
(ADD ONE HAND SINK
(APPLICANT: TEL NO: 1 1
IWONG (626) 374-6118-
12339 GRANADA AVE. ISPECIAL CONDITIONS:
IS. EL MONTE CA 91733 1 1 1
I I I
CONTRACTOR: TEL. N0:
(APPROVALS DATE INSPECTOR SIGNATURE
RICHARD PLUMBING (626) 374-6118-
12339 GRANADA AVENUE LIC. NO (UNDER SLAB WORK
ISO. EL MONTE, CA 91733 862275 C36 1 1 1
I 1 (WATER SERVICE
(PLASTIC YIN METAL YIN
(ARCHITECT OR ENGINEER: TEL N0:
ROUGH PLUMBING
LIC NO: 1
GAS PIPING'
GAS VENT
I_
HOT WATER HEATER
(PLUMBING FIXTURES
LAWN SPRINKLERS
(GAS TEST
(UTILITY COMPANY NOTIFIEDI I
I I I Cw, I I l
(GRAY WATER SYSTEM
I I I I I I
I II I I I I
I I I I I I
II I I I I I
I I I I I I
(REPORT ID: DPR263 ROUTE T0: BS0508
I
COUNTY OF LOS ANGELES TEMPLE CITY q 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0903060001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 265-0488 EXT:
LEGAL ID: FEES PAID _ BUILDING ADDRESS:
QTR: 3623 LT: 68 ON: .002 8841 LAS TUNAS DR
FEE DESCRIPTION: QUANTITY: GUM: AMOUNT: ( TEMP CA 917801821
ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
15387-011-009 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
125 LAVATORIES/SINKS 1.00 FIX 16.20
TENANT: 147 WATER HEATER(S) 1.00 WTH 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
IB20 BAR GRILL RESTAURANT TOTAL FEES 60.15 103/06707 SK - 09/02/07
TOWNER: TEL. NO: IFINJL DATE FIN CODE:
ITSU-TSAI CHAO (626) 285-6920- 1 -7
19722 LONGDEN AVE. 1�/
ITEMPEL CITY CA 91780 IDES RIPTION F WORK
CHANGE WATER HEATER AND ADD ONE SINK
APPLI CANT: TEL. NO: I
IWONG. (626) 374-6118-
12339 GRANADA AVE. (SPECIAL CONDITIONS:
IS. EL MONTE CA 91733
I
I
I
ICONTRACTOR: TEL. NO: _ (APPROVALS DATE INSPECTOR SIGNATURE
(RICHARD PLUMBING (626) 374-6118- -
12339 GRANADA AVENUE LIC. NO (UNDER SLAB WORK
ISO. EL MONTE, CA 91733 862275 C36
I (WATER SERVICE
IPLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO: TROUGH PLUMBING
LIC. NO:
(GAS PIPING
(GAS VENT -L! /
HOT,WATER HEATER
(PLUMBING FIXTURES
(LAWN SPRINKLERS
IGAS TEST
I
I I �GTII,ITY COMPANY NOTIFZEDI I I
' (GRAY WATER SYSTEM
I I I I I I
(REPORT ID: DPR263 ROUTE TO: BS0508