Loading...
HomeMy Public PortalAbout5027 ARDEN DR_Plumbing__ 76A667-CE817 12/59. TEMPL.R. CIT"ll -APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDINGv e 7 A-tY/c ��r, 'JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 'Sod WILLIAM A. JENSEN, SUP'T OF BUILDING - LOCALITY FOR APPLICANT TO FILL IN C OSSSST. �ree NUMBER FIXTURE OR ITEM OWNER WATER CLOSET t3, MAIL ADDRESS S-00-7 BATH TUB j SHOWER .� CITY' � _ TEL, NO.�'� LAVATORY F cr CONTRACTOR I ADDRESS Z DISHWASHER CITY TEL ©. CONTRACTOR'S STATE ❑ LAUNDRY TUB REGISTRATION NO. COUNTY ❑ CLOTHES WASHER DIST �Tj O. I GROUP ZONE ( PROCES/ BY WATER HEATER __z_— (%TI GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD >. w 0 U a O F U W a z OERITEM lxlTUBE APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 21 00 UNDER SLAB WORK TOTAL FEE I `-? j ROUGH PLUMBING HGAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 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 I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE J OF PERMITTE 'L_ ." Ci °' ��� i c.,.�;• FINAL �( ®F � ^ n VALIDATION---, ROBERT A. WOOD, QKm.O. CASH SUPERVISING MECHANICAL ENG'R r 76A667-CE9617 5/63 ,APPLICATION FOR PLUf PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION TADDRESS DING JOHN A. LAMBIE. COUNTY ENGINEER L �i6GQ•-� WILLIAM A. JENSEN, SUPT OF BUILDING ALITYFOR APPLICANT TO FILL IN RESTSS ST. T NUMBER FIXTURE OR ITEM EACH FEE y „yam OWNER WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS SHOWER 1.25 CITY /r G _TELL.. NO. LAVATORY 1.25 CONTRACTOR SINK 1.25 ADDRESS DISHWASHER 1.25 CITY G4 TEL. NO. a LAUNDRY TUB 1.25 CONTRACTOR'S TATE REGISTRATION NO. �O COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROC ED BY WATER HEATER 1.50 7 a GAS SYSTEM_OUTLETS 1.50 / INDUSTRIAL WASTE APPROVAL lJ OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD c>% t� V LU w cn Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK TOTAL FEE j ROUGH PLUMBING .� GAS PIPING 1 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 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 ESIDENTIAL PROPERTY, UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE FINAL VALIDATION ROBERT A. WOOD CK. M.O. CASH SUPERVISING MECHANICAL ENG'R h 1, 9 5 5 3: AUG 2 9 5 D 3.5 Q- 76A667 -CF#817 2;62 BEEMPLE VTV APPLICATION FOR - PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING__AND_SAFET_Y DIVISION FAUD LDING JOHN A. LAMBIE, COUNTY ENGINEER RESS—WILLIAM A. JENSEN, SUPT OF BUILDING CALITY FOR APPLICANT TO FILL IN REST OSS ST. NUMBER FIXTURE OR ITEM EACH FEE - OWNER llljd j - WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS CITYTEL. NO. SHOWER 1.25 7,9 IL LAVATORY 1.25 CONTRACTOR SINK 1.25 ADDRESS DISHWASHER 1.25 CITY `TEL. NO. LAUNDRY TUB 1.25 CONTRACTOR'S STATE [:1 REGISTRATION NO. COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO. G 7 NE P O BY WATER HEATER 1.50 t? r C" GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD CL 0 c� IL to z i - APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES or 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 AB- E DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED G ! SIGNATURE OF PERMITTEE FINAL VALIDATIODT--, ROBERT A.WOOD �Qs� b SUPERVISING MECHANICAL ENG'R j 1 5 5 9'12" OGT 17 5 D 6.00- 76A667 (CE-817) - 5/73 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDING ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY 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 CITY TEL. NO. LAVATORY 1.75 CONTRACTOR SINK 1.75 ADDRESS DISHWASHER 1.75 CITY TEL. NO. CLOTHES WASHER 1.75 STATE LIC -- LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1,75 DISTRICT NO. GROUP ZONE PROCESSED BY LAWN SPRINKLER SYSTEM 1.75 ' WATER HEATER 1.75 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1.75 d �.. INSPECTION RECORD - OUTLETS OVER 30 5 PER SYSTEM 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 E Address GAS PIPING City Tel. No. GAS VENT HOT WATER HEATER I 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 PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CAL(FORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL SI GNATU RE OF PERMITTEE PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH WORKERS'COMPENSATION DECLARATION L�hereb- affirm that I have a certificate of consent to self in- 76A66�A PW 4/90 APPLICATION FOR PLUMBING PERMIT ,,,sure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof (Sec. 3800, Lab. C.) ' Policy No. Company COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS • Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspection ADDRESS j Q department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET(TOILET) / NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' i- BATH TUB CROSS ST. L ' COMPENSATION INSURANCE SHOWER OWNER D2 (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars(;100)or less.) LAVATORY ADDRESS J certify that in the performance of the work for which this per- / SINK mit is issued, I shall not employ any person in any manner so CIT C6 TEL. NO. 7 as to become subject to the Workers'Compensation Laws. . DISHWASHER CONTRACTOR n(L V11 Date. Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- emption,you should become subject to the Workers'Compen- CITY TEL. NO. sation provisions of the Labor.Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER LI NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I.am licensed under provisions of Chapter GAS SYSTEM OUTLETS p 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER C° and Professions Code, and my license is in full force and ef- 5 PER.SYSTEM FINAL VALIDATION fect. HOSE BIB DATE License Number Lic. Class z�v 0 FINAL 0 Contractor Date BY c fg OI am exempt under Sec. s ANT.v v B.&P.C. for this reasonEl Plan check fee O ► 3303 123.90 V) Date: PLUMBING PERMIT ISSUING FEE$ D Signature 1 ITEMS SINGLE FAMILY TOTAL FEE TOTAL 123 -90 HOME OWNER-BUILDER DECLARATION Plan check applicant 12�2.cV' CHECK 123o 1 hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section 7031.5, Business and CHANGE e00 Professions Code): Address El I, as owner of the property, will do the work and the City Tel. No. 0000-0001 4�19/5b ' structure is not intended or.offered for sale(Section 7044, Business and Professions Code). ► 5978 1 Atia:s6 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 properI for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee D to