HomeMy Public PortalAbout9831 LAS TUNAS DR_Plumbing__ 76A867 (CE-817) - 175 '
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO BUILDING
ADDRESS U
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY,
FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM @ FEE i
WATER CLOSET
2 00 OWNER
MAIL q � •
BATH TUB 2 00 ADDRESS
SHOWER 2 00 CITY TEL NO • ,,��`
LAVATORY 200 CONTRACTOR /� y
SINK 200 ADDRESS
DISHWASHER 200 CITY " TEL. NO
CLOTHES WASHER 20,0 STATE LIC j
LICENSE NO [ � CLASS A3 /
SWIMMING POOCRECEPTOR 2 00
DISTRICT NO GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 200 � i l
r
WATER HEATER 200 INDUSTRIAL _
WASTE APPROVAL a
GAS SYSTEM OUTLETS INSPECTION RECORD V
OUTLETS OVER 30 O
5 PER SYSTEM
H
U
` W
O_
N
Z
Plan check fee See Reverse �-
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE r}
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
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 GAS TEST
PLUMBING. 17
�Z
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAJPAO ERTY. FINALSIGNATURE a,x,,•�QA41CA /y��Q '
OF PERMITTEE '
PERMIT VALIDATION � M.0. CASH
PLAN CHECK VALIDATION CK. M.0. CASH
76A667C (CE-61713) -9/75
APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
9uY3
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET LOCALITY I E g gairit
NEAREST
BATH TUB CROSS ST 4 Cr
SHOWER OWNER M f
MAIL /
LAVATORY ADDRESS ���Slppi.�4,�i
SINK CITY �/� �!� TEL NO AA_66-<7 G!
DISHWASHER CONTRACTOR %7
CLOTHES WASHER
ADDRESS �
SWIMMING POOL RECEPTOR
LAWN SPRINKLER SYSTEM CITY �a��j 9//O?TEL No7Q3 1271
STATE I
WATER HEATER LICENSE NO�Y3QS3 CLASS &_^2( �
O
DISTRICT NO. GROUP �ZONEJ_ P CE D BY U
GAS SYSTEM OUTLETS .�✓p `� �1 /:- ,�/Lr 1 O
OUTLETS OVER v oy t F-
5 PER SYSTEM INDUSTRIAL LUL.(
WASTE APPROVAL N
RQ�A INSPECTION RECORD Z
Id N e - ,Pat-
evzr
Plan check fee
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
Plan check applicant —�
Name APPROVALS DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
Address
ROUGH PLUMBING
City Tel No 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 THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN NTIAL PROPERTY. UTILITY CO NOTIFIED
SI GNATURE y
OF PERMITTEE FINAL I 71
PLAN CHECK VALIDATION CK. M D CASH PERMIT VALIDATION CK M.0 CASH
11 7 rJAN 125D 7_5C) ��'`=
7CA667 (EE-817)-4/72
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER•
BUILDING AND SAFETY DIVISION BUILDING c] r�
AIA KE CHECKS PAYABLE TO ADDRESS -! b 3i Lo-s '1 Jn 1 S
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY
FOR,APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM @ FEE f
OWNER
WATER CLOSET 1.75 CC//
MAIL (J //
BATH TUB 1,75 ADDRESS C7, 3 ) ` V$ Tv i, ! S
SHOWER 1.75 CITY Te t% -L Ciliv TEL NO.
LAVATORY 1,75 CONTRACTORrh�
SINK 1,75 ADDRESS —
DISHWASHER 1.75 CITY e- C1 Ct /TEL NO
CLOTHES WASHER 1'75 STATE LICENSE NO c� 3� S CILAS G
SWIMMING POOL RECEPTOR 1,75
DISTRICT NO ROUP ZONE OC ES D BY
LAWN SPRINKLER SYSTEM 1.75 � 6 O
WATER HEATER 1,75 INDUSTRIAL V
r WASTE APPROVAL
j GAS SYSTEM OUTLETS 1.75 SINSPECTION RECORD V
OUTLETS OVER
5 PER SYSTEM' ,30 O
Wq ftr J s-ehl _ 75- W
N
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE 6
APPROVALS DATE INSPECTOR 5 SIGNATURE
Plan check applicant
UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING FT '
City Tel No. GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING `
PLUMBING GAS TEST G
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REOU IRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO -
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL
SIGNATU RE
OF PERMITTEE ,
PERMIT VALIDATION cK M,0 CASH
PLAN CHECK VALIDATION CK- M 0. CASH
L1 o 5 4 6 5 ➢ 6.5 0-
76A66i.0 E4817. 4-64
APPLICATION FOR PLUMBING PERMIT ._
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING �) /
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS iL ,
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.2S ADDRESS
CITY TEL. NO.
SHOWER 1.25
LAVATORY 1.2S CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO. UG -��/
LAUNDRY TUB 1.25 CON CTOR'S ^ STATE
REGISTRATION NO. p` 3 COUNTY ❑
CLOTHES WASHER 1.25
DISTRICT NO, GROUP ZONE PRO
SED BY
WATER HEATER 1.50 1 -L y t
I' SYSTEM 1.50 INDUSTRIAL
GAS LOUTLET
WASTE APPROVAL�� Q
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION REC RD u
s vS
0
t W
a
N i
Z
_ A PROVALS I�,.� ,DATE INSPECTOR'S SIGMA URE
PERMIT S 2 00 UNDER SLAB WORD
ROUGH PLUMBING µ _
TOTAL FEE GAS PIPING 20 4;7.
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITHALL 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 LOS ANGELES COUNTY AND STATE OF GAS TEST y7
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DES I RE (DENTIA ROPERTY. UTILITY CO. NOTIFIED w fI
SIGNATURE
OF PERMITTEE n
FINAL •/A/%;7
c 17ALIDATION ROBERT A. WOOD
K l M O. CASH SUPERVISING MECHANICAL ENG'R
". 2 1.25- Z
WORKER'S COMPENSATION DECLARATION 20-0026 DPW 9/89 V
76A667A APPLICATION FOR PLUMBING PERMIT Ll
,hereby r�rm that I have a certificate,of consent to self insure,
or ar certificate of Worker's Compensation Insurance, or a certified
copy thereof(Sec 3800.Lab C)
COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS DEPT.SOF PUBLIC WORKS DIV.
Policy No Company '
❑' Certified copy is hereby furnished
F-1,
-_ - FOR APPLICANT,TO FILL IN(PRINT OR TYPE) BUILDING ��,
Certified copy is filed with the county building inspection ADDRESS
department NUMBER FIXTURE OR ITEM @ FEE
_ LOCALITY
Date Applicant WATER CLOSET 11 / /
S NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST
_
_COMPENSATION INSURANCE ASSESSOR S " 's '"�. ''
(This section need not be completed if the work involved by the SHOWER MAP BOOK PAGE PARCEL
permit is for-one hundred dollars $100 or less. L+ e
P ( ) ) OWNER'
I certify that in the performance of the work for which this permit LAVATORY /l, S'
is issued;I shall not employ any person in any manner o as to SINK ��LGL MAIL
become subject to the Workers'Co p satio La ADDRESS
� DISWASHER CITY - TEL NO
Date( 2
�` -19�Applicant CLOTHES WASHER
is
NOTICE TO APPLICANT If, after'm in hCertificate of CONTRACTOR
Exemption, you should become subject to theWorkers'Compensation SWIMMING POOL RECEPTOR
provisions of the Labor Code, you must forthwith comply with such ADDRESS f
provisions or this permit shall be deemed revoked LAWN SPRINKLER SYSTEM
AL S)4-
LICENSED CONTRACTORS DECLARATION CITY TEL NO �) 7 >_
I hereby affirm that I am licensed under provisions of Chapter 9' WATER HEATER ? 4
STATE
LIC
(commencing with Section 7000) of Division 3 of the Business and GAS SYSTEM OUTLETS LICENSE NO l O�p CLASS G O
Professions Code, and my license is in full force and effect 2- 111
PROCE
DISTRICT NO SSED BY
OUTLETS OVER 0
�^� /' r• 5 PER SYSTEM
License Number i 1 l V?c7 Lic ClassyFINAL F
DATE . L VALIDATION , LLJ
Contractor
� �('f�are la" L t �L Grt��i e3te CL•
ElI am exempt under Sec BY L ' Z
B&P C for this reason
Date ' Plan check fee
PLUMBING PERMIT ISSUING FEE$ 7�,
Signature s
❑ TOTAL FEE - �Q i �•£E) 3 t,
Plan check applicant `_i I AL
SINGLE FAMILY
HOME OWNER-BUILDER DECLARATION Name
I hereby affirm that I am exempt from the Contractor's License Law _
for the followingreason Section 7031 5, Business and Professions Address 1•H�tr It
Code) � � '_
_ City _ Tel No I -
❑ I, as owner of the property,will do the work and the structure _
is not intended or offered for sale (Section 7044, Business / i_lii'. u-') ,
and Professions Code) - "
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 J
Lender's Address _
I certify that I have read this a lication and state that the above
infor, ation is correct agree comply with all County ordinances '
an S to laws sting umbing, and hereby authorize -
rep es tatives of th s n enter upon the above-mentioned
p 0 spec ur se
—C SEE REVERSE FOR EXPLANATORY LANGUAGE
Sign ittee ( Date l
F ID
PCxiR
a� ' ��' �RKERS'COMPENSATIO gTIpN
o +�, ► T �j ^^/
20-0026 DPW 4/87 APPLICATIO,N.,�F6,R� PLUMBING PER T
ry,�we� affirm`ihat I•have,a cert fico, Frit to self in- 76A667A }
sore, ora ceit,ficate'of Workers'Compensation!nsurance,or ar CE 817(REV 8/86) ; {
testified copy thereof (Sec .3800, Lab`C`)
:a COUNTY OF LOS'ANGELES = DEPT: OF,PUBLIC WORKS
rPol�y�No 't Compariy
k "
Gertifiedreopy'is hereby furnished'
FOR APPLICANT TO FILL IN (PRINT'OR,T.YPE) BUILDING S
0 ,Certified•cppy as filed with the county building inspection ADDRESS, :i=
department NUMBER• FIXTURE-OR ITEM` Ld _FEE' �.• r"
n :•ti ., CLOSELOCALITY . �'
•t t 'i:
.1 Date Applicant WATER T(TOILET) NEAREST-
CERTIFICATE'OF EXEMPTION•FROM WORKERS" BATH TUB, _CROSS ST
Y' " •h-t,, ,COMPENSATION INSURANCE ' S"OW _ OWNER _�. C ?�
HER ' tl
.(This `section need'not'be completed,if,the work invoived by MAIL ^
the permit,is for one`hund'red'doilc s'(5100),or less.)' LAVATORY _ s'. ADDRESS
a„
' I certify that'in'the performance•of the work for which this per- , 3 _
mit is issued,yCshall-,not employ'any person'in any'manner so ^,, -SINK=t�' , . _ CITY ./� , ,/' a TEL NO
as„to become subject to the Workefs'. mpensat10 s' DISHWASHER „ ' „ r�'r/ C� v
3 ,CONTRACTOR
Ddte L- y Applicant .” CLOTHES WASHER ;,g
n_
NOTICE TOAPPLICANTif"' fter-making thisCertificate of Ex- ADDRESSg �� •� J� ' ;"
�empt)on; you%hould�become,sublect to,the Workers'-Compen� ' ��- • SWIMMING POOL'RECEPTORi CITY, j� �� T NO
E so ion'provisions:-of,the.Labor•Code,'you must forthwith comp- 1' •3 LAWN SPRINKLER SYSTEM �•'+~ ��
ly wish,such,provis,ans-or.this.permit'shall be:deemed revok;_ STATE / LIC
•S t, +y, Yi. 'F _ _ LICENSE NO ��L/ CLASS li
ed - WATER HEATER„
• `_ ="' LICE NSED,CONTRACTORS.DECLARATION ;.` DISTRICT NO PRO SED Bv,
GAS,SYSTEM OUTLETS
I;hereby affirm"(fiat-I amJicensed'iunder;provisions of Chapter.
9(commencing with Section 7000)of Division'i of the-B•usiness OUTLETS'OVER
and Profess`,ions Code, and my license is in full'force'and'ef- 5 PER,SYSTEM "' Y FINAL
fect a J _ i,c. ,. k r �� DATE ��' VALI TION
L ten e`Number' `LI �Ut/'/ 'Lic',,Class` ° O
p G
Contractor 1 ateFIN
�,� _ /)
Do-I'am exempt under Secy " " t/ =, V
,, W
B'&P'C 'for this reason - " 0 92 9,A _
Plan check..fee �
�N PLUMBING PERMIT ISSUING FEE$ ^
a r,Signati_ire'^'t " 2 2'S 0 -
* TOTAL FEE r a o�o
-� SINGLEFAMILYr": '., '
HOME OWNER-BUILDER DECLARATION= 5' "^ 'Plan check�'applicant- '- .^ ,' o o'0,2,2 5 Q 3:
I fie'r'eby,affirm that I om-exemptfrom the,Contractor's License T Name $ ' µ ` ,Y t $``$'a '
Lbw for the following-reason-(Section 7031 5, Business,and' a ` r ' "�'-a=�
Professions Code)` k ;r , Address , °
I>rd as of thep�operty,�wilhdo,"the work and.the City, > ` " ' Tel No
structure-is not intended,or offered'for sale'(Se ction17044,
Business and Professions Code ^
• ;-CONSTRUCTION LENDING,AGENCY t "`i�'J ' tr ► J - „ -
I Hereby affiim'tf at there'is,a"construction lending agency for,
fhb perfoimance•of-the work_for,which this permit is issued
(Sec 3097,,G`v,';.0')' z• r ;' r L p s •ro.. r. '
Lenders Name' ;
'Lende`r's Address ?� • -
I certify'•thot I�have-read.;this application a rid'state,'that the
�
above infoimation'is correct I agree;to comply with al County ;
'ordinances°and State lows,regulatirig Plumbing,'and hereby
authorize'representdtives`of this'County to enter"upon the
above-mentioned property'for inspe�tion purposes
SEE REVERSE,FOR EXPLANATORY LANGUAGE I
Signature of'Permittee' _ ;��o Date �; `
• '-'-'COUNTY OF LOS ANGELES TEMPLE CITY - # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1207180034
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
' PHONE (626) 285-0488 EXT
ILEGAL ID I FEES PAID I BUILDING ADDRESS I
ITR 6561 LT 69 BL .001 I 1 9831 LAS TUNAS DR T
I IFEE DESCRIPTION QUANTIT`I UOM AMOUNT I TEMP CA 917802209 I
(ASSESSOR INFORMATION NUMBER I _ I NEAREST CROSS STREET. AGNES 1
18587-026-025 101 PERMIT ISSUANCE FEE_ 27 80 I THOMAS PAGE- 597 GRID A3 LOCALITY TEMPLE CITY, Cl
117 FLOOR DRAIN(S)- 2 00 FIX 32 40 I 1
ITENANT 119 FLOOR SINK(S) 1 00 FIX 16 20 (ISSUED ON PROCESSED BY PLAN BY 1
IMCDONALD'S USA, LLC 126 MISCELLANEOUS FIXTUR 3- 00 FIX 48 60 107/18/12 SR 1
1 129 ROOF DRAIN(S) 4 00 FIX 64 80 1 - 1
(OWNER TEL. NO. 141 TRAP PRIMER(S) 2 00 SYS 32 40 IFINAL TE FINAL BY: CODE 1
(STAMPS, CHRIS (562) 753-2001- 145 WATER CLOSET/URINAL 4.00 FIX 64 80 1 I
13800 KILROY AIRPORT 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
ILONG BEACH CA 90806 160 DWV REPAIR OR ALTER 1.00 SYS 16 20 ID PTION OF WORK 1
163 WATER PIPING BR/FIX 4 00 FIX -27 20 IPLUMBING FOR MODIFICATION AND ADDITION TO EXISTING 1
I I TOTAL FEES 346 60 IRESTAURANT I
1APPLICANT - TEL NO I
IBICKEL UNDERWOOD- ELAHI, MASOOD (949) 757-0411-28 1 1 1
13600 BIRCH ST. #120 1 _ ISPECIAL CONDITIONS -
NEWPORT BEACH 92.660 1
I I I I
ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE T
ICRABB CONSTRUCTION, INC. - (909) 305-2088- i - 1 1
15135 VALLEY CENTER AVENUE LIC NO 1 1UNDER SLAB WORK
ICOVINA CA 91724 677894 B I1 (�'
I 1 IWATER SERVICE 1 1 1
I IPLASTIC Y/N METAL Y/N 1 1 1
1ARCHITECT.OR ENGINEER TEL NO 1 I 1 1 I
IBICKEL UNDERWOOD, A CALIFORNIA CORP (949) 757-0411- 1 - ,TROUGH PLUMBING
13600 BIRCH STREET, SUITE 120 LIC NOI - - - I Imo)- (`�/- vv1
INEWPORT BEACH, CA 92660 NONE I IGAS PIPING
_ 1 I 1
I I IGAS VENT I I I
I I IHOT WATER HEATER I I I
I 1 1 1-1 I
I 1 IPLUMBING FIXTURES I I I
I 1 ILAWN SPRINKLERS I 1 1
1 T IGAS TEST I I 1
1 I TUTILITY COMPANY NOTIFIED( I I
1CWV I I I
11 IGRAY WATER SYSTEM 1 1 1
I I I I I I -
I I I I I I
I I I I I I
1 IREPORT ID DPR263 ROUTE TO. BS0508 I I 1 I