HomeMy Public PortalAbout9103 LAS TUNAS DR_Plumbing__ 26A6e7 17 8-49(5 APPLICATION FOR PERMIT
MARTMENT OF BUILDING AND SAFETY � �� �'
COUNTY OF LOS ANGELES
WILLIAM J.FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN, DISTRICT NO. GROOU`P ZONE PERMIT NO.
PLUMBE9FAW)202!q G3B GCG /..^/Ja'r �' RECEIVED BY READY FOR � DATE ISSUED
.ADDRESS a y /"f ,'11';y e_ // /�/y✓ '[ FIRST INSPECTION
-�- BUILDING / S /fe'���
CITY I-junn ata,. ADDRESS
COUNTY LOCALITY
LICENSE NO. EXPIRES NEARE1 _.
PERMIT FEES T. •9/2i i�
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER /`J�� I t!4/`G. . /�✓ ..
MAIL
WATER CLOSET (TOILET) Q 0.50 $ ADDRESS '/ � t /C/ ' 'S �✓�dB+'. sa_ we
BATH TUB @ 0.50 CITY / /N/ ��
e-_4'iTEL. NO.
"SHOWER @ 0.501 HEREBY{ACKNOWLEDG-E THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O.SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY, WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50
STATE LAWS REGULATING PLUMBING.
�p®I� .SHI� 2'f :SOS
ANG ELES..COl9 LIG' SE; OR 1 A THE/LEGAL OWNER
LAUNDRY TUB OR TRAY @ 0.50 -OF'tHE RES ID NTIAL.P.ROEERa'-Y-DESGRIRIIBEfArBO,,Vr.
GAS SYSTEM OUTLETS @ 0.50 SIGNATURE OF I
WATER HEATER @ 0.50 PERMITTEE 1,1114#A14111
SLOP SINK @ 0.50 INSPECTION ACORD
FLOOR SINK @ 0.50
FLOOR DRAIN Q 0.50
DISHWASHER - @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50
HOUSESEWER @ 0.50I - Q
Z
MISCELLANEOUS
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 ,QQ CESSPOOL'
SEPTIC TANK: SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . 1.00 GAS TEST
UTILITY CO. NOTIFIED _ '•�
TOTAL FEE �}/
/ � � FINAL
O.B.S.17 25M SETS -- APPLICATION FOR PEOM �:1
DEP RTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES xx 1
FOX. CHIEF ENGINEER PLUMBING
~NATURE .OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES. COMPLETE `
HEATER CESSPOOL lsll!PTICTAHK READY-POR
R E VED BY DATE ISSUED
FIRST INSPECTION ('/ 4
A8 M ISCELI_ANEOUS:k !f
APPLICANT Fr/ILL 'IN'HEAVILY OUTLINED PORTION" ONLY
JOB
_NAME /rD�l i��/� .A/jPJAf/%P� Ox!/ 40 ADDRESS . a ° ►r
la
K - f
m ADDRESS �S/ •/ ✓/fI/!+!" LOCALITY
f e NEAREST
IL CITY ���Y� /� �1'�I TEL.No. —//_zr, ' CROSS ST.
COUNTY
CERT.No. /e EXPIRES
wG m NAME *h L
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
NORTH O ADDRESS
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS :
ANGELES COUNTY CERTIFICATVOFUFICATIOW
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED _
ABOVE.
'3 OWNER. -
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK Z
z_
BATH TUB FURNACE C7
SHOWER DISHWASHER Q
J� LAVATORY' REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
L_WATER CLOSET DRINKING FOUNTAIN DATE tNarttcr0R'S,NAMff
/-WATER HEATER SDENTALLAVATORY {BOUGH PLUMBING I I / �Ao
METER_.' GAS RODA FOUNTAIN
- OUTC - GAS PIPING
. GAS VENT
CESSPOOL i I
NOTAL NUMBER OF FIXTURES SEPTIC TANK I i
CESSPOOL SEPTIC TANK SEWER
UTILITY CO.NOTIFIED
TOTAL FEE CSO
.FINAL t
COUNTY OF LOS ANGELES APPLICATION FOR, PERMIT
Department of County.Engineer 1
DIVISION OF BUILDING & SAFETY PLUMBING WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN u S R T O. GROUP ZONE PERMIT
READY FOR
PLUMBER ,."7.. R IVED BY DATE ISSUED
FIRST INSPECTION
BUILDING 1� +�
in-
CITY TEL. No. ADDRESS
COUNTY7 � LOCALITY
LICENSE NO. / EXPIRES�/
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER /"'0�„rg+►.t'Tit.I�•FL
WATER CLOSET(TOILET) @ 0.50 $ MAIL
ESS ,►/lL.
BATH TUB @ 0.50 CITY TEL. No.
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 - APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE. ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTI L PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS Q 0.50 ( -
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD`
FLOOR SINK ® -O.SO
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ O.50
URINAL. @ 0.50 I
Q
HOUSE SEWER @ 0.50
E3
MISCELLANEOUS
(r
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
_ .GAS. PIPING.
GAS VENT
.CESSPOOL . @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1,00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE $
FINAL w
76A667 DBS#17 6-52
1' r.
WORKERY'COMPENSATION DECLARATION 20-0026 DPW 4/90 APPLICATION FOR PLUMBING PERMIT
I hereby, affirm that I have a certificate of consent to self in- 76A667A
sure,or a certificate of Workers'Compensation Insurance,ora
cerdified•,cotty thereof (Sec: 3800, Lab. C.)
COUNTY OF LOS-ANGELES DEPT:OF PUBLIC WORKS
Policy No. Company
Certified copy is hereby furnished.
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING �y �.C.A[� QQ \l
Certified copy is filed with the county'building inspection ADDRESS 11 3 S //;q J ✓'`�
department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY
Date Applicant WATER CLOSET(TOILET) NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS-ST.
COMPENSATION INSURANCE SHOWER I OWNER V U ' Q `\l'c
(This section need not be completed if the work involved by MAIL —Ta/�C
the permit is for one hundred dollars(=100)or less.) LAVATORY ADDRESS C 1 D `D IC�'7`�
I'certify that in the performance of the workfor which this per- SINK
mit is-issued, I shall not employ any person in any manner so CITY -yr �� ,r�y� TEL. NOr f� /y
as to become subject to the Workers'Compensation Laws.. DISHWASHER n
CONTRACTOR �U �� tj tI !--_` D l t4- LI
Date _Applicant CLOTHES WASHER )^A /n
ADDRESS 6 T S it 1 /'fr/�� !•T `t
NOTICE TO APPLICANT: If,.after making this Certificate of Ex- SWIMMING POOL RECEPTOR
emption,you should become subject to the Workers'Compen- CITY TT jj
sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS t�W3 I� CI TEL. N
ly with such provisions or this permit shall be deemed revok- STATE LIC.
ed. WATER HEATER LICENSE NO. CLASS
LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSE BY
I hereby affirm that_I am licensed under provisions.of Chapter GAS SYSTEM OUTLETS
9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER .
and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION
fect. HOSE BIB' DATE — }
License Number Lic. Class
IFINAL D 5 O
Contractor Date BY '\ cc
ACCT. o
0 1 am exempt under Sec. - %J 3303 015
B.BP.C. for this reason Plan check fee 1 ITEMS y
Date:' �� TOTAL 1.40 m 0oz
PLUMBING PERMIT ISSUING FEE$
Signature TOTAL FEE CHECK . 140000
SINGLE FAMILY Plan applicant
CHANGE °00
an c
HOME OWNER-BUILDER DECLARATION pp
I hereby affirm that I am exempt from the Contractor's License Name
Law for the following reason (Section 7031.5, Business and �I9S
Professions Code): •- Address ," •
0000-0001 11/
I, as owner of the property, will do the work and the City •Tel. No. 3115 1 RM10=1
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 Add-Fyss
I cern€ I have read this application and state that the ,
above
in or anon is correct. I agree to comply with all County
'ordinance and State laws regulating Plumbing, and hereby
/ aut
h
o
r
,
representatives of this County to enter upon the
above- ntioned property for inspection purposes.
SEE REVERSE. FOR EXPLANATORY LANGUAGE
Si nat a of Permittee Date
(
WORKERS'COMPENSATION PECL;ARATION, APPLICATION FOR PLUMBING PERMIT
I f�reby 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.
❑ FOR APPLICANT TO FILL IN(PRINT OR-TYPE) BUILDING.
�(
Certified copy is filed with the county building inspec-
tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY
Date Applicant WATER CLOSET NEAREST v
CERTIFICATE.OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST:
COMPENSATION INSURANCE
OWNER.',' ' :��,
(This section need not be completed if the work involved by SHOWER . L _
the permit is for one hundred dollars(;100)or less.) LAVATORY ADDRESS 7 "rI�PV/ J 1
I 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 5/9A/ TEL. N
so as to become subject to the Workers'Compensation Laws. DISHWASHER
/r CONTRACTOR
Date Applicanil A -'lt .. + vy CLOTHES WASHER
NOTICE T APP (CANT: If, after making this Certificate of� ADDRESS
Exemption, you should become subject to the Workers SWIMMING POOL RECEPTOR
Compensation provisions of the Labor Code, you must forth CITY TEL. NO.
LAWN SPRINKLER SYSTEM
with comply with such provisions or this permit shall be STATE LIC.
deemed revoked. WATER HEATER. LICENSE NO. CLASS
LICENSED CONTRACTORS DECLARATION DISTRICT LQ. PC SED BY
I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM , OUTLETS S ca
(commencing with Section 7000) of Division 3 of the Business OUTLETS OVER a >,
and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL ff .✓� VALIDAT N o ,
DATE '�(f (/
License Number Lic. Class I V
FINAL
Contractor Date BY a
❑ 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
SINGLE FAMILY
HOME OWNER-BUILDER DECLARATION Name
I hereby affirm that I am exempt from the Contractor's License Address 3 3 5,'7 A
Low for the following reason (Section 7031.5, Business and
Professions Code): City Tel. No. # • • • • • 5
M1,
as owner of the property, will do the work and the
structure is not intended or offered for sale (Section , :I • • 1 6-50
7044, Business and Professions Code).
. .
.CONSTRUCTION LENDING . 1050=
,AGENCY' U
I hereby affirm that there is a.construction lending agency for 3 1 -85
the performance of the work for which this permit is issued Q
(Sec. 3097, Civ. C.).-
Lender's
.).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. d.0 3
Signature of Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT -
DEPAR-,MENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0507290021
_ BUII,DING'AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 5905 LT: 28 9103 LAS TUNAS DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801904
ASSESSOR INFORMATION NUMBER: _ NEAREST CROSS STREET:
5387-016-024 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, C
19 FLOOR SINK(S) '2.00 FIX 32.40
TENANT: 26 MISCELLANEOUS FIXTUR 3.00 FIX 48.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
SYMPHONY BAKERY, INC. TOTAL FEES - 108.75 07/29/05 JK 01/25/06
OWNER: TEL. NO: FINppp����,,, T _ FINAI�BY: CODE:
KUO, MELODY (562) 650-8689- /�/ !��� "-
9103 LAS TUNAS DR
TEMP 917801904 DESCRIPTION OF WORK
PLUMBING FOR TENANT IMPROVEMENT
APPLICANT: TEL. NO: -
KUO - (626) 353-0715-
9103 LAS TUNAS DR SPECIAL CONDITIONS:
TEMPLE CITY CA 91780
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
ALEX TAO AND ASSOCIATES, INC. (626) 458-8302-
317 W. LAS TUNAS DR., #208 LIC. NO UNDER SLAB WORK
SAN GABRIEL, CA 91776 744151B
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
- _ ROUGH PLUMBING
-
LIC. NO:
GAS PIPING
GAS VENT
HOT NATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST -
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0912070010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID BUILDING ADDRESS: I
ITR: 5905 LT: 28 9103 LAS TUNAS DR
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917801904 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
15387-016-024 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY, Cl
1 - 125 LAVATORIES/SINKS 12.00 FIX 194.40 I I
(TENANT: 145 WATER CLOSET/URINAL 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
1 147 WATER HEATER(S) 1.00 WTH 16.20 112/07/09 SR 12/07/10 1
I 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 1 I
(OWNER: TEL. NO: I TOTAL FEES 270.75 IFINAL DATE FINAL BY: CODE: I
ILEE, MICHAEL (626) 202-7249- 1 1
1375 POCO WAY I I,{ V • Il
IMONTEREY PARK 91754 1 ID SCRIPTION OF WORK I
I I ITENANT IMPROVEMENT - PLUMBING 1
I I I I
(APPLICANT: TEL. NO: 1
IMARIA ARIAS (626) 442-4637-
111818 RIO HONDHO PWY 1 (SPECIAL CONDITIONS: 1
IEL MONTE CA 91732 I I I
I I I I
I I I I
(CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPEC OR SIGNATURE I
ID C GENERAL CONTRACTOR (562) 693-1324- 1 1 I
18662 OCEAN VIEW LIC. NO I (UNDER SLAB WORK i I I
1WHITTIER, CA 90605 570165 C33 *1 I j P,-� I I
1 IWATER SERVICE I I
I 1 IPLASTIC YIN METAL YIN I I I
(ARCHITECT OR ENGINEER: TEL. N0: I Iit 1
I - I 1 ROUGH PLUMBING
LIC. NO: I I .
IGAS PIPING I I I
IGAS VENT I I I
I I I I I I
I IHOT WATER HEATER I I I
I I I I I I
I I IPLUMBING FIXTURES I I I
ILAWN SPRINKLERS I
IGAS TESTI I
I I (UTILITY COMPANY NOTIFIED ll
I I I I I I
I I jCWV I I I
I I I I I I
I IGRAY WATER SYSTEM I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I 1* ADDITIONAL DATA ON FILE I 1 1 1
I I I I I I
I (REPORT ID: DPR263 ROUTE TO: BS0508 I I 1 I
I I I I I I