Loading...
HomeMy Public PortalAbout9738 LAS TUNAS DR_Plumbing__ Cr 76.1 VE-8117)-4/72 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: ADIDRESNS HARVEY T. BRANDT, COUNTY ENGINEER LOCA L1 FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEARES CROSS ST. l NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 1.75 OWNER MAIL BATH TUB 1.75 ADDRESS g SHOWER 1.75 CITY O TEL. NO. — s' LAVATORY 1.75 CONTRACTOR ri ('f!J/i/drd SINK r 1.75 ADDRESS DISHWASHER 1.75 CITY ! TEL. N0 Z91— 7 CLOTHES WASHER 1.75STATE4? LIC ` SWIMMING POOL RECEPTOR 1.75 LICENSE NO. 24 CLASS C ASS e —7 G• DISTRICT NO. GROUP ZONE CESSED BY LAWN SPRINKLER SYSTEM 1.75 /e � — WATER HEATER 1.75 INDUSTRIAL i p. r WASTE APPROVAL GAS SYSTEM OUTLETS 1.75 IIKPECTION RECORD C7 A OUTLETS OVER r 30 ALeA .e /3 A O 5 PER SYSTEM I . M " -e", ul Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 ` x / c TOTAL FEE APP OVALS DATE. IN CTOR'S S GN URE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING ! Address GAS PIPING t City Tel. No. GAS VENT 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 ' PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS NGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM•THE NGALGE OW R OF, AND INTEND RESIDE IN THE ABOVE DES IS RESIDE I PROPERTY. FINAL SIGNATU RE OF PERMITTEE f " �=��'�a PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATIO CK. M.O. CASH ' 1.%C,9.4 9 /1 6 MAR 5D 5 2.1 5 v 7BA667-CE817-11-57 V�/d // APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING JOHN A. LAMBIE, County En eer SSATT D. GRIFFIN, Supt of Building LOCALITY i FOR APPLICANT TO FILL IN NEAREST NUMBER FIXTURE OR ITEM CROSS ST. OWNER WATER CLOSET MAIL BATH TUB ADDRESS SHOWER CITY TEL. NO. LAVATORY CONTRACTOR SINK ADDRESS DISHWASHER CITY (" TEL. NO. LAUNDRY TUB CONTRACTOR'S STATE V REGISTRATION NO. COUNTY CLOTHES WASHER DISTRI GROUP ZONE READY FOR INSPECTION WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS / @ $1.00 PER ITEM / 0 G7 DATE INSPECTOR'S SIGNATURE OR FDITURE $ UNDER SLAB WORK PERMIT $ 00 ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT 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 1 AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. OF PERM ITTEE SIGNATURE FINAL ROBERT A. O ®F VALIDATIO SUPERVISING MECHANICAL ENG'R CK. M.0. CASH 2 3 1581m. FEB 9 5 A 3 0 0 �JBA887.-CE817-11-57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING 9 JOHN A. LAMBIE, County,Engineer ADDRESS �7 CASSATT D. GRIFFIN, Sup t of Building LOCALITY FOR APPLICANT TO FILL IN NEAREST NUMBER FIXTURE OR ITEM CROSS ST. OWNER WATER CLOSET MAILn BATH TUB ADDRESS ` a' SHOWER CITY TEL NO. LAVATORY coNTRA&6R �� SINK ADDRESS DISHWASHER CITY TEL. NO CO RA R'S D STATE LAUNDRY TUB R�GIS ON NO. COUNTY CLOTHES WASHER DISTRI GRO I ZONE I READY FOR INSPECTION WATER HEATER f GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS j $1.00 PER ITEM ! DATE INSPECTOR'S SIGNATURE / OR FDITUAE $ UNDER SLAB WORK PERMIT $ 00 ROUGH PLUMBING TOTALFEE 0 GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT 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 1 HEREBY CERTIFY THAT/[ AM PROPERLY REGISTERED AND/OR .,+. LICENSED AS REQUIRED LOS NGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT AM LEGAL OWNER OF THE ABOV UTILITY CO.NOTIFIED E DESCRIBED RESIDENTI PR RTY. SIGNATURE OF PERM ITTE FINAL OBERT A.W OD. ®� VALIDATIO ' S PERVISING MECHANICAL ENG'R CK. M.O. CASH 2285% FEB 6 5 A 3.00 � °. B. 17 7-40 25M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DIS"TRICT NO. GROUP ZONE PERMIT No. ROUGH I PLUMBING I FIXTURES f COMPLETE l J T RECEIVED BY READY FOR DATE ISSUED HEATER CESSPOOL I ISEPTIC TANK! FIRST INSPECTION GAS I MISCELLANEOUS _ APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY .IQB _.i NAME (' ADDRESS "-J ;- W m ADDRESS � -� _/,p" LOCALITY D �.., NEAREST 0. CITY_�,"yy� _/ , TEL No. `7:_ CROSS ST. } A COUNTY P CERT. NO. EXPIRES w NAME "1_> I OCATION OF SEPTIC TANK, OR CESSPOOL 3 I ADDRESS NORTH 0 I 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. m 3 ,.{ OWNER CORRECTIONS R SOUTH DESCRIPTION OF WORK BATH TUB FURNACE Q: SHOWER DISHWASHER Q --— LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER "}_ _FLOOR SINK —SAND TRAP i._._ SLOP SINK FLOOR DRAIN R WASH TRAY URINAL APPROVALS --WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING �I METER .GAS SODA FOUNTAIN GAS PIPING OUTL GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK _CESSPOOL---SEPTIC SEWER_PTIC TANK �_ ppp UTILITY CO. NOTIFIED i TOTAL FEE FINAL /, 76A667-CE=817 6-65 •�� rERMIT APPLICATION FOR PLUMBING COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION f UILDING JOHN A. LAMBIE. COUNTY ENGINEER DDRESSCOLEMAN W. JENKINS. SUPT. OF BUILDING OCALITY FOR APPLICANT TO FILL IN ROSS ST. � r NUMBER FIXTURE OR ITEM EACH FEE OWNER - WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS CITY TEL. NO. SHOWER 1.25 LAVATORY 1.25 / a CONTRACTO G� rCO 1 SINK 1.25 2j' ADDRESS DISHWASHER 1.25 CITY `G/ TEL. NO. STATE7 LIC /} LAUNDRY TUB 1.25 LICENSE NO. 7 J 3 CLASS CLOTHES WASHER 1.25 DISTRICT NO, GROUP NE PRO SSED BY WATER HEATER 1.50 IJ�( f �Z � � GAS SYSTEM OUTLETS "S0 (, INDUSTRIAL D}.. WASTE APPROVAL 0 --l--iOUTLETS OVER S PER SYSTEM .30 INSPECTION RECORD U s� w 0 U W N Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING �' TOTAL FEEZZ 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 LO ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM T LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESC D ESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED ... SIGNATURE OF PERMITTEEC� FINAL 0CK. `�- MDATION M.O. CASH La ,o 1 5 7 4"a APR 2 7 5 D 1 1.2 g- a 15enX� WORKERS'COMPENSATION DECLARATION CE $176A667A ) APPLICATION FOR PLUMBING PERMIT hereby affirm that I have a' certificate-of consent to self ce eiz z-eo isure, or a certificate of Workers'Compensation Insurance,or certified copy thereof(Sec. 3800,Lab.C.) �-��r �� ,� COUNTY OF LOS ANGELES �p� BUILDING AND SAFETY olicy SP-5--m Compat3 9 %^v-'r-•/��— Certified copy is hereby furnished /% ����G�✓,6 FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING / -� Certified copy is fil with th nt buildi mspe tion NUMBER FIXTURE OR ITEM • FEE ADDRESS 165 LOCALITY d par r�'�e t WATER CLOSET C/7 )ate Aplicant NEAREST BATH TUB CROSS ST. �� A-1CERTIFICATE OF MPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER LAVATORY MAIL This section need not be completed if the work involved ADDRESS } )y the permit is for one hundred dollars ($100) or less.) SINKCITY TEL.NO. CL certify that in the performance of the work for which this DISHWASHERU rermit is issued, I shall not employ any person in any manner CONTRALTO7-U WS—S - j tr .o as to become subject to the Workers' Compensation Laws. CLOTHES WASHER ADDRESS / 0 Date Applicant (p " �U/v$F v,j e a SWIMMING POOL RECEPTOR U L) NOTICE TO APPLICANT: If, after making this Certificate of CITY Co it L N A TEL. NO. d Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC: G- Compensation provisions of the Labor Code, you must forth- LICENSE N S CLAS -3O C with comply with such provisions or this permit shall be WATER HEATER deemed revoked. GAS SYSTEM OUTLETS DIS ICT NO. CESS Y 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 9-� VALID A ION ness and Professions Code, and my license is in full force and N/c DATE ' effect. FINAL License Numb r s Lic.Class' f4TC—�O� 3 BY / •rL ContrA" Date it �� 4/1) 1 ' I am exempt from th sing requirements as I am a Plan check fee �� �cen licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ Z/ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE 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. ness and Professions Code): I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044, Business and Professions Code). <w 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 Ihave read this application and state that the abov tion is correct.I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE mances a d State laws regulating Plumbing, and hereby authorize presentatives of this County to enter upon the abov ntioned property fo in ection purposes. E ignatur of ermitee Date