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HomeMy Public PortalAbout9669 LAS TUNAS DR_Plumbing__ D.B.S.-17 25M SETS 6-46 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES PLUM81 N G z,-17� WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRic NO. GROUP zo E .�yrPrERMIT NO. ROUGH FIXTURES COMPLETE !! 714 44 HEATER CESSPOOL I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION AS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB It NAME ADDRESS W m ADDRESS LOCALITY NEAREST .J CITY TEL.No. CROSS ST. IL COUNTY tt CERT.No. EXPIRES IC NAME t LOCATION OF SEPTIC TANK, OR CESSPOOL MAIL `y ADDRESS NORTH p 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 DESCRIBED p� ABOVE. W D 3 OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK z z_ BATH TUB FURNACE <Y SHOWER DISHWASHER Q 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 I I py METER GAS SODA FOUNTAIN GAS PIPING I I p OUTL 9! GAS VENT I j CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK L CESSPOOSEPTIC TANK SEWER TOTAL FEE UTILITY CO.NOTIFIED 6 FINAL D.B. 17 25M SETS 12-43 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �����'�� COUNTY OF LOS ANGELES ESM. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUPI ZONE I PERMIT NO. ROUGH. FIXTURES COMPLETE 1 -' 6 HEATER CESSPOOL SEPTIC TANK RECEIVED BY READY FOR t J DATK ISSUED FIRST INSPECTION GAS MISCELLANEOU APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB n: NAME ADDRESS W U AD DRBl3B #LOCALITY J • NEAREST , CITY IL TEL.No. Cr038 ST. COUNTY CERT.No. EXPIRES C NAME W LOCATION OF SEPTIC TANK, OR CESSPOOL 3 MAIL ADDRESS r—� NORTH O I CITY TEL.No. i I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICAT OF qU CA 1 N. 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. m u a OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK a z_ BATH TUB FURNACE Q' SHOWER DISHWASHER .i p LAVATORY REFRIGERATOR a 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 i F.1ETEm GA9 SODA FOUNTAIN GAS PIPING OUTL GAS VENT - CESSFOOL i TOTAL NUMBER OF FIXTURES SEPTIC TANK _ CESSPOOL SEPTIC TANK SEWER 3 UTILITY CO.NOTIFIED TOTAL FEE I I 1 FINAL 76AG67 (CE-817) - 1/75 APPLICATIOK*OR PLTMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FBLIILDING MAKE CHECKS PAYABLE TO: DRESS �� S ��-A.,R S HARVEY T. BRANDT, COUNTY ENGINEER CALITY 'z2e::,� C2� FOR APPLICANT TO FILL IN (PRINT OR TYPE) AREST OSS ST. NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 2.00 J OWNER 1 41/1L41 r MAIL / BATH TUB 2.00 ADDRESS ` S N Az- S SHOWER 2.00 CITY TEL. NO.��S LAVATORY 2.00CONTRACTORad O A.1 -,/VW SINK 2.00 ADDRESS /,� DISHWASHER 2.00 CITY yCN TEL NO. CLOTHES WASHER 2.00 STATE n 5 LIC f? / SWIMMING POOL RECEPTOR 2.00 LICENSE NO. CLASS LAWN SPRINKLER SYSTEM DISTRICT° NO.GROUP ZONE PR CESS D B 2.00 WATER HEATER 2.00 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 2.00 G INSPECTION RECORD OUTLETS OVER 90 v 5 PER SYSTEM O F- U W a N Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL FEE APPROVALS DATE INSPECTOR 5 SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING r.` City Tel. NO. 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 PLUMBING FIXTURES a> WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DE (BED RESIDENTIAL PkOPERTY. FINAL SIGNATURE _ OF PERMITTE PERMIT VALIDATI N CK. M, CASH PLAN CHECK VALIDA N "MO. CASH 855iitsfl 17 5 D 1 3.50 • 76Ae67 17 5-50 O� APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICTNO. GROUP ZONE PERMITNO. PLUMBER ;:i A,Y] lb,.'%' i Yl t1 P7 Ambi ng Serv. RECEIVED BY I READY FOR DATE ISSUED FIRST INSPECTION ADDRESS 146.9 jR it Marino Ave BUILCITY Ssin I�A.rl n'D TEL. NO. At. 1-1742 ADD EISS 9669 Las `Tunas COUNTY LCENSE NO. 72484 EXPIRES LOCALITY T = le City 1/30/53 emn CROSS ST. Temple Cit Blvd. PERMIT FEES Mrs , � NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER Mrs . Laird MAIL WATER CLOSET (TOILET) Q O.50 Fs I ADDRESS 9669 Las Tunas BATHTUB @ 0.50 CITY Temple C�1s�TEL. NO. SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK S Cul le r 0.50 1 00 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS C�? 0.50 I SIGNATURE OF 9 WATER HEATER @ 0.501 O PERMITTEE. SLOP SINK @ o.so INSPECTION RECORD FLOOR SINK @ 0.50 I 50 FLOOR DRAIN @ 0.50 _ I _I_DISHWASHER sink @ 0.501 1 50 _ 2- - J DRINKING FOUNTAIN @ 0.501 1 f r�S /'i�- J2 LC '.:rF�l� /-) URINAL @ 0.501 I I HOUSE SEWER @ O.50 I� ., Q r ;` Z_ MISCELLANEOUS o APPROVALS -� DATE INSPECTOR'S NAME 1� ROUGH PLUMBING 1 GAS PIPING GAS VENT CESSPOOL @ 1.00 I CESSPOOL 1 SEPTIC TANK: 1 SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.001 I SEWER PERMIT . I 1.00 GAS TEST it 8 km ii,, UTILITY CO. NOTIFIED I TOTAL FEE I $ 00 FINAL D.R.S.-i; 25NI SETS 12-35 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING WM. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUPI ZONE PERMIT NO. ROUGH FIXTURES COMPLETE I f/ 61 � Y RECEIVED BY READY FOR DATE ISSUED HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION GAB MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB ' K NAME j ADDRESS LJ � ADDRESS A j _al U �.•�-t l LOCALITY NEAREST IL CITY )t"- TEL.No. - `.,5� CROSS ST. .'(, i COUNTY i CERT,No. ,l.l EXPIRES m NAME LOCATION OF SEPTICt TANK, OR CESSPOOL 3 MAILADDRESS NORTH 0 CITY - TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL,OWNER OF THE PROPERTY DESCRIBED A ABOVE. i OW14CR CORRECTIONS SOUTH a d DESCRIPTION OF WORK BATH TUB FURNACE ~ SHOWER DISHWASHER LAVATORY REFRIGERATOR KITCHEN SINK _WATER SOFTENER FLOOR SINK SAND TRAP —SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE I INSPECTOR'S NAME WATER HEATER _DENTAL LAVATORY ROUGH PLUMBING I METER GAS _SODA FOUNTAIN OUTL GAS PIPING GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK L CESSPOOSEPTIC TANK SEWER I s TOTAL FEE UTILITY CO.NOTIFIED J FINAL 17 4-39 23M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO, GROUP ZONE PERMIT No. PLUMBING I I FIXTURES I COMPLETE I READY FOR RECEIVED BY DATE ISSUED HEATER CESSPOOL I (SEPTIC TANK( FIRST INSPECTION GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OU F, PORTION ONLY JOB NAME i/�V 7��. y. �-L1^ :"N�/�j ADD E S ? tr _ W QD I ADDRESS _ Q •l, y "C LOCALITY C-- _ -`• NEAREST J CITY TEL No. CROSS ST. IL COUNTY REG. NO. EXPIRES W NAME LOCATION OF SEPTIC TANK, OR CESSPOOL o aooREss NORTH CITY TEL NO. CORRECTIONS I _ I m ND 3� 1 J Q Z_ 0 SOUTH DESCRIPTION OF WORK BATH TUB FURNACE _SHOWER DISHWASHER APPROVALS _LAVATORY - __ REFRIGERATOR DATE INSPECTOR'S NAME KITCHEN SINK WATER SOFTENER ROUGH PLUMBING FLOOR SINK SAND TRAP GAS PIPING _. —SLOP SINK -_—__—FLOOR DRAIN GAS VENT ..WASH TRAY ._ —URINAL CESSPOOL I ._WATER CLOSET _.—_ —DRINKING FOUNTAIN SEPTIC TANK y _.._ ___WATER HEATER DENTAL LAVATORY SEWER .-METER--GAS SODA FOUNTAIN UTILITYCO. NOTIFIED OUTL FINAL ` I AM THE LEGAL OWNER OF THE ABOVE LOS ANGELES --- COUNTY REGISTRATION NUMBER. TOTAL NUMBER OF FIXTURES _ PLUMBER ___— SEPTIC TANK CESSPOOL I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. TOTAL FEE OWNER D. B. 17 4-39 25M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING ��M I�y,�T� COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. PLUMBING I FIXTURES I I COMPLETE READY FOR RECEIVED BY DATE ISSUED HEATER i CESSPOOL (SEPTIC TANKI FIRST INSPECTION GAS 1 MISCELLANEOUS I I APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB y NAME, �r ISL' ADDRESS — !Yyc ADDRESS / -p-c LOCALITY O NEAREST .� 1 CITY �L- - TEL NO. CROSS ST. IL COUNTY I ` REG. NO. EXPIRES — M W NAME k i LOCATION OF SEPTIC TANK, OR CESSPOOL. o App NORTH CITY `.� + { ` TEL No. CORRECTIONS m W N z v 0 SOUTH DESCRIPTION OF WORK __BATH TUB FURNACE SHOWER DISHWASHER ddd APPROVALS LAVATORY — REFRIGERATOR DATE INSPECTOR'S NAME _KITCHEN SINK —__—___WATER SOFTENER ROUGH PLUMBING FLOOR SINK —SAND TRAP q GAS PIPING SLOP SINK -----FLOOR DRAIN GAS VENT -WASH TRAY ___ URINAL CESSPOOL —WATER CLOSET __DRINKING FOUNTAIN SEPTIC TANK WATER HEATER DENTAL LAVATORY SEWER --METER-4-1—GAS SODA FOUNTAIN UTILITYCO. NOTIFIED G OUTL — IIo1v IjGWJ�� FINAL 1 AM THE LEGAL OWNER OF THE ABOVE LOS ANGELES - COUNTY REGISTRATION NUMBER. TOTAL NUMBER OF FIXTURES _ L SEPTIC TANK __—_ PLUMBER .CESSPOOL 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. TOTAL FEE I -- — OWNER O. B. 17 4-39 25M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION ` DISTRICT NO. GROUP I ZONE PERMIT No. ROUGH PLUMBING I I FIXTURES I ` COMPLETE t READY FOR RECEIVED BY DATE ISSUED HEATER I CESSPOOL [SEPTIC TANKI FIRST INSPECTION GAS ' MISCELLANEOUS `/ APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB = NAME '`ryr1°": �y'„j,..". ter. -.L,...Cr»_.:. ADDRESS i/--.. - 'j:•C W p f ADDRESS LOCALITY "4­ NEAREST 7 J CITY TEL No. // �" CROSS ST. IL COUNTY `� _ REG. NO. D EXPIRES �✓� W NAME LOCATION O SEPTIC TANK, OR CESSPOOL 3 AD MAIL NORTH CITY TEL NO. CORRECTIONS ,- m D w Ip / J Q Z_ D lY 0 -— - SOUTH ------- -- —. DESCRIPTION OF WORK _BATH TUB __FURNACE APPROVALS --SHOWER _ _DISHWASHER DATE INSPECTOR'S NAME _. __LAVATORY —_- —REFRIGERATOR er e ROUGH PLUMBING _KITCHEN SINK WATER SOFTENER '? GAS PIPING ___FLOOR SINK _ SAND TRAP GAS VENT SLOP SINK _—FLOOR DRAIN CESSPOOL WASH TRAY -.-_ - .—URINAL —_ ----WATER CLOSET _------DRINKING FOUNTAIN SEPTIC TANK —�__—WATER HEATER __.._ _—_DENTAL LAVATORY SEWER ____METER .—_GAS ___ __SODA FOUNTAIN UTILITY CO. NOTIFIED OUTL FINAL IAM THE LEGAL OWNER OF THE ABOVE LOS ANGELES v' COUNTY REGISTRATION NUMBER. TOTAL NUMBER OF FIXTURES J - -__--SEPTIC TANK PLUMBER --CESSPOOL I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED"— ---- ABOVE. TOTAL FEE OWNER o. B. 17 4-39 25M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT NO. ROUGH PLUMBING I I FIXTURES COMPLETE READY FOR RECEIVED BY DATE ISSUED HEATER CESSPOOL I ASEPTIC TANKI FIRST INSPECTION GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB NAME ADDRESS tr W m ADDRESS LOCALITY f - NEAREST J CITY TEL No. CROSS ST. 4. COUNTY REG, NO. EXPIRES W I NAME LOCATION OF SEPTIC TANK, OR CESSPOOL 3 AMAIL DDRESS _ NORTH 0 - -- - _-- ---- - ---- CITY TEL No. CORRECTIONS I �I a —� W i J Q Z_ i 0 SOUTH DESCRIPTION OF WORK _._.-__BATH TUB -.-_ FURNACE -__.._ SHOWER -- DISHWASHER APPROVALS _. .-_LAVATORY ___--REFRIGERATOR DATE INSPECTORS NAME __KITCHEN SINK WATER SOFTENER ROUGH PLUMBING .__FLOOR SINK SAND TRAP GAS PIPING SLOP SINK ----FLOOR DRAIN GAS VENT 77 WASH TRAY _.__URINAL CESSPOOL WATER CLOSET -- DRINY.ING FOUNTAIN SEPTIC TANK I __WATER HEATER --_DENTAL LAVATORY SEWER METER -_-. -GAS —SODA FOUNTAIN UTILITY CO. NOTIFIED I OUTL FINAL 1 AM THE LEGAL OWNER OF THE ABOVE LOS ANGELES - -- COUNTY REGISTRATION NUMBER. TOTAL NUMBER OF FIXTURES_--- -SEPTIC TANK PLUMBER _CESSPOOL 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. TOTAL FEE OWNER 7'A667 -CE#8171-62 TEMPLE MPL 9TV' APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISIONBUILDING Grp - 7��' JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS _G� 5, WILLIAM A. JENSEN. SUPT OF BUILDING r LOCALITY �: Y FOR APPLICANT TO FILL IN NEAREST CROSS ST. -t J NUMBER FIXTURE OR ITEM EACH FEE ) WATER CLOSET $1.25 OWNER MAIL 4 BATH TUB 1.25 ADDRESS SHOWER 1.25 CITY TEL. NO. LAVATORY 1.25 CONTRACTOR SINK-%A??j -- 1.25 n ADDRESS DISHWASHER 1.25 CITYr ro s Y"O L. NO. LAUNDRY TUB 1.25 CONTRACTOR'S .5�-� �lyl STATE O- REGISTRATION NO. ti C/ COUNTY CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCE SED BY WATER HEATER 1.50 S' U GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD d O O h u LL a N - Z APPROVALS PATE INSPECTOR'S SIGNATURE PERMIT $ 2 0UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE93 GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATI AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPGAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING] HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE GAS TEST CALIFORNIA OR THAT I A -7VfE LEGAL OWNER OF,AND.04TEND RESIDE IN,THE ABOVE DES R�BED./!$IDENTIAL PRO Y. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE L FINAL V:8 LIDATION ROBERT A. WOOD CK. M. J. CASH SUPERVISING MECHANICAL ENG'R 8548t2 U 6 5 D 3.25- a 76A667-CE817 6-60 3� APPLICATION FOR PLUMBI G PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS c�LiJ G WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET � .` NAIL BATH TUB ADDRESS ;� a SHOWER CITY —r�,— TEL NO. LAVATORY CONTRACTORr'E SING ADDRESS DISHWASHER CITY L_ v TEL NO. CONTRACTOR'S STATE ❑ LAUNDRY TUB REGISTRATION NO. ? COUNTY ❑ CLOTHES WASHER DISTRICT NO. GROUP I ZONE $jt,09ESSEDSY ILL WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD >. P. O U a O F tn U W a 0 $1.00 PER ITEM OR FIXTURE S APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 1 2100 UNDER SLAB WORK TOTAL FEE _ ROUGH PLUMBING GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 Rf THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIA PROPERTY. ,' UTILITY CO. NOTIFIED SIGNATURE OF PERMITTE FINAL Jr / VALIDATION ROBERT A. WOOD, CC. M.0. C"H SUPERVISING MECHANICAL ENG'R a I 4.6 :i 76A667-CE817 6-60 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY -/✓f FOR APPLICANT TO FILL IN CROSSSST. m A-rJ NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL ADDRESS BATH TUB CITYTEL. NO. c)SHOWER LAVATORY CONTRACTOR TeL « SINK ADDRESS DISHWASHER CI rTEL, NO-, C; . l CONTRACTOR'S r STATE `Q LAUNDRY TUB REGISTRATION NO. ig S COUNTY Q CLOTHES WASHER DISTRICT NO. GROUP ZONE PROCESSED BY WATER HEATER GAS SYSTEM INDUSTRIAL i WASTE APPROVAL INSPECTION RECORD P. O U a O F C 7-1 G V w a 41 m J . $1.00 PER ITEM' OR FIXTURE $ loo APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK TOTAL FEE `� �C ROUGH PLUMBING GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST ��i✓i! Z C- . CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE / P. , _�. OF PERMITTE / FINAL VALIDATION ROBERT A. WOOD, CC. M.O. C/.`"✓SUPERVISING MECHANICAL ENG'R CAftl LAo9 :� 751.0 —c 16 5 u 3.00 DEPARTMENT OF COUNTY ENGINEER PLUMBING 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION ' COUNTY OF LOS ANGELES BUILDING WILLIAM J. FOX, COUNTY ENGINEER ADDRESS FOR APPLICANT TO FI 'IN LOCALITY NEAREST BUILDING ADDRESS C- � ley �j �_' �jL � (�-�t�;� CROSS ST. DISTRICT NO. GROUP ZONE PERMIT N0._ LOCALITY NEAREST CROSS ST. / t i RECEIVED BY Ready for Inspection DATE ISSUED OWNER MAIL INDUSTRIAL ADDRESS _ 3 F y WASTE APPROVAL CITY ✓L K-.t r- L.N0. INSPECTION RECORD _ r ' PLUMBER Q( Z ADDRESS CITY TEL.N0. -o? °STATE LICENSE N0. J PERMIT FEES z 4UM3ER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET(TOILET) @ 0.80 S 0.' O BATH TUB SHOWER LAVATORY (WASH BASIN) @ 0.80 KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY @ 0.80 SLOP SINK @ 0.80 FLOORSINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER @ 0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 GAS SYSTEM.-------------OUTLETS @ 1.00 WATER HEATER @ 1.00 ,MMELLANEOUS APPROVALS t DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING !� TOTAL FEE C% GAS PIPING t Ir I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSFD AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF C LIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE AROV DESC ED SIDEO!`iAL eROPERTY. UTILITY CO.NOTIFIED SIGNATURE / I OF P E R M I T T E - .f....F--'�.........................--...... { FINAL I' 76AG67 DDS I r.J L I� e e D.B.17 aM SETS 9-49 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 RECEIVED BY READY FOR DATE ISSUED HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY .JOB NAME ADDRESS W m ADDRESS L ..,-�" ,..��.r, LOCALITY NEAREST J CITY �p.,o TEL. No. ,, ��I CROSS ST. a COUNTY 1 CERT. No. IQ .AA EXPIRES.2";- yt: K NAME W LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH O CITY TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. „ PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. D M OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK a z BATH TUB ___FURNACE —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 IHSPECTOR'3 NAME J WATER HEATER --_—DENTAL LAVATORY ROUGH PLUMBING I7 i METER_�C GAS ------SODA FOUNTAIN OUTL GAS PIPING I GAS VENT CESSPOOL -----TOTAL NUMBER OF FIXTURES _SEPTIC TANK CESSPOOL SEPTIC TANK SEWER J UTILITY CO.NOTIFIED I I TOTAL FEE ----- --- FINAL � WO(2KERS'COMPENSATION DECLARATION hereby, ctfirm that I have a certificate of consent to self in- �DPW 4/90 APPLICATION FOR PLUMBING PERMITsure,or certificate of Workers'Compensation Insurance,ora 76A667A cd'rtified copy thereof(Sec. 3800, Lab. C.) Policy No= k Company ��� F�ca,•r.c�_ COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS ❑ Certified copy-is hereby furnished. FOR APPLICANT 70 FILL IN(PRIM OR TYPE) BUILDING Certified copy is filed with the county building inspection ADDRESS r• -,Cr department. NUMBER FIXTURE OR ITEM @ FEE a � = c� LEr LOCALITY Applicant wauscLOSET(TOI DcIte r NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by MAIL _ the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this per- SINK mit is issued, I shall not employ any person in any manner so CITY TEL. NO. as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR V a Date• Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of Ex- ADDRESS SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- n CITY l ` TEL.NO.� �,a5�_( � sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS ` ly with such provisions or this permit shall be deemed revok- STATE. r pC LIC. ed. WATER HEATER LICENSE NO. G l � 0 CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSEb BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER �7 and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINALVALIDATION fect. HOSE BIB DATE ' Q �� .1 License Number Lic. Class E aCL i L.0eX11 FINAL '3u BY ate-4— r cG I am exempt under—Ac.c. 11— I I ' . A�J Q ACCT s 0 ILB.BP.C. for this reason 12� X303 eIL 43.40 Plan check fee ,? rn Date: PLUMBING PERMIT ISSUING FEE$ pl7 1 ITEMS Signature SINGLE FAMILY TOTAL FEE �C TOTAL 43 m 40 HOME OWNER-BUILDER DECLARATION Plan check applicant CHECK 43°440 I hereby affirm that I am exempt from the Contractor's License Name CHANGE o00 Law for the following reason (Section 7031.5, Business and Professions Code): Address I, as owner of the property, will.do the work and the City Tel. No. 0000_0001 4/30/96 structure is not intended or offered for sole.(Section 7044, Business and Professions Code). ® 6134 1 PH 5:42 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 authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. • �1 a —17f. SEE REVERSE FOR EXPLANATORY LANGUAGE igno re of Permittee Date WORKERS'COMPENSATION DECLARATION APPLICAT50N FOR PLUMENG PERMIT `t •I"hereby%affirm that, I have a certificate of consent to self 20-0026 DPW 6/87 �j insure, or a certjsicate of Workers'Compensation Insurance, 76A667A lul or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEP',OF`PUBLIC WORKS Policy No l oo d—9 aCompany S`@M FUND Certified copy is hereby furnished. r BUILDING q/ i� ' ® FOR APPLICANT TO FILL IN(PRINT OR TYPE) Certified copy is filed with the county building Inspec- ADDRESS (�JC'� MBER FIXTURE OR ITEM tion department. NU @ FEE LOCALITY 4-9-1 .3 �� .3 WATER CLOSET Date `'f' — Appli4ant A/.5251, NEAREST CROSS STu M�stJ CERTIFICATE OF EXEMPTION FROWO RS' BATHTUB COMPENSATION INSUR CE OWNER (This section need net be completed If the work Involved by SHOWER the permit is for one hundred dollars($100)or less.) LAVATORY MAIL - � ADDRESS I certify that in the performance of the work for which this permit is Issued,I shall not employ any person in any manner SINK J!' CITY TEL. NO. so as to become subject to the Workers'Compensation Laws. DISHWASHER . l � CONTRACTOR C, C Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of ADDRESS - �. (gl� Avg Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY (3h � TEL. NO 3 with comply with such provisions or this permit shall be STATELIC. deemed revoked. WATER HEATER LICENSE NO. (� CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm.that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER O and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL Q' �' DATE ����2 VALIDATION License Number 1108 Lic. Class g V FINAL �( ? Contractor e - 4� Date Z . BY C I am exempt under Sec. B.&P.C. for this reason Plan check fee Cr Date: PLUMBING PERMIT ISSUING FEE$ pool '� qr Signature TOTAL FEE - SINGLE FAMILY Plan check applicant C_ mom HOME OWNER-BUILDER DECLARATION Name (b fi ij i=� �=„F:F i d' r� _1 I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Address �� {�` ���.EC*.4 Professions Code): City Tel. No. 3--� f•.. , -•— -- I, 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 P11111- ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-menY ned- roperty for inspection purposes. i SEE REVERSE FOR EXPLANATORY LANGUAGE Signatur V P tee Date `/7 1 - WORKERS'COMPENSATION DECLARATION APPLICATION F® U PL y G 20-0026 DPW 4/87 I I I I\I G PERMI T I hereb �'myths I have a certificate of consent to self in- 76A667A sure,or a ce?tificate of Workers'Compensation Insurance,or a CE 817(REV.8/86) certified copy there f Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES Policy No. f2 10 Company ComaD41�tflzoe,, DEPT:OF PUBLIC,WORKS Certified copy is hereby furnished. ' FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDINGL AMU P Certified copy is filed with the county building inspection ADDRESS � ig-44v4S 7 department. NUMBER FIXTURE OR ITEM. @ FEE �I WATER CLOSET(TOILET) LOCALITY [� Date Applicant vo NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. �( COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by the permit is for one hundred dollars($100)or less.)' LAVATORY MAIL ADDRESS I certify that in the performance of the work for which•this per- mit is issued,'I shall not employ any person in any manner so SINK CITY g,_ TEL. NO. j as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date —,07 Applicant cc! 'O&F ee CLOTHES WASHER NOTICE TO AP LICANT: If, after making this Certificate of Ex-' ADDRESSf� , emption,you should become subject to the Workers'Compen- SWIMMING POOL RECEPTOR CITY sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEM TEL.NO.� ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE NO. COZ -�' CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PRO C SED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS `� �� 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER V and Professions Code, and my license is in full force and ef- 5 PER.SYSTEM I FINAL VALI TION a fect. I 1s DAT 3�.00 License NumberLic. Class _ F=' J�BY N V Contractor 49-4W W� el-_ Date ^y Cr �� f i- ❑ I am exempt under Sec.— LU B.&P.C. for this reason U) Plan check fee z Date: PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE SINGLE FAMILY applicant HOME OWNER-BUILDER DECLARATION Plan check a PP i 9 7 1.2 A I hereby affirm that I am exempt from the Contractor's License Name # 0 0 0 0 0 5 Law for the following reason (Section 7031.5, Business and Professions Code): Address '( o - 2250 I, as owner of the property, will do the work;and the City Tel. No. 0 0 0 2 2 5 structure is not intended or offered for sale(Section 7044, OX Business and Professions Code). © 0 20 7 !8 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 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-mentionproperI for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Ignatu�e of Permittee Date Wfirm t S'COMPENSATION DECLARATION I APPLICATION FOR PLUMBING PERMIT �'o� 20-0026 DPW 4/87 r�ltp'q,uffirm that I have a certificate of consent to self in- ,76A667A ?W. e,�or a certificate of Workers'Compensation Insurance,ora CE 817(REV.8/86) certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company " L jV;A1V COUNTY OF LOS ANGELES DEPT. OF PUBLIC'WORKS YL Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING f/ A` A,�-/fin . 'r'' Certified copy is filed with the county building inspection ADDRESS 6 t7 ( oL� v(/w� !�/� , v department. NUMBER FIXTURE OR ITEM @ FEE � 7C .LOCALITY � cc/Date -� "`r Applicant � aC/� WATER CLOSET(TOILET) NEAREST C . CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved byMAIL . , the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS ' I certify that in the performance of the work for which this per- SINK � j��. mit is issued, I shall not employ any person in any manner so CITY TEL. NO. as to become'subject to the Workers'Compensation Laws. DISHWASHER ` CONTRACTOR / Date Applicant CLOTHES WASHER W6 �� NOTICE TO APPLICANT: If, after making this Certificate of Ex- ADDRESS emption,you should become subject to the Workers'Compen- SWIMMING POOL RECEPTOR �� /� sation provisions of the Labor Code,you must forthwith comp- CITY M�G C TEL. NO. P Y P- LAWN SPRINKLER SYSTEM ly with such provisions or this permit shall be deemed revok- STATE / LIC. �J ed. WATER HEATER LICENSE NO. ✓� f3 CLASS (� LICENSED CONTRACTORS DECLARATION GAS SYSTEM OUTLETS DISTRICT NO. PR SED BY f� I hereby affirm that I am licensed under provisions of Chapter � �X 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER it and Professions Code, and my license is in full-force and ef- 5 PER SYSTEM rT FINAL \/ ATION fect. �/26L fes! DAT CL O License Number -f-0 b LLic. Class V y� S'jRJ/< FINA Contractor 'C ��DiQL Date BY O ❑ I am exempt under Sec. W U CL B.&P.C. for this reason Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE p • �933.7'A SINGLE FAMILY �, HOME OWNER-BUILDER DECLARATION Plan check applicant �z UAR , # ao00,, 5 I hereby affirm that I am exempt from the Contractor's License NameQom/ Fi . Law for the following reason (Section 7031.5, Business and o - 31L50 Professions Code): Address &--,,46 B Nf�,J A4-,C— ,. • o.e••a3450� ❑ I, as owner of the property, will do the work and the City CL HPA/T� Tel. No. 4.1 1 P/IPA structure is not intended or offered for sale(Section 7044, . 1,',0 7'"8 8 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 infor ation is correct. I agree to comply with all County ordinance nd State laws regulating Plumbing, and hereby authorizepresentativo7of this County to enter upon the above-m toned prqpfvy f inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signatu a of Permittee Date WORKERS'COMPENSATION DECLARATION " 76A1567A :1 hereby affirm that I have a' certificate of4consent to self I ce 617 (z a6)' A P P L I C A T]O N FOR PLUMBING PERMIT insure,or a certificate of Workers'Compensation Insurance,or a certified thereof(Sec.3800,Lab. .) I /d0 COUNTY OF LOS ANGELES ' �� BUILDING AND SAFETY Policy o. 'Company—4Z& Certified copy is hereby furnished. FOR APPLICANT TO FILL IN.(PRINT OR TYPE) BUILDING / ADDRESS 49 2AIA� y .Certified copy is filed with the count buding inspection NUMBER FIXTURE OR ITEM ® FEE de art e t I LOCALITY ,Date Applicant WATER CLOSET NEAREST BATH TUB CROSS ST. ) CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE I SHOWER OWNER LAVATORY ]MAIL '(This section need not be completed if the work involved ADDRESS } by the permit is for one hundred dollars ($100) or less.) SINK CITY TEL.NO. 0 I certify that in the performance of the work for which this DISHWASHER iV permit is issued, I shall not employ any person in any manner :CONTRALTOir u so as to become subject to the Workers' Compensation Laws. I CLOTHES WASHER ADDRES + O Date Applicant C,,I 9J` SWIMMING POOL RECEPTOR ' H NOTICE TO APPLICANT: If, after making this Certificate of J.CITY C TEL.N J()e W Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATEy/; •LIC. IL Compensation provisions of the Labor Code, you must forth- LICENSE NO.e_ / V CLASS z with comply with such provisions or 'this permit shall be WATER HEATER deemed revoked. GAS SYSTEM OUTLETS DISTRICT NO. PR CESSE.D B LICENSED CONTRACTORS DECLARATION OUTLETS OVER 5 L hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- ness and Professions Code, and my license is in full force and- S/�•�C DATE �l —� VALIDATION effect. FINAL License Nu//ms''ber,C Lic.Class O BY Contractoi:� &-/�WS/ Date �.d I am exempt from the licensing requirements as I am a Plan check fee' licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE �� d Lic.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address License Law for the following reason (Section.7031.5, Busi- City Tel.No. �'J Q J�.8 A ness and Professions Code): I, as owner of the property, am exclusively contracting o o o a c 5 with licensed contractors to. construct the project (Section 7044,Business and Professions Code). 2 0 0 2 5 � I CONSTRUCTION'LENDING AGENCY 2$ 5 I hereby affirm that there is a construction lending agency for the performance of the work for which,this permit is 0 2.2 U —8 issued(Sed.•3097,Civ.C.). Lender's Name Lender's Address ; I 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 SEE REVERSE FOR EXPLANATORY LANGUAGE au rize representatives of this County to enter upon the 4-gln ntioned ro rty for inspection pature of Permittee D e WORKERS'COMPENSATION DECLARATION 76A667A +1 I hereby affirm that I have x certificate of consent to.self ce e17 (z;6o) APPLICATION- P®R PLUMBING PERMIT insure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) lr COUNTY OF LOS ANGELES ' '` BUILDING'AND SAFETY Policy No. Company I Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ❑ NUMBER FIXTURE OR.ITEM ® FEE ADDRESS /f� Certified copy is filed with the county building inspection department. LOCALITY Applicant WATER CLOSET NEAREST Dates • BATH TUB CROSS ST.- CERTIFICATE.OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SPOWER OWNER MAI L (Ties section need not be completed if the work involved LAV ATOR.Y 'ADDRESS } b the permit is for one hundred dollars ($100) or less.) Y I' SINK1O� x CITY TEL.NO. 0. I certify that in the performance bf the work for which this DISHWASHER V permit is issued, I shall not loy any perso in any manner CONTRACTOR�.�J���/ � lfyl7f�i/li rso as t b co a subject to the rkers'Co nsation Laws. I CLOTHES WASHER 0 7C Dat % ?� pplicant ADDRESS Q—2 GNB'' N/T/� �. 1 SWIMMING POOL RECEPTOR CI�,,� TEL.NO W NOT E O'APPLICANT: If, after making this Certificate of �' /E ,( Exemption, you should become subject to the Workers' I LAWN SPRINKLER SYSTEM STATE LIC. .7 Lo Compensation provisions of the Labor Code, you must forth- LICENSE NO. a(Jf CLASS Cd Z with comply with such provisions or this permit shall be WATER HEATER deemed revoked. GAS SYSTEM OUTLETS DISTRICT NO.f/ PROCESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVERt I hereby affirm.that I am licensed under provisions of Chapter 5 PER SYSTEM „ 9 (commencing with Section 7000)of Division 3 of the Busi- FINAL �, /) � j VALIDATION ness and Professions Code, and my license is in full force and DATE `�" QQ C— effect. License Number +'~b a o Lic.Class � � FINAL r BY Contractor Dat Date I am exempt'from the licensing qui ements as I am a I Plan check fee �// 27 licensed architect or a registered professional engineer ; PLUMBING PERMIT ISSUING FEE$ 4/`� " acting in my professional capacity (Section 705.1, Bus- I iness and Professions Code). TOTAL FEE1/0 �(� < Lic.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's I'. Address '5723A License Law for the following reason (Section.7031.5, Busi- I' City Tel.No. ness and Professions Code): �$ c 0.o 0 0 5 OI, as owner of the property, am exclusively contracting with licensed. contractors to construct the project Z 0 0 1650 (Section 7044,Business and Professions Code). I aool � ox CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 08. 19-82 for the performance of the work for which this permit is issued(Sec.3097,Civ.C.). r 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 I SEE REVERSE FOR EXPLANATORY LANGUAGE ; ordinances and State-laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the Zbmentioned ro er for inspectionvpurpo s. l a Signature of Permittee ate COUNTY OF OS LES TY DEPARTMENT OFLPUBL;CEWORKS" 9701LLASITUNAS # 0508 SPL- 05Q8G0007110023 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ES PAID �ULLDI,I[G-ADD S: TR: 6561 LT: 131 1�66Si LAS TUNAS•`DRD FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP-CA 91780ZI'03 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: KAUFFMAN 8587-020-014 OW PLANCHECK FEE 109.35 109.35 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY 01 PERMIT ISSUANCE FEE 27.75 A : 65 WATER PIPING 2-3 IN 1.00 LIN 50.55 ISSUED ON: PROCESSED BY: PLA BY: EXPIRES ON: MAIN CITY RESTAURANT TOTAL FEES 187.65 08/28/00 UT 02/25/01 OWNER: TEL. NO: FINAL DATE FI A Y: CODE: LIANG;DANNY (626) 575-8763- 3501 WHISTLER AVE. 3-lb-61 MONTE, CA 91732 PESCRIP 0 0 WOR �.PkUMBtNG-FOR-RESTAURA'Nrt. .P-RO.EMENT31 APPLICANT: TEL. NO: HOLLYEVER (626) 968-1056- 2771 S. RIO LEMPA DR SPECIAL CONDITIONS: HACIENDA HGTS, CA ELES CO CONTRACTOR: TEL. NO: 05 APPROVALS DATE INSPECTOR SIGNATURE EVERGREEN DESIGNS ENTERPRISE (626) 3510-9181- 4414 ELLIS LANE LIC. NO UNDER SLB WORK EL MONTE, CA 91731 747408 B WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR NGINEER: TEL. NO: ROUGH PLUMBING LIC. N0. 1111111 GAS PIPING GAS VENT ULC W®RHKS HOT WATERHEATER PLUMBING FIXTURES LAWN SPRINKLER GAS TEST ,O �g UTILITY COMPANY O I I D 4b��c service Tha ��i CWV I GR WATER STEM REPORT ID: DPR263 ROUTE TO: BS0508 1 1 � I I i COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1005260006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: `ILEGAL ID: I.I FEES PAID 1 BUILDING ADDRESS: I ITR: 6561 LT: 131 II I 19669 LAS TUNAS DR 1 (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802103 1 (ASSESSOR INFORMATION NUMBER: I 1 I NEAREST CROSS STREET: KAUFFMAN 18587-020-014 101 PERMIT ISSUANCE FEE 27.75 I I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl I ,121 HOSE BIBB(S) 1.00 FIX 16.20 I I ITENANT: 164 WATER PIPNG <= 1 1/2 1.00 LIN . 16.20 ISSUED ON: PROCESSED BY: PLAN BY: 1 TOTAL FEES 60.15 105/2'/10 SR (OWNER: TEL. NO: I IF7PAL DATE FINAL Y: CODE: IINA, DEWY (626) 286-2299- I I• 1 9669 LAS TUNAS DR. I (TEMPLE CITY CA 91780 I DESCRIPTION OF WORK I IREPLICE WATER SERVICE AND ASE BIBB I IAPPLICANT: TEL. NO: I I til ICORDOVA, MIKE (310) 704-0779- 1 I I 1762 S. 4TH AVE i iSPECPZ CONDITIONS: I ILA PUENTE CA 91746 I I CONTRACTOR: TEL. NO: I I 'APPROVALS DATE INSPECTOR SIGNATURE I [YOUR PLUMBING SOLUTION INC. (310) 704-0779- I I 1 I 1762 S 4TH AVE LIC. NO I 1UNDER SLAB WORK I I ILA PUENTE CA 91746 862884 C36 I I -1-1 I I II IWATER SERVICE I II IPLASTIC YIN METAL YIN I I I ARCHITECT OR ENGINEER: TEL. NO: I IROUGH PLUMBING I LIC. N0: ' II i GAS PIPING I VENT I I 1 (HOT IWiRWATER HEATER I I I I I PLUMBING FIXTURES LAWNiSPRINKLERS I I I I IGAS TEST I I I I I (UTILITY COMPANY NOTIFIED( I I ICWv I IGRAY,WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508 I I I I r r f � COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PL1.11'BING PERMIT DEPARTME!!T OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0410060001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 225••0483 EXT: LEGAL !0-:FEES PTD_ BUILDING D RECS: 6561 LT: 131 ;` 9669-LAS TUNAS.DR FEE DESCRIPTION: QUANTITY: UOM: A14OLINT: TEMP CA 917802103 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: KAUFFMAN " S387-020-014 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY 47 WATER HEATER($) 1.00 WTH 16.20 I TENANT: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 ISSUED ON: PROCESSED BY: PLAN BY: P ES h: SEAFOOD VILLAGE TOTAL. FEES 60.15 10/06/04 JK 04/04/05 OWNER: TEL. N0: FY ASL D TE FINAL BY: CODE: i3501 LIANG;DANNY (626) 575-8763- WHISTLER AVE. / IIEL MONTE, CA 91732 DCRIPIIO! OF WORK REPLACE WATER HEATER AND GAS LINE FOR STEAMER APPLICANT: TEL. N0: l.I (626) 284-1097- 1405 N. CAMPBELL rl SPECIAL CONDITIONS: -- IALAHAMBRA 1 iCONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIL TURE T T L CONSTRUCTION (626) 284-1097- I- 1 1405 N. CAMPBELL AVENUE LIC. NO UNDER LAB WOR --�---� 'HLHifiBRA, CA 91801 6261578 i IUATER SERVICE IPLASTIC Y/N METAL Y/N ARCHITECT OR_ GINEER: ;EL. HO: LIC. , .... I ROU PLUMBING 1I IGAS PIPING _ !-'k I ENT j HOT WATER HEATER I PLUM N-G FIXTURES LAWN SPRINKLERS GAS TEST 1 UTILITY COMPANY-NOTIFIED CWV GAY ATER SYSTEM r i• I REPORT ID: DPR263 ROUTE TO: BS0508 c { i �•,v' ° ""r COUNTY OF LOS ANGELES TEMPLE CITY # 0505 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS FL 0508 0408090003 a BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGA D: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 131 9669 LAS TUNAS DR ' FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: I TEMP CA 917802103 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: KAUFFMAN 8587-020-014 01 PERMIT•ISSUANCE FEE -' 27:75 THOMAS PAGE:-597 • GRID: A3 LOCALITY: TEMPLE CITY 25 LAVATORIES/SINKS 3.00 FIX 48.60 TENANT: 29 ROOF DRAINS) 2.00 FIX 32.40 ISSUED 0 PROCESSED BY: PAN EXPIRES . MAIN CITY RESTAURANT 45 WATER CLOSET/URINAL 5.00.FIX 81.00 08/09/04 iK 02,105/05 TOTAL FEES 189.75 TOWNER: TEL. NO: FINS -D T_ FI L BY- CODE: 1LIANG;DANNY (626) 575-8763- `(y//y q 3501 WHISTLER AVE. �EL MONTE, CA 91732 DESCRIPTION OF WORK- RESTROOM PIPING & SEWER APPLICANT: TEL. N0: ' LI _ 405 N. CAMPBELL AVE SPECIAL CONDITIONS: ALHAMBRA, CA 91801 CONTRACTOR: TEL. NO: I APPROVALS DATE INSPECTOR SIGNATURE T T L CONSTRUCTION (626) 284-1097- 405 N. CAMPBELL AVENUE LIC. NO UNDER SLAB WORK ALHAMBRA., CA 91801 6261578 , WATER SERVICE PLASTIC Y/N METAL Y/N ARCf�ORENGIivc�- E�L. -90—'. - ROUGH .9TA: ROU PLUMBI G ^I I GAS PIPING i I 9-Ag VENT HOT WATER ATrR PLUMBING FIXTURES i LAWN SPRINKLERS GAS TEST ---- UTILITY COMPAN NOTIFIED CW j GRA Y WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508 i