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Home My Public Portal About9715 LAS TUNAS DR_Plumbing__ Permit No.-E`-'--_----:. LOCATION OF JOB , Street.. ---------•-----------------•---------...................-•-----------------r •y;. J Cross S> ... .._...._..... ------kocality-_.... t ( = Date-----•-� - PLUMBING COUNTY OF LOS ANGELES BUILDING BUREAU 1 / Owner ------------------Com_-----'--_----------""=`------31........•........................•----•----•-. Plumber Plumber's Address--------•-•---•--------------------•----•--------•--------•----•------ Plumber's Phone-------------------------------------------------------------------------------- RegistrationNo------._------_----------•--------------------------------•------------- Legal Description Lot.-----------------------------------------_ Block....................._.......................... Tract---------------------------------------------------------•-•------------------------------------ ............._-_._.Bath Tubs ....................Furnaces -------------------Showers _._--_-_-___----_-Dish Washer .--_-------------Lavatory ....................Refrigerator ....................Kitchen Sink _.................-Water Softener --_--_-.--_----.-__Floor Sinks _-------------_-•Sand Trap --------------------Slop Sink ....................Floor Drain ..---•..............Wash Trays -----_-__--------Urinals --------------------Water Closets --------------------Drink Fountain --_-----__--_-.--Water Heaters ....................Dental Lavatory --------I---------Gas-Fuel-Light ....................Soda Fountain ....................Septic Tank ••....................-----M_�_._...- ........-----------Cesspool .................•-................. Total No. Fixtures--_----------_- Fee... -------------_-Fee,. .. District No............ E3-17 DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES PLUMBING NATURE OF INSTALLATION DISTRICT NO. GROUP No. PERMIT No. ROUGH / �... PLUMBING FIXTURES COMPLETE HEATER CESSPOOL SEPTIC TANK READY FOR RECEIVED BY DATE ISSUED FIRST INSPECTION GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONL JOB -• .,,..- I NA ADDRES m K LOCALI m ADDR, S NEAREST J CITY TEL.N "Y' CROSS ST. IL may' STATE COUNTY W NAME '/ f! O1 LICENSE NO. REG. NO. w / MAIL LOCATION OF SEPTIC TANK, OR CE SPOO 3 ADDRESS _ NORTH CITY TEL.NO. CORRECTIONS 2AS - W > 3 a 0 -- -Z D r SOUTH DESCRIPTION OF WORK BATH TUB - FURNACE APPROVALS __-__SHOWER - DISHWASHER y/ DATE INSPECTOR'S NAME -_--f--LAVATORY ____ _REFRIGERATOR ' ROUGH PLUMBING. -------KITCHEN SINK _.--_--WATER SOFTENER GAS PIPING _ -----FLOOR SINK ----SAND TRAP GAS VENT -------SLOP SINK -FLOOR DRAIN �" CESSPOOL U -------WASH TRAY -_. -URINAL SEPTIC TANK ___�-_WATER CLOSET ---DRINKING FOUNTAIN SEWER __WATER HEATER __ DENTAL LAVATORY UTILITY CO.NOTIFIED _____METER_GAS SODA FOUNTAIN �'1 - OUTL FINAL .✓-` r�. - ' --- --- I AM THE LEGAL OWNER OF THE ABOVE LOS ANGELES COUNTY REGISTRATION NUMBER TOTAL NUMBER OF FIXTURES ---------- - _----PLUMBER __ __SEPTIC TANK - 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED CESSPOOL ABOVE. IPERMIT FEE TOTAL FEE ---- - ----- TMV - - - —OWNER 76A667 •CE9817 4-64 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 9715 Las WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY Temple City, California FOR APPLICANT TO FILL IN NEAREST RO SSsr . Golden West KauffmanAve NUMBER FIXTURE OR ITEM EACH FEE OWNER Cit of Temple Cit WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS 5938 Kaufman Ave SHOWER 1.25 CITY Temple City.Calif TEL. NO, 283-3314 LAVATORY 1.25 CONTRACTOR JOE DELGADO CO. INC SINK 1,25 ADDRESS 7046 De Celis Place DISHWASHER 1.25 CITY Van Nus Calif. TEL. No,787-1910 CONTRACTOR'S STATE LAUNDRY TUB 1.25 REGISTRATION NO. 209703 COUNTY CLOTHES WASHER 1.25 DIS TRJCT NQ. GROUP ZONE PROCESSED BY WATER HEATER 1.50 �_�/ � ,h,-,. z �I GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL 0 OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD u SPRINKLER SYSTEM 21Q0 p 0 u W a Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT s 2 OO UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE 4% 00 GAS PIPING I HEREBY ACKNOWLEDGE THAT I 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 HOT WATER HEATER " PLUMBING. 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 I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE — s� , �c ,.,._ Q VALIDATION ROBERT A. WOOD cK. M o CASH SUPERVISING MECHANICAL ENG'R 0 2 1F'IA 3 5 D 4.00 D.S.S.17 23M BETS 1-4e APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �� 1 COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUPI ZONE PERMIT NO. ROUGH FIXTURES COMPLETE _ 1-1 RECEIVED BY READY FOR DATR ISSUED HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION PAS MISCELLANEOUS d APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB NAME ADDRESS W m ADDRESS �- ,(i(�/j LOCALITY D NEAREST 'j _CITY TEL.No. CROSS ST. IL COUNTY CERT.No. EXPIRES � NAME LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL 3 AGDRESS 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 DESCRI13ED ABOVE. A a OWN[R CORRECTIONS SOUTH J DESCRIPTION OF WORK a z_ BATH TUB FURNACE SHOWER DISHWASHER Q LAVATORY REFRIGERATOR s KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S HAMS _ WATER HEATER DENTAL LAVATORY ROUGH PLUMBING -METER-GAS SODA FOUNTAIN ' GAS PIPING OUTL l GAS VENT 1 CESSPOOL 1--TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOL SEPTIC TANK SEWER I i S UTILITY CO.NOTIFIED _ TOTAL FEE FINAL l� p p WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT kheraby,affirm that I have a certificate of consent to self 76A887A insure, or a certificate of Workers'Compensation Insurance, CE 817(REV.8/88) u or a certified co thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEFT. OF PUBLIC WO RK$ RCS B1665 Policy No. Company Rn3ra1 Tnettranra Certified copy is hereby furnished. BUILDING . t FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS 9715 Las T ' I�^hu�l Certified'copy is filed with the county building inspec- tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Temple City A8-28-87 Terra—Cal Construction WATER CLOSET Date ppl igant NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER• City of Tem le Cit (This section nood not be eomploted if the work involved by MAIL the permit Is for one hundred dollars($100)or loss.) LAVATORY ADDRESS9701 Las Tunas I certify that in the performance of the work for which this CITY Tem le Cit TEL.NO. permit is issued, I shall not employ any`person in any manner SINK p Y 285-7185 so as to become subject to the Workers'Compensation,Laws. DISHWASHER CONTRACTOR Terra—Cal COI15tY'l1CtiOn, Inc. Date Applicant 'CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of ADDRESS. P.O. BOX 1549 Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR CITY O Compensation provisions of the Labor Code, you must forth-•' LAWN SPRINKLER SYSTEM STATE Baldwin Park �� 60-36 4 with comply with such provisions or this permit shall be deemed revoked. WATER HEATER LICENSE NO. --- CLASS LA LICENSED-CONTRACTORS DECLARATION DISTRI NO. ROC ED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER 6 �� and.Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL 4I.IDATION C DATE / License Number 428093 Lic• Class A FINAL Terra-Ca. Const. Inc Contractor ' Date 8-28-87 BY L VI/ LL ❑ I am exempt under Sec. B.BP.C. for this reason a 7 8,1,7 A Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ a o 0 0 0 5 Signature 70TAL FEE 0 2 2 5 0 SINGLE FAMILY Plan check applicant a Sv '0 0,02250 HOME OWNER-BUILDER DECLARATION Name '09.01 -87 I hereby affirm that I am exempt from the Contractor's License Address Law for•the,following reason (Section 7031.5, Business and Professions Code): City Tel. No. ❑ 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 I 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 pop ordinances and State laws regulating plumbing, and hereby ' authorize representatives of this County to enter upon the , above- ntioned property fo&inon purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 8-28-87 Sj4ngtyrfof Pelrmitt*e.I or rQc Date