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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