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Home My Public Portal About9700 LAS TUNAS DR_Plumbing__ 76AS67 17 9-49 M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OFF LOSLOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1 FOR APPLICANT TO FILL IN DISTRICT NO. GR UP ZONE PERMIT NO. PLUMBER RECEIV9p B READY FOR DATE ISSUED 11/ FIRST INSPECTION ADDRESS �j BUILDING CITY TEL. N �t ADDRESSC2 L-n COUNTY LICENSE NO. M EXPIRES LOCALITY NEAREST PERMIT FEES CROSS ST. NUMBER I TYPE OF FIXTURE OR ITEMFEE OWNER _ I MAIL WATER CLOSET (TOILET) @ 0.50 I� ADDRESS BATH TUB (til 0.501 1 CITY TEL. NO. SHOWER Q 0.50 I I 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APF'LI CATION AND STATE THAT THE ABOVE IS CORRECT AND LAVATORY (WASH BASIN) @ 0.501 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. KITCHEN SINK @ 0.501 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS 1 LAUNDRY TUB OR TRAY @ 0.501 ANGELES COUNTY LICENSE. OR t AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DE CRIBED ABOVE. GAS SYSTEM OUTLETS @ 0.501 SIGNATURE OF C'� ' 1 WATER HEATER @ 0.501 PERMITTE SLOP SINK @ 0.501 INSPECTION RECORD FLOOR SINK @ 0.50 1 FLOOR DRAIN @ 0.50 1 DISHWASHER @ 0.50I DRINKING FOUNTAIN @ 0.501 URINAL @ 0.501 J I HOUSE SEWER Q 0.501 I Q MISCELLANEOUS I 1 a o I� I I I 1 I APPROVALS 1 I I DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.00 1-1- CESSPOOL SEPTIC TANK: I 1 SEPTIC TANK DRAIN ( ) PIT ( ) Q 1.001 I SEWER PERMIT . I 1,00 GAS TEST UTILITY CO. NOTIFIED I TOTAL FEF: I �ap FINAL DEPARTMENT OF COUNTY ENGINEER PLUMBING 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING — WILLIAM J. FOX. COUNTY ENGINEER ADDRESS 9 W� FOR APPLICANT TO FILL IN LOCALITY BUILDING NEAREST ADDRESS CROSS ST. _ DISTRICT NO. GROUP ZONE PERMIT NO. LOCALITY J NEAREST CROSS ST. RECEIVED BY Ready for Inspection DATE ISSUED OWNER INDUSTRIAL MAIL MAILS WASTE APPROVAL ADDRES CITY TEL.NO. INSPECTION RECORD PLUM13ERAJ ADDRESS CITY TEL.N0. Fl STATEr9F LICENSE N0. J t COUNTY PERMIT FEES NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET(TOILET) @ 0.80 $ BATH TUB @ 0.80 SHOWER @ 0.80 a 1 !�` _i 4 - w " LAVATORY (WASH BASIN) @ 0.80 �►)___,.1F.,'Out P KITCHEN SINK @ 0.80 =� LAUNDRY TUB OR TRAY @ 0.8C 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 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE - i UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE v GAS PIPING IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GASVENT 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 I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST _ AND STATE OF CALIFORNIA OR THAT IAM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE ' i OF PERMITTEE.............N.__.. .._ .L -.._.._...y. FINAL 78A607 DBS 17 1/53 D.B. 17 25M SETS 12-43 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �� COUNTY OF LOS ANGELES Wm. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. I - - ROUGH FIXTURES COMPLETE 1 READY FOR HEATER CESSPOOL SEPTIC TANK RECEIVED BY FIRST INSPECTION DAT B)ISSUED GAS MISCELLANEOU lm� ,�. i APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB ME ADDRESS '� Oil _ Ir D ADDRE^S _^'� � LOCALITY L 'q J NEAREST q CITY TEL.No. CROSS ST. ,,,,,-__. COUNTY Iy CERT.No. 4! EXPIRES K NAME W LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL ADDRESS NORTH O 9 CITY ' TEL.No. yyy� IAM THE LEGAL POSSESSOR OF THE ABOVE LOS E p ANGLES COUNTY CE FICATE OF QUALIFICATION. [di � PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ry1 ABOVE. W D VI OWNER i CORRECTIONS SOUTH J DESCRIPTION OF WORK a _z BATH TUB FURNACE E9 [Y SHOWER DISHWASHER F ❑ LAVATORY REFRIGERATOR —KITCHEN SINK _WATER SOFTENER —FLOOR SINK HAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN "-' DATE INSPECTOR'S NAME I WATER HEATER DENTAL LAVATORY ROUGH PLUMBING _— METEI+ GAS SODA FOUNTAIN GAS PIPING OUTL 1 GAS VENT I 1 CESSPOOL TOTAL NUMBER OF FIXTURES �. SEPTIC TANK I I CESSPOOI SEPTIC TANK SEWER SiUTILITY CO.NOTIFIED TOTAL FEE D.B. .1,25M S6.:S 12-43 APPLICATION FOR PERMIT - DEPARTMENT OF BUILDING AND SAFETY COU ��'�� COUNTY OF LOS ANGELES Wm. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE _ HEATER CESSPOOL I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB ix NAME B. A. G O R H A M ADDRESS m ADDRESCESSPOOL SERVICE LOCALITY 2022 EMPERAVF_. NEAREST CITY E .NO. CROSS ST. C COUNTY TEMPLE CITYCAL . CFRT.No. EXPIRES X NAME LOCATION OF SEPTIC TANK, OR CESSPOOL 3 AMAIL DDRESS 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 � OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK z BATH TUB FURNACE a SHOWER DISHWASHER 0 LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP GLOP 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 IJ GAS VENT I 1 CESSPOOL TOTAL NUMBERLOFFIXTURES SEPTIC TANK CE88POOI PTICTANK SEWER S IUTILITY CO.NOTIFIED TOTAL FEE FINAL t' 25,"7E7_ ^ APPLICATION FOR PERMIT DEPARTMENT OF INC � kTTID? SAFETYSAFETYTY COU PLUMBING ��'�� COUNTY OFF LOS LOS ANGELES Wm. J. FOX. CHIEF HNGINEE3 NATURE OF INSTALLATION VISTRICT NO• CROUP ROUGH _I FIXTURES COMPLETE HEATER CESOPOOL I-I SEPTIC TANK , RECEIVED BY READY FOR DAYS ISSUED FIRST INSPECTION GAS MISCELLANEOUS I _ APPLIC ANT FILL IN IIEAVIILY OUTLINED PORTION ONLY NAME K ADDRESS .� _ I'� ADDRESS LOCALITY + - t:1 JNEARFEST a"1 CITY 'TEL.No. CROSS ST. . COUNTY CERT.No. EXPIRES a NAME LOCATION OF SEPTIC TANK, OR CESSPOOL ' 1.IA►L ADDRESS NORTH O CITY TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMSEn I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED (� ABOVE. W D 3 i OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK z z_ BATH TUB FURNACE E3 lY SHOWER DISHWASHER Q LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP a SLOP SINK FLOOR DRA114 WASH TRAY URINAL APPROVALS t WATER CLOSET DRINKING FOUNTAIN I DATE I INSP8CT0 R'8 NAAIB 1 WATER HEATER DENTAL LAVATORY ROUGH PLUMBING + METER-GAS SODA FOUNTAIN OUTL 6A9 PIPING I ' SAS VENT II I CESSPOOL I91 Z(5 TOTAL NUMBER OF FIXTURES SEPTIC TANK I �CESSPOOI SEPTIC TANK SEWER UTILITY CO.NOTIFIED TOTAL FEE FINAL D.U.S.-17 25M SETS 11-46 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ��'�� 1 COUNTY OF LOS ANGELES Wm. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE —� {( HEATER CESSPOOL -I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED 1 GAS MISCELLANEOUS FIRST INSPECTION APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB NAME ADDRESS W m ADDRESS LOCALITY f .J a ) NEAREST a CITY L/Y•-.lL_ TEL.NCl) fY/ CROSS ST. COUNTY CERT.No. EXPIRES (i - 30 K NAME Elv�A,4rn W LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH 0 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 ABOVE. d>7 a V) OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK z RATH TUB FURNACE ❑ Q' SHOWER DISHWASHER ❑ LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP GLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE RECTOR'S HAM4 WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS _SODA FOUNTAIN OUTS GAS PIPING GAS VENT CESSPOOL I I TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOL SEPTIC TANK SEWER =F UTILITY CO.NOTIFIED TOTAL FEE FINAL D.B.S.17 25M SETS 12.44 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING Wm. J. FOX, CHIEF ENGINEER NA'T'URE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH d-1 FIXTURES COMPLETE i_ , \ � HEATER CESSPOOL SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION GAS I MISCELLANEOUS IN APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB T FCERT.No. AME ADDRESSDDRESS LOCALITY NEAREST ITY TEL.No. CROSS ST. OUNTY EXPIRES K NAME t1�..�.C�(.r-1!'!.<.'`.-- W LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH O CITY TEL.NO. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS E ANGLES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. s - 31 OWNER COttRECTIONS I SOUTH DESCRIPTION OF WORD ------ --- z V H BATH TUB — FURNACE p! O 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 INSPECTOR'•NAME WATER HEATER ---DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FOUNTAIN GAS PIPING I i OUTL GAS VENT CESSPOOL TOTAL NUMBER OF FIXI.URES SEPTIC TANK w CESSPOOL---------SEPTIC TANK SEWER S UTILITY CO.NOTIFIED TOTAL FEE FIN LI 1 . 76 A 667—CE 817 8/68 �� C.."I NG PERMITf✓/� APPLICATION FOR PLUMB ;7 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION F ILDING JOHN A. LAMBIE. COUNTY ENGINEER DRESS 9700 East Las Tunas Drive COLEMAN W. JENKINS. SUPT. OF BUILDING CALrrx Temple City FOR APPLICANT TO L IN (PR NT OR TYPE) AREST OSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER L & W Pl S ics WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADDRESS SHOWER 1.50 CITY TEL. NO. LAVATORY 1.50 CONTRACTOR Owes Bros. Plumbin Inc. ') SINK 1.50 1 Q ADDRESS 4265 North Baldwin Ave• DISHWASHER 1.50 CrfY El Monte 91731 TEL. NO. 443-0078 CLOTHES WASHER 1.50 ATE LIC STCENSE NO. 231 741 CLASS C 36 SW[MAtING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ///Z��ONE P O ESSED BY Y LAWN SPRINKLER SYSTEM 2.00 �� U WATER HEATER 1.50 INDUSTRIAL Z WASTE APPROVAL o GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD W OUTLETS OVER a 5 PER SYSTEM 30 412,0 1 - 0e) G6 �� 7141 Plan check fee 2S-0 of above. See reverse. PLUMBING PERMIT ISSUING FETE 8 2 00 — TOTAL FEE 3 50 APPROVALS DATE INSPECTOR'S SIGNATURE Plan cherk applicant UNDER SLAB WORK )Name ROUGH PLUMBING Address GAS PIPING GAS VENT City' Tel. h HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION — AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE GCgABE RESIDENTIA ;,OPEFff FINAL SIGNATURE � �4,.� JACK R. ALLEN, SUP RVISING CHANICAL ENG'R. OF PERMITTE si 14 PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH _ ! r� 454 WR17 5 0 3.50- 7B A667 10.55 A-PPLICATION FOR PLUMBING PERMIT 1 DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE, COUNTY ENGINEERMMMADDRESS CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY .. Q r FOR APPLICANT TO FILL IN i REAROSS sT. �/° OWNER /-f / ' E DISTRICT NO. GROUP ZONE READY FOR INSPECTION MAIL J ' J�I ADDRESS /�' (., .71 �(}�'�'� INDOSTRIAL CIT ' EY(�-•' EL. NO. WASTE APPROVAL PLUMBER jj•�-- Ici, SPECTION RECORD y� / ADDRESSJt R'- -� r mac' CI `'j f� ! �ITEL. NO LICENSE NO. 1 , NUM ER TYPE OF FIXTURE OR ITEM FEE ' WATER CLOSET (TOILET) @ $1.00 $ U BATH TUB @ $1.00 Z SHOWER @ $1.00 LAVATORY (WASHBASIN) @ $1.00 co KITCHEN SINK @ $1.00 �' - 6IL DISHWASHER @ $1.00oo ��J =�"�. LAUNDRY TUB OR TRAY @ $1.00 � >� "7 �r��+: /c, I/ CLOTHES WASHER @ $1.00 Go WATER HEATER @ $1.00 O GAS SYSTEM $1.00 APPROVALS DATE INSPECTOR'SSTGNATURE _UNDER SLAB WORK { PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 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 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGA - OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PR Y. 6 SIGNATURE OF PERMITTEE' ) FINAL IOHN A. LAMB ouNrY ENGINEE r VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR CK. B.•. ASH To4064,U NOV � 3 1 7.0Q M ' 76A.6�' 17 5-49;, APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING ��' COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO, PLUMBER f/,ll�f'.��'{„ RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS J U /(/Q /5r'> - BUILDING _ _ }- ' CITYTEL. NO. ADDRESS '-- COUNTY LOCALITY LICENSE NO. EXPIRES '�- NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) @ 0.50 $ I ADDRESS /� l BATH TUB @ 0.50 I 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 IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE- GAS BOVEGAS SYSTEM OUTLETS @ 0.50 SIGNATURE OF WATER HEATER @ 0.50 PERMITTEE SLOPSINK @ 0.50 INSPECTION RECORD FLOOR SINK @ 0.501 FLOOR DRAIN @ 0.50 i DISHWASHER @ 0.50 _ J DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 I J HOUSE SEWER @ 0.50 Z MISCELLANEOUS C9 LY 0 l I� APPROVALS DATE INSPECTOR'S NAME I� ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.00CESSPOOL SEPTIC TANK: II SEPTIC TANK _ DRAIN ( ) PIT ( ) m 1.00 SEWER PERMIT 1.00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE $ FINAL 17-p'S1 DEPARTMENT OF COUNTY ENGINEER PLUMBING 1 DIVISION OF BUILDING AND SAFETY PERMIT AP LICATI M COUNTY OF LOS ANGELES • WILLIAM J. FOX, COUNTY ENGINEER �'. ADDRESS C/ FOR APPLICANT TO FILL IN LOCALITY BNEAREST UILDING �J CROSS ST. ADDRESS O C A.4 OCL+-+.fes/ _ LOCALITY DISTRICT N0. ' I ONE PiMIT NO.. NEAREST Z (//J01 & CROSS ST. /RECEIVE BY Ready for Inspection DATE ISSUED/ O W N E R MAIL INDUSTRIAL ADDRESS WASTE APPROVAL CITY TEL.NO. INSPECTION RECORD PLUMBER p t✓p P,44--" _ ADDRESS __� ,//I 1617/x- (9/. e CITY 6!/Ic,�G � TA's`" TEL.NO.9-k IN11-7 p TATE _ LICENSE NO. ��J 3 COUNTY J PERMIT FEES - Q z 4UM9ER TYPE OF FIXTURE OR ITEM FEE - �+ WATER CLOSET(TOILET) @ 0.80 $ O BATH TUB @ 0.80 SHOWER @ 0.80 LAVATORY (WASH BASIN) @ 0.80 KITCHEN SINK @ 0.80 iT LAUNDRY TUB OR TRAY @ 0.80 SLOP SINK @ 0.80 FLOOR SINK @ 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 MISCELLANEOUS / / 0-6 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ I 00 ROUGH PLUMBING TOTAL FEE A " GAS PIPING IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT ('ATION 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- --- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE + _� _ OF PERMITTEE..... . .. � ( lt FINAL 76A667 DBS 17 �+� 76A6 6-60 APPLICATION FOR PLUM ING PER IT DEPARTMENT OF COUNTY ENGINEER �%e' BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS ��2t!52 WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY �2{ 7y`, FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER e9C c WATER CLOSET MAIL -2 BATH TUB ADDRESS SHOWER - CITY " TEL NO. CONTRACTOR LAVATORY SINK ADDRESS ( �+ DISHWASHER CITY (+�J��/ TEL. NO. '12� e CONTRACTOR'S STATE LAUNDRY TUB REGISTRATION NO. l COUNTY ❑ CLOTHES WASHER DISTRICT NO., JGROUP ZONE PR rESfiiFD ,BY� WATER HEATER GAS SYSTEM91 INDUSTRIAL WASTE APPROVAL INSPECTION RECORD a O U a O H U W N rn $1.00 PER ITEM / OR FIXTURE $ /+ G APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK TOTAL FEE .� } /1 ROUGH PLUMBING H } C..� 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 ORDINANCE STATE LAWS REGULATING PLUMBING. HOT WATER HEATER ` I HEREBY CERTIFY THA I AM PROPER REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED OS ANGEL COUNTY Ati STATE OF CALIFORNIA OR THAT A THE LE L �YfINE THE ABOVE GAS TEST DESCRIBED RESIDENTI P PERTY. / UTILITY CO. NOTIFIED SIGNATURE OF PERMIT TE FINAL �F VALIDATION ROBERT A. WOOD, C[. Y.0. CASH SUPERVISING MECHANICAL ENG'R L, /i i r."/"l-'L 78A887-CEitB17 4-64 -k- APPLICATION FOR PLUMBING PERMIT COUNTY APPLICATION LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FAUDDRESS "7®D, 'I SJOHN A. LAMBIE. COUNTY ENGINEERWILLIAM A. JENSEN, SUPT OF BUILDING �LITYFOR APPLICANT TO FILL IN ST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE J- OWNER WATER CLOSET $1.25 MAIL :HOWER ATH TUB 1.25 ADDRESS 1.25 CITY TEL. NO. LAVATORY 1.25 CONTRACTOR £�!� �� IA"e SINK 1.25 ADDRESS&.7C-S-0 /10%of DISHWASHER 1.25 CITY p sX' E,(>� SEL. NO�� g' CONTRACTOR'S ! STATE LAUNDRY TUB 1.25 REGISTRATION NO. ICz COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO. GROUP S ` ZONE PR/;ESS BY WATER HEATER1.50 i �__ c7 //L' GAS SYSTEM OUTLETS 1'50 INDUSTRIAL per, WASTE APPROVAL Q 5 PER SYSTEM 30 INSPECTION RECORD V O o ~ V T SFrA14 C' "Sl- — a z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT S 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT t ° r- AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY �1 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER J PLUMBING. 1 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 I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE (� FINAL l^ VALIDATION ROBERT A. WOOD ' M.O. CASH SUPERVISING MECHANICAL ENG'R X2222 JUIN 2 5 D 3.50N c D.B.S.-" 25M SETS 11-46 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ��'�� COUNTY OF LOS ANGELES 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 GAB MISCELLANEOUS APPLICANT FILL INt HEAVILY OUTLINED PORTION ONLY �. J NAME v % + E"i{/ r/-`-rl-//�/�,4„C / A, g ADDRESS U CJJOB .Z. f W _ t _ s ADDRESS ��-.y AS 3 /, ,'/�,C7 5 '�t, l,'fi7 f LOCALITY aD .V/"t NEAREST _CITY ..t' i TEL.No. CROSS ST. G COUNTY CERT.No. EXPIRES 41 - d' NAME / W LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL ADDRESS tj NORTH O CITY TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I ANI THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. !<i W OWNER CORRECTIONS �d I SOUTH J DESCRIPTION OF WORK Z I BATH TUB FURNACESHOWER DISHWASHER 0 LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS _WATER CLOSET DRINKING FOUNTAINDATE IN9PECTOR'8 NAME WATER HEATER DENTAL LAVATORY PLUMBING METER GAS SODA FOUNTAIN PING OUTL NT ( 1 CEGSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOI SEPTIC TANK SEWER I I S UTILITY CO.NOTIFIED TOTAL FEE FINAL D.B.S. 17 25M SETS 12.44 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 I PERMIT NO. ROUGH FIXTURES I . I COMPLETE READY FOR DATE ISSUED RECEIVED BY I HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY C NAME ADDRESS AMOS W m ADDRES VP LOCALITY �j NEAREST a CITY TEL. No.��lj/ CROSS ST. tl� COUNTY oe CERT.No. 2 EXPIP.ES'fon d 41C I__NAME /IAV&/y'r LOCATION OF SEPTIC TANK, OR Cli SPOOL z MAIL Df pMII ADDRESS _ NORTH O CITY/�i}�(A/;r- air TEL.No. j I AM THE LEGS AL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. i OWNER ' CORRECTIONS i SOUTH DESCRIPTION OF WORK ---- __ z BATH TUB FURNACE N U' SHOWER _ DISHWASHER O LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SANDTRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'$NAME WATER H//EATER -_DENTAL LAVATORY ROUGH PLUMBING GAS SODA FOUNTAIN GAS PIPING OUTL GAS VENT I I I - _CESSPOOL I TOTAL NUMBER OF FIXTURES —_� C SEPTIC TANK CESSPOOL SEPTIC TANK SEWER s — UTILITY CO.NOTIFIED I TOTAL FEE FINAL 76A667 --CE 817 7"69 APPLICATION FOR PLUMBING PER �IT' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS / �J'� TU,r�/i�` h COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY �"7?7PLE C' t Gi�L.�"D•e�Vr FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST CROSS Si. NUMBER FIXTURE OR ITEM EACH FEE _ OWNER WATER CLOSET 1.50X:Z 'C� - MAIL BATH TUB 1.50 ADDRESS Q SHOWER 1.50CITY �L� a � TEL. NO. LAVATORY 1.50 CONTRACTOR SINK 1.50 �a ADDRESS "T'7 j"�,�774 0 ,V f ZA A V C �RA4, oyS� �An1.50 /h �1 CITY• — �pL �� TEL. NO. i cn'r c3_� �.,.�-,�R ./J�c � 1.50 (� (./ LICENSE NO.ATE [ LIC '�A G. ``f 7�� CLASS �C•--,��(, SWIMMING POOL RECEPTOR 1.50 DISTRICT NO GROUP ZONE PO 5 BY LAWN SPRINKLER SYSTEM 2.00 `� d WATER LiEATER 1.50 W, INDUSTRIAL O WASTE APPROVAL U GAS SYSTEM OUTLETS 1.50 IjiSPECTION RECORD Z 55 PERESY STEMR .3011 C, • l(�� L O 13Ln LuZ A,.11,41 L; 7 Plan check fee 25% of above. See revere. PLUMBING PERMIT ISSUING FEE 2-. 0 TOTAL FI;g SN APPROVALS DATE i ECTOR' S NATURE Plan check applicant !^ &MAt. UNDER SLAB WORK Name ROUGH PLUMBING ; Address GAS PIPING GAS VENT City Tel. No. HOT WATER HEATER IH ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED 71 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 DESCRIBED RESIDENTIAL PROPERTY. FINAL SIGNATURE .TACK R. ALLEN, SUPERVISING MECHANICAL ENG-R. OF PERM ITTE t��_ PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.0. CASH ! �r 9 1 4 6r: 1w 15 99 D 46-131 4AP, 923 �� , 1 _ >9 0- .75N 0-1 E � 9237' - 18 5 a 18950- a 76 +667 - CE 817 7-69 !VNPEF `G"APPLICATION FOR PLUMI COUNTY OF LOS ANGELES u DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION F DING JOHN A. LAMBIE, COUNTY ENGINEER RESS *(/�� COLEMAN W. JENKINS. SUPT. OF BUILDINGALITY FOR APPLICANT TO FILL IN (PR NT OR TYPE) REST SS ST. rn N NUMBER FIXTURE OR ITEM EACH FEE OWNER G d WATER CLOSET 1.50 �J MAIL BATH TUB 1.50 ADDRESS SHOWER 1.50 CITY TEL. NO. LAVATORY 1.50 CONTRACTOR F� SINK 1.50 ADDRESS DISHWASHER 1.50 CITY TEL. NO. (, /a CLOTHES WASHER 1.50 STATE - LIC �� LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.50 D.STRICT O. GROUP ZONE OCES Y N SPRINKLER SYSTEM 2.00 d'O WATER HEATER 1.50 INDUSTRIAL a WASTE APPROVAL O GAS SYSTEM OUTLETS 1.50 SPECTION RE RD U OUTLETS OVER 5 PER SYSTEM .30 Z U.J. fA Z Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE 00 APPROVALS DATE INSPECTOR'S SIGNATURE Plan Check applicant UNDER SLAB WORK Name 7- Q & -0- ROUGH PLUMBING Address q,7 GAS PIPING City GAS VENT i Tel. 1 0. l�°� HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. 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 DESCRIBED RESIDENTIAL PROPERTY. FINAL SIGNATURE L JACK R. ALLEN, SUPERVISING CH ANICAL EN G'R. OF PERMITTEE_ PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.0. CASH [� JAN 155 5 D 4.0 0— iN WORKERS'COMPENSATION DECLA ATION 78A667A .` I-hereby Bftirm gthat I have a' certificate of consent to self ce 837(2-40) A P P L 0 C A T B®9 4' FOR PLUMBING PERMIT insure;or a cerfificate 9f Workers'fompensafion Insurance,or l a-ejjoified-z4py; ereor'(Sec:3800,Lab.C.) . `. COUNTY OF LOS ANGELES BUILDING AND SAFETY.. .Policy N.o,.�gg3 37 pany IndaMnityI ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ' ADDRESS 9700 Las- Tunas Drive ' ® Certified copy is filed with the c I unty ild Inspection NUMBER FIXTURE OR ITEM ® FEE 3 WATER CLOSET 6.O 18 OO LOCALITY Temple City, CA Date�Y_Applicant NEAREST BATHTUB CROSS ST. Kauffman CERTIFICATE OF EXEMP I N FR WORKERS' COMPENSATION SURA E SHOWER OWNER MAI L (This section need not be completed if the work involved 1 LAVATORY 6,Q 6 00' ADDRESS 9700 Las Tunas Drive by the permit is for one hundred dollars ($100) or less.) SINK TELNO. 0 '. CITY,Tem le Cit . I certify that in the performance of the work for which this DISHWASHER V permit is issued, I shall not employ any person in any manner CONTRACTOR Gar Redcher P1 umbi n = , so as to become subject to the Workers'Compensation Laws. CLOTHES WASHER ADDRESS 5515-A North Peck O Date Applicant SWIMMING POOL RECEPTOR V NOTICE TO APPLICANT: If, after making this Certificate of CITY Arcadia. TEL.NO. 86-1817 N Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. Compensation provisions of the Labor Code,you must forth- WATER HEATER LICENSE NO'. Q53 $Q CLASS C 36 z with comply with such provisions or this permit shall be deemed revoked. GAS SYSTEM OUTLETS DISTRICTT{NO. CESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER D I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busii FINAL / � V (DATION • ness and Professions Code, and my license is in full force and DATE t/� effect. ' 1 Urinal 6.0 6 00 FI L License Number 453980 Lic.Class C 36' , B �. Contractor Gary Rp-drhpr Date 9,97.196 ❑ I am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer, PLUMBING PERMIT ISSUING FEE$ 1 50 2 4 1 111.5A acting in my professional capacity (Section 7051, Bus- • iness and Professions Code). TOTAL FEE 40 50 # 0 0 0 0 0 5 Lic.or Reg.No.' ti Date Plan check applicant 1 - - 4(150 HOMWOWNER UII:')ER DECLARATION Name .$ 40,505 'I hereby affirm that I1'a:n ekempt from -the Contractor's Address o 0 0 License Law for the fallowing reason (Section,7031.5, Busi-' City Tel.No. O 3.0 3 s 8 6 nesslind Professions Code): ❑ I, as owner of the. property, am exclusively contracting with licensed contractors to construct the project (Section 7044,Business and Professions Code). t CONSTRUCTION LENDING AGENCY I hereby affirm thatrthere is a construction lending agency for the perforina"nce of the work for which this permit is issued(Sec.3097,Civ.C.). Unknown Lender's Name Lender's Address Unknown I certify'that I have read this application and state that the above Information is correct.I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby autho i representatives of is County to enter upon the above ntione y f s spection purposes. S gn t e of lIefrinittee Date WORKERS'COMPENSATION DECLARATION n p��n��0�`p 2®� l!-L�V11 sV11�� I1Vll� ll 76-666 DPW 4/87 A A � 11V F PER N7 Hereby, affirm that I have a cer ifl�Calg of consent to self in 76�667A �suiieR;;,,r.ms,:e�A ca'te of W61kers'Compensation Insurance,or a CE 817(REV.8/86) certified copy thereof (Sec. 3800, Lab:C.) Policy No. 0 OO Company Pacific Employers 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 00 LAS TUNAS department. NUMBER FIXTURE OR ITEM @ FEE • LOCALITY TEMPLE CITY • Date 10/18/88 ApplicantC•Herb Berger, Inc. WATER CLOSET(TOILET) NEACERTIFICATE OF EXEMPTION FROM•WORKERS' BATH TUB CROSS ST. BALWIN COMPENSATION INSURANCE SHOWER OWNER KAISER PERMANTE (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- 1 mit is issued, I shall not employ any person in any manner so SINK ITtlll;td 6 00 CITY TEL. NO.; as to become subject to the Workers'Compensation Laws. DISHWASHER - • � CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS $ 1,j�8 16th STREET NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- CITYTEL. NO. sation provisions of the Labor Code,you'must forthwith comp- LAWN SPRINKLER SYSTEM SANTA MONICA y' ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE NO. 131 J.J 8 CLASS r,_ LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED 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 , .O8 a d;Professians Code, and my license is in full force and of 5 PER'SYSTEM FINAL VALIDATION a DATE — ) License Number 131 458_Lic. ClasC,6 C O s FI V Contractor 0, Herb .Berger Date 10 1.8 ••88 o I am exempt under-Sec'. W B.&P.C. for this reason 10 D Z Plan check fee Date: PLUMBING PERMIT.ISSUING FEE$ • Signature TOTAL FEE 16 0 SINGLE.FAMILY o 9' U HOME OWNER-BUILDER DECLARATION Plan check applicant •� o o I 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 ;I Q.I 8`--88 I, 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). D 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 authorizerepresentatives of this County to enter upon the ' above-fp entio ed propert for inspection purposes. r Oct. 18, 1988 SEE REVERSE FOR EXPLANATORY LANGUAGE $ig,natqre06f Permittee Date ! AW WORKER'S COMPENSATIDNDfcbnsATION 7BAS66DPW9/89 APPLICATION FOR PLUMBING PERMIT 76A667A I hereby affirm that I have a certificate'Cf cbnset;t to self insure, ' or a certificate of Worker's Compensatio Insurance, or a certified copy thereof(Sec.3800 Lab.C.) //�� nW7 /L/��NTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Policy No. Compo _/ ❑ Certified copy is hereby furnished.❑ BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) Certified copy Is filed with the county building Inspection RES de ment. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date �'� Applicant ��/ � WATER CLOSET /e ! ' NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the work Involved by theSHOWER MAP BOOK PAGE PARCEL permit Is for one hundred dollars($100)or less.) LAVATORYfj' OWNER I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to SINK / MAIL ADDRESS become subject to the Workers'Compensation Laws. Date y� DISWASHER CITY TEL.NO. NOTIC TTOo` �� Applicant CLOTHES WASHER CONTRACTOR� APPLICANT: If, after making this Certificate of ��'✓✓✓ Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR ADDRESS ��/ �� j provisions of the Labor Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM o LICENSED CONTRACTORS DECLARATION CITY 4F,,q1/&0F o' /ITEL.NO. fOC� �- I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER TATE' �/ �/ 9L (commencing with Section 7000)of Division 3 of the Business and GAS SYSTEM OUTLETS LICENSE NO. ®��Y�7'O CC U Professions Code,and my license is in full force and effect. ' OUTLETS OVER �$rTRI N P ED BY a 5 PER SYSTEM License Number �v oa r+ Lic.Class C -� I� FINAL ^ / DATE VALIDATION I�v Contractor Date r_1 FINAL I am exempt under Sec. FI B.&P.C.for this reason I Date: Plan check fee Signature PLUMBING PERMIT ISSUING FEE$ TOTAL FEE � F-1 T � SINGLE FAMILY Plan check applicantACCT.a HOME OWNER-BUILDER DECLARATION Name r•O Q10I hereby affirm that I am exempt from the Contractor's License Law =+1-�t 68. for the following reason (Section 7031.5, Business and Professions Address Code): ❑ , City Tel.No. TOTAL X8 . 00 I,as owner of the property,will do the work and the structure is not intended or offered for sale(Section 7044, Business r. MOD and Professions Code). ii`` 44�� `�3` D CONSTRUCTION LENDING AGENCY CHANGE 1 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.) QG — I�G� 81/24/9[3, 2558 1 AM8aC2' 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 o. \ • W,URKERS,'COMPENSATION DECLARATION'S 7snes7a \ Iq,li$4y r .n tflrt I have a' cert( cate�fTconsent to self E a„ (a e, APPLICATION F® PLUMBING PERMIT irisur ;or a certificate of Workers'Compensation Insurcnce,or a certified copy tliereof(Sec:3800,Lab.C.) COUNTY OF,LOS-ANGELES BUILDING AND SAFETY reiicy lvo.C259137��mpany Indemnity Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING Certified copy is filed with tADDRESS �ec.0 uil in •inspection NUMBER FIXTURE OR ITEM FEE LOCALITYTemple 9700 Las Tunas Drive ri� 11 WATER CLOSET 6.O 66 00 NEAREST Tem. l e Cit CA Date l 'Applicant BATH TUB CROSS ST. Kauffman CERTIFICATE OF EXEM I F OM WORKERS' COMPENSATION INSURANCE SHOWER OWNER Kaiser Permanent • MAI L (This section need not be completed if the work involved LAVATORY 00 ADDREss 9700 Las Tunas Drive a by the permit is for one hundred dollars ($100) or less.) SIN K 8 2F; nnCITY Temple Cit TEL.NO. I certify that in the performance of.the work.for which this DISHWASHER M permit is issued, I shall not employ any person in any manner CONTRACTOR Gar Redcher P1 umbqBY p so as to become subject to the Workers'Compensation Laws. CLOTHES WASHER ADD.REss 5515-A North Peck - Date Applicant SWIMMING POOL RECEPTOR W NOTICE TO APPLICANT: If, after making this Certificate of CITY Arcadia, 6i TEL.NO. N Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. z Compensation provisions of the Labor Code,you must forth- LICENSE NO. 453980 CLASS with comply with such provisions or this permit shall be WATER HEATER deemed revoked. 'i GAS SYSTEM OUTLETS DISTRICT NO. PROCES LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- FINAL v� VALIDATION ness and Professions Code,and my license is in full force and 6 00 DATE effect. N • License Number 453980 Lic.Class C36 FBY IN Contractor Gary Redcher Date 12/24/86, I am exempt from the licensing requirements as, am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ 10 50 acting in my professional capacity (Section 7053, Bus- iness and Professions Code). TOTAL FEE 25 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 ;23751 A License Law for the following reason (Section-7031.5, Busi- 1CIty Tel.No. ness and Professions Code): # 0 0 0 0 0 5 ElI, as owner of the property, am exclusively contracting j :� 0 2 9 2 5 0 with licensed contractors to construct the project (Section 7044,Business and Professions Code). • �•� 292505 CONSTRUCTION LENDING AGENCY 00. 1 7J—$b 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 Lender's Name Unknown Lender's Address Unknown I certify that I have read this application and state that the above information is correct.I agree to domplywith all County SEE REVERSE FOR EXPLANATORY LANGUAGE .ordinances-and State laws regulating Plumbing, and hereby authodhe. representatives of this County to-enter upon the above- ntione e t for inspection.purposes. 1.2/24/85 ' •, _t 4_•_ igna ermittee Dated', COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0208070011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 'r PHONE: (626) 285-0488 EXT: LEGAL D: FEES PAIDBUILDING SS: TR: 6561 LT: 484 BL: .001 9700 LAS TUNAS DR %, FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802243 ASSESSOR OR ON BER: NEAREST CROSS STREET: KAUFFMAN 8587-024-030 OW PLANCHECK FEE 0.00 447.12 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY 01 PERMIT ISSUANCE FEE 27.75 TENANT: f 15 DRINKING FOUNTAIN(S) 6.00 FIX 97.20 S D . PROCESSED B LAN Y: EXPIRES ON: 17 FLOOR DRAIN(S) 6.00 FIX 97.20 09/27/02JK 03/26/03 19 FLOOR SINKS) 2.00=FIX 32.40 OWNER: TEL. NO: 21 HOSE BIBB(S) 1.00 FIX 16.20 FINAL DATE FINAL BY: CODE: TEMPLE CITY UNIFIED SCHOOL DISTRICT (626) 548-5000- 25 LAVATORIES/SINKS. 14.00 FIX 226.80 �I p 9700 LAS TUNAS DR 41 TRAP PRIMERS) 6.00 SYS 97.20 l TEMPLE CITY 91780 45 WATER CLOSET/URINAL 11.00 FIX 178.20 DESCRIPTION WWI[ 47 WATER HEATER(S) 1.00 WTH 16.20 MECHANICAL FOR T.I. 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 APP . NO: 60 DWV REPAIR OR ALTER 3.00 SYS 48.60 SERGE PERUSSE (626) 859-1088- 64 WATER PIPNG <= 1 1/2 18.00 LIN 291.60 3319RNCHO LA CARLOTA _ .. -TOTAL FEES 1,592.67 SPECIAL CONDITIONS: COVINA 91724 -_- - ' ��i✓ CONTRACTOR: EL. 0: ,r •:r,��-� �, �`.�.''• APPROVALS DATE INSPECTOR SIGNATURE DRP NATIONAL INC (626) 859-1088- ;';; "f� ° 1.�;•': a` 3319 N RANCHO LA CARLOTA RD LIC. NO / DE ORK .'. COVINA, CA 91724 803221 B f� try ATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR G TEL. NO: CARMICHAEL-KEMP ARCHITECTS (626) 357-9880'• ' '- " _� ROUGH PLUMBING n, 302 W FOOTHILL BLVD LIC. NO:rr } VL MONROVIA CA 91016 C205921r fOl_ j j TI-i I "l l lti 1111 !}4 GAS PIPING �® :__ ar-�— ---� -- - r -, ---- -� ; GAS VENT ` , ` ;I '- OT WATER HEATER Ll 0 XI 4 —+ _— ------------- ---- ------ PLUMBING R S �'��;�---�-��J� �,, �i ---y..'n'•,• �--�r,� LAWN SPRINKLERS GAS TES ° •�'�' —' ;' ( ! ` <<''•�(rGV - '� /P268ir[.s� AA UTILITY CO -MPA97-WoTM toC WV GRAY WATER SYSTEM " 4•+V Ai REPORT ID: DPR263 ROUTE TO: SS0508