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HomeMy Public PortalAbout9574 LAS TUNAS DR_Plumbing__ 761667-CE817 3.59 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING JOHN A. LAMBIE, County Engineer ADDRESS CASSATT D. GRIFFIN, Supt of Building LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. / moi s�y c �7 HUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL BATH TUB ADDRESS CITY /� d' TEL. NO. SHOWER LAVATORY CONTRACTOR 7 TS SING ADDRESS g,, % 97 DISHWASHER CITY TEL. NO. C✓Jjy-5'- 1/pro CONTRACTOR'S STATE LAUNDRY TUB REGISTRATION NO. ;�7 40 f COUNTY El CLOTHES WASHER DISTRICT N GROUP I ZONE PROCESSED BY WATER HEATER ✓ . GAS 9Y INDUSTRIAL E Si c ti WASTE APPROVAL INSPECTION RECORD a $1.00 PER ITEM C OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE -H PERMIT $ I 7-100 UNDER SLAB WORK TOTAL FEE 3 e_4,, ROUGH PLUMBING GAS PIPING I 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 PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES CE LINSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST 7z- DESCRIBED I CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. _ UTILITY CO. NOTIFIED SIGNATURE _J, OF PERMITTE FINAL ®r VALIDATIO ROBERT A. WOOD, CK. Y.O. CASH 'SUPERVISING MECHANICAL ENG'R ! .IE06049�3 Fa 4 5 A 3DO WORKERS'COMPENSATION DECLARATION 1 APPLICATION FOR PLUMBING PERMIT .I hefreby Arm that I have a certificate of consent to self 76A667A insure, or a certificate of Workers' Compensation Insurance, CE 817(REV. 10/81) or a certified cop thereof (Sec. 3800, L b. C.)1 COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No.,?r mpany._ �C //I 111 Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING /� Certified copy is filed with the coun uildin i ADDRESS tion department. NUMBER FIXTURE OR ITEM @ FEE r LOCALITY Date 2,�® �� Appligant WATER CLOSET 41� (1ZL NEAREST CERTIFICATE OF EXEMPTION F M WORKERS" BATH TUB CROSS ST. COMPENSATION INS RANCE SHOWER OWNER l O r� (This section need not be completed if the work involved by -DAMAIL the permit is for one hundred dollars($100)or less.) 3 LAVATORY ©(� ADDRESS �Alvl �! I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK G CITY TEL. NO ��_�13 S L so as to become subject to the Workers'C72/Tw��_ La p .•' / DISHWASHER CONTRACTOR �/��, Date ` r/l a Applicant , CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after mak' g this Certifiodre of � Exemption, you should become su4ect to the Workers' SWIMMING POOL RECEPTOR CITY TEL. NO. (/ Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM 6A� t d ✓L�l Tar T with comply with such provisions or this permit shall be O STATE c! LIC. deemed revoked. WATER HEATER LICENSE NO. / , � CLASS LICENSED CONTRACTORS DECLARATION z DISTRICT NO, ,pRR ESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS C�iJJEE C (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER d and Professions Code,and my license is in full forces and effect. 5 PER SYSTEM FINAL VALID TION O License Number LG/ `Lic. Class -3� DATE 3d 09 09 FIN O Contractors;4 BY V W I am exempt under Sec. H B.&P.C. for this reason Z Plan check fee � Date: PLUMBING PERMIT ISSUING FEE$ L/9' Signature TOTAL FEE SINGLE FAMILY Plan check applicant L 426 A HOME OWNER-BUILDER DECLARATION Name # • • • • • 5- I I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Address ( • • 765 0 Professions Code): Cit Tel. No. City • • . 76.5p 1, as owner of the property, will do the work and the structure is not intended or offered for saleSection 7044, Business and Professions Code). ( pop C 7, 0—g J 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- oned pr e f r inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 2 la. f� Sign of Permittee Date • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT • DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1101060020 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ITR 6561 LT 628 9574 LAS TUNAS DR I IFEE DESCRIPTION QUANTITY UOM AMOUNT- 1 TEMP CA 917802106 ASSESSOR INFORMATION NUMBER- I I NEAREST CROSS STREET TEMPLE CITY 18587-015-012 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE. 596 GRID J3 LOCALITY TEMPLE CITY, CI 1 107 BATHTUBS/SHOWERS 1.00 FIX 16 30 TENANT I11 CLOTHESWASHER(S) 1 00 FIX 16 30 (ISSUED ON PROCESSED BY PLAN BY I 125 LAVATORIES/SINKS 4 00 FIX 65 10 101/06/11 SR 1 145 WATER CLOSET/URINAL 1 00 FIX 16 30 1 TOWNER TEL NO 147 WATER HEATER(S) 1 00 WTH 16 30I FINAL ATE F BY CODE IZOCCOLI GABRIEL TR ZOCCOLI FAMILY T - 163 WATER PIPING BR/FIX 6 00 FIX 40 30 1 1 19578 LAS TUNAS OR I TOTAL FEES 198 40 1 ITEMP 917802106 1 DESCRIPTION OF WORK 1 ITENANT IMPROVEMENT OF COS TIC SALON PLUMBING I I I I (APPLICANT TEL NO I 1 1 IKWOK, TERENCE (323) 697-2120- 1 1 1 1260 E. GARVEY AVE I ISPECIAL CONDITIONS I IMONTEREY PARK 91755 I I 1 I I I I I I I I ICONTRACTOR TEL NO. I 1APPROVALS DATE INSPECTOR SIGNATURE 1 ITTL CONSTRUCTION (626) 780-1990- 1 1702 PARK AVENUE #210 LIC NO 1 (UNDER SLAB WORK 1 I ISOUTH PASADENA, CA 91030 626157 B II I I 1WATER SERVICE 1 1 I I IPLASTIC Y/N METAL Y/N I I I 1ARCHITECT OR ENGINEER TEL NO I I I I IKWOK, TERRENCE (323) 697-2120- 1 IROUGH PLUMBING 1260 E GAREY AVE LIC NO IMONTEREY PARK, CA 91775 C-24796 C I IGAS PIPING 1 1 I I I I I I I IGAS VENT I I I I I I I I I IHOT WATER HEATER 1 I 1 I I I I IPLUMBING FIXTURES I II I I I I I I I 1 ILAWN SPRINKLERS 1 1 I I I I I I I I IGAS TEST I I I I I 1 11 1 1 I (UTILITY COMPANY NOTIFIEDI I I I I I 11 1 I I ICwV I I I I I I I I IGRAY WATER SYSTEM I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I (REPORT ID DPR263 ROUTE TO BS0508 I I 1 I I I I I I