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Home My Public Portal About9516 LAS TUNAS DR_Plumbing__ 76A667-CE4t817 10-67/ APPLICATION FOR PLUMBING .. PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION fEAREST UILDING ! T� JOHN A. LAMBIE, COUNTY ENGINEER DDRESS 16 Las Tun-as Dr COLEMAN W. JENKINS. SUPT. OF BUILDING OCALITY Tcr�Iole City 9 Cal FOR APPLICANT TO FILL IN (PR NT 0R TYPE) Alessandro- NUMBER � a ROSS ST. e s sa nd ro- NUMBER FIXTURE OR ITEM EACH FEE _ OWNER L�.UTi sSale rn0 WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADDRESS 1103 Danbury Rd . , .arc 9100E SHOWER 1.50 CITY l CadJ.a TEL. NO. 444-8 49 LAVATORY 1.50 CONTRACTOR Wt - EP. Graham Plurabing SINK 1.50 ADDRESS 9127 L s 1 una s Dr. , DISHWASHER 1.50 tOINDUSTRIAL cm�lle City TEL. NO. 286-9293 CLOTHES WASHER 1.50LIC STATE SE NO.STATE1044 CLASS C-3 SWIMMING POOL RECEPTOR 1.50TRICT NO. GROUP_ ZONE PROCESSED BY LAWN SPRINKLER SYSTEM 2.00 �s�. �.�{ql'E'/ 0 WATER HEATER—r '�lat;Q.50 1 - VE APPROVAL GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD I-- C-7 OUTLETS OVER W 5 PER SYSTEM .30 - C- Z Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE S 2 00 TOTAL FEE3 5 APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City. Tel. No. HOT WATER HEATER r- - - 1 HEREBY ACKNOWLEDGE THAT 1 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. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED' LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO �' RESIDE IN.THE ABOVE DESCRIBED RESIDE IAL PROPERTY. FINALoil 0�2w,7- 11 44 / SIGNATURE 1 r JACK R. ALLEN, SUPERVISING MF.,CH ANICA EN-G'R,.,__ OF PERMITTEE ( lH -- - PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.0. C H _ . DB 17 7-38 ZSiM ` DEPARTMENT OF BUILDING-AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES PLUMBING NATURE OF INSTALLATPN• DISTRICT No. I GROUP i No./ i. PERMIT No P ROUGHi I . PLUMBING •1 FIXTURES l!i.000 COMPLETE.i HEATER ) _�GESSPOOL I SEPTI READY READY FOR RECEIVE BV I DATE i SUED FIRST INSPECTION I D BAS - I �rMISCELLANEOUS I � APPLICANT iIILL IN HEAVILY OUTLINED •PORTION ONLYJOB 471 J, , !t NAME _ ADDRESS s'S ADDR 5. '� . _ LOCALITY 'm=' — NEAREST A IIITY- � -'f _ TEL. N� �„��(p,+j''y CROSS ST. ' STATE COUNTY tg�/t LICENSE NO.,2,o7�U 47 REG. NO.. /'•� �r W 1___LlAA4E LOCATION OF SEPTIC BANK, OR/CESSPOOL 31:4 I ADDRESS . - NORTH ...-- — I_ CITY -TEL NO. COR.REMTIONS • I • W� D �I _ Z SOU TH -a '----- �' DESCRIPTION OF WORK '—I.—EdATH TUB -FURNACE ) A7Ei"R®�AL SHOWER DISHWASHER .1 3 gv DATi INSPECT'OR'S NAME _ ��LAYATORY REFRIGERATOR - - ROUGH PLUMBING KITCHEN SINK _—_—.WATER SOFTENER .GAS PIPING / I -7-� ��I i[!'i 1A V111- T .FLOOR SiNR• ._-SAND'TRAP -. / I - GAS VENT l - 'LOP SINK x -- FLOOR DRAIN CESSPOOL - - WASH TRAY --_URINAL SEPTIC TANK .__WATER CLOSET .— -_DRINKING FOUNTAIN - •3 _ SEWER _ WATER HEATER DENTAL LAVATORY ! UTILITY CO. NOTIFIED bi . ETER�oOUTL ODA FOUNTAIN FINAL -- 1 AM THE LEGAL OWNER OF liE ABOVE'LAS ANGELES+ - - COUNTY REGIST ATION N _ TOTAL NUMBER OF FIXTUR e _37 _ - R' PLUMBER" _SEPTIC TANK 1 I AM THE AL OWNER OF THE PROPERTY DESCRIBED * CESSPOOL "`ABOVE. TOTAL FEEI OWNER I 76A667-CE817 12/59 TEMPLECITY APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND CFOEUNTYY ENGISEON BUILDING ADDRESS / WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY 7,e-y- FOR APPLICANT TO FILL IN NEARCROSS ST. t�-L• NUMBER - FIXTURE OR ITEM' OWNER � WATER CLOSET MAIL ` BATH TUB ADDRESS � CITY+ TEL. NO,4r SHOWER CONTRA TORS j LAVATORY SINS ADDRESS DISHWASHER CITY Z, a E„ TEL. NO CONTRACT0jrS /7 STATE LAUNDRY TUB REGISTRAT ON NO. oC COUNTY ❑ pmw CLOTHES WASHER DISTRICT NO. GROUP ZONE P E n91)BY WATER HEATER o e � I b� C� GAS SYSTEM ocJ INDUSTRIAL WASTE APPROVAL INSPECTION RECORD S u U w a rn z @ $1.00 PER ITEM $ I y 1 OR FIXTURE V V APPROVALS DATE INSPECTOR'S SIGNATURE —H PERMIT $ 2100 UNDER SLAB WORK TOTAL FEE — ROUGH PLUMBING / &r 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 PLUMBING. HOT WATER HEATER 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR .PLUMBING FIXTURES ✓ LICENSED AS REQUIRED BY LOS A GES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I TH LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL OP Y. UTILITY CO.NOTIFIED }� SIGNATURE OF PERMITTE ` FINAL ®P. VALIDATIO ROBERT A. WOOD. ' CK. M.O. cnsH SUPERVISING MECHANICAL ENG'R D.B.S.17 25M.SETS 12`44 - APPLICATION FOR PERMIT DEPARTMENT OF. BUILDING AND SAFETY- �� COUNTY OF LOS ANGELES WM. J.,FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO: GRO_UP ZONE PER/MII NO. .ROUGH FIXTURES COMPLETE � • c NEATER CESSPOOL ISEP I TIC TANK RECEIVEDs/BAY READY FOR FIRST INSPECTION DATE [SyBUED GAS -MISCELLANEOUS J _ 'a APPLICXNNT FILL IN HEAVILY OUTLINED PORTION ONLY .. , JOB - , -1 -NAME a ADDRESS ADDRES LOCALITY J - - pp NEAREST t y CIT � 'EL.NO, f y CROSS ST. ? CO TY " CERT.No. EXPIRES` - S NAME'- LOCATION OF SEPTIC TANK, OR SSP ®I' z MAIL � 3 ADDRESS-.tom�y• _ - NORTH O CM Y CL4 TEL.Nof"A 1 AM THE L AL POS E OF THE BOVE -Los ANGELES COON CERTIFI AT OF QUI�F�tCA ti-LUMBER 1 AM THE LEGAL OW ER OF THE PROPERTY DESCRIBED FI ABOVE. .. . W OWNER CARRECTIONS L SOUTH- DESCRIPTION OF WORD BATH TUB FURNACE f4' _.SHOWER DISHWASHER LAVATORY -REFRIGERATOR REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP RLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS! f WATER CLOSET - _DRINKING FOUNTAIN - DAT E/ - {Iyl� INSPECTOR'BfNAM6 WATER NEATER DENTAL LAVATORY`. ROUGH PLUMBING /� 'r/t Lfh! 6 .try METERGAS SODA FOUNTAIN 6A3 PIPING I U` V COUTL GAS VENT CESSPOOL • TOTAL.NUMBER OF FIXTURES I SEPTIC TANK I I CESSPOOI SEPTIC TANK SEWER TOTAL FEE UTILITY CO.NOTIFIED I I . I � - FINAL ! I, � �JRKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 76A667A insure, or a certificate of Workers' Compensation Insurance, CE 817(REV. 10/61) or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING pn -T 1 Certified copy is filed with the county building inspec- ADDRESS I 'A �y _ h! tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY ' '�P�� f`� 5 7 Date Applicant WATER CLOSET NEAREST v CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNERJA �V S L ` (This section need not be completed if the work involved by // the permit is for one hundred dollars $100 or less. ADDRESS�16j C vN P ( ) � LAVATORY I certify that in the performance of the work for which this i , ) permit is issued, I shall not employ any person in any manner SINK CITY ri� `6 ��q TEL. N07'4— so O? 4— so as to becom subject to the Workers'Compensation Laws. DISHWASHER CONTR Cj�//�� a Q� ACTOR t� Dare Zj �� Applicant.)AA)(Lr� ��""' S(E CLOTHES WASHER NOTICE TO APPLICANT: if, after making this Certificate of ADDRESS' �q. C��ti Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR CITY Compensation provisions of the Labor Code, you must forth- 1 1 LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. //i� deemed revoked. WATER HEATER LICENSE NO. CLASS `—3 LICENSED CONTRACTORS DECLARATION DISTRICT NO. PR SED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS ^ (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and m license is in full force and effect. 5 PER SYSTEM y J+ /- DA EL 3Z)— VALIDA ON License�Nuum�ber /�. /44j �Q Lic. Class lrTFINA 19 �yV% c e �� V Contractor ate ❑ I am exempt under Sec. / V to .372 B.&P.C. for this reason .Plan check fee �• Date: ► 220a8, PLUMBING PERMIT ISSUING FEE$ v # • 0 0 • o Signature ( o • TOTAL FEE • • • Y Plan check applicant ' 05.2 -8 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 authori a representatives of this C unty to enter upon the ab ov �ionecl perty or insp.cti n purposes.' SEE REVERSE FOR EXPLANATORY LANGUAGE gnature of Permitte Date )