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Home My Public Portal About9600-9602-9604 LAS TUNAS DR_Plumbing__ , DBS.17 10.93 APPLICATION FOR PLUMBING PERMIT 1 BS-1 DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles BUILDING p� JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS CASSATT D,GRIFFIN,SUPT OF BUILDING LOCALITY FO APPLICANT TO FILL IN NEAREST CROSS ST. f OWN &ZI/ DISTRICT NO. GROUPI V N-`I READY FOR INSPECTION MAIL ADDRESS INDUSTRIAL CITY Xr 4L4t— TEL. NO. WASTE APPROVAL PLUMBER INSPECTION RECORD ADDRESS 0 y Com= CITY TEL. NOAQ O b LICENSE NO. 7 .�' Z NUMBER TYPE OF FIXTU E OR ITEM FEE WATER CLOSET (TOILET) @ $I.00 $ a BATH TUB @ $1.00 SHOWER @ $1.00 p LAVATORY (WASH BASIN) @ $1.00 / 640 KITCHEN SINK @ $1.00 D 4 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 �> GAS SYSTEM @ $1.00 G V 7= APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING Z GAS PIPING l\ U TOTAL FEE QQ GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING, I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST ' -2 is)S- LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED " DESCRIBED RESIDENTIAL PROP TY. SIGNATURE 4 1 OF PERMITTEE FINAL Zf� JOHN A. LAMBIE, COUNTY ENGINEER jALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR CCK./ Y.®...yy L eCASH A WT Q 7.00 a S-17 25M SETS 12-45 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 Wm. J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE HEATER CESSPOOLI—I SEPTIC TANK RE BY READY FOR DATE ISSUED FIRST INSPECTION GAS MISCELLANEOUS I —,;I/- APPLICANT ,f.APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB ��JJ E NAME .0 ADDRESS Id ADDRESS - .L' �g LOCALITY G c NEAREST d CITY 0 G' f TEL.No. CROSS ST. '1_ G G• -GO1J � r- � CERT.No. EXPIRES=..:j C NAME LOCATION OF SEPTIC TANK, OR CESSPOOL 3 AMAIL DDRESS NORTH I O /' CITY "(. EL.No. I AM THE GAL POSS SOR OF THE ABOVE LOS ANGELES COU CERTIFICATIk.OF QUALIF"T1DN., PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED q ABOVE. OWNER CORRECTIONS SOUTH ►.1 DESCRIPTION OF WORK ATH TUB FURNACE (y a ROWER DISHWASHER O _LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP LOP BINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS QODA FOUNTAIN GAS PIPING OUTL GAS VENT CESSPOOL � I I TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOL SEPTIC TANK SEWER TOTAL EPEE UTILITY CO.NOTIFIED FINAL D.B.S.17 25M SETS 12.44 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 . ROUGH FIXTURES COMPLETE ti r' C-5 / V+ R HEATER CESSPOOL -I SEPTIC TANK SQj[IVSD BY READY FOR DATE ISSUED� FIRST INSPECTION GAS MISCELLANEOUS "'� ��"v ,,,APAICAW fILLeINH LY OUTLINED PORTION ONLY JOB p t NAME 4'r ADDRESS C� 1 r � ADDRESS !:»,: .� LOCALITY .A DNEAREST cz '1 CITY TE' 1 CROSSST. 4 6 COUNTY CERT.NO. E. IRES �I Y NAME LOCATIO"F SEPTIC TANK, OR CESSPOOL — = MAIL NORTH O ADDRES8 CITYTEL.NO. 1 AM THE' GAL 1OF T A E LOS ANGELES CO CERTI AT 1►quA 4 PLUNDER 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED M ABOVE. W � OWNER CORRECTIONS i 1 SOUTH DESCRIPTION OF WORK BATH TUB FURNACE O M HOWER DISHWASHER 0 LAVATORY REFRIGERATOR -KITCHEN*INK WATER SOFTENER FLOOR FINK SAND TRAP LOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'$NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I METER-GAS SODA FOUNTAIN oun 6A8 PIPING I I GAS VENT MISS/ CESSPOOL TOTAL NUMBER OF FIXTURES v SEPTIC TANK CESSPOOL lEPTIC TANK SEWER s TOTAL FEE UTILITY CO.NOTIFIED I II FINAL 76 A 667—CE817 8/68 APPLICATION R PLUM G PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING AUILDING DDRESS 016'�\' CU:2 = JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY j�/{.l f;)LC �_ / 7�" NEAREST FOR APPLICANT TO FILL IN (PR NT OR TYPE) CROSS S NUMBER FIXTURE OR ITEM EACH FEE OWNER j L. WATER CLOSET 1.50 /- �t' �1` MAIL BATH TUB 1.50 ADDRESS �J K L L/9 / 1, /l J SHOWER 1.50 CITY TF1k)JJ1 /7- TEL. NO. LAVATORY 1.50 CONTRACTOR /y/1S J ,/,L; �L rG SINK 1.50 ADDRESS !7t)[I/ L (//-)LL L DISHWASHER 1.50 CITY TEL. NO..-j CLOTHES WASHER 1.50 LIC LIATECENSE NO. .�--�G)�/ CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE ESS BY LAWN SPRINKLER SYSTEM 2.00 Q �j C4-2..- _ O WATER HEATER 1.50 INDUSTRIAL v WASTE APPROVAL Z O X GAS SYSTEM OUTLETS �' Ci CS INSPECTION RECORD _ U OUTLETS OVER q X 5 PER SYSTEM .J- X J . � Z Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 TOTAL FEF: Q APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant /� �../�) UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No. HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST r] —Z -7 PLUMBING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL /-7 'G�-��2-L•� SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R. OF PERMITTEE Li -' Ct-C_L C '1 PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH 5 iia ! u C Com' -VD, -,? 76A667 (CE-817) - 5/73 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: ADDRELD ISS " T l HARVEY T. BRANDY, COUNTY ENGINEER LOCALITv CYC` FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. C1 L• Q/ "e NUMBER FIXTURE OR ITEM @ FEE OWNER WATER CLOSET 1.75 MAIL BATH TUB 1.75 ADDRESS SHOWER 1,75 - O(� ITY TEL. LAVATORY1.75 CONTRACTOR C - SINK 1.75 ADDRESSS DISHWASHER 1.75 CITYG��%�lLf� 1l TEL. NO.c�r� elf" CLOTHES WASHER 1.75 STATE LIC cy, �� SWIMMING POOL RECEPTOR 1.75 LICENSE NO. CLASS DISTRICt' TRO P �t'�lEFR ESSE Y LAWN SPRINKLER SYSTEM 1.75 t " / J I C.. WATER HEATER 1.75 INDUSTRIAL WASTE APPROVAL }. GAS SYSTEM OUTLETS 1.75 ®- INSPECTION RECORD OUTLETS OVER 5 PER SYSTEM .30 Lx O F— GJ LtJ CL. G/J Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL FEE � APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST f t 1i PLUMBING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED ' � LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEG L OWNER OF, AND INTEND TO RESIDE IN THE ABOVE 'BED RE IDENTIAL PROPERTY. FINAL SIGNATUREAi6k 'T-1-- �/- OF PERMITTE L " PERMIT VALIDATI N CK. .0. CASH PLAN CHECK VA DATION CK. M.O. CAS DAA.17 25M SETS 1-48 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WM.J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONPERMIT . ROUGH FIXTURES COMPLETE , y t�' RECEIVED HEATER BY READY FOR PATE ISSUED _CESSPOOL SEPTIC TANK FIRST INSPECTION _ A MISCELLANEO �1 PLICANT FILL IN HEAVILY OUTLINED PORTION ONLY r NAME ADDRESS d W I ADDRESS t..' OCALITY Z P1 NEAREST d CITY 2 CROGO*T. COUNTY CERT.No. O EXPIRES d 5 NAME LOCATION OF SEPhC TANK, OR CESSP L x MAIL 3 ADDRESS NORTH O CITY TEL.No I AM TH AL OR OF THEA10VE ANGELES CO TY CERT F qu F �t PWMSR 1 AIA THE LEGAL OWNER OF THE PROPERTY DESCRIBED ASOV E. owmim CORRECTIONS SOUTH J DESCRIPTION OF WORK Q z_ ATH TUB FURNACE HOWER DISHWASHER 17 LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY I I ROUGH PLUMBING METER a" SODA FOUNTAIN Oun GAS PIPING I GAS VENTIS I CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK I I CESSPOO aEPTICTANK SEWER I S '/�-[�J UTILITY CO.NOTIFIED I TOTAL FEE �/ FINAL41LI 76A667—CE 817468 (� 7ir APPLICATION FOR PLUMBI PERM T COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN (PR NT OR TYPE) CROSNEARSSST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADDRESS SHOWER 1.50 CITY TEL. NO. LAVATORY 1.50 CONTRACTOR SINK 1.50 ADDRESS DISHWASHER 1.50 CI ?i TE . CLOTHES WASHER 1.50 STATE �/'f LIC LICENSE Nole�Y cF' CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO GROUP ZONE PROCESSED BY LAWN SPRINKLER SYSTEM 2.00 % ? _ O WATER HEATER 1.50 INDUSTRIAL u WASTE APPROVAL GAS SYSTEM OUTLETS 1.50 IN PECT N ECORD O OUTLETS OVER 5 PER SYSTEM .30 N z Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE S 2 00 TOTAL FEE -j' APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No. HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR UTILITY CO. NOTIFIED LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND 1 ND TO ALA THE ABOVE DECCRI�BEaD RESIDE 1 L PROPERTY FINAL SIGNATURE /J�-- JACK R. ALLEN, SUPERVISING CH ANICAL ENG'R. OF PERMI G— wd PERMIT VALIDATION CK.. M.O. CASH PLAN CHECK VALIDATION CK. M.O. ASH IL ' D.B.S.17 25M SETS 12-44 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 Wm.J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT_NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE / -, HEATER CESSPOOL 1_1 SEPTIC TANK RECE�$,��Y READY FOR DATE ISSUED �c ! FIRSV30WPECTION GAS MISCELLANEOUSMENEM 'T 'CA) AP)ELICANT FILL IN HEAVILY OUTLINED PORTION ONLY ' JOB �" • [ NAME _ ADDRESS g ADDRESS !/ /"16t'�1 LOCALITY .J CITY WEAREST TE Jao �/' }CROSS BT. r COUNT ZA CERT.No. L EXPIRES Y[I NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAILa�. 3 ADDRESS t lS NORTH O CITY ! t l •" TEL.No 'I I AM THE AL POS• OR OF THE ABOVE LOS ANGELES COON CERTIFICxrM OF ALIFIC,Af !pN. 1 PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. OWNER CORRECTIONS i L SOUTH 04 DESCRIPTION OF WORK ATH TUB FURNACE ►r —SHOWER DISHWASHER C LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFT[NMR LOOR SINK &AND TRAP LOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'•NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER—GAS SODA FOUNTAIN OUTL GAS PIPING I I GAS VENT I CESSPOOL TOTAL NUMBER OF FIXTUR[S SEPTIC TANK CESSPOOL SEPTIC TANK SEWER I I • l I TOTAL FEE I 'S UTILITY CO.NOTIFIED y�.� FINAL IoM sera If.�l 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 FIXTURES COMPLETE --- RECEIVED BY READY FOR DATE ISSUED HEATER CESSPOOL 1-1-SEPTIC TANK__ i ,t FIRST INSPECTION , f GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY Y t _ t A.NAME �} !"E ��/p!' 1 Y�� I` ��=t ADDRESS W ADDRESS �� , •� Vt _ LOCALITY NEAREST aJ _CITY hjeIL4 �- (f TEL. N..A_r /• "L./ CROSS ST. CUN CERT. No. / �i EXPIRES v44 NAME j Z MAIL LOCATION OF SEPTIC TANK,OR CESSPOOL 3 ADDRESS NORTH 0 CITY TEL. No. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE bly"QUA)LIFICATION. _I PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. m 3 i OWNER CORRECTIONS SOUTH ,J Q DESCRIPTION OF WORK 3 BATH TUB FURNACE 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 INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER-J--GAS _ —SODA FOUNTAIN OUTL GAS PIPING GAS VENT ^ CESSPOOL -Cn'---TOTAL NUMBER OF FIXTURES •J SEPTIC TANK CESSPOOI SEPTIC TANK SEWER $ ! UTILITY CO.NOTIFIED TOTAL FEE d/ A D.B. 17 o.a zsM APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING- NATURE 1 COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT 1V0. GROUP I ZONE PERMIT NO. �,� r,✓ !,' �� ROUGH FIXTURES / COMPLETE HEATER ECEIVED BY READY FOR ' DATE IDIS D CESSPOOL I SEPTIC TANK •�'' FIRST INSPECTION _ GAS I ✓- I MISCELLANEOUS • APPLICANT FILL IN HEAVILY` OUTLINED PORTION ONLY NAME JOB --�' Ix ADDRESS W ADDRESS��} �O �r��0 yf pa LOCALITY � j ✓��C' A CITY TEL. fj NEAREST COU Y CROSS ST. CERT.No. — EXPIRES '" NAME J LOCATION OF SEPTIC TANK, OR CE OL' 3 MAIL f ADDRESS NORTH O CITY TEL.No. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUWFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. F W 3 1 OWNER CORRECTIONS -I J SOUTH Q DESCRIPTION OF WORK 0 BATH TUB FURNACE O 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 4PECTOR'S NAME WATER HEATER --__DENTAL LAVATORY ROUGH PLUMBING � it METER�GAS — SODA FOUNTAIN GAS PIPING OUTL GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOL SEPTIC TANK SEWER FINAL UTILITY CO. NOTIFIED WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm 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 copy thereof (Sec. 3800, Lab. C. COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspec- ADDRESS tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Appl i4anT WATER CLOSET 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 the permit is for one hundred dollars $100 or less. MAIL P ( � ) LAVATORY ADDRESS 71Oo2 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any ma ner SINK CITY r �s TEL. NO. gn so as to become subject to the Worker C pensatio a s. DISHWASHER CONTRACTOR Date pplicant �� CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, aft making this Certificate of Exemption, you should be me subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITY TEL. NOI/7 LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. r� deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PR E GAS SYSTEM OUTLETS �t I hereby affirm that I am licensed under provisions of Chapter 9 Zj� a >_(commencing with Section 7000) of Division 3 of the Business OUTLETS OVER ✓ CL and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL0 " ,7 DATE �O VALIDATION v License Numb Lic. Class of FINAL ('" o Contracto -119' Date BY l U ❑ IXi exempt under Sec. f^� d B.BP.C. for this reason ? Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ Signature / { TOTAL FEE ( f"D Plan check applicant 7 Q, ' A SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name '• • • • • I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and 2 • • 1 5 C Professions Code): City Tel. No. ❑ 1, as owner of the property, will do the work and the • • • 1 6 5 Q structure is not intended or offered for sale (Section ' 7044, Business and Professions Code). , •Q,V 0.-8 3 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 Poo information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives this County to enter upon the above- en ned grope r i pection purpose SEE REVERSE FOR EXPLANATORY LANGUAGE � O gnature of Permitt a Date WORKERS' COMPENSATION DECLARATION20-0026 PW 4/87 APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self in- 76A667A sure, or ertificate of Workers'Compensation Insurance,or a CE 817(REV. 8/86) `lU� certified thereof (Sec. 3800, Lab. C.) 4 COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspection ADDRESS qXe_1 7 department. NUMBER FIXTURE OR ITEM @ FEE FOCALITY Date Applicant WATER CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. 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.) LAVATORY ADDRESS L o p , I certify that in the performance of the work for which this per- mit is issued, I shall not employ any person in any manner so SINK CITY TEL. NX615r- J as to become subject to the Workers' Compe tion Laws. DISHWASHER 6 CONTRACTOR /Vl Date_ pplicant CLOTHES WASHER IT NOTICE TO APPLICANT: If, after making this ��ficate of Ex- ADDRESS + �� emption, you should become subject to the WorJCers'Compen- SWIMMING POOL RECEPTOR CITY TEL. NO h / sation provisions of the Labor Code, you must(forthwith comp- LAWN SPRINKLER SYSTEM y13-9�16 i ly with such provisions or this permit shall be deemed revok- STATEhh LIC � . ed. WATER HEATER LICENSE NO. L +% CLASS C-��? LICENSED CONTRACTORS DECLARATION DISTRICT NO. OCES BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS {/ 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER �7 0 and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL/� VALI ATION r fect. DATE 1 1/ 0 d / rh License Number 51 ] 3 I Q Lic. Class C O SINAL CJ p v cc Contractor p Date 1 ! BY ij I am exempt under Sec. U W B.&P.C. for this reason / d Plan check fee ► z Date' PLUMBING PERMIT ISSUING FEE $ Signature TOTAL FEE SINGLE FAMILY .t � HOME OWNER-BUILDER DECLARATION Plan check applicant A�'�'r.+ y I hereby affirm that I am exempt from the Contractor's License NameI •T Law for the following reason (Section 7031.5, Business and ., -�'� ct_I Professions Code): Address '�'" I, as owner of the property, will do the work and the City Tel. No. 1 !TEMS structure is not intended or offered for sale(Section 7044, TOT 20 -50 Business and Professions Code). _ CONSTRUCTION LENDING AGENCY 011. . �CHECK 0.513 I hereby affirm that there is a construction lending agency for CHANGE r01-1 the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). 'y, ,00 Lender's Name 130 --I310li1 2/23/90 9196 1 AM 10 2:1 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 andtate laws regulating Plumbing, and hereby authorize reprId ntatives of this County to enter upon the abov nti property for inspection purposes. G SEE REVERSE FOR EXPLANATORY LANGUAGE Sign re o rmittee Dat WORKER$'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT �I I hereby affirm that'I have a certificate of consent to,self 2D-0026 DPW 6/87 I insure, or a certificate of Workers' ComperTsation Insurance, ,76A667A ILJII or a certified cop thereof (Sec. 3800, Lab. C�.$) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No.r✓Z/' 72 Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ® Certified copy is filed with the county building inspec- ADDRESS fi�G L_EJ 6,4-xxS do department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY A �� if f U PP 4nt /yAl , WATER CLOSET Q li � NEAREST Date a CERTIFICATE OF EXEMPTION FRO ORKERS' BATH TUB CROSS ST. /f COMPENSATION INSURANCE OWNER fF3C t (This section need not be completed if the work involved by SHOWER the permit Is for one hundred dollars ($100)or less.) LAVATORY ADDRESSo I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY SG• � ��6 , TEL. NO S so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR F � • -` /76A/�rm Compensation provisions of the Labor Code, you must forth- CITYTEL. NO.LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION GAS SYSTEM OUTLETS DIST T N .t� ROC BY I hereby affirm that I am licensed under provisions of Chapter 9 o fj (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL AL ATION nr. License Number__V-C/ 2f Lic. Class �- 36 DATE U CAi� GI JS�OCGff �O��SaYJ/oti BY AL W Contractor _Date O ❑ I am exempt under Sec. W B.BP.C. for this reason ► 0' Plan check fee 0- -Date: PLUMBING PERMIT ISSUING FEE$ Z Signatur TOTAL FEE Plan check applicant 5 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name AC.CT.T I hereby affirm that I am exempt from the Contractor's License 33 Or s- Law for the following reason (Section 7031.5, Business and Address ��.1]� 1.•!t Professions Code): City Tel. No. S ❑ 1 ITEMS I, as owner of the property, will do the work and the c- structure is not intended or offered for sale (Section TOTAL I I hL 9---s - 0 7044, Business and Professions Code). , CHECK t 4,c.c;_I CONSTRUCTION LENDING AGENCY _ I hereby affirm that there is a construction lending agency for t.HANt3E ■l.�t the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Itl 1 6/i Lt✓9•! ■ Lender's Address 14ti.;1 1 AM 8■3 1 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 property for inspection urposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ignature f ermittee i Da e I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0503040004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES D BUILDING ADDRESS: TR: 6561 LT: 579 9600 LAS TUNAS DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802108 A S NEAREST CROSS STREET: TEMPLE CITY 8587-018-018 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J3 LOCALITY: TEMPLE CITY, C 17 FLOOR DRAINS) 5.00 FIX 81.00 TENANT: 25 LAVATORIES/SINKS 5.00 FIX 81.00 PROCESSED N: HAPPY SMILE DENTAL CARE INC. 45 WATER CLOSET/URINAL 2.00 FIX 32.40 03/04/05 JK 08/31/05 92 NO PERMIT OWNER-BLDR 257.00 DOL 257.00 OWNER: TEL. NO: TOTAL FEES 479.15 F NAL DATE FINAL BY: CODE: HAPPY SMILE DENTAL CARE INC. (626) 379-6696- 9600 LAS TUNAS DR. TEMPLE CITY CA 91780 DESCRIPTION PLUMBING TENANT IMPROVEMENT FOR DENTAL OFFICE APPLICANT: 0: D T K CONSTRUCTION (323) 261-1388- 2580 CORPORATE PL SPECIAL CONDITIONS: MONTEREY PARK 91754 CONTRACTOR: TE 0: APPROVALS DATE INSPECTOR SIGNATURE D T K CONSTRUCTION (323) 261-1388- 2580 CORPORATE PLACE LIC. NO UNDER B WORK F-103 A C36 MONTEREY PARK, CA 91754 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ER: POLY DESIGN GROUP (626) 679-5238- ROUGH PLUMBING PO BOX 6854 LIC. NO: ALHAMBRA, CA 91801 NONE GAS PIPING GAS VENT 0 R PLUMBING FIXTURES LAWN P C S S UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM * ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: BS0508