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HomeMy Public PortalAbout9810 LAS TUNAS DR_Plumbing__ 4 vv rr ad c-/ 76X667-CE4817 6-65 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES 71 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING6 •. j JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS �jt A rl V c COLEMAN W. JENKINS. SUPT OF BUILDING LOCALITY t I L t FOR APPLICANT TO FILL IN NEAREST p (� CROSS ST. CAD - --l-L (L�Q NUMBER FIXTURE OR ITEM EACH FEE L OWNER /`�L'Z.,A;e 6R WATER CLOSET ) 31.25 MAIL / Bmv-zuB Urn)a/ 1.25 / a� ADDRESS 3 'D C uy SSR E 1.25 J/" CITY b r � TEL. NO. �: -3 3 LAVATORY 1.25 �� CONTRACTOR r f SINK 1.25 a5 ADDRESS77 cb l DISHWASHER 1.25 CITY till Lc t ` TEL. NO. Lf-d 0.7 SATELAUNDRY TUB 1.25 / p�_5 LICENSE NO. �' LIC, ' (,` CLASS G �' CLOTHES WASHER 1.25 DISTRICT NO. GROUPZQNE PROCESSED BY / WATER HEATER 1.50 6C f/^�-- Z GAS SYSTEM OUTLETS 1.50G INDUSTRIAL a WASTE APPROVAL 0 OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U 0 F- U W CL cn Z APPROVALS DATE INSPECTOR' SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK / TOTAL FEE ��� ROUGH PLUMBING. i GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THA 6K-_49_GISTERED AND/OR PLUMBING FIXTURES LICENSED AS REBED Y LOS ANGELES COUNTY -A", TATE OF CALIFORNIA THAT I AM THE LEGAL OWNER OF,AND IN TO GAS TEST RESIDE I HE ABOVE DESCRI D UTILITY CO. NOTIFIED SIGNATU OF PERMITTEE FINAL CALIDATION CK. M.O. CASH L., 4477 AUG 31 5 D 17.50- WORKERS'COMPENSATION DECLARATION APPLICATION PPLIC/�TION FOR PLUMBING PERMIT I hereby,.�affirm that I have a certificate of.'consent to self in- 76A66�A PW a/87 M \e/`1 8\ll ® e �J11WI1 irQ7 PERMIT �Lw 6r a certificate of Workers'Compensation Insurance,or a CE 817(REV. 8/86) certified copy thereof (Sec. 3800, Lab. C. Policy No. oZ Compo COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING +�/O Certified copy is filed with the county'building'inspection NUMBER FIXTURE OR ITEM ADDRESS (� department. @ FEE LOCALITY Date ._4d Applicant , ,�i WATER CLOSET(TOILET) ,70 oZ O NEAREST dr �/ BATH TUB CROSS ST. " CERTIFICATE OF EXEMPTION FROM WOR S' (` COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY p29 O ADDRESS Adr_ _ It:.c..tJ I certify that in the performance of the work for which this per- J! SINK mit is issued, I shall not employ any person in any manner so o CITY TEL. NO./ _' as to become subject to the Workers'Compensation Laws. DISHWASHER _ Co CONTRACTOR Of Date Applicant CLOTHES WASHER /A NOTICE TO APPLICANT: If, after making this Certificate of Ex- ADDRESS 30 L:—�C�es �' emption,you should become subject to the Workers'Compen- SWIMMING POOL'RECEPTOR � sation provisions ofithe Labor Code,you must forthwith comp- CITY TEL. N0.�6� P Y P LAWN SPRINKLER SYSTEM ly with such provisions or this permit shall be deemed revok- STATE LIC. �i ed.' / WATER HEATER �® LICENSE NO. , CLASS Ol LICENSED CONTRACTORS DECLARATION DISTRICT NO. CESSED BY I hereby affirm•that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER �� ✓rte t�� d Professions Code, and my license is in full force andfef- 5 PER SYSTEM FINAL Y¢ VALIDATION a fe License Numbe �oZ rs Lic. Class `' `' DATE FINAL W Contractor -ss p BY ❑ r� O I am exemp under Sec. W B.&P..C. for this reason ® U) Plan check fee � Date: PLUMBING PERMIT ISSUING FEE$ �� Q _ Signature TOTAL FEE cg ' SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant `� 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, as owner' of the property, will do the work and the City Tel. No. ,- structure is not intended or offered far sale(Section 7044, i i E1 i Business and Professions Code). ® °' -'i IUiHIL , 30 CONSTRUCTION LENDING AGENCY 40 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued ':i `)f''3= 4111_' (Sec. 3097, Civ. C.). Lender's Name L)`►U.�"i Lender's-Address E•-ti_' 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 abov mentioned properT r for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of,Per itte ate WORKERS'COMPENSATION DECLARATION I APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self '20-0026 DPW 6/87 �j Insure, or a certificate of Workers'Compensation Insurance, 7GA667A lul or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS P cY��o.� & 2 7�9tyyompanyo::�'�d eeO Certified copy is hereby furnished. BUILDING ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS Certified copy is filed with the county building inspec- tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date --�� APPIi4ant WATER CLOSET NEAREST �• CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. p 1 �yQ L00$ .&w.�S COMPENSATION INSURANCE SHOWER OWNER U�/_,,0 / ,,) ®o e0kol, (This section need not be completed if the work involved by i MAIL the permit is for one hundred dbllars($100)or less.) LAVATORY ADDRESS /,6os- 11D• G. S/._ -100-Bo I certify that in the performance of the work for whichT this D permit is issued, I shall not employ any person in any manner SINK CITY Y'0S ���� TEL.NO. so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR ,OcS 0 e Date Applicant ,CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' I SWIMMING POOL RECEPTOR CITY -� Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM ss ��i �' TEL. NO. 6r with comply with such provisions or this permit shall be STATE LIC. /ar deemed revoked. WATER HEATER LICENSE NO. •as �76 6 CLASS C-?- LICENSED CONTRACTORS DECLARATION GAS SYSTEM OUTLETS DISTRICT NO. � PROCESSED BY I hereby affirm-that I am licensed under provisions of Chapter 9 O� (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force a'Zeffect. 5 PER SYSTEM. FINAL VALIDATION C DATE License Number 7 5V� 6 6-1.1r. Class C, // FINAL ContractorQC"140 /f� to �r:2--92— BY' 11Z ❑ I am exempt under Sec. i W B.B,P.C. for this reason Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ 7S_ Signature TOTAL FEE Plan check applicant &r.r.`s SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address 4". Law for the following reason (Section 7031.5, Business and L,E113 Professions Code): ; Cit Tel. No. I, as owner of the property, will do the work and the y ;I"I I (_ 13m30 strurture is not intended or offered for sale Section -CHECK 39.K; 7044, Business and Professions Code). " CHANGE .60 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.). ll l�•s Zi '_�: `_ tl : 1 Aii12 x."23 Lender's Nome 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-mentione p ty f nspection purposes. � SEE REVERSE FOR EXPLANATORY LANGUAGE1-7—J? u, 7,gnature/ cff fermittee Date ` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0408020008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 ;. PHONE: (626) 285-0488 EXT: E L ID: FEES PA yy BUILDI G ADDRESS: TR: 6561 LT: 441 BL: .001 I 9810 LAS TUNAS DR FEE DESCRIPTION: QUANTITY: LION: AMOUNT: TEMP CA,917802208 ASSESSOR INFORMATION NU.4LIER: i NEAREST CROSS STREET: GOLDEN WEST 8587-027-027 01 PERMIT ISSUANCE FEE 27.75 ff THOMAS PAGE: 597 GRID;_.A3 LOCALITY: TEMPLE CITY, C 25 LAVATORIES/SINKS 6.00 FIX 97.20 f TENANT: 45 WATER CLOSET/URINAL 3.00 FIX 48.60 ISSUED ON: PROCESSED BY: PL EXPIRES HEALTHCARE PARTNERS TOTAL FEES 173.55 ` 08/02/04 JK 01/29/05 OWNER: TEL. 0: FINAL DATE —FINAL -BY: ODE: SNI JR-MING;YU-HUEI (626) 446-9788- 2005 TERRA LN 1-200 ARCD 910078141 DESCRIPTION OF WORK TENANT IMPROVEMENT - RELOCATE PLUMBING FIXTURES APPLICANT: T . WAY (661) 269-0639- 1301 CHELTEN WAY SPECIAL CONDITIONS: PALMDALE 93551 CONTRACTOR: TEL. NO: APPROVALSDATE INSPECTOR SIGNATURE R-WAY PLUMBING (661) 267-0639- 1301 CHELTEN WAY LIC. NO UNDER SLAB OR PALMDALE, CA 93551 472892C36 ' WATER SERVICE PLASTIC YIN METAL YIN ARCHITEC OR ENGINEER:- TEL. NO: ENVISION ARCHITECTURE (310) 839-7515-1 ROUGH PLUMBING 3647 KALSMAN DR., #1 LIC. NO: ' LOS ANGELES, CA 90016 NONE MS'PIPING :IAS VENT HOTTA! TE R PLUMBING FIRo LAWN SPRINKLERS GAS ST UTILITY COMPANY-NOTIFIEff CWV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508