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Home My Public Portal About9425 LAS TUNAS DR_Plumbing__ 76A667 (OE-817) - 5/73 . - APPLICATION FOR PLUMBING PERMIT = COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ) MAKE CHECKS PAYABLE TO: BUILDING Z ADDRESS ! 'J �- - HARVEY T. BRANDT, COUNTY ENGINEER_ ,. LOCALITY CJ t .FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST NUMBER FIXTURE OR ITEM @ FEE CROSS ST. _ ,OWNER WATER CLOSET 1.75 MAIL �r BATH TUB 1.75, ''ADDRESS SHOWER 1,75 CITY ,� TEL. NO.'Z LAVATORY 1,75 CONTRACTOR SINK 1.75 ADDRESS DISHWASHER 1.75 CITY �� TEL.'NO. CLOTHES WASHER 1.75 STATE li LIC. LICENSE NO'.`f— �O CLASS- SWIMMING POOL RECEPTOR 1,75 DISTRICT NO. GROUP VONEI �PROf�ESSED BY ig LAWN SPRINKLER SYSTEM 1.75 _ yJ` G /J WATER HEATER 1.751 .7 INDUSTRIAL WASTE APPROVAL a� GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD OUTLETS OVER 5 PER SYSTEM '30 O F-- v LLI a. cn z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEES 3 00 TOTAL FEE ✓ `7 APPROVALS DATE INSPECTOR'S SIGNATURE ck applicant _ Plan check UNDER SLAB WORK '• Name ROUGH PLUMBING' Address -GAS PIPING y City Tel. No. GAS VENT � � a 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 'I HEREBY .CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS. REQUIRED BY-LOS ANGELES COUNTY AND STATE OF CAL:FORN IA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO (!JP)7a RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL ROPER TY. FINAL / SIGNATURE OF PERMITT l • PER IT VALIDATION CK. M,O. CASH PLAN CHECK VALIDATION CK. M.O. CASH n 4 '.. 1 - 1 �3 5 D . 4 .7 54 r �76A667 (GE-817)-4/72 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES LJ DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDING ADDRESS I-A S (u N A S HARVEY T. BRANDY, COUNTY ENGINEER LOCALITY ,)'i1 `" R C- FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST A CROSS ST. A NUMBER FIXTURE OR ITEM @ FEE V WATER CLOSET 1,75 OWNER Cp MAIL BATH TUB 1,75 ADDRESS SHOWER 1,75 CITY TEL. NO. /� LAVATORY 1,75 CONTRACTOR LQ N f I IP U. SINK 1.75 1 - 1T ADDRESS DISHWASHER 1.75 CITY TEL. NO. ,5- Y (/ 1:75 STATEC NSE NO. 0 t 3 CLASS.C— L SWIMMING POOL RECEPTOR 1.75 DISTRICT NO. J, GROUP ZONE ROCESSED BY LAWN SPRINKLER SYSTEM 1,75 :5_40 &. (� WATER HEATER 1.75 ` d hNDUSTRIAL WASTE APPROVA r• c O GAS SYSTEM OUTLETS 1.75 V INSPECTION RECORD OUTLETS OVER 5 PER SYSTEM .30 - - / ! W d f� S.4 A.r " 4 A F o24i.", ®o' Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR'.5 Slf, A RE Plan check applicant s UNDER SLAB WORK 3 Name "" ROUGH PLUMBING tit � 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 PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF pp CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND RESIDE IN THE ABO V CRIBED RESIDENTIAL PROPERTY. FINAL [1111, SI GNA TU.RE V VOF PERMITTEE PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH y; rov 4 5 n 2 7.5 0 v r 76A_667 (CE-817)-4/72 APPLICATION F R PL 1N PERMIT . COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: FNE NG SS HARVEY T. BRANDT, COUNTY ENGINEER ITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) TST. NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 1.75 OWNER ggo MAIL BATH TUB 1.75 ADDRESS SHOWER 1,75 CITY TEL. NO. LAVATORY 1.75 CONTRACTOR SINK 1.75 p, ADDRESS. DISHWASHER 1.75 CITY' TEL. NO. CLOTHES WASHER 1.75 STATE G C LICENSE NO. Q— �O CLASS SWIMMING POOL RECEPTOR 1.75 DISTRI. N0. GROUP ZONE P CESSED BY LAWN SPRINKLER SYSTEM 1.75 �� f� WATER HEATER 1.75 INDUSTRIAL �/ D•; WASTE APPROVAL GAS SYSTEM OUTLETS 1.75 OUTLETS OVER INSPECTION RECORD CA. 0 5 PER SYSTEM 30 " 1-� V W LL N Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE I APPROVALS DATE NSPE]CTOR jj SIGNATURE Plan check applicant UNDER SLAB WORK 1 g I/ & Name ROUGH PLUMBING />11�7� N AddressGAS PIPING City Tel. No. p� / GAS VENT \ � . I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER 4.dJ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING v PLUMBING. GAS TEST 1 SU IHEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED g,J LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THELEGAL OWN OF, AND INTEND TO RESIDE IN THE ABOVE DE R BED RESIDENTP L P RTY: FINAL SI GNA TURE OF PERMITTEE '- PERMIT VALIDATIONCK. M.0. CASH PLAN CHECK VALIDATION CK. M.0. CASH 7' 9 2 SHY, 2 5 G 4.7 5 A98 WORKERS',COMPENSATION DECLARATION 20-0026,DPW 4/90 APPLICATION FOR PLUMBING PERMIT " I hereby, affirm that i have a certificate of consent.to self in- 76A667A sure,or a certificate,of Workers'Compensati n ur nce,ora C ertified copy thereof (Sec: 38 0, Lab. C )' &u:� • � t� M�ty COUNTY OF LOS ANGELES DEPT: OF PUBLIC WORKS Policy.Na. Com any E] Certified copy is hereby furnished.: BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) Certified copy is filed with ihe`county building inspection ADDRESS 9 25 TVN Lj. dep rimen NUMBER. FIXTURE OR ITEM: @ FEE A� 1 n b4. CVr -Z WATER CLOSET. !� LOCALITY 1�► V V�"\f Date Applicant. 7t7 D l� NEAREST - 7- CERTIFICATE OF EXEMPTION FROM WORKERS' ^I BATH TUB CROSS SL COMPENSATION INSURANCE OWNER • - SHOWER ` (This section need not be completed if the work involved by MAIL �r-� the permit is for one hundred dollars (;100)or less.) 2- LAVATORY d ADDRESS 1��,w ('certify that in the performance of,the work for which this per- SINK ' TEL. NO. mit is issued; I shall not employ anyCITY.person any manner so �� — � j� as to become subject to the Workers'Compensation Laws.. DISHWASHER ��/� ^' CONTRACTOR �`'�1Y V�0 1`r Date Applicant CLOTHES WASHER p, rA� NOTICE TO APPLICANT: If, after making this Certificate of Ex- ADDRESS 01d Vn�L AVS-.. ,you shld bb ouecome subject to the WorkersCom en- SWIMMINGPOOL RECEPTOR emtion P Y I ' P - CITY r�- EL."f�� sation provisions.of the Labwf.ode;you-must forthwith comp- LAWN SPRINKLER SYSTEMS TG r� ly with such provisions or this permit shall be deem_ed'revok- • STATE 2 2 LIC. ed: WATER HEATER LICENSE NO-"1 J- I CLASS- LICENSED CONTRACTORS—DECLARATION.. DISTRICT NO. PROCESSED 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 �� and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL *A�I:VQATION fect. HOSE-BIB DATE r7 1, /�' I 'S" ,, -�a License Number Lic�.Class _1_ FIN _ AL _ V BY ) !' Contractor 1 `5O.� _ I am exempt under•Sec. I HL 34 �--s-_�. CHC 1.—1 W B.BP.C. ,for this reason Plan Check fee. Date: PLUMBING PERMIT ISSUING FEE$ H1 iti'•�� Signature "TOTAL FEE SINGLE FAMILY a all # 1F F Plan check a licant HOME OWNER-BUILDER DECLARATION PP �: _ r:�a a e,, 1 hereby affirm that I am exempt from the Contractor's License Name�. „{� EN �(�� Co, 'N[� r 1 A s s i''-}1 Law for the following reason (Section 7031.5, Business and ' Professions,Code): ❑ I, as owner of the property, will,do the work and the City" Tel. Nol�l,g44O" " structure.is not intended or offered for sale(Section 7044, Business'and Professions Code). CONSTRUCTION MENDING 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 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-men ioned property for inspection purposes.' r Gl SEE•REVERSE FOR EXPLANATORY LANGUAGE Signature Permittee Date , WORKERS, COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT _ I heireby affirm Ghat I have a certificate of consent to self 76A667A insure�_aZQc rificate of Workers'`pmpensQtion Insurance, CE 817(REV. 10/81) or a certified copy thereof (Sec. 3800, Lab. C.) t COUNTY OF LOS ANGELES. .- " BUILDING AND SAFETY Policy No. mPanY Certifie�d copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ❑ Certified copy is filed with the county building inspec- ADDRESS NUMBER FIXTURE OR ITEM" tion department. - @ - FEE LOCALITY � Date Applicant WATER CLOSET NEAREST 1 CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. / COMPENSATION INSURANCE OWNER (This section need not be completed if the work involved by SHOWER the permit is for one hundred dollars ($100)or less.) LAVATORY MAIL ADDRESS I certify that in the performance of the work for which this permit is.issued, I shall not employ any person in any manner SINK CITY TEL. NO. so as to become subject to the Workers_'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESSOl NOTICE TO APPLICANT: If, after making this Certificate of Exem tion, ou should become subject to the Workers' SWIMMING POOL RECEPTOR f p y I CITY TEL. NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply 'with such provisions or this permit shall be STATE LIC. deemed-revoked. WATER HEATER LICENSE NO. 0?,, CLASS LICENSED CONTRACTORS DECLARATION DISTRIL wO�_/ P ED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS t UX (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER y. and Professions.Code,and my license is in full force and effect. 5 PER SYSTEM FINAL 'v VALID ION 0' DATE cLY —91OZ V License Number Lic. Class F1 tY Contractor Dater 0 ❑ l� I am exempt under Sec. a • to B.&P.C. for this reason Poo.Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ � 2 4 1 2 6 A Signature _ TOTAL FEE 1�6 !T- e • • e•m 5 Plan check applicant SINGLE FAMILY -I ••••1 6.50 HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License' • • • 16 5 G 5 Law for the following reason (Section 7031.5, Business and Address Professions Code): City Tel. No. 0 2 2 7.1-86 ❑ I, as owner.of the property, will do the work and the structure is not intended or offered for sale (Sectiob , 7044,Business 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 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 for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE gnature of Permittee JE ate WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that- have a certificate of consent to self 76A667A nsure, or a,certificate of Workers' Compensation Insurance, CE 817(REV. 10/81) or a cert' i d copy thereof (Sec. 3800, Lab` C.) n COUNTY OF LOS ANGELES �b BUILDING AND SAFETY PolicyT16f IJ� ompany _r ,e ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING �i �, rr'N�� Certified copy is filed with the count uilding inspe ADDRESS tion department. NUMBER FIXTURE OR ITEM Q FEE LOCALITY ��✓ /9 ll Date Applic WATER.CLOSET NEAREST CERTIFICATE OF EXEMPTION F ORKERS' BATH TUB CROSS Si. COMPENSATION INSU NCE OWNER SHOWER e to—,o>✓ (This section need not be completed if the work involved by MAIi sg, the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY -/ TEL. NO. so as to become subject to the Workers Compensation Laws. DISHWASHER CONTRACTOR / �r a Date Applicant CLOTHES WASHER a/ NOTICE TO APPLICANT: If, after making this Certificate-of ADDRESS Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITY-eLIn TEL. LAWN SPRINKLER SYSTEM with comply with such provisions or .this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. �� CLASS 1ka LICENSED CONTRACTORS DECLARATION DISTRICT NO. OCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS y (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER �6 - �� h 7 n )- and Professions Co nse is in.full force and effect. 5 PER SYSTEM �' VALIDATION O DATE F �Sa License NL mbe Lic. Class A1✓D� ,O.�6aA�� FINAL ;�4 2 ° 22,50 O Contractor DateBy 2 2 5(� V o:o o til ❑ I am exempt under Sec. CL CA BAP.C. for this reason 7 1 0,0 3_8.. Z Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE 2---2• T-LA Plan-check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name . I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and Professions Code): City Tel. No. ❑ I, as'owner of the property, will do the work and the structure is not intended or offered for sale (Section , 7044, Business 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 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 repr of this County to enter upon the above-m 1pr for inspec 'ofi purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE g ature df Pe it Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT + DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0612070010 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 - PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 6561 LT: 345 BL: .001 - 9425 LAS TUNAS DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802136 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OAK 8587-007-023 01 PERMIT ISSUANCE FEE _ 27.75 THOMAS PAGE: 596.' GRID.: J3 LOCALITY: TEMPLE CITY, C 26 MISCELLANEOUS FIXTUR 1.00 FIX 16.20. TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: -12/07/06 JK 06/05/07 OWNER: TEL. NO: FINAL DAT VrNJZA BY: CODE: CHEVRON USA INC - 9425 LAS TUNAS EXPIRCU - DESCRIPTION OF WORK REMOVE EXISTING DISPENSERS AND INSTALL (4) NEW DISPENSERS INSTALL NEW HEALY CLEANAIRSEPERATOR ON CONCRETE CONTAINMEN APPLICANT: - TEL. NO: T PAD DTS ENGINEERING (714) 237-7741- 1240 N. VAN BUREN ST SPECIAL CONDITIONS: ANAHEIM, CA 92807 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE DTS ENGINEERING (714) 237-7741- 1240 N. VAN BUREN STE. 240 LIC. NO UNDER SLAB WORK - RANCHO CUCAMONGA, CA 91730 NONE WATER SERVICE PLASTIC Y!N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: ECS - ROUGH PLUMBING 9128 PLACER STREET LIC. NO: RANCHO CUCAMONGA, CA 92807 NONE GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS - - GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM l REPORT ID: DPR263 ROUTE TO: BS0508