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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 -� 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 Z M.ISCELLANEOCIS [7 0.' II O I t 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 z .. -, NORTH - - '� CITY TEL No. CORRECTIONS m w i J 3 I z (9 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