HomeMy Public PortalAbout9545 LAS TUNAS DR_Plumbing__ 76A667-CE&817 10-67
1
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN (PR NT OR TYPE) CROSS ST. 1^-' :r,
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET I.50
MAIL
BATH TUB 1.50 ADDRESS
SHOWER 1.50 CITY TEL. NO.
LAVATORY 1.50 CONTRACTOR
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY TEL. NO.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. CLASS '
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00 �-
a.
WATER HEATER 1.50 - INDUSTRIAL O
WASTE APPROVAL U
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD W
OUTLETS OVER J
.30 LL
5 PER SYSTEM
r
0
a
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEF.
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Te 1.
e1. No• ]ANO/OR
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS A
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TPLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS RGAS TEST
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTEREUTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANDCALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATURE - - .JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R.
OF PERMITTEE -
PERMIT VALIDATION CK. M.O. �">r SH.r
PLAN CHECK VALIDATION CK. M.C). CASH ,"
I�.
J
DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT
COUNTY OF LOS ANGELES PLUMBING
NATURE OF INSTALLATION DISTRICT NO. GROUP I NO. PERMIT O./
ROUGH I I c ! /
PLUMBING FIXTURES _� COMPLETE //J
HEATER CESSPOOL SEPTIC TANK _ READY FOR RECEIVED BY DATE ISSUED
_ FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN AVILY O LINED PORTION ON ,Y
/p JOB
NAME ADDRESS
M �. - ._-�
W LOCALITY
� ADDRES .,! _
NEAREST
-
-j CIT _. NO. CROSS ST.
T
IL
STE UNTY
LICENSE NO. AEG. NO. NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
ADDRESS
NORTH O
CITY 4,1C. TEL NO.
RRECTI NS
i
i
D
r
-- SOUTH ---
DESCRIPTION OF WORK
BATH TUB —FURNACE
APPROVALS
_SHOWER DISHWASHER
DATE INSPECTORS NAME
LAVATORY .____-_REFRIGERATOR
ROUGH PLUMBING �-
-KITCHEN SINK WATER SOFTENER I
GAS PIPING
FLOOR SINK SAND TRAP I
GAS VENT �
SLOP SINK ---- __FLOOR DRAIN i— ----- �`---- -----
CESSPOOL I
WASH TRAY __ URINAL i
SEPTIC TANK
_WATER CLOSET -. DRINKING FOUNTAIN
SEWER
WATER HEATER -__—DENTAL LAVATORY
lh ETER
UTILITY CO. NOTIFIED
OUTL —SODA FOUNTAIN
FINAL
t -- 1 AM THE LEGAL, - +6�'+ 9VE LOS A TELES
COUNTY REGISTR U
TOTAL NUMBER OF FIXTURES
PLUMB6041
SEPTIC TANK
I AM THE LEGAL OWNER OF THEIP PERTY DESCRIBED
_.__._CESSPOOL I 4 ABOVE,
PERMIT FEE _I 100
TOTAL FEE OWNER
� p
76A667 17 5-49®+ �. APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES P L 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
PLUMBER �iQ��� �Au L,I RECEIVE Y READY FOR ° DATE ISSUED
(+ _ /� / FIRST INSPECTION
ADDRESS C.
l S._ Q.a.- d;►J1w'rBUILDING
2-
COUNTY
6 ,
Slaa Cea�.a/!! `3-�Y� ADDRESS'g �"% Y-d La. /•Y 2- tv
CITY TEL. NO.
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST. ryi,u' o S
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER ladmo`wt f VN
MAIL
WATER CLOSET (TOILET) @ 0.50 $ ADDRESS
BATH TUB @ 0.50 CITY TEL. NO.
SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) @ 0.50 AGREE TO COMPLY,WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I 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 @ 'O.50
SIGNATURE OF
WATER HEATER @ 0.50 PERM ITTE
SLOP SINK @ 0.50 INSPECTION R CORD �.
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50I
DISHWASHER @ 0.50I /
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50
HOUSE SEWER @ 0.50 Q
MISCELLANEOUS 0
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESS.EaOL @ 1.00 I CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT @ 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE $ y
J W FINAL
D.B.S.-17 25M SETS 12-45 APPLICATION FOR PERMIT'
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES �`���'�� '
Wm. J. FOX. CHIEF ENGINEER I .
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT DW
NO.
ROUGH FIXTURES COMPLETE S I
HEATER CESSPOOL -�SEPTIC TANK REC , Y READY FOR DATEISSUED
FIRST INSPECTION r/ `J
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
Q JOB
C NAME j°'. ` '>/ Z Qrt T ADDRESS12
sf g
c Y
ADDRESS E�.•*fT�s2` LOCALITY
D /f '
.J. CITY y��7" .,- .(f==2 TEL.N�. , �- .-.�5 ,�
NEAREST
T.
COUNTY � }}
CERT.No. EXPIRES NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
3 ADDRESS
NORTH O
CITY TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLumomm
t AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
OWNtR
CORRECTIONS.
SOUTH "a
DESCRIPTION OF WORK
cti
BATH TUB FURNACE
BOWER DISHWASHER
L017 1 AVATORY REFRIGERATOR
-KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
-�� WATER CLOSET DRINKING FOUNTAIN DATE INsptCTOR'8 NANt
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I L-" e
METER GAS SODA FOUNTAIN
/ OUTL GAS PIPING
GAS VENT ( I
CESSPOOLI I-
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CESSPOOI- SEPTIC TANK SEWER
TOTAL FEE is /a UTILITY CO.NOTIFIED I
FINAL
76A667-CE817 12/59
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN. Suer of BUILDING /
LOCALITY ` � l G
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. /m 5
NUMBER FIXTURE OR ITEM �+
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL. NO.
SHOWER
LAVATORY CONTRACTOR -
SINS ADDRESS ly (7
DISHWASHER CITY G `JH(? if 1•>v TEL. NO.
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. 3 4, COUNTY ❑
CLOTHES WASHER DISTRICT NO. I .GROUP I ZONE I PRQCIESSED BY
WATER HEATER s//to, C
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
P,
O
U
a
0
H
U
1.7
a
rn
z
j
OR FIXTURE $
APPROVALS DATE//„ INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTALFEE ROUGH PLUMBING
GAS PIPING i
1 HEREBY ACKNOWLEDGE THAT 1 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.
1 HEREBY CERTIFY THAT 1 AM PROPERLY-REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST v
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL ROP.F Y. UTILITY CO.NOTIFIED I r
SIGNATURE
OF PERMITT 4 FINAL
®Pv VALIDATIO OBERT A. O r D.
CK. M.O. cpsR UPERVISING MECHANICAL ENG'R
4 - ,613533 410. NOV 21 5 D 3.00 � ..
WORKERS'COMPENSATION DECLARATION APPLICATION OR PLUMBING PERMIT
I hereby affirm that I have a certificate of consent to self 20-0026 DPW 6/87
insure, or a certificate of Workers' Compensation Insurance, 76A667A
or a certified copy thereof (Sec. 3800,`Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
Policy No.11 V9575 Company Stal-P Flinn
Certified copy is hereby furnished.
' FOR APPLICANT TO FELL IN(PRINT OR TYPE) BUILDING
Certified copy is filed with the county building inspec- ADDRESS
tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY
11-8-91 William -G.: Garcia WATER CLOSET
Date Applicant NEAREST
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST.
COMPENSATION INSURANCE OWNER
(This section need not be completed if the work involved by SHOWER Securit Pacific Bank
the permit is for one hundred dollars $100 or less. MAIL
p ( ) ) LAVATORY .ADDRESS
I certify that in the performance of the work for which this
permit is issued, I shall not employ any person in any manner SINK CITY TEL. NO.
so as to become subject to the Workers'Compensation Laws. DISHWASHER
CONTRACTOR
Mission Plumbing & Heating
Date 11-8--91 -Applicant William G. Garcia CLOTHES WASHER
NOTICE TO APPLICANT: If, after making this Certificate of ADDRESS504 E. Valley Blvd
ec
you s
,
Exem tionhould become subject to the Workers' SWIMMING POOL RECEPTOR
P y I CITY San Gabriel TEL. No.289-1514
Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM
with comply with such provisions or this permit shall be STATE LIC.
deemed revoked. WATER HEATER LICENSE NO. 1139575 CLASS 3 6 C
LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY
I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS
(commencing with Section 7000) of Division 3 of the Business OUTLETS OVER d �
and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL ff j VALIDATION
DATE 1' l Z—41 / ®'
License Nu l 9,. Garcia
Lit. Class36 i =..
Wtil. arcla llt5E1 M1SSlOri Um ing FINAL
BY 0,
Contractor& Heating Date 11^8-91 ®'
❑ I am exempt under Sec.
LL9B.BP.C. for this reason Plan check fee �
Date: PLUMBING PERMIT ISSUING FEE$ A/1 J
Signature
TOTAL FEE
Plan check applicant
SINGLE FAMILY
HOME OWNER-BUILDER DECLARATION Name _;i; =
I hereby affirm that I am exempt from the Contractor's License
Law for the following reason (Section 7031.5, Business and Address 7_07
.at_s,i
Professions Code): City Tel. No. I ? r
❑ I, as owner of the property, will do the work and the LA
structure is not intended or offered for sale (Section 0
7044, Business and Professions Code).
CONSTRUCTION LENDING AGENCY ==_f
I hereby affirm that there is a construction lending agency for -it.Jr
the performance of the work for which this permit is issued
(Sec. 3097, Civ. C.).
Lender's Name )f#s`_ :'( ar.
Lender's Address "' ° +f f 4 i;
I certify that I hove 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
Signature of Permittee Date