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HomeMy Public PortalAbout9148, 9144 LAS TUNAS DR_Plumbing__ DSS-177 3.55 APPLICATION FOR -PLUMBING-PLUMBING PERMIT. 'DBS•17 DIVISION OF BUILDING AND SAFETY Department of County Engineer. County of Los Angeles WM.J. FOX, COUNTY ENGINEER BUILDING:j ' j �{ ADDRESS�'=i 1 (�• CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY /CA. FOR APPLICANT T,,O FILL IN NEAREST ¢ CROSS ST: .WNERW 7�/ 'b-� -DISTRI NO. GROUP ON READY FOR INSPECTION MAIL 1 - ADDRES C.C.4/ a..✓J � INDUSTRIAL TEL.NQ 1 yc WASTE APPROVAL PLUMBER /, INSPECTION RECORD ADDRESS CITY TEL..NO. LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) - BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN SINK DISHWASHER\ LAUNDRY TUB OR TRAY CLOTHES WASHER f • TOTAL NO.. @ 0.80 APPROVALS• DATE INSPECTOR'S SIGNATURE GAS SYSTEM OUTLETS @ 1.00 UNDER SLAB WORK WATER HEATER @ 1.00 ROUGH PLUMBING PERMIT S I 1 00 GAS PIPING TOTAL FEE do GAS VENT HEREBY ACKNOWLEDGE THAT IHAVE .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 FIXTURES PLUMBING. 1 HEREBY CERTIFY .THAT I AM PROPERLY REGISTERED AND/OR GAS TEST . LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 M T LEGAL OWNER OF, THE ABOVE UTILITY CO. NOTIFIED AL DESCRIBED RESIDEMNP e� R SIGNATURE /Yf OF PERMITTEE 6�— �= • FINAL WILLIAM J. FOX. COUNTY ENGINEER VALIDATION R.A.WOOD, CHIEF PLBG. INSPECTOR 76A667-CES17-5-58 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. County Engineer ADDRESS y� CL,_S 7aAlaS CASSATT D. GRIFFIN.Supt of Building G LOCALITY FOR APPLICANT TO FILL IN CROSS NEAREST NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAII BATH TUB ADDRESS CITY TEL. NO. SHOWER LAVATORY CONTRACTOR. SINS ADDRESS ® so 14 a io/j/o!f 1 L- DISHWASHER CITY �1V1-)()(J/p_TEL. NO. r-k k-21CQ7 CONTRACTOR'S �y STATE LAUNDRY TUB REGISTRATION NO. 9 COUNTY ❑ CLOTHES WASHER DISTRICT NO. GROUP ZONE BY WATER HEATER C / GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD L APPROVALS 7 @ $1.00 PER ITEM J OR FIXTURE $ 3DATE INSPECTOR'S SIGNATURE UNDER NO&K PERMIT $ 2 00 ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I .HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST J 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 P&QPE Y. p SIGNATURE FINAL Com_ OF PER ITTPA ROBERT A.WOOD. ®P VALIDATIO SUPERVISING MECHANICAL ENG'R CK. M.O. 'CASH . UAC-0 7 5 5 7 �. JJf� cj 5 A 5.J 0 ' t1, .. WORKER;StJv' ENSATION DECLARATION 76A626DPW9/89 APPLICATION FOR PLUMBING PERMIT I' 76A667A I he y a+jrrrr"thaLl hav certificate of consent to self insure, o IaIrtificate of Worker's ompensation Insurance, or a certified copy thereof(Sec.3800 Lab.C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Policy No. _ Company ❑ Certified copy is hereby furnished. BUILDING //L- Pn,& s' ❑ Certified copy is filed with the county building inspection FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS 9� LA S K u department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. p ��� COMPENSATION INSURANCE MAP BSOI p'�i--fj'�i PAGE�� PARCEL OR (This section need not be completed if the work involved by the SHOWER permit is for one hundred dollars($100)or less.) OWNER •.IL / �(,� I certify that in the performance of the work for which this permit LAVATORY WL is issued, I shall not employ any person in any manner so as to SINK MAIL become subject to the Workers'Compensation Laws. 'ADDRESSd�,P DISWASHER CITYAjnp Pic /rte TEL.N �3e7.1/6°D Date Applicant CLOTHES WASHER r K CONTRACTOR NOTICE TO APPLICANT: If, after making this Certificate of Exemption,you should become subject to the Workers' Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such I IIADDRESS provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.NO. 1 I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER a (commencing with Section 7000 of Division 3 of the Business and STATE LIC. C) ( g ) LICENSE NO. CLASS Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS U OUTLETS OVER DISTRI P CESSED IM 5 PER SYSTEM 1 Q License Number Lic.Class V FINAL _(� A I A N W DATE ` � Contractor Date /I' fn ❑ I am exempt under Sec. FINAL BAP.C.for this reason Date: Plan check fee 001. Signature PLUMBING PERMIT ISSUING FEE$ oo ❑ TOTAL FEE 7-1 (jQ r Plan check applicant - SINGLE FAMILY HOMEOWNER-BUILDER DECLARATION Name r�fE �- /v �t�©� ''=t-' °Ir I hereby affirm that I am exempt from the Contractor's License Laws _f for the following reason (Section 7031.5, Business and Professions Address 2fe3 .+�i? 4—%i.0 Code): City Tel. N r f �•- 1 ITEMS I,as owner of the property,will do the work and the structure 4 i A.3 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.) i 2626 1 AM !e4_ 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 COUNTY OF LOS ANGELES .'TEMPLE CITY # 0508 [PL-UMBING PERMIT) ' DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PLz0508-0002240013 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: l� LEGAL ID: FEES PAID BUI'L-Di-NG-ADDRESS: TR: 5905 LT: 63 BL: .001 9148-LAS_T.UNAS-dR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801905 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOMA AVE. 5387-017-001 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H3 LOCALITY: TEMPLE CITY 17 FLOOR DRAIN(S) 4.00 FIX 64.80 TENANT: 19 FLOOR SINK(S) 4.00 FIX 64.80 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: DAI HO RESTAURANT 23 INTERCEPTOR(S) 1.00 SYS 16.20 03/02/00 UT 08/29/00 25 LAVATORIES/SINKS 1.00 FIX 16.20 OWNER: TEL. NO: 29 ROOF DRAIN(S) 3.00 FIX 48.60 FINAL DATE FINAL BY;� CODE: KU;JIM C. (626) 309-5051- 41 TRAP PRIMERS) 4.00 SYS 64.80 6032 N. PRIMROSE AVE 45 WATER CLOSET/URINAL 1.00 FIX 16.20 TEMPLE CITY, CA 47 WATER HEATER(S) 1.00 WTH 16.20 DESCRIPTION OF WORK 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 PLUMBING FOR NEW BUILDING 52 ADDN OUTLETS > 5 1.00 OUT 4.20 APPLICANT: TEL. NO: 56 GAS REGULATOR 1.00 REG 16.20 HOLLYEVER CONSTRUCTION (626) 968-1056- 83 ADDN PC EQUAKE VALVE 1.00 VAL 58.65 1771 S. RIO LEMPA TOTAL FEES 430.80 SPECIAL CONDITIONS: HACIENDA HTS. CA —� � ®� ELE CONTRACTOR: TEL. NO: APPROVALS���� APPROVALS DATE INSPECTOR SI TURE HOLLYEVER CONSTRUCTION (818) 968-1056 2771 S. RIO LEMPA DR. LIC. NO UNDER SLAB WORK HACIENDA HEIGHTS, CA 91745 6379526 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. N0: LIC. N ROUGH PLUMBING n 0: 1111111 1 ✓`` II1 1 GAS PIPING � UUUI GAS VENT f'IHOT WATER HEATER�fppr , v 'I Umo ��� � PLUMBING FIXTURES O 0 LAWN SPRINKLERS O 0 GAS TEST J,n_ 00 El � UTILITY COMPANY NOTIFIED �® Li CWV service � GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508