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HomeMy Public PortalAbout9629-9633 LAS TUNAS DR_Plumbing__ 76,A 6.67—,CE 817 8/68 COUNTY OF LOS ANGELES DEPARTNIENT•OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS s Tunas Drive COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Temple "City, FOR APPLICANT TO FILL IN PR NT OR TYPE) - NEAREST ' CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 NIAb BATH TUB 1.50 ADDRESS SHOWER 1..50 CITY TEL.NO. LAVATORY 1.50 CONTRALTOS Owen Brothers Plumbing, Inoo.' SINK 1.50 ADDRESS 4265 N. Baldwin Ave. DISHWASHER 1.50 CITY El Monte "TEL•NO. =00 8 CLOTHES WASHER 1.50 LIATE 11 C CENSE NO. 231 74.1 CLASS C 36 SWIMMING POOL RECEPTOR 1.50 DISTRICT NO GROUP~ ZONE P O BY LAWN•SPRINKLER SYSTEM 2:00 f �NE V WATER HEATER 1.50 INDUSTRIAL WASTE APPROVAL CD F- GAS SYSTEM JrOUTLETS 1.50 .J� INSPECTION RECORD OUTLETS OVER / 1 OW-. .� 5 PER SYSTEM 30 d y Z Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE., 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 N PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. 1 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 ABO ES DRE EN IAL PROPERTY. FINAL • SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R. OF PERMITTEE - 1PERMRT VALIDATION( R• JM.O. CASH ELAN CHECK VALIDATION CK. M.O. CASH 6 `J`J !* 76 A 667—CF,817 468 APPLICATION FOR PLUMBI G PERM COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS Las Tunas Drive COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Temple City FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNERDominio r ellero WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADDRESS SHOWER 1.50 CITY TEL. NO. LAVATORY 1.50 ,Q [ADDRESS ONTRACTOR Owen Bros. Plumbin nC• 1 SINK 1.50 4265 North Baldwin Avenue DISHWASHER 1.50 CITY El Monte TEL. NO. 443__0078 CLOTHES WASHER 1.50 STATE NO. 231 741 CLIC LASS C 36 SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE [,,,PROCE�LAWN SPRINKLER SYSTEM 2.00 L-�� CL C,Z0 '2 WATER HEATER 1.50 �� 6) INDUSTRIAL / � WASTE APPROVAL GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD OUTLETS OVER 10 5 PER SYSTEM '30 1 Laundry Tray Z Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE S 2 00 TOTAL FEE ' APPROVALS I)ATF, INACTOR'qSf.NATURE Plan check applicant UNDER SLAB WORK' 65 Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No. HOT WATER HEATER I 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 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 ABO DESCRIBED RESIDENTIAL PROPERTY. FINAL SIGNATURE JACK R. ALLEN, SUPERVISIN CHANICAL ENG'R. OF PERMITTEE PERMIT VALIDATION CK M.O. CASH PLAN CHECK VA IDATION CK. M.O. CASH 9c43%':-6 APR 9 5 D 2 0.0 0 r WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 76A667A f 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 REPUBLIC INDE1111ITY Policy NoPC964773. Company ❑ Certified copy is hereby furnished. BUILDING ® FOR APPLICANT TO FILL IN(PRINT OR TYPE) T Certified copy is filed with the county building inspec- ADDRESS 9629 3. LAS TUNAS DR. tion department. NUMBER FIXTURE OR ITEM 0) FEE LOCALITY TEMPLE CITY Date JAN• 7 v t!AppIican - 2 WATER CLOSET NEAREST BATH TUB CROSS ST. TEi4PLE CITY BLVD* CERTIFICATE OF EXEMPTION FROM WORKERS' 1 �" COMPENSATION INSURANCE OWNER IG, (This section need not be completed if the work involved by 1 SHOWER E7 T MAIL the permit is for one hundred dollars $100 or less. 1 ADDRESS 9629 H. LAS TUNAS DR- I ( ) ) 2 LAVATORY �.� ,� I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner 1 SINK C• CITY TE14PIE CITY TEL. NO. so as to become subject to the Workers Compensation Laws. DISHWASHER CONTRACTOR J & D PLT7P93ING CO. Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of 414 f S SAN GABRIEL BLVD. SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' CITYTEL, NO. 287-0579 LAWN SPRINKLER SYSTEM Compensation provisions of the Labor Code, you must forth- SAN GABRIE_,T with comply with such provisions or this permit shall be STATE LICENSE NO. 307766 LIC. C-36deemed revoked. WATER HEATER CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSEDJDY I hereby affirm that lam licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS i (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL a 1 � VALIDATION �� O DATE License Number 307766 Lic. Class C-3 u 1 LAUNDRY TRAY FINAL °C Contractor Date 1 FLOOR DRAT11 BY 0 ❑ I am exempt under Sec. W 1 BAR SINK °- B.BP.C. for this reason H Date: Plan check fee 000. z PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE Plan check applicant 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 Professions Code): City Tel. No. ❑ I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section , 7044, Business and Professions Code). 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-mentio bd p 1 for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Y � � JAN. 7, 1981 Signature of Permittee Date ION WORKER'S I have a certificate of consent to 7BAS66DPw9/89 APPLICATION FOR PLUMBING PERMIT 76A867A I hereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's 6ompensatton Insurance,or a certified copy thdreof(Sec.3800 Lab.C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Polic Company EJCertified copy is hereby furnished:❑ BUILDING 1 FOR APPLICANT TO FILL IN(PRINT OR TYPE) Certified copy Is filed with the county building inspection ADDRESS V V-, department. NUMBER FIXTURE OR ITEM FEE LOCALITY � t c-.4-./ Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the work involved by the SHOWER MAP BOOK PAGE PARCEL permit Is for one hundred dollars($100)or less.) LAVATORY OWNER M D I certify that in the performance of the work for which this permit I 1 is issued, I shall not employ any person in any manner soEt to SINK MAIL ADDRESS become subject to the Workers'Comp satynLws. �p v qs c DISWASHER CITY� 1 c-, TEL.NO. Date - /� Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of CONTRACTOR }� n- 1A eml Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR ADDRESS provisions of the Labor Code,you must forthwith comply with such v f� provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.Nd?- 1 7 t a 0. I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER (commencing with Section 7000)of Division 3 of the Business and STATE Do. Z )) a Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS LICENSE NO. S C) (� CIASS e�J�O V OUTLETS OVER DISTRICT NO. P C BY It 5 PER SYSTEM - i 1T.sLk C License Number `D ic.Class _ ' I� !� DATE VAL DATION O III Contractor t Date�a_ _�� :119; s'3.01 ❑ I am exempt under Sec. BY CHECK 'f,i j B.&P.C.for this reasonO kik o 01 Date: Plan check fee Signature _ r PLUMBING PERMIT ISSUING FEE$ 8!:}�r El TOTAL FEE e i ii i sly(j¢_{ 12/2" Plan check applicant 8337 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Law for the following reason(Section 7031.5, Business and Professions Address Code): ❑ city Tel.No. I,as owner of the property,will do the work and the structure is not Intended or offered for sale(Section 7044, Business and Professions Code). 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 dertify 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 p=Prtyor ins�n purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Slanature of Permittee Date