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HomeMy Public PortalAbout9658-9660 LAS TUNAS DR_Plumbing__ 76AS67 (CE-617) - 1/75 -'--- APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: ADDRESS 9660`Las Tunas HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY Temple City FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST Kauffman CROSS ST. NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 2.00 OWNER Linda Pa e MAIL BATH TUB 2.00 ADDRESS 9660 Las Tunas SHOWER 2.00 CITY Temple City TEL. NO. 286-7650 LAVATORY 2.00 D-0 CONTRACTORJohnny'.9 Plumbing SINK 2.00 D_0 ADDRESS 9125 Las Tunas DISHWASHER 2.00 CITY Temple City TEL. NO.L8-5-3224. CLOTHES WASHER 2.00STATEry ryLIC LICENSE NO. 29168! C ASS 36 SWIMMING POOL RECEPTOR 2.00 DISTRICT NO.GR_pUP ZONE OC ED BY LAWN SPRINKLER SYSTEM 2.00 �-De /' WATER HEATER 2.00 INDUSTRIAL ` WASTE APPROVA— l GAS SYSTEM OUTLETS 2.00 .3 "_0 fT, INSPECTION RECORD OUTLETS OVERCD , C.')5 PER SYSTEM .30 O F V W CL. I � Plan check fee Sae Reverse PLUMBING PERMIT ISSUING FEE S 0 i TOTAL FEE a APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING ®. a!® Address GAS PIPING City Tel. No. GAS VENT HOT WATER HEATER 1 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. —KY� I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGEL COUNTY AND STATE OF CALIFORNIA OR THAT I AM TH LEGA NER Nb fRT1=ND TO RESIDE IN THE ABOVE DESCRIB REST E TIAL OP RTY. FINAL SIGNATURE n ' OF PERMITTEE t PERMIT VALIDATION UC. ' M.D. CASH PLAN-CHECK VALI AT N CK. M.O. CASH 7 5 5 "EC 14 5 D 1 2.5 0 A 50 78A667-CE#81-7 4-87 �l � APPLICATION FOR PLUMBING PERMI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET S1•2 MAIL BATH TUB 1.25 ADDRESS 47 SHOWER 1.25 CITY TEL. NO. LAVATORY 1 CONTRACTOR G SINK 1.0ADDRESS %; DISHWASHER 1.25 CITY Z TEL. NO. ATE LIC LAUNDRY TUB 1.25 LICENSE NO. J CLASS e— 36 CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY WATER HEATER 1.50 t GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD D� O 11 2-? Cel ltfl h�.ls��t. �l�i c� - m h G iI- s l � lnlp# 7'Kyll lilt�.PiQ_lrct.l.:lf�l.f.L!& APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT S 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE D GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LIGATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT I ^ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. _ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED ESI TIA oPERTr. UTILITY CO.NOTIFIED SIGNATURE OF PERMITT FINAL VALIDATION JACK R.ALLEN M.0. CASH SUPERVISING MECHANICAL ENG'R. L O1 8 2 7� NOV21 5 D 9.5©N 4 76A667 08517 7-5' APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICA T FILL IN DI R . GR P Z . PLUMBER�fi . SIf s. I RECEIVED BY READY FI FOR TION 7 DA ISSU INS AECA ADDRESS � + /•�Q � �i. !'�I.�1� C i �&++ � / BUILDING OIT1f` 0.I Of 40 TEL. y TEL No.j�" A��,F�� ADDREBB/��r� .:✓ COUNTY NO.. Y Q p EXPIRES I�,Y� LOCALITY/ NEAREST Ate' � PERMIT FEES CROBB Err.Wpr ri zz,p�J ll I. �P NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER 1�. i`r. 1/ I�l'\ /.L/-! �i► MAIL �Y WATER CLOSET(TOILET) 0.50 d[, ADDRESS BATH TUB 0.50 CITY TEL No. SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) ((p 13.50 ~� APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN BINK 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER 1--- //� q OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. d GAB SYSTEMI,QOUTLETB a 0.50 —6) g gEa - SIGNATUREPERMITTE WATER NEATER Q 0.50 V SLOP BINK 0.50 INSPECTION RECORD FLOOR SINK O.SO :r-ll rT 04g 3'n Ce"c.s FLOOR DRAIN 0.50 DISHWASHER O.'S0 G QQIr`Gel DRINKING FOUNTAIN @ 0.50 &/$`2 if/ /Fi -0 e-- -n, /lam/t9Y 70 URINAL Q 0.50 Q HOUSE SEWER 13.130 4/� Z n MISCELLANEOUS O mq o • l�c�ss/,eG�r l �� APPROVALS DATE INBPEOTOR•B NAME ROUGH PLUMBING ��` rl BAD PIPING GAS VENT v� CESSPOOL Q 1.00 CESSPOOL SEPTIC TANKS SEPTIC TANK DRAIN ( ) PIT ( ) 1.00 SEWER i PERMIT • 1.00 GAS TEST UTILITY CO.NOTIFIED TOTAL FEE >6 �� r � FINAL [ 4 76A667 tE-817)-8-71 _ / 4/�/rL!' ��t—y APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILD I NG ADDRESS LOCALI FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM @ FEE OWNER WATER CLOSET 1.75 MAIL BATH TUB 1.75 ADDRESS SHOWER 1.75 C lTywfg TEL. NO. LAVATORY 1.75 CONTRACTOR SINK 1.75 ADDRESS �� S DISHWASHER 1.75 CITY TEL. N CLOTHES WASHER 1'75 STATE Liu LICENSE NO.A6Q 19 CLASS a0 SWIMMING POOL RECEPTOR 1.75 PINTRIA'L NO. GROUP 20NE PRO SS BY LAWN SPRINKLER SYSTEM 1.75 cC7 WATER HEATER 1.75 VAL _GAS SYSTEM OUTLETS 1.75 INSPECTIO RE ORDOUTLETS OVER .30Z5 PER SYSTEM C1 0 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 1 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 IHEREBY CERTIFY THAT I AM PROPERLY REGI E ED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUN A D STATE OF CALIFORNIA OR THAT M THE LEGAL O NER D INTEND TO RESIDE IN THE B ;I(/Q/d�J��CCRIBED RES TI P' PERTY. FINAL SIGNATURE cY l�/���—" _ OF PERMITT 'E PERMIT VALIDATIONCK. M.O. CASH PLAN CHECK VALIDATION CK.. M.0. CASH ,.�wo 7 S. 3 0 N AUG'31 5 D ,7 5-- • WORKE S'COf!lIPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirr}'i that�i'h�ve 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. 38800�0, Lob.. C.) yr n/J fes/ COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy N9� Company 4t4kc 1?11V vY` 11 Certified copy is hereby furnished.® BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS Certified copy is filed with the county building inspec- tion department. . NUMBER FIXTURE OR ITEM ® FEE Date J �3-fir . V LOCALITY Applicant �� WT^ WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER pn P l C Pp2 (This section need not be completed if the work involved by AIL /� the permit is for one hundred dollars($100)or less.) LAVATORY DDRES f3 J d X f I certify that in the performance of the work for which this ? permit is issued, I shall not employ any person in any manner SINK CITY 1- C`� TEL.NO..&S J 0 7 so as to become subject to the Workers'Compensation Laws. DISHWASHERA /� CONTRACTOR 6 AN d _ /J C /(� �r` 1 ppG Date- Applicant CLOTHES WASHER ADDRESS /�y ' NOTICE TO APPLICANT: If, after making this Certificate of `f (�l �/U�riv/,tf Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR P�q /p �'.f TEL. NO. 1(((5-_Compensation provisions of the Labor Code, you must forth- CITY � LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. y0 373 CLASS C.3 LICENSED CONTRACTORS DECLARATION DISTRICT OUTLETS NO. RROCESSED BY /) I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM .� �j (f (commencing with Section 7000 of Division 3 of the Business ' ( 9 ) OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL ®_ VALID ION ,Q DAT ,� 0 License Number ��� !3� Lic. Class C�" 9 IFINA/�yContractor U v ��6 Date�'6?' `D I am exempt under Sec. &u� B.&P.C. for this reason tH Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ SO 9 1 6 7.9 A Signature TOTAL FEE # 0 0 0 0 0 5 SINGLE FAMILY Plan check applicant ) o o 1650 HOME OWNER-BUILDER DECLARATION Name 0 0 0 165050 1 hereby affirm that I am exempt from the Contractor's License ° Law for the following reason (Section 7031.5, Business and Address 0 2 13-85 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-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE eeQl4,w 3--/.7,Ys Signature of Permittee Date