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Home My Public Portal About9644 LAS TUNAS DR_Plumbing__ 76 A 667—CE 8i7 8/68 � APPLICATION FOR ® •L.IUMBI G 9 .ERM ;rI COUNTY OF LOS ANGELES DEPARTMENT OF C.OUNM ENGIIVEER BUILDING AND. .SAFETY,DMSION BUILDING Q f, JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS l ^� /�. COLEMAN W. JENKINS. SUPT. OF BUILDING LOCAL FOR APPLICANT TO FILL.IN(PR NT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE O 6{IIVRR WATER CLOSET d. !NAIL y BATH TUB ' 1: - AD D - 7!I � SHOWER 0 CIYY TEL. NO. • LAVATORY a, 1. 0 :CG'NTRACTOR SINK 1. 0 DRES r DISHWASHER 1. 0 r �^ _ CLOTHES WASHER - , 1, . • 5,•ATE LIC � CENSE N& f CLASS SWEMDiING POOL RECEPTOR 1. 0. "DWRICT N GROUP ZONE P BY LAWN SPRINKI ER SYSTEM2. 0 i ' CD \ I WATER HEATER 1. I DUSTRIAL 0 ASTE APPROVAL 7' 3P' 7I GAS SYSTEM OUTLETS L INSPECTION RECORD i Iv OUTLETS-OVER ;;30 Ta/� 5 PER'SYSTEM s. I' Y Plan check fee 25% of above. See reverse. t PLUMBING PERMIT ISSUING FEE 8 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check. applicant UNDER SLAB WORK Name ` .ROUGH PLUMBING 'i Address „GAS PIPING - GAS VENT City 5 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 PLUMBING. -i1 H9REBY 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 1 SND TO RESIDE IN,THE ABOVE DESCRIBED RESIDE TI PR WE FINAL SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R. OF PERMI PERMd VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT 1 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 . Policy No. � Et Company_S�l L�/�t�P117. BUILDING AND SAFETY --�— 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 Appligant WATER CLOSET /V�t 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 ' the permit Is for one hundred dollars($100)or less.) LAVATORY / MAIL ADDRESS iJ Q I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CIN �`. TEL. NO. �� 7 so.as to become subject to the Workers'Compensation Laws. DISHWASHER /C c.�iT CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS -- NOTICE TO APPLICANT: If, after making this Certificate of /T U � r Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- t LAWN SPRINKLER CITY TEL. NO. ?�r7 with comply with such provisions or .this permit shall be. { SYSTEM STATE' / 7 LIC deemed revoked. WATER HEATER LICENSE NO.p . 5—6 ,3 CLASS / LICENSED CONTRACTORS DECLARATION DISTRICT NO. P SSED BY I hereby affirm that I am licensed under provisions of Chapter 9' GAS SYSTEM OUTLETS , (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM - DATE VALIDATION License Number-2 7� ::46-77 Lic. Class I � ❑ � y 01 FIN � O Contractor feBY UJ I am exempt under Sec. :550 B.BP.C. for this reason Plan check fee Date; PLUMBING PERMIT ISSUING FEE$ Signature fia S-0 TOTAL FEE :d SINGLE FAMILY Plan check applicant HOME OWNER-BUILDER DECLARATION Name 1 '(. 1. 1 A I hereby affirm that I am exempt from the Coritractor's License Address Law for the following reason(Section 7031.5, Business and x 0 0 0 0 0 5 Professions Code): City Tel. No. i ❑ I; as owner of the property, will do the work and the C o'o 9 A,15 Q structure is not intended or offered for sale (.Section 7044, Business and Professions Code). u o a �,Lk 5 C CONSTRUCTION LENDING AGENCY (., F 30-84 1 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 ;ggn ove- entioned property'for inSEE REVERSE FOR EXPLANATORY LANGUAGE ature of Permittee Date DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELESPLUMBINGWM. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES I COMPLETE � 6 HEATER -I RECEIVED BY READY FOR DATZ lW ED CESSPOOL SEPTIC TANK FIRST INSPECTION , AS MISCELLANEOUS `! �' APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY iJOB NAME _.i . ADDRESS � 4-- W ® LOCALITY ADDRESS =..) i� y- i� �i_..-. ...i,.S F -_ � NEAREST IL CITY 1 }\ f '.�• TEL.No. CR068 ST. -U_ ' 4 COUNTY CERT.No. EXPIRES NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH p 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 �y ABOVE. W 3 i OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK a z_ BATH TUB FURNACE SHOWER DISHWASHER 0 LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN a WASH TRAY URINAL APPROVALS _WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME 2� WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER+ GAS SODA FOUNTAIN GAS PIPING OUTL l GAS VENT CESSPOOL I _� TOTAL NUMBER OF FIXTURES SEPTIC TANK I I CESSPOOL SEPTIC TANK �r! SEWER I I F UTILITY CO.NOTIFIED TOTAL FEE FINAL COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS I 9701 LAS TUNAS PL 0508 1206180034 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: II FEES PAID I BUILDING ADDRESS: 1 ITR: 6561 IT: 533 BL: .001 1 I' 9644 LAS TUNAS DR I I FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802139 1 IASSESSOR INFORMATION NUMBER: ;I I NEAREST CROSS STREET: 18587-021-018 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl 1 121 HOSE BIBB(S) 1.00 FIX 16.20.1 1 (TENANT: TOTAL FEES 44.00 ISSUED ON: PROCESSED BY: PLAN BY: I I 106/18/12 SR (OWNER: TEL. NO: 1 IFINAL DATE FINAL BY: CODE: I IKAO LEE 19644 LAS TUNAS DR. j1 1 ITEMPLE CITY CA 91780 1 (DESCRIPTION OF WORK I 11 HOSE BIBB (APPLICANT: TEL. NO: I I 1 IWONG, DAN (626) 922-3189- I 1 15444 ALHAMBRA AVE I ISPECIAL CONDITIONS: (LOS ANGELES CA 90032 I I ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1 1JCKW, INC. (323) 223-0886- 1 1 I 15444 ALHAMBRA AVE LIC. NOI 1UNDER SLAB WORK I I I I1LOS ANGELES CA 90032 891044 1WATER SERVICE I (PLASTIC YIN METAL YIN (ARCHITECT OR ENGINEER: TEL. NO: iI I I (ROUGH PLUMBING 1 I I 1 LIC. NO: I I I I (GAS PIPING I I IGAS VENT I 1 I I I I I Xr` HOT WATER HEATEREI'-- Eun 1PLUMBING FI}LTURES��JJ I I I I _ ILAWN SPRINKLERS I I I I GAS TEST I I I I I I I I 1UTILITY COMPANY NOTIFIEDI I I 1CWV 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 1REPORT ID: DPR263 ROUTE TO: HSO508 I I • I I I � I