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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