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HomeMy Public PortalAbout9520 LAS TUNAS DR_Plumbing__ DEPARTMENT OF BUILDING APPLICATION FOR PERMIT COUNTY OF LOS ANGELES PLUMBING NATURE OF INSTALLATION DISTRICT O., GROUP Il No. PERMIT Noc- ROUGH � / �/ISI/ . PLUMBING FIXTURES COMPLETE READY FOR RECEIVED BY DATE/ISSU.EDP' HEATER _CESSPOOL SEPTIC TANK FIRST INSPECTION / �� GAS MISCELLANEOUS t- APPLI ANTFIEL M HEAVILY OUTLINED ORTION ONLY d ' NAMEI�UI(� //✓�f ` O X06 / �il.,/piyT .µ._�fi rl ADDRESS �, ��i>'\...:i°�t - f$.le m 13 7 .d �'� � �- W m ADDRESS / LOCALITY '��� Ja NEARE TEL. NO.& �. ` CROSS ST T CITY ai� . STATE /� COUNTY LICENSE NO., % A11 �j REG. NO. �(/. `� W NAME, Z LOCATION OF SEPTIC TANK, OR CESSPOOL MAIL 3 ADDRESS NORTH O CITY 1,..P�Y+� ,r> Ivy TEL<NO:•- /CORRECTIONS . w In W > ' 3 � - J a SOUTH I Z DESCRIPTION OF WORK I o BATH TUB FURNACE �f SHOWER DISHWASHER A`o LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS 2 . WATER CLOSET DRINKING FOUNT/SIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING ) __ METER GAS UTL SODA FOUNTAIN GAS PIPING I r GAS VENT C,A CESSPOOL TOTAL NUMBER OF FIXTURES � SEPTIC TANK SEPTIC TANK CESSPOOL U SEWER I PERMIT FEE 100 UTILITY CO. NOTIFIED \ TOTAL FEE D�� FINAL OB 17 7-38 28M. \ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES PLUMBING NATURE.OF - STALLAi`ION DISTR15j l, GR�ODU ir�0. PERMIT f� ROUGH _ _ I. t _ 7. 1 _ PLUMBING F,,,,IIrXTURES• COMPLETE � _ HEATER f ,.�'!' Cg,ygp00t _ �SEPTICTANK' READY FOR I^RECE VEFY DATEeISSUEI7 FIRST INSPECTION 6A8 1 I MISCELLANEOUS � APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB NAME /_ A DRESS �'Y — 1 10 ADDRESS & _ 11(J. <: O ,�,.O�TY B 4a NEARESTr CITY NO �2 CROSS ST. IL STAT -v COUNTY ( LICENSE.Nd� ,%:J.&j REEG. NO. , C��jnn�l� ir w NAME LOCATION OCATION OF SEPTIC TANK, OR CES, VV Z MAIL � �a ADDRESS ./ PtaRTH I pi v'� 0 CITY 1 / ,+�js21,��33pp3� g r7 TEL NO. CORRECTIONS I t a a: SOUTH I �� DESCRIP'T'ION OF WORK ATH TUB — FURNACE - ---/--BATH .� BAPPROVALS ...__._SHOWER _—DISHWASHER DATE INSPECTOR'S NAME .._._� LAVATORY _—REFRIGERATOR ROUGH PLUMBING .KITCHEN SINK .____WATER SOFTENER �2 � ✓.� ,f :s� �-��ta���� FLOOR SINK .—.—__—SAND TRAP GAS PIPINGA / f�'� f._p �+✓" `" `e GAS VENT O• SLOP SINK _._--FLOOR.DRAIN CESSPOOL _ WASH TRAY URINAL SEPTIC TANK _WATER CLOSET- _ DRINKING FOUNTAIN SEWER —/—, V.IATER HEATER __— DENTAL LAVATORY - UTILITY CO. NOTIFIED .—/____METER__GAS ODA FOUNTAIN OUTL FINAL I Iti v 1 AM THE LEGAL OWN�RfOFTHE/ABOVE LOS ANGELES COUNTY REGISTRATIIOO t M yl I/ TOTAL NUMBER OF FIXTURES' i' ��. V PL(OMBER SEPTIC TANK c cv� ABO1 AB M THE LEGAL OWNER OF THE PROPERTY DESCRIED CESSPOOL f _ fi VE. I --. i s TOTAL FEE i� ® OWNER D.B. 17 25M SETS 12-43 APPLICATION FOR PERMITDEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS'ANGELES PLUMBING WM.J. FOX. CHIEF ENGINEER NATURE OF IEgSTALLATIONTE DISTRICT NO. GROUP ZONE- P RMIT NO. ROUGH _ 8/I HEATER CE86POOL 1-'F',71-SEPTICTANx RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION GAS M18CELLANEOU pAPPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY NAME t., 3? , �'.�«l, ADDRESS . 7A,4 _A%A ADDRESS B� 3. r LOCALITY J f NEAREST L CITY r �3 ffi t�A, TEL.NO. CROSS ST. y.+/� ,,{�f� COUNTY CERT.No, r EXPIRES /l u -/-/ LOCATION OF SEPTIC TANK, OR CESSPOOL• z MAIL- ^� /� 3 ADDRESS !/ NORTH O �� - CITY TEL.NO. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. Cpl�. '�_ iftt-���� �� . PLUM6ER 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. 3 f// OWNER "1 CORRECTIONS SOUTH J DESCRIPTION OF WORK Z _z BATH TUB FURNACE [7 Q' SHOWER DISHWASHER Q LAVATORY REFRIGERATOR . KITCHEN SINK WATER SOFTENER FLOOR SINK SANDTRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING II METER GAS SODA FOUNTAIN OUTL GAS PIPING I GAS VENTNIIIIIIIIIIIIIIII I I CESSPOOL TOTAL NUMBER OF FIXTURESSEPTIC TANK I I CESSPOOl SEPTICTANK / n SEWER �/� UTILITY CO.NOTIFIED TOTAL FEE FINAL DS t7 7-,38 ZSM DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMT COUNTY OF LOS ANGELES PLUMBING' NATURE OF INSTALLATION DISTRICT IVO. GROUP 1 No. PEFt IT No. I i �i�ry} PLUMBING I_ FIXTURUGH ES dV COMPLRTE / I �® j ,(HEATER CESSPOOL (SEPTIC TANK! READY FOR RF�CE{VED�BY DATEISSUED FIRST INSPECTION A A� A15 0� .Y p GAS I i MISCELLANEOUS APPLICANT /FILL IN /HEAVILY OUTLINED PORTION ONLYJOB NAME .�!i t�./�D O F��I. i � A _ ADDRE,.a f Com '- /.r�� ® ADDRESS YJl. �'��.°. � �,i.' /v .��.-� 1C_. -''SJ/I�A LOCALITY NEAREST .D! CITY i l.� --?. iq TEL. NO:fJ%!/ E°/I . F( CROSS ST. STATE e,' YCOUNTY ,,r+� // LICENSE NO. REG. NO. i NAME LOCATION OF Slw,' TIC TANK, OR CESSPOOL 3 I AMAIL DDRESS - NORTH O CITY =�­ L. I' TEL NO. COR43C'i'IOI'dS m 14 J V O SOUTH DESCRIPTION OF WORK BATH TUB .—.--------FURNACE APPROVALS — __ __SHOWER —_ _A DISHWASHER u DATE INSPCCTOR'S NAME ---REFRIGERATOR—REFRIGERATOR ROUGH PLUMBING _ -_ KITCHEN SINK ---WATER SOFTENER GAS PIPING _ FLOOR SINK .------SAND TRAP GAS VENT SLOP,SINK ----___FLOOR DRAIN - a' p3��`_ CESSPOOL { J ' WASH TRAY — _URINAL 4I s SEPTIC YANK I _ WATER CLOSET ______DRINKING FOUNTAIN SEWER _ WATER HEATER .__._—DENTAL LAVATORY UT{LI'PY CO. NOTIFIED ..__METER--*GAS -------SODA FOUNTAIN OUTLFINAL -- 1 AM THE LEGAL OWNER OF THE ABOVE LOS ANGELES COUNTY REGISTRAATTTIIIO/ NUMBER. ( d TOTAL NUMBER OF FIXTURES-- PLUMBER �(�� SEPTIC TANK 1 AM THE LEGAL OWNER OF THE PROPERTY DESCVISED 1_—CESSPOOL ABOVE. TOTAL FEE I" � OWNER 6 D.S.S.17 25M SETS 1-48 APPLICATION FOR PERMIT OF BUILDING AND SAFETY ' COUNTY OF LOS ANGELES WM.J. FOX.Cx1EF ENGINEER PLUMBING NATURE OF INSTALLATION DISTRICT . GROUP o PERMITo ROUGH FIXTURES COMPLETE HEATER CESSPOOL I—I SEPTIC TANK RECEIVED BY READY FOR DA E ISSU D FIRST INSPECTION L/��/ AS-- M ISCELL.ANEOus /APPLICANT FILL IN IIEAVILYt-OUTLINED PORTION ONLY d' NJOB AME /o. "\,6'f/�:✓y` Glr�_ - ADDRESS�`,�^ g ADDRESS,4%i� v( /�ifri9F�(Cir�i ��� LOCALITY r NEAREST 6 CITY TEL.No. CROSS ST.COUNTY CERT.No.6el EXPIRES LOCATION OF SEPTIC TANK, OR CESSPOOL MAIL ADDRESS NORTH O CITY TEL.No. I AM THE LEGAL POSSESSOR OF,,,THE ABOVE LOS ANGELES COUNTY CERTIF�CATE 0OIT,QU' LIFICATION. r PLUMMER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. _ N 8 OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK a z_ BATH TUB FURNACE 0 ROWER DISHWASHER Q v— LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE ,INSPECTOnR'�S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I ��J/L;( METER9 GAS SODA FOUNTAIN GAS PIPING I I \ OUTL GAS VENT I CESSPOOL TOTAL NUMBER OF FIXTURES 3 SEPTIC TANK I I CESSPOOI- SEPTIC TANK SEWER (�© UTILITY CO.NOTIFIED TOTAL FEE FINAL 7 e>-,, Sze- f, w,ORKERS'COMPENSATION DECLARATION 0 APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self in- 7PW 4/9 6A667A sure,br a certificate of Workers'Compensation Insurance,or a certified copy thereof (Sec. 3800, Lab. C.) Policy No�?�6?¢3Company v,'g T COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Certified copy is hereby furnished. BUILDING 10 FOR APPLICANT TO FILL IN(PRINT OR TYPE) �-+ Certified copy is filed with the county building inspection ADDRESS department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY / e— il ,— //_ 22- Date — GlTy Date // _ 2� Applicant --'� WATER.CLOSET(TOILET). NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. '�4lLCJ�/il COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved byMAIL �^ (' the permit is for one hundred dollars($100)or less.) LAVATORY ,/ ADDRESS qd� - _ J ��� �+ I certify that in the performance of the work for which this per- SINK CITY mit is issued, I shall not employ any person in any manner so TEL.GTj/.. TEL. NO as to become subject to the Workers'Compensation Laws.. DISHWASHER •- CONTRACTORS Date. Applicant CLOTHES WASHER ADDRESS �T , NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- CITY �LO/�tT TEL.NO.. sation provisions of the labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEMS ._ ly with such provisions or this permit shall be deemed revok- STATE /J / LIC. ed. WATER HEATER // LICENSE NO. Jv �¢Z / CLASS CJ LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEMOUTLETS C 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is in full force and ef- S.PER SYSTEM FINAL VALIDATION fect. HOSE BIB j DATE Z a Licens Number Lic. Class .vT -K/ FINAL V Contractor e / Z BY ACCT. 4 cc O ❑ I am exempt under Sec. Q 33503 71.70 W B.&P.C. for this reason Plan check fee ai Date1 ITEflS r -PLUMBING PERMIT ISSUING FEE$ �-p Z Signature TOTAL 71-70 SINGLE FAMILY TOTAL FEE /, O CHECK 71.70 HOME OWNER-BUILDER DECLARATION Plan check applicant CHANGE •00 I hereby affirm that I am exempt from the.Contractor's License Name Law for the following reason (Section 7031.5, Business and Professions Code): Address 0000-0001 11/22/95 I, as owner of the property, will do the work and the City Tel. No. 3414 1 AM11:31 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 representatives of this County to enter upon the above-mentioned propert or inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date ' WORKER'S COMPENSATION DECLARATION 20-0026 DPW 9/89 APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self insure, 76A667A or a certificate of Worker's Compensation Insurance, or a certified copy thereof(Sec.3800 Lab.C.) - COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. Policy No. Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING �.•� j' El Certified copy is filed with the county building inspection ADDRESS (�! (� tl Y department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. - COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the work involved by the SHOWER MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or less.) OWNER I certify that in the performance of the work for which this permit LAVATORY is issued, I shall not employ any person in any manner so as to SINK MAIL ADDRESS become subject to the Workers' Compensation Laws. 3 DISWASHER CITY TEL.NO. Date Co-Z 1/ Applicant CLOTHES WASHER -'� CONTRACTOR NOTICE TO APPLICANT: If, after ma ing this Certif' ate of C Exemption,you should become subject tote Workers'Corr65ensation SWIMMING POOL RECEPTOR c T �� provisions of the Labor Code, you must forthwith comply with such ADDRESS � l� N IZ— provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM _ LICENSED CONTRACTORS DECLARATION CITY (/� -� TEL.N0. I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER STATE LIC. (commencing with Section 7000) of Division 3 of the Business and LICENSE NO. CLASS C- Z6 O Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS V r DISTRICT NO. PROCESSED BY Q OUTLETS OVER 7-O 5 PER SYSTEM �b y o (/J U O License Number Lic.Class C� _ / } Z G FINAL DATE ?j_ C�-�� VALIDATION W Contractor Date `��Z 2 ' Cn ❑ .. /' .. I am FINAL Z exe t under Sec. BY B.&P.C.for this reason Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ Signature ❑ TOTAL FEE 3 40 -_--•• _ - Plan check applicantT r:-: SINGLE FAMILY .i. F i�}is HOME OWNER-BUILDER DECLARATION Name - 30 §S- 1 hereby affirm that I am exempt from the Contractor's License Law .` 1- 57 for the following reason (Section 7031.5, Business and Professions Address _ Code): }_. ice:_ `_i i e l-) ❑ City Tel.No, I,as owner of the property,will do the work and the structure i;j-A Ut 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 therp= performance of the work for which this permit is issued (Sec. 3097, = -T - rErli n`fr Civ.C.) Lender's Name I 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 py for�nspeCti�purposes. 71 SEE REVERSE FOR EXPLANATORY LANGUAGE Sign ture of Per 'tee Date