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HomeMy Public PortalAbout9026 LAS TUNAS DR_Plumbing__ D. B. +7 4-40 ;oM APPLICATION FOR PERMIT r DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING lave� WK. J. FOX, CHIEF ENGINEER ' z. DISTRICT NO. GROUPR ( ZONE P MIT;No NATURE Old INSTALLATIONf � ROUGH � PLUMBING FIXTURES COMPLETE RECEIVED BY READY FOR DATE ISSUED, HEATER CESSPOOL SEPTIC TANK 1 �iFIRS I�TION rlj4 .�V GAS - MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY ,! p 5 ` JOB (t� NAM,E- ADDRESS ` 1.� ,. W m ADDRESS1;L46 ON_ , p.��/V LOCALITY f D NEAREST -� CITY TEL No. CROSS ST. a COUNTY CERT. -NO. EXPIRES w NAME Q�_ Z MAIL OCATION OF SEPTIC TANK, OR CESSPOOL , ADDRESS NORTH CITY ( TEL NO: I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ''.` ANGELES COUNTY CERTIFI.C� OF QUALIFICATION ce PLUMBER 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. m w.. Y SNI 3 OWNER CORRECTIONS 11 SOUTH J DESCRIPTION OF WORK z t� BATH TuB - FURNACE SHOWER DISHWASHER 0 LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN" DATE INSPECTORS NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FOUNTAIN GAS PIPING OUTL GAS VENT CESSPOOL T&TAL NUMBER OF FIXTURE S. SEPTIC .TANK 6 CESSPOOL SEPTIC TANK_ SEWER F$ tIV • UTILITY CO: NOTIFIED I TOTAL FEE T FINAL ��d D. B..,,7 7-40 25M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY,OF LOS ANGELES PLUM"BING WM. J. FOX; CIiIEF ItNGINEER NATURE .OF-.INSTALLATION DISTRICT NO. , GROUP- Z NE PERMIT No. ROUGH i� ( �} �i PLUMBING FIXTURES' I COMPLETE RECE VED Y READY FOR DATE ISSUED HEATER CESSPOOL I iSEPTIE.TANK FIR T INSPECTION GAS! M'ISCEL-LANEOUS10" l APPLICANT FII.L�INiEAVILY OUTLINED PO�yRTION. O,N70 LY JQ6 j 15 1 NAME ADDRESS m ADDRE /&j&o LOCALITY r 7 NEAREST A CITY TEL No. CROSS ST. IL - COUNTY CERT. NO. - AQ Zee EXPIRES Illm NAME Z MAIL LOCATION OF SEPTIC TANK, ORIO EAPOOL o ADDRESS NORTH CITY.. - TEL No. 1 AM THE LEGAL 15OSSESSOR- OF THE ABOVE LOS ANGELES COUNTY CEfTIFICATE OF QUALIFICATION. PLUMBER 1 A, 'THE LEGA OWNER OF THE PROPERTY DESCRIBED B V W N _ 3 7 OWNER WARECTIONS SOUTH ( 7 +� w DESCRIPTION OF WORK a z BATH TUB FURNACE 0.. SHOWER DISHWASHER y U- LAVATORY REFRIGERATOR / KITCHEN SINK WATER SOFTENER �'`a�1 ` l FLOOR SINK SAND TRAP vv - SLOP SINK FLOOR DRAIN WASH TRAY ._URINAL APPROVALS. WATER CLOSET DRINKING FOUNTAIN DATE / INs PECTOR'S NAM _ WATER HEATER DENTAL LAVATORY .ROUGH-.PLUMBING �Lt-t s METER GAS SODA FOUNTAIN GAS PIPING OUTL GAS VENT CESSPOOL TOTAL-NUMBER OF FIXTURES I SEPTIC TANK SEWER CESSPOOL SEPTIC TANK t $ UTILITY CO. NOTIFIED y/�; TOTAL FEE FINAL D. B. 17 7-40 25M APPLICATION FOR PERMIT .DEPARTMENT OF BUILDING AND SAFETY B I G COUNTY OF LOS ANGELES PLUm WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUPZONE PERMIT No ROUMBING FIXTURES COMPLETE 7—UGH r I C 3 7®g- , RECEIV BY READY FOR DATEISSUED HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION �v ?-9-GAB MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY / Job � NAME ADDRESS W vw m ADDRESS d LOCALITY714 "7 D NEAREST a CITY L No. CROSS ST. - CO U NTY ,1 CERT. NO. EXPIRES ,1,*,j m NAME k OCATION OF SEPTIC TANK, OR SSP?OL Ao ADDRESS _ NORTH CITY A sr1,I TEL No. IAM THE LEG4 ePOSSESSOR OF THE ABOVE LOS ANGELES COUNTY ICE FICATE OF QUALIFICATION. I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. F to - W OWNER CORRECTIONS SOUTH DESCRIPTION OF WORK Fr a BATH TuB FURNACE A SHOWER DISHWASHER ~ LAVATORY REFRIGERATOR V O KITCHEN BINK WATER SOFTENER 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 ETERGAS —_SODA FOUNTAIN GAS PIPING OUTL \ GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOL SEPTIC TANK SEWER $ J FUTILITY CO. NOTIFIED 11 TOTAL FEE FINAL FEE FINAL I��DL D. B•. 17 ''"° 25M APPLTCATI,ON FOR PERMITS DEPARTMENT OF .BUILDING AND "SAFETY j j COUNTY OF LOS ANGELES, !� J "� rt1+ 1 WM. J,. FOX.. CHIEF-,E OJNEER NATURE OF I1ySTAI:LATION DISTRICT NO, GROUP ZONE pERRryMIT.No. ROUGH PLUMBING FIXTURES COMPLETE RECEIVED,BY" READY FOR'-- 'DATE ISSUED HEATER CESSPOOL I SEPTIC TANK /�(�� I FIRST INSPECTION GAS MISCELLANEOUS r („r•/• APPLICANT FILL IN-, ILYOUTLINED PORTION ONLY JOB It NAME ` ADDRESS �•�C.f2 W m ADDRESS - LOCALITY .� NEAREST - 6 CITY TEL No. CROSS ST. COUNTY CERT:NO. EXPIRES WNAME _ OCATION OF SEPTIC TANK,OR CESSPOOL: o AooREss U �' NORTH, CITY TEL N'o. I AM THE LEGAL POSSESSOR OF THE.. ABOVE, LOS ANGELES COUNTY. CERTIFICATE OF QUALIFICATION. -PLUMBER- - I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. - F m OWNER - CORRECTT`ONNSS . SOUTH r DESCRIPTION OF WORK _z z BATH TUB FURNACE SHOWER DISHWASHER LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK RAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE MSPHCTOR`:S NAME WATER, HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FOUNTAIN GAS PIPING OUTL GAS VENT - CESSPOOL. TOTAL NUMBER OF FIXTURES SEPTIC TANK - .. ; CESSPOOL SEWER SEPTIC TANK . UTILITY CO:.. NOTIFIED' TOTAL FEE. I + ✓"*"'r ""Y� FINAL 76A667-CE#817 2-66 r ,� APPLICATION FOR PLUMBI PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING 40 A QQ / �y JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS //p( fY ad COLEMAN W JENKINS. SUP T OF BUILDING LOCALITY 6-4 I FOR APPLICANT TO FILL IN NEAREST CROSS ST. � NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS SHOWER 1.25 CITY f TEL. NO. -'� LAVATORY 1.25 L CONTRACTORL SINK 1.25 ADDRESS og DISHWASHER 1.25 CITY TEL. NO. STATE LIC LAUNDRY TUB 1.25 LICENSE eO ® � CLASS CLOTHES WASHER 1.25 DIS CT NO�J ROUP ZONE P C S BY WATER HEATER 1.50 /J� V (off GAS SYSTEMOUTLETS 1'� WASTE APPROVAL INDUSTRIAL a OUTLETS OVER 5 PER SYSTEM .30 CD INSPECTION RECORD v O F- U W CL. '4 N Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 OQ UNDER SLAB WORK TOTAL FEE 3 ROUGH PLUMBING GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND�OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I A THE L AL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DE RIBE ESIDEN71 PROP Y UTILITY CO NOTIFIED SIGNATURE OF PERMITTEE ,r- FINAL VALIDA N JACK R. ALLEN CK M O CASH SUPERVISING MECHANICAL ENG'R. O 6 -9 8 6- FEB 6 5 D 325- WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self in- 76A66�A 490 sure,or S'certificate of Workers'Compensation Insurance,or a certified copy thereof (S c 3800, Lob ) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy N / mpany Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certifie copy is filed with the county building inspection' ADDRESS de r7�7 NUMBER FIXTURE OR ITEM @ FEE LOCALITY 1 Date Applicant WATER CLOSET(TOILET) 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 MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRE I certify that in the performance of the work for which this per- SINK C TEL mit is issu , I shall not employ any person in any manner so as to bec me su lect to the Worker 'Compensating Laws DISHWASHER CONTRA Date!,}/-' Applicant ,�aVJ'•', CLOTHES WASHER NOTICE O AP LICA T• If, after making this Certificate of Ex- ADDRESS c tion,you should become subject to the Workers'Com en- SWIMMING POOL RECEPTOR em P Y I P CITY TEL NO sation provisions of the Labor Code,you must forthwith,comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE LIC ed WATER HEATER LICENSE NO CLASS C/ LICENSED CONTRACTORS DECLARATION DISTRICT NO PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter t GAS SYSTEM OUTLETS p 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER '�O and Professions Code, and my I nse is in full force and ef- 5 PER SYSTEM FINAL ALI DATION fect HOSE BIB DATE r License N ber Lic Class a FINAL e Contract Date ,v BY JJUJ■a 43.40 cc F-] O I am exempt under Sec 1 ITEMS U B &P C for this reason Plan check fee ► TOTAL 43 -40 H Date PLUMBING PERMIT ISSUING FEE$ 7 (ECK 43.403 Signature TOTAL FEE CHANGE n00 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan chec pplicant I.hereby affirm that I am exempt from the Contractor's License Nam' OI300-0001 .?/11/96 Law for the following reason (Section 7031 5, Business and Professions Code) Address .53228 1 NU:23 ❑ 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, Business and Professions Code) ► CONSTRUCTION LENDING AGENCY 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 ) t 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 ordinances and State laws regulating Plumbing, and hereby auth ize representatives of this County to enter on th abo -mentioned pr er or inspection purpo es SEE REVERSE FOR EXPLANATORY LANGUAGE gnature of P r itte Dat COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0904150010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID. FEES PAID I BUILDING ADDRESS I ITR 12157 LT 5 I 9026 LAS TUNAS DR I I IFEE DESCRIPTION QUANTITY UOM: AMOUNT I TEMP CA 917801834 1 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET SULTANA 1 15387-029-004 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE 596 GRID H3 LOCALITY TEMPLE CITY, Cl 1 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 1 ITENANT I TOTAL FEES 43 95 11SSUED ON PROCESSED BY PLAN BY EXPIRES ON 1 1 1 104/15/09 SR 10/12/09 1 1 i 1 1 (OWNER TEL NO I IFINAL DATE FI BY CODE I ROZAK FAMILY PROP (949) 474-4906- 1 1 �/1/ 1 2192 MARTIN ST (IRVINE I IDESCRIPTI N OF WORK 1 I IGAS LINE FOR HVAC SYSTEM 1 I I I I 1APPLICANT TEL NO I 1 I 1POWER SOURCE CONSTRUCTION (626) 233-2861- 1 1 1 18305 DUARTE ROAD I ISPECIAL CONDITIONS• 1 ISAN GABRIEL CA 91778 1 1 1 I I I I I I I I (CONTRACTOR. TEL NO 1 1APPROVALS DATE INSPECTOR SIGNATURE 1 IPOWER SOURCE CONSTRUCTION (626) 233-2861- 1 1 IP.O BOX 52 LIC NO 1 1UNDER SLAB WORK I 1 ISAN GABRIEL, CA 91778 833729 I 1 1 I I 1 IWATER SERVICE 1 1 I 1 IPLASTIC Y/N METAL Y/N I 1 1 (ARCHITECT OR ENGINEER TEL NO I I I I - 1 IROUGH PLUMBING 1 1 1 LIC. NO 1 I I I IGAS PIPING 1 1 IGAS VENT I I I 1 I IHOT WATER HEATER 1 I I I I 1 IPLUMBING FIXTURES 1 I I I I I I I ILAWN SPRINKLERS 1 1 1 IGAS TEST I I I I 1 11 1 1 (UTILITY COMPANY NOTIFIEDI I I I 1 11 1 I I ICWV I I I I I I I I I 1 1 IGRAY WATER SYSTEM 1 1 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 I I I I I I I I I I I I I I I I I I I I IREPORT ID DPR263 ROUTE TO SS0508 1 1 I 1 I I I I I I