HomeMy Public PortalAbout9819 LAS TUNAS DR_Plumbing__ 76A667 OBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING 1
COUNTY OF LOS ANGELES
` WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT O. 1 P .
'
FOR APPLICANT TO FILL IN 3 � .r—3 �' /%1.,
PLUMBER 2. °'� - RE IVSD SY READY FOR DATE ISSUED
FIRST INSPECTION
_ADDRESS 11 ..-;
BUILDING
CITY � �J�,1 _ TEL. No. ADDRESS -
t^�
COUNTY •- LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS
BATH TUB @ 0.50 CITY TEL. NO. _
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM--OUTLETS @ 0.50
SIGNATURE OF -
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ O.so INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.60 —
DRINKING FOUNTAIN 0.50
URINAL @ 0.50 .J
Q
HOUSE SEWER 0.50 Z
MISCELLANEOUS O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . . . . . . 1 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE $
FINAL
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer PLUMBING
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT�TJO FILL IN DIaTR % NO. GROUP ZONE Ems.
PLUMBER T1 V�/' �, R D BY RE DAIED
READY FOR
FIRST INSPECTION
ADDRESS .� / J r /
Y_7 TEL. No Y ��OD T ADDRESS
/' L.
CITY ! .L` `-:_..
COUNTY IE J, ^�
LOCALITY
LICENSE NO. EXPIRE
1 NEAREST
PERMIT FEES CROSS sT. �.✓ ,Y
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ 0.50 $ 1}f ADDRESS
p BATH TUB @ 0.50 CITY TEL. NO.
! SHOWER a 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
ILAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
a AND AGREE TO COMPLY WITH ALL COUNTY ORDfNANCES
KITCHEN SINK @ O.SO AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 C� ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTJAL,PROPERTY DESCRIIlED ABOVE.
GAS SYSTEM- -i—OUTLETS Q 0.50 (9
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ 0.50 _ IN RECTION RECOR
FLOOR SINK @ 0.50
F7FLOOR DRAIN @ 0.50 IV
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ -
URINAL @ 0.50 <
HOUSE SEWER @ 13.50
MISCELLANEOUS /V/- t _ Ei
S O
. 1
A�1G F<f�L��✓G ff1!/ /1 /N
UT-bo �0"r6d TO 0()-r-r/dam
FI/Q. APPROVALS f�lonFr� (o�/raQ.
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPINTO
GAS VENTS '
CESSPOOL @ 7,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER /
PERMIT �}L 1.00 GAS TEST (1
UTILITY CO.NOTIFIED
TOTAL FEE F
4514k>l FINAL
7GA667 DBS#17 6-52
D.B.S.17 25M SETS 10-47 - APPLICATION FOR PERAYT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP I P IT NO.
ROUGH FIXTURES -I COMPLETE '
? - („ 5/
HEATER RECEIVED BY READY FOR DATE ISSUED
CESSPOOL SEPTIC TANK FIRST INSPECTION
GAS- MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB /
Ix NAY,' ADDREi.S4 � J
W p
m ADDREVS 1/ [
�ilfy jfE�' LOCALITY
NEAREST
L CITY TEL.No. Y' CROSS ST.
COUNTY
CERT.No. EXPIRES C NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
ADDRESS L(
NORTH O
F �j
CITY TEL.NO
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE: OF QUALIFICATION.
PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
p ABOVE.
W
V! OWNER
-i CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
BATH TUB FURNACE
ROWER DISHWASHER O
AVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTA"AVATORY ROUGH PLUMBING
METES GAB SODA FOUNTAIN 6A9 PIPING I
OUTL
GAS VENT I I
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOI SEPTIC TANK SEWER I
$ D-U UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
""
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES PLUMBING
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
/ -'
ROUGH FIXTURES _I COMPLETE - '.
RECEIVED BY READY
DATE ISSUED
HEATER CESSPOOL I (SEPTIC TANK FIRST INSPECTION
GAS MISCELLANEOUS 0
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB ./
NAME �Y � .`- -v' ADDRESS. / 4��.L '� 1'►✓'
w
m ADDRESS !/ t -•� t
LOCALITY
-1 CITY :C/ NEAREST
IL -j•L ,� TEL.No. CROSS ST. '
COUNTY
CERT. No. f EXPIRES W NAME
LOCATION OF SEPTIC TANK OR CESSPOOL Z MAIL
� 3 ADDRESS
_ NORTH 0
� CITY TEL. No.
1 Y AM THE LEGAL POSSESSOR OF THE ABOVE LOS
j ANGELES COUNT CERTIFICATE OF QUALIFICATION.
B
iPLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
F
N
W -
3 f0 OWNER
i
CORRECTIONS
_ J
SOUTH Q
Z
i DESCRIPTION OF WORK
--- j BATH TUB FURNACE Q
SHOWER --DISHWASHER -- --
i
LAVATORY _- __REFRIGERATOR --
KITCHEN SINK _--WATER SOFTENER -- - - --- ----
FLOOR SINK __-----SAND TRAP --- ---
SLOP 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
O U T L -t�-�--r -
1 r i
- _-- - -- GAS VENT
pt I? CESSPOOL
i
TOTAL NUMBER OF FIXTURES C`-h SEPTIC TANK
J V SEWER
CESSPOOL SEPTIC TANK
$ _ UTILITY CO. NOTIFIED
TOTAL FEE
D. B. 17 7-40 25M APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY M I l i G
COUNTY OF LOS ANGELES PLUm
WM. J. FOX, CHIEF ENGINEER
DISTRICT NO. GROUP I ZONE PERMIT No,
NATURE OF INSTALLATION
ROUGH �
PLUMBING FIXTURES COMPLETE RECEIVED BY READY FOR DATE ISSUED
t`
HEATER CESSPOOL ASEPTIC TANK FIRST INSPECTION I f �
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
NAME ADDRESS
W
mADDRESS LOCALITY .-t-G -
7 NEAREST
a CITY TEL No. CROSS ST.
COUNTY / F
CERT, NO. EXPIRES pI NAME r _�.�, k
LOCATION OFSEPTICTANK, OR CESSPOOL o
MAIL ESS A-1 t.
NORTH
CITY TEL No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANG ZLES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
m
OWNER
CORRECTIONS e
SOUTH
DESCRIPTION OF WORK � ----
_- Z
-----BATH Tua _-____FURNACE _
SHOWER _---_DISHWASHER
LAVATORY -- REFRIGERATOR
_KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP 5
r SLOP SINK __FLOOR DRAIN n
_—WASH TRAY —URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAA9S
WATER HEATER _. DENTAL LAVATORY ROUGH PLUMBING
METER GAS _--SODA FOUNTAIN GAS PIPING
OUTL ---
GAS VENT i
CESSPOOL
TOTAL NUMBER OF FIXTURES ga _SEPTIC TANK
SEWER
--_--CESSPOOL-- SEPTIC TANK !7 - - -__ _
UTILITY CO. NOTIFIED 7'-
!I TOTAL FEE FINAL �I
WORKER':COMPENSATION DECLARATION 20-0026 DPW 9/89 APPLICATION FOR PLUMBING PERMIT
76A667A
I hereby,affirm that I have a certificate of consent to self insure,
or a certificate of Worker's Compensation Insurance, or a certified ^ q1
copy thereof(Sec.3800 Lab.C.)
Policy No. Company COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV.
❑ Certified copy is hereby furnished. BUILDING j 1
r_1FOR APPLICANT TO FILL IN(PRINT OR TYPE) gDDRESS („Q 'J�,nS
Certified copy is filed with the county building inspection
department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY
Al G
Date Applicant WATER CLOSET S
NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST.
ASSESSOR
COMPENSATION INSURANCE
(This section need not be completed if the work involved by the SHOWER MAP BOOK PAGE PARCEL
permit Is for one hundred dollars($100)or less.) OWNER
I certify that in the performance of the work for which this permit LAVATORY rt
is issued, 1 shall not employ any person in any manner so as to / �iJ// a0//!i
MAIL
become subject to the Workers'Compensation Laws. SINK ADDRESS el� "' ryn _ love—
DISWASHER CITY
Date lCL y��/j Applic CLOTHES WASHER CONTRACTOR CCS Lr�l`llrv��`-
NOTICE TO APPLICANT: If, after making this Certificate of
Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR
provisions of the Labor Code, you must forthwith comply with such ADDRESS 6 pq
provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM
LICENSED CONTRACTORS DECLARATION CITY Low TEL.NO. a
I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER
(commencing with Section 7000) of Division 3 of the Business and STATE LIC.GAS SYSTEM OUTLETS LICENSE NO. CLASS V
Professions Code,and my license is in full force and effect.
OUTLETS OVER DISTRICT NO PROC Y O
5 PER SYSTEM
License Number Lic.Class V
FINAL �>
DATE VALIDATION Wd
Contractor Date y
❑ I am exempt under Sec. FBY
INAL Z
B.&P.C.for this reason
Date: Plan check fe
Signature e ,
PLUMBING PERMIT ISSUING FEE$
❑ TOTAL FEE
I
Plan check applicant
SINGLE FAMILY hlC.T.=
HOME OWNER-BUILDER DECLARATION Name
I hereby affirm that I am exempt from the Contractor's License Law 3307 5:5
for the following reason (Section 7031.5, Business and Professions Address
Code): I I T EMti
City Tel.No.
❑ I,as owner of the property,will do the work and the structure TOTAL 55 - , E:.
is not intended or offered for sale(Section 7044, Business u
and Professions Code). , CASH _�.Lc
CONSTRUCTION LENDING AGENCY CHANGE ol S
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 363 1 AM 8:7
'Ji
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 fo ins action purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
-Sirmature of Permitt -e Date