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Home My Public Portal About9630 LAS TUNAS DR_Plumbing__ VDEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT 1 COUNTY OF LOS ANGELES pL��G WM. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE _ HEATER CESSPOOL 1-1 SEPTIC TANK RECEIVED BY READY FOR DATA ISSUED FIRST INSPECTION AS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB NAME ADDRESS W m ADDRESS i LOCALITY '�- E CO ,�'�/'� NEAREST CITY t�-L.tF.. TEL.No. - CROSS ST. COUNTY CERT.No. EXPIRES m NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH O CITY TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED p� ABOVE. W 3 OWNER i CORRECTIONS SOUTH J DESCRIPTION OF WORK Z z_ BATH TUB FURNACE L'I SHOWER DISHWASHER Q LAVATORY REFRIGERATOR XITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAM£ WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I 1 —v—METER GAS SODA FOUNTAIN OUTL GAS PIPING GAS VENT CESOPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOO{ SEPTIC TANK SEWER II II UTILITY CO.NOTIFIED TOTAL FEE FINAL d n D.B.S.17 25M SETS 2-47 APPLICATION FOR PEILMIT DEPARTMENT BUILDING AND SAFETY PLUMBING COUNTYY OF LOS ANGELESWM. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION ID[3TRIC'Fi*1 ZONE PERMIT NO. ROUGH FIXTURES COMPLETE READY FOR HEATER CESSPOOL SEPTIC TANK REC�iVE BY DATE ISSUED FIRST INSPECTION j GAS' I MrgCF..LLANE0us '�/ APPLICANT FILL IN HEAVILY 0 TLINED PORTION ONLY a. NAMC M. CNOTTINGHAM O 1.T • JOB _. ADDRESS -- a g ADDRESS 1.23 No. Cloverly Ave. LOCALITY _CITY TEMPLE CITTJ;4,CALIF. NEAREST.. COUNTY CERT.No. EXPIRES r% NAME LOCATION OF SEPTIC TANK, OR CESSPOOL r MAIL 3 ADDRESS NORTH V _ CITY TEL.No. I AM THE LEGAL P089II:SSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. W Y OWNER '-1 CORRECTIONS SOUTH J DESCRIPTION OF WORK a z_ BATH TUB FURNACE 0 CY SHOWER DISHWASHER 0 LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SANOTRAP f r SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPZCTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FOUNTAIN OUTL OASPIPING N GAS VENT I 1 k CEe-SPOOL iI_ I TOTAL NUMBER OF FIXTURES SEPTIC TANK CESBP001 EPTIC TANK SEWERI .� � UTILITY CO.NOTIFIHD TOTAL FEE FINAL �- 76A667 (CE-817)-8-71rIT APPLICATION F PLC. MBING PER COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ' ADDRESS L, JL LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM @ FEE OWNER �� WATER CLOSET 1.75 MAIL I BATH TUB 1.75 ADDRE S SHOWER 1.75 C ze ( TEL. N LAVATORY 1.75 LAa SINK 1.75 ADDRESS �� r DISHWASHER 1.75 C TY .G TE.L. NO. —/)G1 0 CLOTHES WASHER 1.75 STATEq LIC SWIMMING POOL RECEPTOR 1.75 LICENSE NO.�i" CLASS DISTRICT NO. GROUP 6 INE P O B LAWN SPRINKLER SYSTEM 1.75 WATER HEATER 1.75 Q WASTE APPROVAL GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD OUTLETS OVER .30 5 PER SYSTEM P 0 Lu Plan check fee See reverse. PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR'S 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 1 AM PROPERLY REGISTERED ANO/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _ CALIFORNIA OR THAT I AM TH GAL NER F AND INTEND TO RESIDE IN THE ABOVE DESCR ED ES NIA OP^E RTYY.. / FINAL n SIGNATURE OF PERMITTEE PERMIT VALIDATION CK. M.O. SH PLAN CHECK VALIDATION CK. M.O. CASH LA;o 4 0 2 0--,,-a JAW 1 5 D 4.7 5 N Nr 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 ertifiecl c py thereof (Sec. 3800, La �i 7 COUNTY OF LOS ANGELES BUILDING AND SAFETY Pol/c�� / 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 O tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY �� Date Applicant WATER CLOSET ' NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. 4167 A L-1 A COMPENSATION INSURANCE SHOWER OWNER ' LG (This section need not be completed if the work involved by the permit is for one hundred dollars(=100)or less.) LAVATORY ADDRESS S 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 be o s bject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR1140,1 M A Date Applicant CLOTHES WASHER ADDRESS NOTICE TO A PLICANT: If, after making this Certificate of GT Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY e- TEL. NO. Pk— with comply with such provisions or this permit shall be STATE / LIC. ® _ deemed revoked. WATER HEATER LICENSE NO. !i CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. OCESSlp BY//JJ I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS �^ t�r (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER J �" and Professions Code, and my license is in full force and effect. 5 PER SYSTEM FINAL VALIDATION License Number `� LIC. Class '�/ GIG Contractor Date BY AL Lu 0❑ 1 am exempt under Sec. / ?� Y�3�D� CL Q d 317 �' B.&P.C. for this reason Z Plan check fee ► Date: e PLUMBING PERMIT ISSUING FEE$ � Sv Signature TOTAL FEE S 0 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 P 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-mentioned property for ' ;pection purposes. � r SEE REVERSE FOR EXPLANATORY LANGUAGE �ign.lure o Perm.tee Date