HomeMy Public PortalAbout9042-9046 LAS TUNAS DR_Plumbing__ 76A667 17. 5-49®- - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES = PLUMBING
VILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
PLUMBER M. C. NOTTINGRA.M CO. RECEIVED BY READY FOR DATE ISSUED
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2 �,•^"�
FIRST INSPECTION
ADDRESS. - 123 No. Cloverl. Ave. --
�j r �[7�t"�' j i BUILDING �/ ,+/�► y,�,� j`�
CITY TEMPLE Cil., I�O� C�.I1I�: � ADDRESS /fQ �k, �I V�/�'G� f/A.,
COUNTY ` LOCALITY ���� �
LICENSE:NO.. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
i 4T
NUMBERI TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ 0.50 $ j: ADDRESS.
BATHTUB @ O.50 CITY TEL. NO. -
SHOWER Q 0.50 ► HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASHBASIN) Q 0.50 OTLWATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING..-
- I CERTIFY THAT I POSSESS TI4S AEJOVE VALID, LOS
LAUNDRY TUB OR TRAY @ 0.50 AN_ELES COUNTY LICENSE. OR I -. T LEGAL OWNER
OJ-"' SID P, -EY`T'f�
GAS SYSTEM OUTLETS @ 0.50
S OF
WATER.HEATER @ 0.50 ITTE .. -
SLOP SINK @ 0.50 INSPECTION RECO D
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50 _
DISHWASHER @ 0.50
DRINKING FOUNTAIN Q 0.50
URINAL Q 0.50 ,J
HOUSE SEWER @ 0.50 I - Q
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M.ISCELLANEOCIS [7
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APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
- GAS VENT
CESSPOOL Q 1.001 CESSPOOL
SEPTIC TANK: SEPTIC'TANK
I DRAIN ( ) PIT ( ) Q 1.00 SEWER
PERMIT . I 1,00 GAS TEST
�j UTILITY CO. NOTIFIED
I. TOTAL FEE I $2
iG.� FINAL
4-39 25M " APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY g TA RTA T
COUNTY OF LOS ANGELES PLUMBING LUMI V
WM.. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT No.
ROUGH
PLUMBING. f I FIXTURES. I COMPLETE READY FOR RECEIVED�+ B.x) ATE ISSUED
HEATER ��.� - CESSPOOL SEPTIC TANK FIRST INSPECTION
GAS ; MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
J JOB )/ �r,/� �.
NAME C)&r,L'11ILe- Mj'*64.�"C .+�i C ADDRESS +!6 J 0.,J+'1.. per.? �d'wi
III� ADDRESS X4 J:a WA1ff1,e a �I/ _ LOCALITY 7P_V%, V5 'e
f
// t f� p NEAREST
d. CITY /'Y.[3,s Avi��+'�eIP-T, TEL No. Jf GV V " M CROSS ST_.
TY
REG.NO. 810 "1. f EXPIRES `� � r a
W NAME
LOCATION OFSEPTICTANK, OR CESSPOOL 3 MAIL
IDREss
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.. -,
NORTH - -
'� CITY TEL No.
CORRECTIONS
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0
SOUTK
DESCRIPTION OF WORK
BATH Tue FURNACE
SHOWER DISHWASHER APPROVALS
LAVATORY REFRIGERATOR f}D�AJTE INSPECTORy8r NAME.
KITCHEN SINK WATER SOFTENER ROUGH PLUMBING I64744b
[—FLOOR SINK - SAND TRAP -GAS PIPING -1O1" [-�I
'SLOP SINK FLOOR DRAIN 'GAS VENT 1
WASH TRAY - URINAL CESSPOOL
—. —WATER CLOSET DRINKING FOUNTAIN SEPTIC TANK
WATER HEATER. —DENTAL LAVATORY SEWER
lMETER--&--GAS _SODA FOUNTAIN UTILITYCO. NOTIFIED ///f
OUTL INAL i� I l '/r�Y lan
F
1 AM THE LEGAL OWN R OrF THE'ABOV LOS ANGELES
COUNTY REGISTRATION NUMBE
TOTAL NUMBER OF FIXTURES
SEPTIC TANK PLUMBER
CESSPOOL. I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED,
ABOVE.
TOTAL FEE
OWNER
76A667•CEil617 4-64WLUMEBING
APPLICATION FORPERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BU7ST.-'
JOHN A. LAMBIE. COUNTY ENGINEER AD
WILLIAM A. JENSEN, SUPT OF BUILDING LOFOR APPLICANT TO FILL IN Cd ! ���-� G✓
NUMBER FIXTURE OR ITEM EACH FEE '
OWNER CEJ 4_,,ylj-
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 S- CONTRACT V A,,.�
SINK 1.25 ADDRESS/3ro IS4 i..
DISHWASHER 1.25 CITY L TEL. NO.'33
CONTRACTOR'SC90 STATE
LAUNDRY TUB 1.2S REGISTRATION NO. --�r COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PR CESSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL d
WASTE APPROVAL O
OUTLETS OVER S PER SYSTEM .30 INSPECTION RECORD VV
a
z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE �5 GAS PIPING
IH
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.
I 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 1 AM THE LE L OWNER OF,AND I TEND TO
RESIDE IN,THE ABOVE DESCRIB ES.D.NT.AL PROPERTY UTILITY CO. NOTIFIED
SIGNATURE � 1
OF PER TEE FINAL
LIDATION ROBERT A. WOOD
M.O. CASH SUPERVISING MECHANICAL ENG'R
�1 t it Lam- N CA
Y
D. B. 17 7-40 25M APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING_A" SAFETY
COUNTY OF LOS ANGELES L �.J I 1
WM. J. FOX._CHI',EF ENGINEER
NATURE OF INSTALLATION clsrc GROUP ZONE /E'RMIT3NyOJy.
ROUGH I it!
PLU,MBING.. . I FIXTURES- COMPLETE :RECEIVED- Y READY FOR DATE:ISSUfED
HEATER -CESSPOOL _ SEPTIC TANK '�/y(yg/l I FIRST INSPECTION
GAS:. ` MISCELLANEOUS
� • .i►a
APPLICANT FILL IN HEAVILY OUTLINE5 PORTION'ONLY
JOB
NAME. .a/Cf ADDRESS S %.�0OKoo"
-. 00 J � �m ADDRESS ! LOCALITY
f
a: CITY ,� NEAREST
; �Ey TEL No.�1J' �& CROSSST ,y
COUFITYy_..� - - - rr
CER-T. NO. EXPIRES - yaj. NAME
OCATION OF SEPTIC TANK, OR CESSPOOL o ADDRESS C7
NORTH
--CITY TEL NO.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTITE OICATION.
kUMBfiRR �(^"
I.AM.THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
A Y
j. - ,OWNER
i7 CORRECTIONS
SOUTH
DESCRIPTION OF WORD
z
BATH TUB FURNACE
SHOWER DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN. SINK WATER SOFTENER
- FLOOR SINK LAND TRAP
SLOP SINK FLOOR DRAIN
1lpA� - WASH TRAY URINAL APPROVALS
A WATER CLOSET DRINKING FOUNTAIN DATE INsrecTORs.•NwMc
WATER HEATER -DENTAL LAVATORY ROUGH PLUMBING
METER GAS SODA FOUNTAIN GAS PIPING
OUTL GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES. SEPTIC TANK
/)
�L-CESSPOOL. SEPTIC TANK SEWER
.� $ UTILITY CO. NOTIFIED /„ 1�A� ge
TOTAL FEE sj I � FINAL "%/ Aw r`r �t�-
76A667-CE617 6-60
APPLICATION FOR PLUMBI PERMIT
COUNTYOFCYL
DEP TNNCOUNTY ENGINEER
BV",ILDING: 1D SAFETY DIVISION BUILDING
JOAN A EXABI�. COUNTY ENGINEER ADDRESS
WfLLIAM k JENSEN. SUP' OF BUILDING
LOCALITY
FOR APPLICANT TO `FITC IN NEAREST y
CROSS ST.
.,NUMBER- FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
ADDRESS
BATH TUB
CITY TEL. NO.
SHOWER
CONTRACTOR
LAVATORY
SINS
ADDRESS
y
DISHWASHER CITY NO. « /-"
CONTRACTOR'S / /^ STATE
LAUNDRY TUB REGISTRATION NO. f COUNTY El
CLOTHES WASHER DISTRIC 'NO. `GROUP ZONE' I PRO ESS BY
WATER HEATER V G—
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD d
P.
.11-Al 0
O
L' V
r.. W
a
m
$1.00 PER ITEM
OR FIXTURE $ I APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK 1000,
TOTAL FEE 1V ROUGH PLUMBING /
- V
GAS PIPING ,.
1 HERBY"ACKNOWLEO"GE THAT 1 HAVE READ THIS APPLICATION GAS VENT
.AND STATE�i;THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY.
WITH, ALL COUNTY ORDINANCES AND STATE LAWS REGULATING;
PLUMBING.. HOT WATER HEATER
1 HEREBY" CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES _
LICENSED AS;REQUIRED BY LOS ANGFLES COUNTY AND STATE OF .GAS TEST
CALIFORNIA OR 'THAT 1 AM TN L AL OWNER OF THE ABOVE
DESCRIBED-11M, ROPE UTILITY CO. NOTIFIED �y� �I
SIG;AN TU RE f 4 /Yl�� \ /� Jt1
FINAL
oil VALIDATION ROBERT a. oom;
WH SUPERVISING. OD
ENG-ft
Lt,!-'02 6 0 4 su 13 5 D 1 1 .0 0
WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT
I hereby affirm that I have a certificate of consent to self 76A667A
insure, or a certificate of Workers Compensation Insurance, CE 817(REV 10/81)
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
Certified copy is filed with the county building inspec- ADDRESS S
tion department NUMBER FIXTURE OR ITEM @ FEE LOCALIr
E"i''jf3Gt %J
Date Appligont WATER CLOSET NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST J T
COMPENSATION INSURANCE SHOWER OWNER
(This section need not be completed if the work Involved by MAIL �y
the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS
I certify that in the performance of the work for which this
permit is issued, I shall not employ any person in any manner SINK CITY TEL NO
so as to become subject to the Workers'Compensation Laws DISHWASHER
CONTRACTOR 0� l
Date /2-_./19'a Applicap CLOTHES WASHER ADDRESS
NOTICE TO APPLICANT If, after making this Certificate of
Exemption, you should beco a subject to the Workers' SWIMMING POOL RECEPTOR
p Y I CITY ' TEL NO =�9�
Compensation provisions of a Labor Code, you must forth- LAWN SPRINKLER SYSTEM
with comply with such provisions or this permit shall be STATELIC
deemed revoked WATER HEATER
LICENSE NO / 7/ v CLASS
LICENSED CONTRACTORS DECLARATION DISTRICT NO PROCESSED BY
1 hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS
(commencing with Section 7000) of Division 3 of the Business OUTLETS OVER Q
and Professions Code,and my license is in full force and effect 5 PER SYSTEM FINAL 0
/ �/ �� / DATE I Z '/�—� VALIDATION u
License Numbef �/d Lic Class�l_ 11119FINAL /' O
Contractor Date 112��d���`
W
❑ I am exempt under Sec
B &P C for this reason ✓A Z
Plan check fee
Date PLUMBING PERMIT ISSUING FEE$
Signature
TOTAL FEE
Plan check applicant
SINGLE FAMILY
HOME OWNER-BUILDER DECLARATION Name
I hereby affirm that I am exempt from the Contractor's License Address
Law for the following reason (Section 7031 5, Business and
Professions Code) City Tel No 2 8 2 47
❑ I, as owner of the property, will do the work and the
structure is not intended or offered for sale (Section , # o o o o o 5
7044, Business and Professions Code) 2�- 0 1 2 5 0
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for ,o,o o 1 2 5 0 E
the performance of the work for which this permit is issued
(Sec 3097, Civ C ) 1 210-82
Lender's Name
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
ordinances and State laws regulating Plumbing, and hereby
authorize representatives of this County to enter upon the
above-mentioned proper y'for inspection purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE
711gnature of Permitfee Date
-COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING-PERMIT
• DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9706270009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA J
PHONE: (818) 285-0488 EXT:
LEGAL S PAID BUILDING
TR: 12157 LT: 9- 9042 LAS TUNAS-DR;
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-CA-917801834
ASSESSOR INFORMATION N BER: NEAREST CROSS STREET:
5387-029-008 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE_CIT_Y
25 LAVATORIES/SINKS 3.00 FIX 49.05
TOTAL FEES 76.80 ISSUED
JAMES-ROBERT SALON 06/27/97 TC 06/27/98
OWNER: TEL. NO: FINAL DATE FINAL BY: E:
LAI CHIA-CHI;FEN-HONG;CHIA HUNG;LYD
1458 HAMPTON RD -m-4 7
SMAR 911081919 M ION OF
THREE NEW SHAMPOO BOWLS
SAME AS OWNER -
SPECIAL ONDI
Co NTPACTOR:
SAME AS OWNER T WE S DATE INSPECTOR SIGNATURE
LIC. NO /c- UNDER SLAB WORK
O WATER SERVICE
PLASTIC Y/N METAL Y/N
LIC. NO:
GAS VENT
Ksl HOT VkTER HEATEff-
Puloo-lUu Wo
103 61 �AWN SPRINKLERS,
c1p, GAS TEST
UTILITY COMPANY NOTIFIM
wV
o ���� C
�� TER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508