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