HomeMy Public PortalAbout9661 LAS TUNAS DR_Plumbing__ 0.9.6. 17 25M SETS 12.44 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES �L������
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 DATE ISSUED
FIRST INSPECTION
GAS M19CELLANEOUB -
0111
APPLICANT FILL IN H AVILY OUTLINED PORTION ONLY
JOB
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.JNEAREST �--�
IL CITY 'A TEL.N J * CROSS ST. tt 'r f
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COUNTY ,fit a '
CERT.No. ,(/ " EXPIRES C NAME D
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LOCATION 6F SEPTIC TANK, OR CESSPOOL 3 ADDRESS -&A-s
NORTH O )
,,� �/- j A TEL.No.
{f 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
{ ANGELES COUNTY. RTIF'CA E OF Q fl LON.
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►LUM[[R
I 1 AM THE L AL OWNER OF
THE PROPERTY CRISED
H ABOVE.
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OWNER
CORRECTIONS
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SOUTH
DESCRIPTION OF WORK
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BATH TUB FURNACE - 'r
- C7
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SHOWER DISHWASHER
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
-SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSP[CTOR'[NAME
-__WATER HEATER __DENTAL LAVATORY V
ROUGH PLUMBING
__METER GAS SODA FOUNTAIN
OUTL GAS PIPING I I
GAS VENT
CESSPOOL
TOTAL NUMBELOFFIXTURES SEPTIC TANK
CESSPOOL_._ TIC TANK SEWER
S UTILITY CO.NOTIFIED
TOTAL FEE
FINAL I
D.B.S.-17 2531 SETS 6-46 w
DEPARTMENT OF BUILDING AND, SAFETY �`� ATION FOR PERMIT
COUNTY OF LOS ANGELES PLUMBING
Wm. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE — i_
RECEIVED BY READY FOR DATE ISSUED
HEATER CESSPOOL1_1 SEPTIC TANK FIRST INSPECTION
GAB MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
NAME JOB
� ADDRESS
W
m ADDRESS
g LOCALITY �
/ 7 NEAREST
y CITY TEL.No.�.j b / CROSS ST.
COUNTY
CERT.No. EXPIRES K NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL i 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
ABOVE.
3 r
i OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK z
z_
BATH TUB FURNACE p
CY
SHOWER DISHWASHER ❑
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
GLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTORS NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER GAS SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES _ SEPTIC TANK
CESSPOOI SEPTIC TANKV V SEWER
/7
� UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
WORKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT
I hereby affirm that 1 have a certificate of consent to self 76A667A i
insure, or a certificate of Workers' Compensation Insurance, CE 817(REV. 10/81) TC'�
or a certified copy thereof (Ser„3800, Lob. C /.) c COUNTY OF LOS ANGELES J BUILDING AND SAFETY
Policy No. haffCompany
Certified copy is hereby furnished.
❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING L
Certified copy is filed with the county building inspec- ADDRESS r / Af'S
,
tion department. , NUMBER FIXTURE OR ITEM @ FEE LOCALITY �� j y�, l G
Date �X J0 BApplicant �m 1 t ce WATER CLOSET
NEAREST 7�
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. L1_ l
COMPENSATION INSURANCE SHOWER OWNER ? e L� P/e LSQJe ,CL�.
(This section need not be completed if the work involved by MAIL
the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS La
I certify that in the performance of the work for which this
permit is issued, I shall not employ any person in any manner SINK CITY TEL. NO.Z�r so as to become subject to the Workers'Compensatio aws. DISHWASHER CONTRACTORArh l 6 71 hl�Date`Applicant CLOTHES WASHERADDRESS
NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR 1 ^ t�` �Exemption, you should become subject to the Workers' CITY TEL.Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM /}4
with comply with such provisions or this permit shall be STATE LIC.
deemed revoked. WATER HEATER LICENSE NO. �J jog d� CLASS C �CJ
LICENSED CONTRACTORS DECLARATION DISTRICT NO. PR CESSED BY
1 hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM �/- OUTLETS J' L� £/
(commencing with Section 7000) of Division 3 of the Business OUTLETS OVER a '"1
and Professions Code,and m license is in full force and effect. 5 PER SYSTEM CW
¢/ y y�
DATE j .Z ZZ -y j VALIDATION 33
License Number -4v Lic. Class
4, FIN L 1 Q
Contractor ^Date BY U'
Gi' 1 YL v:
❑ I am exempt under Sec. W
9a y:
B.BP.C. for this reason ► Z`
Plan check fee
Date: PLUMBING PERMIT ISSUING FEE$
Signature V
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
c”
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
abov -mention pro erty for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date
WORKERS'COMPENSATION DECLARATION 76AG67q
I hereby affirm that I have a certificate of consent to self CE 617'(2-80) APPLICATION FOR PLUMBING PERMIT
Workers'insure, or a certificate of Work 'Compensation Insurance,or
certified copy thereof(Sec. kers' Lab.C.)
COUNTY OF LOS ANGELES / / BUILDING AND SAFETY
Policy No. Company
Certified co is hereby furnished. BUILDING
PY Y FOR APPLICANT TO FILL IN (PRINT OR TYPE) C
❑ ZL
Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM EE ADDRESS
department. LOCALITY
Date Applicant WATER CLOSET NEAREST
BATH TUB CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER
COMPENSATION INSURANCE SHOWER
MAI L
(This section need not be completed if the work involved / LAVATORY ADDRESS
by the permit is for one hundred dollars ($100) or less.) SINK CITY TEL.NO. 0
I certify that in the performance of the work for which this DISHWASHER CONTRACTOR ,�) /) cr
0
permit is issued, I shall not employ any person in any manner �r L ��j 0
so as to eco a subject to thlr. orkers' Comp ns tion Laws. CLOTHES WASHER hD G v�rW V P U
ADDRESS (J O
Date 1� Applica X SWIMMING POOL RECEPTOR } W
NOT E TO APPLICANT: If, after making this Certifica of CITY s�/h/ �'� TEL. NOC_;�f_yd N
Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. Z
Compensation provisions of the Labor Code, you must forth- LICENSE NO. Il CLASS 3
with comply with such provisions or this permit shall be WATER HEATER �'v
deemed revoked. GAS SYSTEM OUTLETS DISTg1CT NP PR CESS
LICENSED CONTRACTORS DECLARATION OUTLETS OVER
I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM
9 (commencing with Section 7000) of Division 3 of the Busi- FINAL - VALIDATION
ness and Professions Code, and my license is in full force and DATE _`j
effect.
IW
& FINAL
License Number t/ v �v Lie.ClassIt//7/91
BY r' ti+�-—4—
Contractor f-1—'MfiL opt iDate 6 C��� `Z?-J<-
_E] I am exempt from the licensing requirements as I am a Plan check fee
licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$
acting in my professional capacity (Section 7051, Bus-
iness and Professions Code). TOTAL FEE a
Lie.or Reg.No. Date Plan check applicant
HOME OWNER-BUILDER DECLARATION Name
I hereby affirm that I am exempt from the Contractor's Address
License Law for the following reason (Section 7031.5, Busi- City Tel.No. q /
ness and Professions Code):
I, as owner of the property, am exclusively contracting . a t•
with licensed contractors to construct the project
(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 SEE REVERSE FOR EXPLANATORY LANGUAGE
ordinances and State laws regulating Plumbing, and hereby
authorize representatives of this County to enter upon the
a %ventioned property for inspection purposes.
I/
Signature of Permittee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1205020026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
'PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID I BUILDING ADDRESS: I
TR: 6561 LT: 134 l ] 4 9661 C LAS TUNAS DR I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802103 I
ASSESSOR INFORMATION NUMBER: - I I NEAREST CROSS STREET: KAUFFMAN
18587-020-017 X101 PERMIT ISSUANCE FEE 27.80'1 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
1 125 LAVATORIES/SINKS 1.00 FIX 16.20 I 1 -- I
(TENANT: I
45 WATER CLOSET/URINAL 1.00 FIX 16.20 ]ISSUED ON: PROCESSED BY: PLAN BY:
TOTAL FEES 60.20 105/03/12 SR
]OWNER: TEL. NO: IF DATE FI CODE: 1
ILUKE, NANCY
19661 C LAS TUNAS DR
ITEMP 917802446 1 IDE 0RIPTION OF WORK 1
I I (RELOCATE LAVATORIE AND WATER CLOSET
(APPLICANT: TEL. NO: I I I
ISUNWAY BUILDER INC. (626) 378-7162- 1 1
12223 LENTA LANE I ISPECIAL CONDITIONS:
1ARCADIA, CA 91006 ] 1
I I- ] I
CONTRACTOR: TEL. N0: 1 APPROVALS DATE INSPECTOR SIGNATURE
I
ISUNWAY BUILDER INC. (626) 280-1234- 1 1
12223 LENTA LANE LIC. NO 1 1UNDER SLAB WORK I I
�ARCADIA, CA 91006 850050E
1 WATER SERVICE I I
I IPLASTIC YIN METAL YIN I I ]
IARCHITECT OR ENGINEER: TEL. NO: ] I I I
1LIM, CAMILLA (626) 378-7162- I (ROUGH PLUMBING I I
2223 LENTA LANE LIC. NO: 1 I I I
[ARCADIA, CA 91006 12958C I GAS PIPING
GAS VENT ]
IHOT WATER HEATER I I I
I ] IPLUMBING FIXTURES I I I
I I I
I I ILAWN•SPRINKLERS ] I I
I I I
I IGAS TEST I ] I
I I I
(UTILITY COMPANY NOTIFIED( I I
(GRAY WATER SYSTEM
,I
IREPORT ID: DPR263 ROUTE TO: BS0508 1 Ji I II
I I I I I
' I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0209240014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
L G R S:
TR: 6561 LT: 134 9661 LAS TUNAS DR
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802103
ASSESSORNFOR 0 NUMBER: NEAREST CROSS STREET: KAUFFMAN
8587-020-017 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
25 LAVATORIES/SINKS • 1.00 FIX 16.20
45 WATER CLOSET/URINAL 1.00 FIX 16.20 ISSUED ON: PROCESSED 8 EXPIRES .
TOTAL FEES 60.15 09/24/02 JK 03/23/03 .
OWNER: TEL. NO: FINAL T FINAL BY: CODE:
PEEBLES JOHN;PATRICIA TRS (818) 286-0716-
9427 BROADWAY /
TEMP 917802446 DESC POF WORK
C/O BATH FIXTURES
APPLICANT: T
J & M CARPET (626) 444-7273-
9931 GIDLEY SPECIAL CONDITIONS:
EL MONTE
GLE
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
J AND M CARPET AND FURNITURE (626) 444-7273— /•rsi''' �'�''�' _ .`
9931 GIDLEY ST LIC. NOUNDER SLAB WORTC
EL MONTE, CA 91731 281219 �'i ,% !'` `,•
WATER SERVICE
j' vrt �f ( i• !.i rc �_ PLASTIC Y/N METAL Y/N
ARCHITECT OR E L. - ; �' ROUGH PLUMBING
LIC. NO:'-'/ II
GAS PIPING
-
GAS
VENT
I^,i i ..= r OWATER HEATE
-- — — — ---- --- - — -- — --—+ PLUMBING FIXTURES
�; —�----- r!' _ •--�--`-- — — ! EAVN SPRINKLERS
10
r I j% GAS ST
�� _ ."I�sl�:•
UTILITY COMPANY NOTIFIED
�� �� I 1�1�C`V' r•' CWV
``_ '` ,'•�1�1?-�.Y��'� {
GRAY WATERS
YSTMI
REPORT ID: DPR263 ROUTE TO: SS0508