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Home My Public Portal About9163, 9163 1/2 LAS TUNAS DR_Plumbing__ D s S-17 25M SETS 12-45 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES P L U 1 WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO GROUP ZONE PERMIT NO ROUGH FIXTURES COMPLETE /" I,®.__ � + BY READY FOR DATE ISSUED RECEIVED i HEATER CESSPOOL -I SEPTIC TANK � FIRST INSPECTION GAS MISCELLANEOUS �,it It,i-i APPLICANT FILL ,/J FILL IN HEAVILY OUTLINED PORTIIOOiN,,, ONLY NAM Ems' 7.I��rfr'1:,�.n` �6 d�r ifii�'9 .} ��'1:/• �.. ADDRESS�lI� S ADDRESS � f � Y�?,j }v p y LOCALITY _ /�J 6* d NEAREST 4 __CITY r `}*j• / !T.`•Ih,� .TEL.No CROSS ST. COUNT'$ M o�,�.Op CERT.NO � EXPIRES � I NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS _ NORTH O CITY TEL No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION / PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBID ABOVE M ' D 3 w OWNER 1 CORRECTIONS SOUTH DESCRIPTION OF WORK ATH TUB FURNACE 1.4 SHOWERDISHWASHER O LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN APPROVALS WASH TRAY URINAL _ APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NANK WATER HEATER DENTAL LAVATORY ROUGH PLUMBING -M ETED GAB SODA FOUNTAIN OUTL GAS PIPING GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOL SEPTIC TANK / "' V SEINER I I I UTILITY CO.NOTIFIED TOTAL FEE � d FINAL Ie, sp 7GA667 17 25M SETS'7-48 I"'>' f APPLICATION PP7�ICA► ION FOR PIDIRM fllA DEPARTMENT OF BUILDING AND SAFLTY 1i,Y BJEIJ 88 lY H iG1L1�YYL COUNTY OF LOS ANGELES PLUMBING WM.J. FOX.CHIEF BNGINEER NATURE OF INSTALLATIONDIST I o. GROUPI ZONE -PERMIT ( O. C ROUGH FIXTURES COMPLETE C.�- 2-- 7 / / " HEATER CESSPOOL I`I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED nl FIRST INSPECTION AS MISCELLANE US ((/ y APPLICANT FILL. IN HEAVILY OUTLINED PORTION ONLY _ // roe NAME �/}� ADDRESS A dS � DVC.! A v o m ADDRESS � ` �/Y1 S/M 11 LOCALITY V --CA D J NEAREST IL CITY TEL.No. CROSS ST. COUNTY LICENSE NO. EXPIRES W NAME LOCATION OF SEPTIC TAI OR CESSPOOL = MAIL 3 ADDRESS ¢' NORTH O CITY TEL.NO. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF gUACAT100. V , PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. m a OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK BATH TUB FURNACE lY SHOWER 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 NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING -METER-GAS SODA FOUNTAIN GAS PIPING OUTL GAS VENT I CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK I I CESSPOOL---------SEPTIC TANK 6--V SEWER l TOTAL FEE UTILITY CO.NOTIFIED u v J Z_ ' FINAL 7 D.B.S.17 25M SETS 12.44 - - - - APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ,PLmtjm WM. J: FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE - PERMIT NO. ROUGH FIXTURES COMPLETE /Z— HEATER CESSPOOL I—I SEPTIC TANK RECEIVED BY - READY-FOR BATH ISSUED _ / I'– FIRST INSPECTION GAS MISCELLANEOUS APPLICA T FILL IN HEAVILY OUTLINED PORTION ONLY rl JOB NAME _ al�.( i ADDRESS `/1�� /L� e] ADDRESS ,�,, /may` [/ LOCALITY �' �'+"f/AY C.�I��AU. t .� NEAREST 'I CITY ��4_;_N T,EL.NO. CROSS HT. L COUNTY CERT.No. EXPIRES 3 � NAME A -LOCATION•OF SEPTIC TANK, OR CESSPOOL z MAIL �Q 3 ADDRESS NORTH O _ - CITY 7 NO. IiAM THE LEGAL POSSESSORO„OF THE ABOVE LOS ANGELES COUNTY CERTIFI TE OFf'UALIFICATION. - ' - - rLUMB6R I AM'THE LEGAL-OWNER OF THE PROPERTY DESCRIB[D ABOVE. OWNER CORRECTIONS " SOUTH - 1 DESCRIPTION OF WORK _ •• BATH TUB FURNACE H O :L HOWER - DISHWASHER - - - " AVATORY -REFRIGERATOR - --KITCHEN SINK - WATER SOFTENER f F1 COR SINK &AND TRAP St OP SINK FLOOR DRAIN WASH TRAY, URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN„ DATE INiP[CTOR'�NAM[ WATER HEATER DENTAL LAVATORY ROUGH PLUMBING �f GSj7JJ, METER GAS - SODA' FOUNTAIN OUTL I GAS PIPING I " GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CESS POO SEPTIC TANK SEWER, -I UTILITY CO.NOTIFIED I - TOTAL FEE - FINAL -�� WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT ` I hereby, affirm that I have a certificate of consent to self in- 20-0026 DPW 4/90 76A667A sure,or a certificate of Workers'Compensation Insurance,ora [,UI certified copy thereof (Sec 3800, Lab C ) Policy No Company COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS ❑ Certified copy is hereby furnished '<' ❑ FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspection ADDRESS (� department NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET(TOILET) NEAREST ATH TUB CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' B - i COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work Involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS I certify that in the lperformancelnot a the erso for which this per- SINK CITY A� TEL mit is issued, I shall not employ an person in an manner so // as to become subject to the Workers'Compensation Laws r DISHWASHER ` ` CONTRACTOR `_4LJ,AJ•6/1— Date. O Applicant / CLOTHES WASHER ADDRESS NOTICE TO APPLICANT If,'after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- CITY TEL NO sation provisions of the Lab r Code, you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE LIC ed EATER LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter AS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER O and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION fect HOSE BIB DATE License Number Lic Class J _ a FINALIM Ilk O Contractor Date BY V I am exempt under Sec 0 B &P C for this reason " Q W Plan check fee Ur ✓ _, CL y Date Signature PLUMBING PERMIT ISSUING FEE$ ACGT o s z _ SINGLE FAMILY TOTAL FEE 3303 fit,.40 - HOME OWNER-BUILDER DECLARATION Plan check applicant 1 ITEMS I hereby affirm that I am exempt from the Contractor's License Name TOTAL ne '� Law for the following reason (Section 7031 5, Business and Professions Code) Address CHECK 43.40 j, as owner of the property, will do the work and the City Tel No CHANGE °00 structure is not intended or offered for sale(Section 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY ® OWO-0001 ' 7r 1/g6 I hereby affirm that there is a construction lending agency for 7196 1 fid 8:42 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 representatives of this County to enter upon the above-mentioned property for inspection purposes ; �sG SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1006010001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID I FEES PAID BUILDING ADDRESS 1 ITR 5905 LT 9 I 1 9163 LAS TUNAS DR 1 I IFEE DESCRIPTION QUANTITY- UOM. AMOUNT I TEMP CA 917801906 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET 1 15387-016-006 101 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 596 GRID H3 LOCALITY TEMPLE CITY, Cl 1 125 LAVATORIES/SINKS 2 00 FIX 32 40 1 ITENANT: I TOTAL FEES 60 15 (ISSUED ON PROCESSED BY PLAN BY I I I 106/01/10 SR I I I I I (OWNER TEL NO I (FATAL DATE FIN Y CODE IMESSREPIAM, ARAKSYS (626) 627-5229- 1 1 11808 PARKVIEW DR I I 1 IALHM 918032613 IDESCRIPTION OF WORK I (INSTALL TWO WASH BASIAL I (APPLICANT- TEL. NO 1 1 1 IGARCIA, FRANK (626) 824-4415- I 1 I 11043 HEATHER ST I ISPECIAL CONDITIONS. I 1GLENDORA, CA 91740 1 I I I I I I I I I I (CONTRACTOR- TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1 IEDDIE DRAIN SERVICES (626) 824-4415- I 1- 11043 11043 E HEATHER ST LIC NO 1 1UNDER SLAB WORK I 1 I GLENDORA, CA 91740 762542 C36 I I I 1 I IWATER SERVICE I I I 1PLASTIC YIN METAL YIN 1 I 1ARCHITECT OR ENGINEER TEL NO- I I I I I I IROUGH PLUMBING I I I I LIC NO 1 -1-1 1 IGAS PIPING I I I I I I 1 I IGAS VENT I I I I I 1 1-1 1 I IHOT WATER HEATER I I I I I 1 1-1 1 I IPLUMBING FIXTURES I I I I I I I I I I I ILAWN SPRINKLERS I I 1 I IGAS TEST I I I I 1 1 1 I I 1UTILITY COMPANY NOTIFIEDI I I I I I I I I I ICWV I I I I i I I i 1 I (GRAY WATER SYSTEM 1 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 I I I I I I I I I I I I I I I I IREPORT ID DPR263 ROUTE TO BS0508 1 I I I I I I I I