HomeMy Public PortalAbout9071 LAS TUNAS DR_Plumbing__ ION
WORKER'SCOIJa certificate
of consent to 76A666DPW9/89 APPLICATION FOR PLUMBING PERMIT Ll
76Afi67A
I hereby aft^rm that I have a certificate of consent to self insure, ,
or a certdicate of Worker's Compensation Insurance, or a certified
copy thereof(Sec 3800 Lab - � •
COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV.
Policy No ompany
Ce fieri copy is ereby furnished / Q
❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ADDRESS � L► S
Certified copy is filed with the county building inspection
department NUMBER FIXTURE OR ITEM @ FEE LOCALITY Q C `7'
Date Applicant WATER CLOSET �r
NEAREST /
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST /� N v
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($100)or less.) OWNER
I certify that in the performance of the work for which this permit LAVATORY iv
MAIL
is issued, I shall not employ any person in any manner so as to SINK ADDRESS
become subject to the Workers' Compensation Laws
DISWASHER CITY TEL NO
Date Applicant CLOTHES WASHER CONTRACTOR
NOTICE TO APPLICANT If, after making this Certificate of
Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR
provisions of the Labor Code, you must forthwith comply with such ADDRESS
provisions or this permit shall be deemed revoked LAWN SPRINKLER SYSTEM
LICENSED CONTRACTORS DECLARATION CITY TEL NO d
I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER
(commencingwith Section 7000 of Division 3 of the Business and STATE LIC
) GAS SYSTEM OUTLETS LICENSE NOCLASS (�
Professions Code,and my license is in full force and effect
OUTLETS OVER DISTRICT NO PROCESSED BY [t
5 PER SYSTEM 6-, O
License Number Lic Class
G� S FINAL
DATE ��8 VALIDATION a
Contractor Date
Z
El FINAL
I am exempt under Sec BY ^ 1 a
D __y
B&P C for this reason
Date Plan check fee ' 1 I TEM=
PLUMBING PERMIT ISSUING FEE$ �)_�� i 1:37'�+o
Signature 4 � o 1,.Ell
El TOTAL FEE .t5E_-t.
s•.#a
Plan check applicant y,s-
SINGLE FAMILY i"Ht
HOME OWNER-BUILDER DECLARATION Name
I hereby affirm that I am exempt from the Contractor's License Law
for the fallowing reason (Section 7031 5, Business and Professions Address rI
Code) __ :i 1001 i i t,`
City Tel No 3 i tt
I,as owner of the property,will do the work and the structure 1_ F`= i�i 3 E o 1 i
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)
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
props y or inspe tion urposes SEE REVERSE FOR EXPLANATORY LANGUAGE
�' V- 7- 7-1`,
Signature Qf P6rmittee Date
COUNTY OF LOS ANGtLES TEMPLE CITY # 0508PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL:--0508-9803190008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING-ADDRESS:
TR: 5905 LT: 37 BL: .001 09071 LAS-TUNAS DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801901
ASSESSOR INFORMATION NEAREST CROSS STREET: SULTANA
5387-015-006 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY
19 FLOOR SINK(S) 2.00 FIX 32.70
25 LAVATORIES/SINKS 1.00 FIX 16.35 ISSUED ON: PROCESSED .0 :
COSMETIC TRAINING CENTER TOTAL FEES 76.80 03/19/98 UT 03/ •9%99
OWNER: TEL. FINAL DATE FIN L C
WILLIAM DARLENE I 000 ^Z
9067 LAS TUNAS DR
TEMP 917801901 - -
C PLUMBING FOR_TENANT_IMPROVEMENT
APPLICANT:
MAPLE BUILDERS,INC. (626) 350-1227-
4700 MILLER DR. 85 ---- SPECIAL CONDITIONS:
TEMPLE CITY, CA
CONTRACTOR: TEL. NO: a 1� �\\ APPROVALS DATE INSPECTOR SIGN T R
MAPLE BUILDERS, INC. (818) 350-1227-
4700
50 1227 4700 MILLER DRIVE #B-5 LIC. NO / � ' '� \ SLAB WORK
TEMPLE CITY CA 91780 609931 B WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECTEL.
ROUGH
LIC. N0: , _ `ylllllll; GAS PIPING
GAS VENT
HO
PLUMRING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY-WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
` p , COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT_
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS Pi:-0508-97012100'19
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL S PAID BUILDING-ADDRESS:
TR: 14467 LT: 75 �5032_CAMELLIA_AU
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803853
ASSESSOR NEAREST CROSS STREET:
8589-017-022 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A4 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 2.00 FIX 32.70
T 11 CLOTHESWASHER(S) 2.00 FIX 32.70 I PROCESSED AN E ON:
13 DISHWASHER(S) 1.00 FIX 16.35 01/21/97 TC 01/21/98
21 HOSE BIBB(S) 4.00 FIX 65.40
OWNER: TEL. NO: 25 LAVATORIES/SINKS 4.00 FIX 65.40 FINAL DAII CODE:
SKINNER WILLIAM R;LILLIAN A - 45 WATER CLOSET/URINAL 1.00 FIX 16.35 1� O
5032 CAMELLIA AV 47 WATER HEATER(S) 1.00 NTH 16.35
TEMP 917803853 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35 DESCRIPTION OF WOR
52 ADDN OUTLETS > 5 1.00-OUT 4.20 PLUMBING FOR NEW RE EN IAL ADDITION
NOTAL FEEU293.55
APPLICANT: TEL. N5:_
FRANK MARRONE & SONS (818) 444-2548-
�O SPECIAL CONDITIONS:
CONTRACT TEL. NO: �\ \ APPR S DATE INSPECTOR SIGNATURE
FRANK MARRONE & SONS, INC. (818) 444-2548- {
9860 LOWER AZUSA ROAD LIC. NO '✓ '� ° �� _ \ UNDER SLAB WORK
EL MONTE, CA 91731 397884/C16
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: ,
L. NO: �� u���'���'� A �iII L'�CJ �J
-- -- -
�' LIC. N0:
GAS PIPING
� GAS VENT
\\ /�
PLUMBING FIXTURTS-
GAS
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER S ST
* ADDITIONAL DATA ON FILE
REPORT 1D: DPR263 ROUTE TO: BS0508