HomeMy Public PortalAbout9677 LAS TUNAS DR_Plumbing__ D.B.S.17 25M SETS 2-47 - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OFLOS ANGELES PLUMBINGWM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP IZONE PERMIT NO.
ROUGH FIXTURES COMPLETE e q-n'
HEATER CESSPOOL —I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
A8 MISCELLANEOUS �1 V
_,-'APPLICANT FILL IN HEAVILY OUTLINED PORTION jQNLY
JOB a
K ADDRESS
D
m ADDR!795{J . J
ag LOCALITY �/� .y•Yy T
D a Cl NEAREST j
J
f t - ... TEL:', fi CROSS S e
COUNTY
CERT.No. EXPIRES E NAME
LOCATION F SEPTIC TANK, OR CESSPOOL z MAIL;`
3 ADDRESS
NORTH O
CITY !SEL.No.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
W D
3 OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK Z
BATH TUB `" FURNACE LI`
SHOWER DISHWASHER C3
�L—LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER 1
FLOOR SINK SAND TRAP !
E
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
i WATER CLOSET DRINKING FOUNTAIN •7 .7
DATE INSPECTOR'S NAME
WATER HK-EFJER DENTAL LAVATORY
.; ROUGH PLUMBING � -
METE%s- GAS SODA FOUNTAINOUTL a,A5 PIPING ! i
GAS VENT
�,/
CESSPOOL
! I
TOTAL NUMBER OF FIXTURES T SEPTIC TANK !
CESSPOO SEPTICTANK ---f-- C_ SEVER I !
! !
TOTAL FEE I :-' UTILITY CO.NOTIFIED
1
FINAL
D.B.S.17 25M SETS 10-47 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. G o P o PERMIT No.
ROUGH FIXTURES COMPLETE
RECEIVED BY READY FOR DATK ISSUED
HEATER CESSPOOL SEPTIC TANK � /� FIRST INSPECTION
(
A MISCELLANEOUS ( c-� —
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOD
NAVEPIL4d , "ADDRViB$
W ,:.
D ADDRESS >-' LOCALITY
f
O
NEAREST
L CITY LJ TEL.No. CROSS ST.
L
COUNTY
CERT.No. EXPIRES It NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
ADDRESS
NORTH O
CITY TEL.NO
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFI A7 Ofr Qd9ALIF1 TION.
PLUMB"
k I AM THE LEGAL OWNER OF THE PROPERTY DESCRI
ABOVE.
M
OWNER
I CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z_
BATH TUB FURNACE
Q'
SHOWER DISHWASHER E3
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPQCTOR'_6_N_A_ME_
WATER HEATER --DENTAL LAVATORY ROUGH PLUMBING
.METER GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT ( I
CESGPOOL h i
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOI +4EPTlCTANK O–'� _ SEWER
$ UTILITY CO.NOTIFIED I
TOTAL FEE <
FINAL
WORKERS'COMPENSATION DECLARATION 20.0026 DPW 4/90 APPLICATION FOR PLUMBING PERMIT
Ihereby, affirm hat I ha)4e a certificate of consent to self in- 76A667A
lure,ora certificate of Workers'Compensation Insurance,or a
certified copy thereof(Sec.,;C(3�800, Lab. C.)
Policy Nof" i Company 5' 60 COUNTY OF LAS ANGELES DEPT. OF PUBLIC WORKS
Certified copy is hereby furnished. BUILDING
FOR APPLICANT TO FILL IN(PRINT OR TYPE)
Certified copy is filed with the county building inspection ADDRESS 677 Cf/✓�¢ // �'
department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY
Ddte �7 —` Applicant � r WATER CLOSET(TOILET) NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST.
COMPENSATION INSURANCE SHOWER OWNER /7
(This section need not be completed If the work involved by MAILC
the permit is for one hundred dollars($100)or less.) " LAVATORY ADDRESS 0 yr
I certify that in the performance of the work for which this per t
mit is issued, I shall not employ any person in any manner so SINK CITY 1 TEL.NO
as to become subject to the Workers'Compensation Laws. DISHWASHER
CONTRACTOR ���(��` L
Date. Applicant CLOTHES WASHER
NOTICE TO APPLICANT: If, after making this Certificate of Ex- ADDRESS
emption,you should become subject to the Workers'Compen- SWIMMING POOL RECEPTOR
CITY TEL. NO.gp _ i�►
sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS C& r
ly with such provisions or this permit shall be deemed revok- STATE LIC.
ed.
ed. WATER HEATER LICENSE NO. C1/ CLASS
LICENSED CONTRACTORS DECLARATION DISTRICT NO. �iPROCESSED BY
I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS ��Q�j
9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER o
and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION
fect. (r �` HOSE BIB DATE q`
License Number
'd-h0 l r 2- Lic.'Class I-� d
O
FINAL
Contractor L r//tT Date BY ACCT.7
3303 437.40 O
❑ I am exempt under Sec. I•"
B.BP.C. for this reason : E'� � � • ` :
Plan check fee ® E Lr.3�•L��LF �
oto
Date: PLUMBING PERMIT ISSUING FEE$ d
Signature L ODLI-000171*119 r.
TOTAL FEE 1" '�
SINGLE FAMILY Plan check a e
HOME OWNER-BUILDER DECLARATION. applicant —r
1, 00 1 FIN 5:132_t 4,132
1 hereby affirm that I am exempt from the Contractor's License Name
Law for the following reason (Section 7031.5, Business and
Professions Code): Address
1, as owner of the property, will do the work and the City • Tel. No.
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
authorize representatives of this County to enter upon the
above-mentioned property for inspection purposes.
-5 � 7-0.- 7-t- SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date
I, w, ®a p � p�/�
WORKER'S COMPENSATION DECLARATION 20.0026 DPW 9189 APPLICATION
p TION FOR ff'"LUM I1VG PERMIT
I hereby, a�Ttln that I have a certificate of consent to self insure, � - h
a• Y,.
or'a certFfhl;.e'of Worker's Compensation Insurance,or a certified
copy thereof(Sec.31300 Lab.C.)
COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV.
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 Inspection ADDRESS l E� S• pie
department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Co L
Date Applicant WATER CLOSET ��' _ �,•
rJ
CERTIFICATE OF EXEMPTION FROM WORKERS' C OSS ST. L(� �� f2s,.1
COMPENSATION INSURANCE BATH TUB ASSESSOR T�4
(This section need not be completed if the work Involved by the SHOWER MAP BOOK PAGE PARCEL
permit is for one hundred dollars($100)or less.) OWNER �
I certify that in the performance of the work for which this permit LAVATORY
is issued, I shall not employ any person in any manner so as to SINK ADDRESS Q S � p4 Q I9-tZ
become subject to the Workers'Compensation Laws.
j� � DISWASHER CITY �/1 ��� G!� EL.NO. -7 f
/Date, Applican CLOTHES WASHER C i
( NOTICE TO APPLICANT: If, after making s Certificate of CONTRACTOR r•D� L-V)'k L t�(L
Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR
provisions of the Labor Code,you must forthwith comply with such ADDRESS �� t% ✓2J
provisions or this permit shall be deemed.revoked. LAWN SPRINKLER SYSTEM
LICENSED CONTRACTORS DECLARATION CITY 7L�f3 eTEL.NO. r� d
I hereby affirm that 1 am licensed under provisions of Chapter 9 WATER HEATER STATE/��
(commencing with Section 7000)of Division 3 of the Business and CENSE NO. �-7{! ( CLASS G 2 Q
GAS SYSTEM OUTLETS
Professions Code,and my license is in full force and effect.
OUTLETS OVER DISTRICT NO. PROCESSED BY Q
5 PER SYSTEM
License Number
��/ Lic.Classes _ e:2E�.<< (mss V
I r— �r J FINAL rq �/ VALIDATION - W
SI�fl� DATE
IContractor �
lT�l I am exempt under Sec.
FINAL 4,
Z
B.&P.C.for this reason
Date: �~ Plan check fee ® !
PLUMBING PERMIT ISSUING FEE$
Signature _ �� 3,310 d -.1 51
ti�,�� _3t:n,.r_F
TOTAL FEE _ ^J�j
SINGLE FAMILY Plan check applicantF I-1 i 13" m ti•L8
_35
�
HOME OWNER-BUILDER DECLARATION Name �,,,
I hereby affirm that I am exempt from the Contractor's License Law i•l EC11i - =; _ C
for the following reason (Section 7031.5, Business and Professions Address :�: i_� __
Code): Fril�'i' n LI
F1 1.
1 Tei.No.
I,as owner of the property,will do the work and the structure
is not intended or offered for sale(Section 7044, Business ® _II ri'-I i:i 1 3 ` "Cc-
and Professions Code). ( "=` := - �•-- • -
CONSTRUCTION LENDING AGENCY j+ 1108
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
1 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 pan the above-mentioned
property for' pe io purp es. SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature & Perm tt¢ Ll Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9608080001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 6561 LT: 128 9677 1/2 LAS TUNAS DR
jFEE DESCRIPTION: QUANTITY: UDM: AMOUNT: TEMP'CA 917802103
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: KAUFFMAN
8587-020-011 01 PERMIT ISSUANCE FEE 27.75 THOMAS' PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35
TENANT: TOTAL FEES 44.10 ISSUED ON: PROCESSED BY: PAN BY: EXPIRES ON:
08/08/96 TC 08/08/97'
OWNER: TEL. NO: FI L DAT FINAL BY:�f C DE:
FIRESTONE ARTHUR;FRANCES M /
- (i /
2201 5TH AV � V (Q
ARCD-910065312 DESCRIPTTON-OF-WORK
NEW GAS FOR ROOF MOUNT AIR/HEAT UNIT
APPLICANT: TEL. NO:
WUKMIR, NICK (818) 446-7478-
��� SPECIA CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
WUKMIR, JAMES' (818) 442-2148- �
11500 RAMONA BLVD. LIC. NO UNDER SLAB WOR
EL MONTE, CA 285626C-20
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
0 G BING
LIC. N0: '
GAS PIPING
PUBLIC
UBLIC ®ri ms HOS ENTHOT HEATER
�i }µni,• CO PLU B G T R S
�' [I •tel: LAWN SPRINKLERS
GAS ST
�
p � UTILITY COMPANY NOTIFIED
dC� ��� c
�
GRAY WATER SYSTEM
r
t '
• ,I
REPORT ID: DPR263 ROUTE TO: BS05O8
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 9806250003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGA ID: FES PAID BUILDrNG ADDRESS:
TR: 6561 LT: 128 ,9677 1/2 LAS TUNAS DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802103
ASSESSOR INFORMATION NUM ER: NEAREST CROSS STREET: KAUFF14AN
8587-020-011 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.35
TENANT: 19 FLOOR SINKS) 1.00 FIX 16.35 SS 0PROCESSED PIRES ON:
BEAUTY RX FACE & BODY CARE TOTAL FEES 60.45 06/25%98 UT 06/25
OWNER: TEL. NO: FINAL DATE FINAL B CODE:
FIRESTONE ARTHUR;FRANCES M (626) 446-7478-
2201 5TH AV -1
ARCD 910065312DESCHIPTION'OF-WORK
NEW SHOWER AND LAVATORY FOR SKIN CARE BUSINESS
PPLICA E 0:
SAME AS OWNER -
SPECIAL CONDITIONS:
i�-ten GLrr'
CONTRACTOR: TEL. N0: `9 � ��'�, APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO ,✓ �` /+r �;°•� UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
OUGH'PLUMB N
LIC.-NO•'�� _ r- I I �• . '�1111111 ��
yl GAS PIPING
fir fl i%
i] �J�)r��
1S/' �` S E
NT
I� l �,j1��� r ,.% �i:+ J L`.^.- WATER HEATER
i
I I,
PLUMBING XT RES
ill � �iliLAWN SPRINKLER9
y;ti ❑ 1 ',, �.�; _' 16 GAS TEST
`p `_ �` I C AN OTIFIED
CWV
ervice
GRAY WATER S STE
I
i
i
REPORT ID: DPR263 ROUTE TO: BS0508
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I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0609120005
r BUILDING AND SAFETY / LAND DEVELOPMENT I TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL•ID: FEES PAID BUILDING ADDRESS:
TR: 6561 LT: 128 19677 LAS TUNAS DR
2 FEE DESCRIPTION: QUANTITY: DOM: AMOUNT: TEMP CA 917802103
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8587-020-011 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, C
25 LAVATORIES/SINKS 1.00 FIX 16.20
TENANT: TOTAL FEES 43.95 ISSUED, ON: PROCESSED BY: PLAN BY: EXPIRES ON:
I, 09/12/106 JK 03/11/07
OWNER: TEL. NO: FINAL DATE FINAL CODE:
YAN CHEN (626) 318-9981- I j
9677 LAS TUNAS DR. `( b
TEMPLE CITY CA 91780 NEWS
DESCRIPTION'
IINK (SHAMPOO BOWL)
APPLICANT: TEL. NO:
KIM DONG (213) 632-0909- 1
2825 W. BTS ST. 204 SPECIAL CONDITIONS:
LOS ANGELES CA 90005
I
CONTRACTOR: TEL. NO: i APPROVALS DATE INSPECTOR SIGNATURE
RITECON (213) .388-9339- 1
2825 W. 8TH STREET LIC. NO 1 UNDER SLAB WORK
LOS ANGELES CA 90005 571007 C36 1
WATER'SERVICB
i PLASTIC YIN METAL YIN
ARCHITECT OR ENGIN88R: TEL. NO: I
ROUGBIPLUMBING
LIC. NO: •1
GAS PIPING
I GAS VENT
HOT W7lTER HEATER
PLUMB7rING FIXTURES
1 I
I LAWN SPRINKLERS
111 GAS TEST
I
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
�a/��6�- Gds R�CJt%�5L�✓O
� I
REPORT ID: DPR263 ROUTE TO: BS0508
1 'I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1110170038
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 6561 LT: 128 I I 9677 1/2 LAS TUNAS DR I
IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:1 TEMP CA 917802103 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
18587-020-011 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
1 111 CLOTHESWASHER(S) 1.00 FIX 16.30 [ I
(TENANT: 25 LAVATORIES/SINKS 2.00 FIX 32.50 ISSUED ON: PROCESSED BY: PLAN BY:
ITC SALON 45 WATER CLOSET/URINAL 1.00 FIX 16.30 110/17/11 SR
1 47 WATER HEATER(S) 1.00 WTH 16.30 [ I
(OWNER: TEL. NO: 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.30 IFINAL DATE FIN Y: CODE: 1
ITC SALON YOUTHDERM SKIN & BEAUTY. - [ TOTAL FEES 125.50 1 I
19677 1/2 LAS TUNAS I I I
ITEMPLE CITY CA 91780 [ ITESCR31PTION OF WORK [
I 1TENANT IMPROVEMENT INSTALL PLUMBING FIXTURES FOR RESTROOM, I
I I [LAUNDRY ROOM, WATER HEATER AND GAS LINE FOR HVAC SYSTEM 1
(APPLICANT: TEL. NO:
IANAKIA INC., MATT JENG (888) 765-8982- [ I I
1713 W. DUARTE RD. [ [SPECIAL CONDITIONS: [
1ARCADIA, CA 91007
(CONTRACTOR: TEL. NO: [ (APPROVALS DATE I14SPECTOR SIGNATURE [
IJ C Y CO. (626) 676-9888- 1 1 I
112012 LOWER AZUSA RD LIC. NO 1 (UNDER SLAB WORK I [
IEL MONTE, CA 91732 C10582921 I I I I I
I I IWATER SERVICE [ [
I I IPLASTIC Y/N METAL Y/N I 1 [
(ARCHITECT OR ENGINEER: TEL. NO: I I
ICHIU, PATRICK (626) 288-6898- I [ROUGH PLUMBING I [
1573 MONTEREY PASS RD #C LIC. NO: 1 I IL11 [
MONTEREY PARK, CA 91754 12852 I IGAS PIPING I I [
I (GAS VENT I I I
IHOT WATER HEATER I [ I
I I IPLUMBING FIXTURES I I [
I I ILAWN SPRINKLERS [ [ I
GAS TEST
I I I I I I
(UTILITY COMPANY NOTIFIED( I I
I ICWv 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
IREPORT ID: DPR263 ROUTE TO: BS0508 [ 1 1 I
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