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HomeMy Public PortalAbout9100 LAS TUNAS DR_Plumbing__ G.B.B.17 25M SVM 1-48 APPLICATION FOR PERMIT ]DEPARTMENT OF BUILDING AND SAFETY ' COUNTY OF LOS ANGELES Wm.J. FOX.CHIEF ENGINEER PLUMBING NATURE OF INSTALLATION DISTRICT u ZONE PERMIT O. ROUGH FIXTURES _I COMPLETE ,, �7 6Y RECEIV�HY READY FOR ATE ISSUED A M SCELLANEOUB HEATER CESSPOOL SEPTIC TANK / FIRST INSPECTION ` 7 S APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB K NAME T,gm n�II Merry ADDRESS 1732 East Las Tunas I ADDRESS 825 E. Broadway LOCALITY Temple City San Gabriel AT 10385 NEAREST J CITY TEL.No. CROSS ST. IL CERT.COUNTY . 4686 EXPIRES 6 30 50 K NAME Eddie Love LOCATION OF SEPTIC TANS, OR CESSPOOL Z MAIL 1837 S. Almansor ADDRESS NORTH O CITY AlhnTnhrq TEL.No. 1 AM THEE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFFQ -TH OF QUALIFICATION. PLUMBER 1 AM THE LEGAL OWNS OF THE PROPERTY DESCRIBED ABOVE. D OWNER CORRECTIONS BOOTH J DESCRIPTION OF WORK z z_ BATH TUB FURNACE F3 1 � ROWER DISHWASHER Q LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL I t APPROVALS 1 WATER CLOSET DRINKING FOUNTAIN DATE IN9PKCT0R'9 NAM¢ 1 WATER HEATER DENTAL LAVATORY I ROUGH PLUMBING -METER-GAS SODA FOUNTAIN OUn GAS PIPING GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES 4-7- SEPTIC TANK CESSPO01 SEPTIC TANK SEWER S I I UTILITY CO.NOTIFIED TOTAL FEE 3 N, FINAL D.B.S." 25M SETS '"4' APPLICATION FOR PERIM DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBINGWM. J. FOX,CHIEF.ENGINEER NATURE OF INSTALLATION DIST rv0. GROUP I ZONE PERMIT NO. ROUGH FIXTURES COMPLETE ` ( ~^ RE IVSD BY READY FOR DATE ISSUED HEATER CESSPOOL -I SEPTIC TANK FIRST INSPECTION M GAS- 1:::lMISCELLA EOU IIIIIIII �^ id APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY •, A , t/ JOB �7 E NAME G�.ctiUei�'�y i'yj ADDRESS // 3 m ADDRESS �}..( 3 A(gyp sL���Yri�.Y LOCALITY NEAREST J CITY �/r(tiwj,L TEL.NO ZI-1 f CRON ST. COUNTY CERT.No. / ////�• (/ NO y � EXPiREB CW NAME LOCATION OF SEPTIC TANK,OR CESSPOOL z MAIL 3 ADDRESS NORTH 0 CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFI TH�OF�QUALiFICATtON. PLUNDER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. 3 OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK a z_ BATH TUB FURNACE SHOWER DISHWASHER p LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE i(N9PECT0 R�'9/NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAB SODA FOUNTAIN OUTL 6A8 PIPING GAS VENT I I CESSPOOL TOTAL NUMBER OF FIXTURES / l SEPTIC TANK I I CESSPOOL SEPTIC TANK SEWER I I UTILITY CO.NOTIFIED I I TOTAL FEE • FINAL �� DSS-17 IO•SS APPLICATION FOR PLUMBING PERMIT 1 DBS-17 DMSION OF BUILDING AND SAFETY '� r Department of County Engineer County of Los Angeles BUILDING JOHN A LAMBIE, COUNTY ENGINEER ADDRESS O CASSATT D GRIFFIN, SUP'T OF BUILDING LOCALITY r FOR APPLICANT TO FILL IN I NEAREST CROSS ST '41'e'. OWNER Ike, DISTRICT NO. GROUP' yyyZONE READY FOR INSPECTION MAIL ,ADDRESS �+ W M. Od 'gW ! INDUSTRIAL CITY q, TEL. NO '�.O 6" WASTE APPROVAL I PLUMBER 'c� Cd �• INSPECTION RECORD ADDRESS CITY �, a, TEL NO ;-S J LICENSE NO.�0>ni` 3 3 "/'a e A01,7 _ NUMBER TYPV OF FIXTURE OR ITEM FEE J WATER CLOSET (TOILET) @ $100 6/fAfZzh/o BATH TUB @ $100 To rOR111,9CF K00-j f1.,v)Z SHOWER @ $100 rjF�R� LAVATORY (WASH BASIN) @ $1 00 K KITCHEN SINK @ $1 00 DISHWASHER @ $1 00 LAUNDRY TUB OR TRAY @ $1 00 CLOTHES WASHER @ $100 WATER HEATER @ $1 00 GAS SYSTEM @ $1.00 CPO APPROVALS DATE INSPECTORS SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL PROPE SIGNATURE OFPERMITTEE FINAL G JOHN A. LAMBIE, COUNTY ENGINEER VALIDATI99N ROBERT A WOOD, CHIEF PLBG INSPECTOR CK m.O. nLRAUG 9 1a 3 3 2.0 0 � 7QA67, APPLICATION FOR PLUMBING PERMIT 1 DBS.+,.DIVISION OF BUILDING AND SAFETY .1 Deportment of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN I NEAREST CROSS ST. a"ll OWNER DISTRICT NO GROUP ZONE READY FOR INSPECTION MAILADDRESS Q t (f INDUSTRIAL CITY �' C"ZZ TEL. NO WASTE APPROVAL PLUMBER/jam iC/��li.t,�iwc�i �HG`�T'/tJ� INSPECTION RECORD ADDRESS CITY -)OW74 TEL. NO,0 Y,9,6 ss LICENSE NO./IE=a NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1 00 $ BATH TUB @ $1 00 SHOWER @ $100 LAVATORY (WASHBASIN) @ $1 00 KITCHEN SINK @ $1 00 DISHWASHER @ $100 LAUNDRY TUB OR TRAY @ $100 CLOTHES WASHER @ $1 00 WATER HEATER @ $100 GAS SYSTEM @ $100 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE 1 — OF PERMITTEEy` - • t �. fimmillfill JOHN A. L AMBIE. COUNTY ENGINEER VALIDATIO ROBERT A.WOOD, CHIEF PLBG. INSPECTOR CK. M.0. CASH X04256L JAN17 3 2.00 m D.B.S.17 25M SETS 12.44 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES �L���'�� WM. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT. /NO. GROUP ZONE PERMIT . ROUGH FIXTURES 'COMPLETE RECEIVED BY READY FOR DATE 7 c -7f ISSUE HEATER CESSPOOL —I SEPTIC TANK FIRST INSPECTION GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB [ NAME ,�c-#- / - __ ADDRESS ADDRESS /}�- LOCALITY T J4 p 4�r NEAREST ti L CITY TEL No. ��� //�/ CROSS ST. Col-TICERT.NO. i EX P.RE�A lU 4Y. C NAME d Y LOCATION OF SEPTIC TANK, OeCESSPOOT, = MAIL 3 ADDRESS NORTH O r CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. jPwbseR 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. A OWNet CORRECTIONS i I - SOUTH .a DESCRIPTION OF WORK ATH TUB FURNACE aHOWER DISHWASHER O LAVATORY REFRIGERATOR ITCHEN SINK WATER SOFTENER --FLOOR SINK SAND TRAP LOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS `` / WATER CLOSET DRINKING FOUNTAIN DATE bN8P[CTOR'6 NAM ----F—WATER HEATER DENTAL LAVATORY ROUGH PLUMBING ` I I (1\. �,�'lk� I,(,, TM.�E OUTL pODA FOUNTAIN GAS PIPING I 7 I Bla X5'1 V GAS VENT I r� CESSPOOL ~ TOTAL NUMBER OF FIXTURES SEPTIC TANK I -CESSPOOL SEPTIC TANK SEWER ' S UTILITY CO.NOTIFIED � I TOTAL FEE ®® i FINAL PIA Z�l D.B.S.17 25M SETS 12.44 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 Wm. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO.. GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE �'3 HEATER CESSPOOL 1-1 SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION GAS MISCELLANEOUS I. Sc..i' APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB d, NAME.O�6jl,(/ _0 f /i /f'!sI Y e1 9 i ADDRESS I WIII ADDRESS�/�1f.�// //.; -y'L _ :�ihv LOCALITY C tw f J// 1��•r�IJ NEAREST 7 / a� A CITY /jy TEL.No. CRO88 ST. COUNTY ' CJ CERT.No. EXPIRES W NAME i LOCATION OF SEPTIC TANS, OR CESSPOOL Z MAIL 3 ADDRESS NORTH O CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CE TIFICATfi QUAL( (CATION. PLUMOER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. OWH[R CORRECTIONS SOUTH a DESCRIPTION OF WORK BATH TUB FURNACE py SHOWER DISHWASHER AVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE tNeP[ctoR'*HAM[ WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I METER_ GAS SODA FOUNTAIN GAS PIPING I I OUTL GAS VENT I I CESSPOOL I I ii TOTAL NUMBER OF FIXTURES SEPTIC TANK I I t ted CESSP00l SEPTIC TANK SEWER / -UTILITY co.NOTIFIED TOTAL FEE FINAL D.B.8,17 26M SETS 12-46 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY • COUNTY OF LOS ANGELES WM. I. FOX, CHIEF ENGINEER PLUMBING I NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES 1-1 COMPLETE C-2 . /df " Y • RECEIBY READY FOR DATE ISSUED HEATER .:4 CESSPOOL SEPTIC TANK FIRST INSPECTION •� 6AS MISCELLANEOUS / APPLICANT FILL IN EAVILY OUTLINED PORTION Y JOB.. m NAME ADDRESS �� W m ADDRESS LOCALITY r DNEAREST J CITY TEL.No. CROSS ST, fs COUNTY f r CERT.NO. EXPIRES W NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL! NORTH 30 ADDRESS _ CITY (ii. �.�J: ,TEL No"". I AM THE LEGAL POSSESP� OR THE ABOVE LOS ANGELES COUNTY CERTIFICAT O QUALIFICATION. PLUMBBR `I'( 1 AM THE LEGAL OWNER F HE RCIPERTY DESC IBED ABOVE. - s i��/� OWNiR CORRECTIONS SOUTH DESCRIPTION OF WORTS cti . BATH TUB FURNACE ROWER DISHWASHER O 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 HAMS WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAB QODA FOUNTAIN OUTL GAS PIPING SAS VENT I I CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOL- SEPTIC TANK SEWER I I s UTILITY CO.NOTIFIED TOTAL FEE 10 / d FINAL 4. x/ 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 F-1Certified APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING % Certified copy is filed with the county building inspec- R ADDRESS /` tion department NUMBER FIXTURE OITEM @ FEE LOCALITY Z71,69 C, Date Appl Lcant WATER CLOSET NEAREST �` CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST A � COMPENSATION INSURANCE SHOWER OWNER <- 3 (This section need not be completed if the work involved by MAIL / the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS p I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINKCIT TEL NO so as to become subject to the Workers'Compensation Laws DISHWASHERir CONTRAC DateApplicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT If, after making this Certificate of Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITY TEL NO i LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATELIC deemed revoked WATER HEATER LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION GAS SYSTEM OUTLETS DISTRICT NO PROCESSED BY 09 I hereby affirm that I am licensed under provisions of Chapter 9 ���, � •�_ � (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is in full force and effect 5 PER SYSTEM FI�AL VALIDATION O License Number Lic Class @S FINAL P Contractor Date BY I am exempt under Sec � B&P C for this reason Plan check fee Date PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE Plan check applicant ^b 0 8.2 A SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name ti 0 0'0 0 o 5 j hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and Address 0 0 8 z Professions Code) City Tel No V ❑ j, as owner of the property, will do the work and the structure 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 aut ze representatives of this County to enter upon the a -mentione rty for inspection purposes I� SEE REVERSE FOR EXPLANATORY LANGUAGE Signatur of Permittee Date3