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