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Home My Public Portal About9070 LAS TUNAS DR_Plumbing__ D.S.S.17 25M SETS 7-47 'APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUPLUMBING COUNTY OF LOS ANGELES Wm.J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT G OU ZONE PERMIT r� / NO. ROUGH FIXTURES COMPLETE 5— d 7! HEATERCESSPOOL I ISEPTIC TANK RECEIV BY READY FOR DATB ISSUED FIRST INSPECTION 7 l AS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY w NAME A- V/tel C21-71 p11717,r A g p► ADDRESS 7/a s/ Tori s Z ADDRESS 799 S, 4 �E! 1 / 1 / ,r / LOCALITY 7e� NEA EST 6 _CITY f,e G l A 1 tf TEL.No. `� r6! CROBB BT. /7� COUNTY C NAME C.1". CERT.No. EXPIRES hl LOCATION OF SEPTIC TANS, OR CESSPOOL Z MAIL �? ADDRESS V NORTH O dna CITY a` e TEL.No. 1 AM THE LEGAL POSSESSOR 9-F THE ABOVE LOS ANGELES COUNTY CURT IFIQ B A P CATTIIONN. 9—, ' i - � ureeR 1 AM THE LEGAL OWNER OF THE PERTY DES IBED ABOVE. OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK i BATH TUB FURNACE ROWER DISHWASHER. Q LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SANDTRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I METER—GAS SODA FOUNTAIN GAB PIPING oun GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK I I CESSPOOL SEPTIC TANK SEWER S UTILITY CO.NOTIFI I TOTAL FEE FINAL U 6. li IU-41 25M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO GROUaZONE PERMIT NO 7- S-2 If S-3 ROUGH FIXTURES COMPLETE _ RECEIVED By READY FOR DATEISSUED HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION 9NLY JOB n E NAM . ADDRESS (✓ W m ADDRESS^ LOCALITY j � 3 J CITY A TEL. REST p ROSS ST. COUNTY CERT.No. EXPIRES W NAME MAIL V_ LOCATION OF SEPTIC TANK, OR CESSPOOL 3 ADDRESS NORTH O CITY TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OFLIFIC :;PION. I�E ER �FE R 7Y I AM T,H�E LEG L W O EPR ESCRf,E ABOVfi. F ly 3 w D 0 OWNER CORRECTIONS t� — J SOUTH Q Z DESCRIPTION OF WORK — �? �c BATH TUB FURNACE O SHOWER DISHWASHER —/—LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER — FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH,TRAY _URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOJUS NAME [±WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER�6AS SODA FOUNTAIN -� OUTL GAS PIPING GAS VENT �.� CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK SEWER CESSPOOI SEPTIC TANK A O D UTILITY CO NOTIFIED TOTAL FEE FINAL /� 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. 38Q0, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy N6.. Company' f Certified copy is hereby furnished. ® FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING F Certified copy is filed with the county building inspec- ADDRESS c tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date 1 Applicant ` WATER CLOSET NEAREST , CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOVER OWNER (This section need not be completed if the work involved by the permit is for one hundred dollars $100 or-loss.) MAIL p ( � ) LAVATORY ADDRE�`' .`.f + i I certify that in the performance of the work for which this ce e e y p SINK CITY TEL. NO., i permit is issued, I shall not employ any person in any manner r so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR- Date ONTRACTORDate Applicant CLOTHES WASHER ADDRESS 3 NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' CITY !' TEL. NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE z UC. deemed revoked. WATER HEATER LICENSE NO. - CLASS x� LICENSED CONTRACTORS DECLARATION DISTRICT NO. J PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 i GAS SYSTEMOUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER CL 0 and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL VALIDATION u i r f DATE License Number ` "� Lic. Class � FINAL � ��' BY t Contractor Da e% ❑ I am exempt under Sec. � BARC. for this reason O Plan check fee a Date: PLUMBING PERMIT ISSUING FEE$ " t F Signature TOTAL FEE • s r.s x c. SINGLE FAMILY Plan check applicant HOME OWNER-BUILDER DECLARATION Name rss st `~ 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. ❑ I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section oil, 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.). 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 authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date 1 • ' WORKER'S I have a ce TION DECLARATION 76A667 DPW 9/89 APPLICATION FOR PLUMBING PERMIT 76A667A I hereby affirm that I have a cerivicate of consent to self insure, or a certificate of Worker's Composation Insurance, or a certified copy thereof(Sec 3800 Lab C) CI �C11� . COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF,PUBLIC WORKS DIV. Policy No Company t ❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDINGJ� '�O u^* ]� Certified copy is fled with the c budding! pectin ADDRESS v f� department NUMBER FIXTURE OR ITEM ® FEE LOCALITY Date /;),-R1-, .3 Applican WATER CLOSET NEAREST CERTIFICATE OF EXEMPTI N FROM WORKERS' CROSS ST BATH TUB COMPENSATION INSURANCE ASSESSOR (This section need not be completed If the work involved by the SHOWER MAP BOOK - PAGE PARCEL permit is for one hundred dollars($100)or less) LAVATORY OWNER i 1 certify that in the performance of the work for which this permit K is issued, I shall not employ any person in any manner so as toSINK MAIL become subject to the Workers'Compensation Laws ADDRESS DISWASHER CITY TEL NOL Date Applicant CLOTHES WASHER c/ NOTICE TO APPLICANT If, after making this Certificate of CONTRACTOR Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR ADDRESS provisions of the Labor Code, you.must forthwith comply with such provisions or this permit shall be deemed revoked LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION C TY TEL GCI I hereby affirm that I am licensed under_provisions of Chapter 9 WATER HEATER �- (commencing with Section 7000) of Division 3 of the Business and STATE �—�/ LIC a Professions Code,and my license is in full force and effect GAS SYSTEM OUTLETS LICENSE NO ;r l 5 CLASS J V OUTLETS OVER DISTRICT NO PROCESSED BY O L 5 PER SYSTEM �d T/ License Numbe L!c Class !/a F. L �'� FINAL qqVALIDATION W DATE l t,� / fl Contractor bate VV ` (n ❑ I am exempt under Sec By z B&P C for this reason Date Plan check fee , Signature PLUMBING PERMIT ISSUING FEE$ d ElTOTAL FEE c SINGLE FAMILY Plan check applicant f�•�i s HOME OWNER-BUILDER DECLARATION Name ' °T I hereby affirm that I am exempt from the Contractor's License Law 7-:j3; for the following reason (Section 7031 5, Business and Professions Address "- Code) 1 I 1 EM ; ❑ City Tel.No I,as owner of the property,will do the work and the structure 1 O S A 4 1 +E3 5 is not intended or offered for sale (Section 7044, Business -c and Professions Code) DECK CONSTRUCTION LENDING AGENCY NGE 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) Al0 03-i E I0 j Lender's Name Lender's Address I certify that 1 have read this application and state that the above , information is correct I agree to comply with all County ordinances and State laws reging Plumbing, and hereby authorize re tatives of this ount to enter upon the above-mentioned roe for ins urp a SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of 136rmittee Date