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HomeMy Public PortalAbout9569 LAS TUNAS DR_Plumbing__ 7BA667-CE817 6-60 �j J / VPL&BNI APPLtCATI FO �ER N COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS WILLIAM A.JENSEN. SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM tol OWNER WATER CLOSET MADRIL � BATH TUB �S?/ NO G a'�/c3 SHOWER CCONTRACTO4 1/A LAVATORY SmADDRESS DISHWASHER CITY CONTRACTOR 5 STATE LAUNDRY TUB REGISTRATION NO. i ;Z7 a COUNTY CLOTHES WASHES DISTRICT NO. GROUP ZONE P D BY WATER HEATER D — GAS SYSTEM INDUSTRIAL _ WASTE APPROVAL INSPECTION RECORD a O U P4 O a 0 $1.00 PER ITEM y OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK TOTAL FEE S ROUGH PLUMBING 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 HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PR PERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERM1.. FINAL J m� VALIDATION ROBERT A. WOOD, X.O. l/ B� SUPERVISING MECHANICAL,ENG'R 7 2 '" Wl �_ 1 5 D 3.0 0 �' r76A667 (CE-317) - 173 APPLICATION F PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION _ MAKE CHECKS PAYABLE TO: BUILDING `` �! ADDRESS b l� 9 e. S HARVEY T. BRANDT, COUNTY ENGINEER LOCAL( FOR APPLICANT TO FILL IN (PRINT OR TYPE( NEAREST CROSS ST. C NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 2.00 OWNER MAIL + ' BATH TUB 2.00 ADDRE SHOWER 2.00 CITY TEL. NO. LAVATORY 2.00 CONTRACTORjr SINK 2.00 ADDRESS ,Z• �. DISHWASHER 2.00 r � CLOTHES WASHER 2.00 TATELIC L I C E N E N0' L1 CLASS SWIMMING POOL RECEPTOR 2.00 DISTRICT NO.GROUP ZONE OCESSED BY LAWN SPRINKLER SYSTEM 2,00 U O ,_ y 0 _/ WATER HEATER 2.00 7 Ute' INDUSTRIAL y WASTE APPROVAL p GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD V OUTLETS OVER 5 PER SYSTEM .30 to O t; W N Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEES 6,0 TOTAL FEE Ste' APPROVALS DATE INSPECTOR'5 SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ .THIS APPLICATION HOT WATER HEATER 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 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PER TY. FINAL SIGNATURE OF PERMITTE PERMIT VALIDATION CCK. M.O. CASH PLAN CHECK VALIDATION CK. M.0. CASH 1 7 FFR l 5 u 7.1t T V �3 O. B. 17 7-40 25M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ( ZONE PERMIT No. ROUGH PLUMBING I FIXTURES COMPLETE RECEIVED BY READY FOR DATE ISSUED HEATER CESSPOOL SEPTIC TANK ;yf ` FIRST INSPECTION GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY i JOB NAME �' ` / ,/ ADDRESS W `f f fADDRESSl� /y _^ �f I��1 �" ( r' LOCALITY ' 7 NEAREST _ IL CITY �d Qr�"�r� TEL No. CROSS ST. COUNTY CERT. NO. EXPIRES III NAME z MAIL f' OCATION OF SEPTIC TANK, OR CESSPOOL O ADDRESS w�S CITY TEL No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. Ste) , OM1^ OWNER w�l ! CORRECTIONS DESCRIPTION OF FORK Z -BATH TUB FURNACE IY SHOWER DISHWASHER 0 LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK _SAND TRAP SLOP SINK FLOOR DRAIN —_WASH TRAY URINAL APPROVALS _WATER CLOSET DRINKING FOUNTAIN DATE INSPECTORS NAME _--WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I� __. METER GAS SODA FOUNTAIN GAS PIPING I OUTL GAS VENT -- CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK SEWER ,----CESSPOOL SEPTIC TANK - $ / —(/t— UTILITY CO. NOTIFIED I TOTAL FEE I // "+ FINAL D. B. 17 7-40 25M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND COUNTY OF LOS ANGELES SAFETY PLUMBING 2 WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT No. ROUGH I L_T ( F 1,( J j is i 2 oe PLUMBING FIXTURES COMPLETE RECEIVED BY I READY FORD T �E ISSUED HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION � GAS MISCELLANEOUS LIC T FILL JN HEAVILY OUTLINED PORTION ONLY / Jos K NAME ADDRESS W t+ ADDRESS �, OCALITY ,f O -NEAREST L CITY rI'EL No CROSS ST. L COUN lk • CERT. NO. EXPIRE NAME Z MAIL OCATION FSE IC TANK, OR CESSPOOLO ADDRESS NORTH CITY TEL No. 1 AM THE LEGAL POPS E R OF THE A!��LOS ANGELES COUNTY CERTYF/ OF LIFI . ♦ P BE I AM THE LEGAL O R OF H ROPERTY DE CRIBED ABOVE. A IS 3 0 OWNER CORRECTIONS SOUTH w F DESCRIPTION OF WORK v BATH TuB FURNACE a SHOWER DISHWASHER LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER [�__FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTORS NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FOUNTAIN GAS PIPING OUTL GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK �MCESSPOOL SEPTIC TANK SEWER UTILITYCO. NOTIFIED TOTAL FEE �$'.,Z FINAL D. B. 17 7-40 25M APPLICATION FOR PERMIT DEPARTMENT OF P,UILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION ! DISTRICT NO. GROUP I ZONE I PERMIT No. ROUGH I FIXTURES I I COMPLETE f PLUMBING RECEIVED BY ( READY FOR I p TE 196UED HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION GAS MISCELLANEOUS 1 , APPLICANT FILL. IN HEAVILY OUTLINED PORTION ONLY t F �.+ JOB - ✓ NAME � 1'�- /��-. /��r�� TP i J ADDRESS.:�.- / ,, I m ADD SSER (�� i� LOCALITYNEAREt a. CITY%�1 TEL NOr?A2 �O 1 ! - CROSSSST. � COUNTY n CERT. NO. EXPIRES W NAME q Z MAIL LOCATION OF SEPTIC TANK, OR CESSPOOL o I ADDRESS NORTH -i CIT'/ TEL No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ,y ANGELES COUNTY CERTIFICATE OF QUALIFICATION. iPLUMBER 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. N > ' i OWNER Y�y 7 CORRECTIONS E k y --"-- SOUTN-------._ ---- J DESCRIPTION of WORK _I Z BATH TUB FURNACE IL __ SHOWER _DISHWASHER LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER 17. t7 FLOOR SINK SAND TRAP _ __ SLOP SINK FLOOR DRAIN APPROVALS ---WASH TRAY URINAL __—_--WATER CLOSET DRINKING FOUNTAIN DATE INSPECTORS NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FOUNTAIN GAS PIPING i! �4" .'y'►''1• OUTL GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK ,---CESSPOOL SEPTIC TANK SEWER I$ UTILITYCO. NOTIFIED I TOTAL FEE I` FINAL WORKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT �I hgreb� 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 Company ❑ Certified copy is hereby furnished BUILDING F-1ADDRESSAPPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS �i( V Certified copy is filed with the county building inspec- tion department NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET NEAREST L CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST L6� C zrz COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars ($100)or less.) -2— LAVATORY V 0 ADDRESSSAY 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL NO so as to become subject to the Workers'bmpensation Laws DISHWASHER CONTRACTOR Date Applicant { CLOTHES WASHER NOTICE TO AP (CANT If, after mi kin t Certifica e of ADDRESS Exemption, you should become subje to the Workers' SWIMMING POOL RECEPTOR p Compensation provisions of the Labor Code, you must forth- CITY TEL NO p p y LAWN SPRINKLE STEM with comply with such provisions or this permit shall be STATE LIC deemed revoked WATER HEAT LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION DISTRICT fn PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTE UTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVE and Professions Code, and my license is in full force and effect 5 PER SYSTEM FINAL VALIDATION DATE License Number Lic Class ! (��� U ,,����� FINAL Contracto>��--.�—a-109 to 0— BY v Q ❑ I am exempt under SecJILLF .0v ����'B/ / U' B 8P C for this reason a Plan check fee CO Date PLUMBING PERMIT ISSUING FEE$ 7 Signature TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name °_F. �s I hereby affirm that I am exempt from the Contractor's License Address - -a Law for the following reason (Section 7031 5, Business and Professions Code) Cir Tel No ❑ Y I, as owner of the property, will do the work and the _ structure is not intended or offered for sale (Section 011. ;i(3 HL _� m 50 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY T' 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 �42 a H. a T 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 jaws regulating Plumbing, and hereby authorize representatives of this County to enter upon the ZbZntioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signare o ermittee Date