HomeMy Public PortalAbout9651 LAS TUNAS DR_Plumbing__ 76A667-CE817 3-59CL?`air
APPLICATION FOR PLd�'
SING PERMI-Tl'
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 1
JOHN A. LAMBIE, County Engineer ADDRESS J
CASSATT D. GRIFFIN, Supt of Building LOCALITY
FOR APPLICANT TO FILL IN CROs 3T .
NUMBER FIXTURE OR ITEM OWNS
WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER CITY TEL O.
LAVATORY CONTRACTOR
SINK ADDRESS 9i L 2
DISHWASHER
CITY � `/'' NO. SQL O'
CONTRA TOR'S STAB 0
LAUNDRY TUB REGISTRATION NO. G7 COUNTY ❑
CLOTHES WASHER DI!T�tICT NO. GROUP ZONE PROCESSEI?BY
WATER HEATER �j Z
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
ER ITEM
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE2 ROUGH PLUMBING'3 1F
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANDST TE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGA 0"ER OF T ABOVE
DESCRIBED RESIDENTIAL PROPERTY.
UTILITY CO.NOTIFIED
SIGNATURE
OF PERM ITTEEj:/L<-
30�
FINAL
®P VALIDATION ROBERT WOOD,
CY. Y.O. CASH SUPERVISI G MECHANICAL ENG'R
L&o'8 0 7t1 .moi 6 5 D 325-
76A667-CE817 3-59 '-- -
•a
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County Engineer ADDRESS !—
CASSATT D. GRIFFIN, Sup't of Building -
LOCALI
FOR APPLICANT TO FILL IN NEAREST r
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL i
BATH TUB
ADDRESS_ �"
CITEL. NO.
SHOWER
CONTRACT
LAVATORY
SINE ADDRES //,
DISHWASHER CITY i, TEL. NO /Dy
CONTRACT S / STATE
LAUNDRY TUB REGISTRATION NO. L�/ COU
CLOTHES WASHER DISTRICT NO.
GROUP ZONE PR CESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
0 $1.00 PER ITEM
OR FIXTURE $ J APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 11 2100 UNDER SLAB WORK
TOTAL FEEROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
L
ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGHOT WATER HEATER
ING.REBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
ED ASREQUIRED BY LOS ANGELES COUNTY AND STATE OFGAS TEST
RNIA ORTHAT AM THE LEGAL OWNER OF THE ABOVEBEDRESIDENT R PERTY. UTILITY CO. NOTIFIED
TUREERMI7T ''�� /
FINAL
®� VALIDAT19AF----, ROBERT A. WOOD,
CK. M.0. casR SUPERVISING MECHANICAL ENG'R
L0 3 8 6% JUN 18 5 D 3.25M
i
CE 81177 8-
7e5R APPLICATION FOR PLUMBING PERMIT 1
8_
BUILDING AND SAFETY DIVISION
Department of County Engineer
County of Los Angeles BUILDING lj
JOHN A.LAMBIE,COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN',SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
//�'' CROSS ST.
OWNER l.7" DISTRICT y[ GROUP ZONE READY FOR INSPECTION
MAIL /� I C
ADDRESS V -
INDUSTRIAL
CITY NO. WASTE APPROVAL
PLUMBER a.4
INSPECTION RECORD
ADDRESS
.3
CITY A TEL.NO
.0
LICENSE NO. t 2 C I
NUMBER ��illl TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASHBASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
r
APPROVALS
DATE INSPECTORS SIGNATURE
(� UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE 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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING. ,�7
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST ?4 l I
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROP RTY. T
SIGNATURE
OF PERMITTEE FINAL
ROBERT A.WOOD,
JOHN A. LAMBIE,COUNTY ENGINEER VALIDATIO0".. SUPERVISING MECHANICAL ENG'R
CK. M.0.
76A607-CE817 10-60
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING /
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY T e
FOR APPLICANT TO FILL IN NEAREST
NUMBER FIXTURE OR ITEM CROSS ST.
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL. NO.
SHOWER
CONTRACTO '
LAVATORY _
ADDRESS 2
SINS
DISHWASHER CITY T 'lL Z
CONTRACTOR'SATE ❑
LAUNDRY TUB REGISTRATION NO. Zc) COUNTY ❑
CLOTHES WASHER DISTRICT NO GROUP ZONE P SED BY
WATER HEATER (1 Z '
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL �.
INSPECTION RECORD 0
O
V
9w
O
a
N
z
$1.00 PER ITEM
OR FIXTURE $ �(�
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE-H - ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
i HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTE
FINAL
VALIDATION ROBERT A. WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
L&O 5 3 1 2"4-0 OCT 9 5 D 3.5 0-
WORKERS'COMPENSATION DECLARATION APPLICATION
PPLIC p TION FOR PLUMBING
UMBI l G PERMIT
1;.1el�by, affirm that I have a certificate of consent to self in- �6A667A PW 4/87 i ® �a/'1 Ar ilk i1"t� ®aIN Ar `R
r sure,or a certificate of Workers'Compensation Insurance,or a CE 817(REV.8/86)
certified copy thereof(Sec. 3800, Lab. C.)
COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
Policy No. Company
F1 Certified copy is hereby furnished.
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ,.... ) �.,�---••
Certified copy is filed with the county building inspection ADDRESS ��7 L. ��
department. NUMBER FIXTURE OR ITEM @ FEE
�� LOCALITY
Date la"w �� WATER CLOSET(TOILET)
T'-b 1 Applicant . c 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($100)or less.) LAVATORY ADDRESS 9 !.._A 5
I certify that in the performance of the work for.which this per-
mit is issued, I shall not employ any person in any manner so SINK CITY —� TEL. NO.fjc
l r�.
as to become subject to the Workers'Compensation Laws. DISHWASHER
CONTRACTOR
Date Applicant. CLOTHES WASHER
NOTICE TO APPLICANT: If, after making this Certificate of Ex- ADDRESS
em tion,you should become subject to.the Workers'Com en- SWIMMING POOL RECEPTOR n
P Y I P CITY �y iflf1i TEL. NO.
sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEM
ly with such provisions or this permit shall be deemed revok- I STATE +•�� .-.. r3 LIC.
ed. WATER HEATER
LICENSE NO. CLASS
LICENSED CONTRACTORS DECLARATION DISTRICT NN .. P SSED BY '
I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS
9.((Zommencing with Section 7000)of Division 3 of the Business OUTLETS OVER t 1
and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL �' VAI TION a
fect. r! Z�
License Number :� '' R,ZU Lic. Class asci DAT .'` M-8661 A V
' FIN L
Contractor ' =(•'��1�-t• 11 C Date-Loll B J # 0 0 0 0•0 5 p
I am exempt under Sec. l o 0 1 650
w
O.
B.&P.C. for this'reasonS y
Plan check fee � 0 0 0 1 E,5 0 0 �
Date: PLUMBING PERMIT ISSUING FEE.$ S�
Signature •1 224-87
TOTAL FEE
SINGLE FAMILY
4.
HOME OWNER-BUILDER DECLARATION Plan check applicant
I hereby affirm that I am exempt from the Contractor's License Name
Law for the following reason (Section 7031.5, Business-and
Professions Code): Address
I,.as owner of the property, will do the work and the City Tel. No.
structure is not intended or offered for sale(Section 7044,
Business and Professions Codd).
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. 1 agree to comply with all County
ordinances and State laws regulating Plumbing, and hereby
authorize representatives of this County to enter upon the
ab - entioned operty for inspection purposes.
D
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 -PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071•LAS TUNAS PL 0508 9806100010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
GAL D: FEES PAID BUILDING ADDRESS:
TR: 6561 LT: 138 '• 9651-1/2 LAS TUNAS DR ,
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA-917802103
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: CAMELLIA
8587-020-021 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35
TENANT: 55 GAS METER (PRIVATE) 1.00 MET 16.35 ISSUED ON: PROCESSED BY:- PLAN BY: EXPIRES ON:
TOTAL FEES 60.45 06/10/98 UT !6/-12/99
OWNER: TE NO: FINAL DATE FINAL BY• CODE:
SCURTO, PETE (626) 289-6543- off a ��
805 SIERRA VISTA
ALHAMBRA, CAESCRIPTION_OF WORK-
GAS _
LINE AND NEW METER-OF -EXISTING OFFICE LOCATION
APPLICANT: TEL. 0:
SAME AS OWNER -
----- SPECIAL CONDITIONS:
CONTRACTOR: TEL. 0: ,'%�� ` �' APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - =�
LIC. NO t ter ' �'�. UNDER SLAB WORK
i
WATER SERVICE
PLASTIC Y/N METAL Y/N
RO G PBG
ARCHITECT OR ENGINEER: TE 0:
LIC. NO:
-j r - S PIPING
GAS VENT
- _ .•'I rr l i�' ` 'i• _ h
NOT WATER HEATER
ti
PLUMBING FIXT RES
r r I ,I.•,,.rp .
i , ` ;':1•.,'r;Js_ ��' 'Y LAWN SPRINKLERS
`�-il r
GAS TEST /
J, =I r :�•
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
• DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS --PL 0508 9801090002_
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA --
PHONE: (818) 285-0488 EXT:
LEGAL ID: FEES PAID --BUILDING-ADDRESS:
TR: 6561 LT: 138 '--9651 LAS TUNAS'DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802103
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
8587-020-021 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
21 HOSE BIBB(S) 1.00 FIX 16.35
EAT: 25 LAVATORIES/SINKS 3.00 FIX 49.05 ISSUED ON: PROCESSED BY: PLAN B IRS ON:
45 WATER CLOSET/URINAL 3.00 FIX 49.05 01/12/98 UT 1/12/99
47 WATER HEATERS) 1.00 WTH 16.35
OWNER: TEL. N0: TOTAL FEES 158.55 FINAL DATE FINA CODE:
SCURTO, PETE N. (818) 289-6543- Z-16
TEMP 917800012 ESC PTIO OF-WORK
PLUMBING FOR-TENANT -IMPROV -
AP LICA : TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECT RfSIGNATURE
SAME AS OWNER
LIC. NO UNDER SLAB OR
Am 1
F�
41,_ Jr- , - WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. 0:
ROUGH PLUMBING
LIC.-NO-�1 �/I _ - I --I I '111111114 �' y
GAS PIPING
GAS VENT
„L; +J _ HOT WATER HEATER
- --- ----- _-- _-_- _ _
PLUMBING FIXTURES
?;!''�I-- LAWN SPRINKLE
,' '� G' ..� per; '•
�'• . - • I t 1 'v�If`{'x'91--- i i. o
TES 0 jjS
UTILITY COMP 0 ED /!7
CWV
GRAY WATERSYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508