HomeMy Public PortalAbout9085 LAS TUNAS DR_Plumbing__ D. B. 17 7-40 25M APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING�� �a
i
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROIIP zo E PERMIT No.
ROUGH
PLUMBING FIXTURES I COMPLETE I RECEIVED��BY IREADY FOR DATE ISSUED
HEATER CESSPOOL ASEPTIC TANK ' Y FIRST INSPECTION
GAS MISCELLANEOUS
/APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
NAME c.,Gy ;+' "QEF + 'r` ADDRESS `
m ADDRESS LOCALITY
e 1...:
NEARE
•-1 CIT a TEL N `�� CROSSSST. �
a
COUNTY - W �►
CERT. NO. EXPIREW114„( 3Y I W NAME
LOCATION OF SEPTIC TANK, Off (CESSPOOL O AMAIL
DDRESS
NORTH
CITY TEL No.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERT F CATE OF QUALIFICATION.
0%j 'PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
tFfl D
W N
3 � OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK a
z
BATH TUB FURNACE
SHOWER DISHWASHER
LAVATORY REFRIGERATOR O
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK -FLOOR DRAIN
WASH TRAY URINAL APPROVALS
I& WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
/—WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
�METER—r—GAS SODA FOUNTAIN GAS PIPING
OUTL —
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOL SEPTIC TANK SEWER
$ �ry UTILITY CO. NOTIFIED
TOTAL FEE CJ'S FINAL I `LD " 7GA --_� i
--D. B. 17 4-40 I0M APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING .AND SAFETY PLUMBING
OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT No.
ROUGH (:f%.s
PLUMBING FIXTURES COMPLETE RECEIVED BY READY FOR DATE ISSUED
HEATER I CESSPOOL I SEPTIC TANK FIRST INSPECTION
GAS I MISCELLANEOUS � 7-V
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
OB
NAME ADDRESS �
Ir
W )�
f ADDRESS (/ LOCALITY L —
7 o� NEAREST
.J CITY T NO� "i CROSS ST-
J
COUNTY
CERT NO. EXPIRES w NAME
Z MAIL
,OCATION OF SEPTIC TANK, OR CESSPOOLO ADDRESS
NORTH
CITY TEL No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTLEICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIB D
ABOVE.
m
I~p D
W 1 OWNER
3 CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
ATH TuB FURNACE
SHOWER DISHWASHER 0
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
—FLOOR SINK SAND TRAP
GLOP SINK FLOOR DRAIN
WASH TRAY URINAL
APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTORS NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
�METER—Af:�GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT 9
CESSPOOL
TOTAL NUMBER OF FIXTURES ® SEPTIC TANK
CESSPOOL SEPTIC TANK SEWER
$ UTILITY CO. NOTIFIED /� / i!� �•
I TOTAL FEE I 1 �®
FINAL
D B 17 4 29M APPLICATION FOR PERMIT do
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLIATION i DISTRICT NO. GROUP ZONE PERMIT No.
PLOUGHUMBING FIXTURES I COMPLETE I C 5,3
READY FOR RECEIVED BY DATEISSUED
HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION ( � r /A
GAS 1 MISCELLANEOUS t E/�
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
Joe
NAME p, A A ADDRESS
w
W
m ADDRESS LOCALITY _
jNEAREST 1
I CITY TEL No. CROSS ST.
COUNAty
REG NO EXPIRES W NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 ADIL
DRESS
NORTH
W� CITY TEL NO.
CORRECTIONS
m
D
3 a J
Q
Z
a
it
o
SOUTH
DESCRIPTION OF WORK
BATH TUB FURNACE
APPROVALS
SHOWER DISHWASHER
LDATE INSPECTOR'S NAME
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER ROUGH PLUMBING
FLOOR SINK SAND TRAP GAS PIPING
GLOP SINK FLOOR DRAIN GAS VENT
WASH TRAY URINAL CESSPOOL
WATER CLOSET DRINKING FOUNTAIN SEPTIC TANK
WATER HEATER DENTAL LAVATORY SEWER
METER GAS SODA FOUNTAIN UTILITY CO. NOTIFIED
OUTL /
FINAL
1 AM THE LEGAL OWNER OF THE ABOVE LOS ANGELES
COUNTY REGISTRATION NUMBER.
TOTAL NUMBER OF FIXTURES /]/��
A SEPTIC TANK (�( PLUMBER
11 cESSPO_OL 1 AM THE LEGAL OWNER OF HE PROPERTY DESCRIBED
SRP - ABOVE.
TOTAL FEE I-7 OWNER
B. 17 7-40 2SM APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY L g
COUNTY OF LOS ANGELES 1
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT No.
ROUGH I e� '411610
PLUMBING FIXTURES COMPLETE RECEIVED BY READY FOR DATE ISSUED
HEATER CESSPOOL SEPTIC TANKFIRST INSPECTION
MI
GAS SCELLANEOUS l r'
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
NAME ADDRESS 71
W
mADDRESS f _ .}�" LOCALITY n
O ... NEAREST
IL CITY
a ITEL No. CROSS ST.
COUNVY
CERT. NO. EXPIRES pQI NAME
OCATION OF SEPTIC TANK, OR CESSPOOL o ADDRESS
NORTH
CITY TEL No.
IAM THE LEGAL POSSESSOR OF TIIIIII--������---E ABOVE LOS
ANGELES COUNTY CERTIFICATE QFIC� ON. �!
®1 a4r/lre--4 -
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
m s
W Ip
3 -{ OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK a
z
BATH TUB FURNACE 0
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 INSPECTORS NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
,
CESSPOOL SEPTIC TANK SEWER
S UTILITY CO. NOTIFIED
TOTAL FEE I� �f
FINAL
D. B. 17 4-40 10M APPLICATION FOR PERMIT h7 4
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES 2
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROjUUP ZONE PERMIT No.
ROUGH +� /�"' V1' S.. '.tn '` f� �I
PLUMBING I FIXTURES COMPLETE :a tea.. �r.�
RECEIVED BY READY FOR DATE ISSUED
7
HEATER CESSPOOL SEPTIC TANK � � FIRST INSPECTION
GMISCELLANEOUS l` I
APPLICANT FILL IN HEAV♦I�LY OUTLINED PORTION ONLY
OB
K NAME 0 '-.% 9� -�.�,- , �/
ADDRESS / ;71
m ADDRESS P�4 LOCALITY 7" 'r
f
NEAREST
i CITY ,j /j/�E° TE3LP No.� s�A CROSS STCOU
CERT. NO. EXPIRES W NAME
Z MAIL
LOCATION OF SEPTIC TANK, OR CESSPOOL O ADDRESS
NORTH
CITY TEL No.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
or
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIB D
ABOVE.
m
m
3 1 OWNER
CORRECTIONS
SOUTH w
DESCRIPTION OF WORK
BATH TUB FURNACE 73
a
SHOWER DISHWASHER �
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
LOOSINK RAND TRAP
LOP SINK FLOOR DRAIN
APPROVALS
WASH TRAY URINAL
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTORS NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
•'e METER_kGAS +CODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURESt� SEPTIC TANK
SEWER
CESSPOOL SEPTIC TANK
I $ UTILITYCO. NOTIFIED
TOTAL FEE I /6 FINAL
78A867-CE#817 5/63
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS g E. Lbs Tunas Dr
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING
LOCALITY rj1enle City, Calif
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET $1.25 OWNER & A Cleaners
MAIL
BATH TUB 1.25 ADDRESS M5 E s Tunas Dr ` L
SHOWER 1.25 cITYT le Cit TEL. NO. AT V 61
LAVATORY 1.25 CONTRACTOR •8
SINK 1,25 ADDRESS 4 S San Gab Blvd
DISHWASHER 1.25 CITY San GabrielTEL' NO. AT 6 6
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DIST ICT NO GROUP ZONE P SSED BY
WATER HEATER 1.50 ;
o
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL 0-
WASTE
WASTE APPROVAL 0
OUTLETS OVER 5 PER SY M .30 INSPECTION RECORD
O
F-
LU
a
N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE IBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE �.
OF PERMITT x`�(
FINAL
cK 0ALMATION ROBERT A WOOD
M O CASH SUPERVISING MECHANICAL ENG'R
V ' 3 6 1 1'120 DEC 17 5 D 3,50-
'�
;6A66� j4PPLI ►T�OI`cl 1=�7 �'LUMB:I IV G. PE4.M- ?'
1,6 3 t, ,
DIVISION OF BUILDING_AND SAFETY
Department of County Engine'et
County-of Los Angeles -
WM.J. FOX. COUNTY ENGINEER ��tt-DtNG /
AD>3RESS, 1✓!1
CASSATT D G,F)FFIN,SUPT OF BUII„D.ING.
LOCALITY
I.00R APFLICA T TO FILL IN . CNNEARERgf-S sr. t
OWNER, DISTRICT NO. GROUP ZONE �READY FOR INsaE'cTION
`MAIL ,,y rro -�
ADDRESS (�
INDUSTRIAL .
CITY TEL. N WASTE APPROVAL
PLUM ER / 'co- INSPECTION RECORD
ADDRESS
CITY // Af7V.. r-OI �
LICENSE NO. �a 51 4C Ca fed d Cd r7A C-T CJ S' ,
:NUMBER.. TYPE OF FIXTURE OR ITEM FEE /
-WATER CLOSET (TOILET) S
BATH TUB
SHOWER
4
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY '
CLO FIES.WASH
TOTAL NO.` . @ o.60 APPROVALS
"DATE INSPECTOR'S SIGNATURE
GAS SYSTEM -OUTLETS @ 1.00
WATER HEATER @. 1:00 I
UNDER SLAB WORK
ROUGH PLUMBING Ill-
PERMIT S 1 00
GAS PIPING _
-TOTAL FEE . GAS VENT
.1 HEREBY A'CK:NOWLEDG'E THAT I HAVE READ THIS,.ARPLICATION, HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES .AND STATE LAWS REGULATING
PLUMBING. PLUMBING.FIXTURES
I HEREBY CERTIFY THAT -I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY -LOS ANGELES COUNTY AND STATE.OP -UTILITY C+O NOTIFIED
CALIFORNIA OR,THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED.RESIDENTIAL PROPERTY.
SIGNATURE
OF'PE;.RMITTEE " FINAL
WILLIAM J. FOX,COUNTY ENGINEER VALIDATION R.A.WOOD,CHIEF PLBG. INSPECTOR.-_
1 9576 NOV 1 3 3.40 " '
D.B.S.17 25M SETS 12.44 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES -
PLUMBING
WM. J. FOX, CHIEF ENGINEER
NATURE OF- INSTALLATION DISTRI0. GROUP I ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL I—I SEPTIC TANK RECEIV BY READY FOR DATE ISSUED
FIRST INSPECTION I'
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
NAME ° _° R H A ISI JOB ADDRESS
OUL SE
ADDRESS RVICE LOCALITY2022 V 1v
O EMPERORE° NEAREST
J CITY TEMc G! l r..N.Af p° CROSS ST..'
IL '� a
ff
COUNTY P n
CERT.No. EXPIRES m NAME w�
LOCATION OF SEPTIC TANS, OR CESSPOOL Z MAIL
NORTH O ADDRESS
CITY k TEL.No.
I AM THE LEGAL POSSESgOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICA F QVALIFJCATION.
PLUMBER
I AM THE LEGAL OWNER-OF THE PROPERTY DESCRIBED
ABOVE.
t9 '
a
OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK
ATH TUB FURNACE a
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 INSPECTOR'S MANX
WATER HEATER DENTAL LAVATORY
ROUGH PLUMBING
METER GAS aODA FOUNTAIN GAS PIPING I I
OUTL
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
�CESSPOOT - �jSEPTICTANK SEWER I I
TOTAL FEE / {/ UTILITY CO.NOTIFIED
r l / FINAL , f / 1�'r, w
1, - WORKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT
I hereby affirm That I have a certificate of consent to self 76A667A
" it suTe,Yor a certificate of Workers' Compensation Insurance, CE 817(REV 10/81)
or a cerrfied copy thereof (Sec 3/800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy Noel Am t
❑ ertified copy is hereby furnished
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING r—+
Certified copy is filed with the county building inspec- ADDRESS t 14
tion department NUMBER FIXTURE OR ITEM @ FEE LOCALITY 0►7
WATER CLOSET
Dare Applicant NEAREST r
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST
COMPENSATION INSURANCE SHOWER OWNER
(This section need not be completed if the work Involved by " u
the permit is for one hundred dollars $100 or less. MAIL
P ( ) ) LAVATORY ADDRESS91
1 certify that in the performance of the work for which this
permit is issued, I shall not employ any person in any manner SINK CITY - TO
Nn1
so as to become subject to the Workers Compensation Laws DISHWASHER
CONTRACTOR
t
Date Applicant CLOTHES WASHER
NOTICE TO APPLICANT If, after making this Certificate of ADDRESS _ udJ
Exemption, you should become subject To the Workers' SWIMMING POOL RECEPTOR
Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY TEL NO
with comply with such provisions or this permit shall be STATE LIC
deemed revoked WATER HEATER O LICENSE NO CLASS
LICENSED CONTRACTORS DECLARATION DISTRICT NO R ESSED B
I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS d /)
(commencing with Section 7000) of Division 3 of the Business OUTLETS OVER
and Professions Code, and my license is in full force and effect 5 PER SYSTEM 06
FINAL VALIDATION v
License Number AllLic Class_ 00 DATE �� W 09
r—� FINA O
Coniroctor �atex BY ri
Ell am exempt under Sec N
B &P C for this reason
Plan check fee
Date PLUMBING PERMIT ISSUING FEE$ v
Signature �3 1 3,2 A
TOTAL FEE
SINGLE FAMILY Pion check applicant
HOME OWNER-BUILDER DECLARATION Name ° 034,50
1 hereby affirm that I am exempt from the Contractor's License Address
Law for the following reason (Section 7031 5, Business and c
Professions Code) City Tel No ° ° 3450=a I a 1 3—5 5
❑ 1, as owner of the property, will do the work and the
structureis 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 represent fives oft unty to enter upon the
above-mn coned ropertyIr inspe tion purposes
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature Permittee Date