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
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GAS - MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY ,! p
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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
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PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
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3 OWNER
CORRECTIONS
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SOUTH J
DESCRIPTION OF WORK z
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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
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A CITY TEL No. CROSS ST.
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-
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
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W N _
3 7 OWNER
WARECTIONS
SOUTH ( 7 +� w
DESCRIPTION OF WORK a
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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
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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.
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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