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Home My Public Portal About5144 ARDEN DR_Plumbing__ 76A667-CE#817 4-67 /19rN(G ol � - APPLICATION FOR PLUMB PER T COjJNTY"QF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDIlVG AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. of BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST v CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNEF WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS��'� SHOWER S 1.25 CI TEL. NO. LAVATORY1.25 CONTRACTOR SINK 1.25 / Z-D ADDRESS/v 9 b DISHWASHER 1.25 / a CIT TEL. NO ,/lam a LAUNDRY TUB 1.25 STATE LIC LICENSE NO. CLASS CLOTHES WASHER 1.25 DISTRICT N¢ Z014 e I PO 5 D BY WATER HEATER 1.50 ({!�O(/ /`" GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PE SYSTEM .30 INSPECTION RECORD p� v AX C) U ''lam• N APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT 5 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 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 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST ' CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE A D C D RESIDENT AL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTE FINAL 7�C�� ,�� ra*LIDATION .LACK R. ALLEN cK. M.0. CASH SUPERVISING MECHANICAL ENG'R. x,0 313 5 4W FEB 2 9 5 D -6.2 5 N b= -7ev, a-so ig APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY llyll COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. PLUMBER U �✓7� V O Q r x`51 SQ1(j 102) RECEIVED BY READY FOR DATE ISSUED �y iJ/ G� 'B FIRST INSPECTION ADDRESS 1 bO v Iv, ",yam /p//�,,/ Q'O1 Y ADDRESS / `c.'" /��l CITYy' 66�✓i. �% TEL. N � COUNTYLOCALITY �. N✓f�/-�/ LICENSE NO. r �1 EXPIRES (y� I 1 NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNERC L le.< o H S MAIL WATER CLOSET (TOILET) Cal 0.50 1 5 1J ADDRESS3�/y�l�' 1 BATH TUB @ 0.50 I I CITY �(�Q J Li GI�I?L� TEL. NO. SHOWER @ 0.501 — 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS ® LAVATORY (WASH BASIN) @ 0.50 I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 0 STATE LAWS REGULATING P ING. 1 CERTIFY THAT I S THE ABOVE VALID LOS —I LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNT E. 1 AM THE LEGAL OWNER OF THE RESIDE ROP Y DESCRIBED ABOVE. �J GAS SYSTEM OUTLETS @ 0.501 SIGNATURE O Rl WATER HEATER @ 0.5.0 1 PERM ITT SLOP SINK @ 0.501 INSPECTION RECORD FLOOR SINK a 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.501 DRINKING FOUNTAIN @ 0.50 I 1 URINAL @ 0.50II „J I HOUSESEWER @ 0.501 Il a Z MISCELLANEOUS I 2 � I-1 0 I 1 1 1 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL _ SEPTIC TANK: I SEPTIC TANK I DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT . I 1.00 GAS TEST ULITY CO. NOTIFIED TOTAL FEE 5 TI FINAL ""'v FOA667-CE817 12/59 r 4 APPLICA ION FOR PLUMBING PERMIT. COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING -/ JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS /ZU a N. WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY i ✓y� / FOR APPLICANT TO FILL IN NEARESST. W/% �7 • �/ /� d- ll�,� NUMBER FIXTURE OR ITEM CROSS OWNER WATER CLOSET MAIL _ BATH TUB ADDRESS ae�D.I v CIT SHOWER ��' ( ,, L. NO. LAVATORY CONTRACTOR SINK ADDRESS DISHWASHER CI /��fit�� •TEL. NO. .S>OS'j! CONTRACTOR'S STATE ❑ LAUNDRY TUB REGISTRATION NO. COUNTY ❑ CLOTHES WASHER DISTRICT NO. G OUP Z NE P CESSED BY WATER HEATER ' / 4,f GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD17-4 a O U O F U W a z @ $1.00 PER ITEM OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK TOTAL FEE I—s ROUGH PLUMBING 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 UPLUMBING. CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ED BY LOS ANGELES COU AND STA E OFGAS TEST TH I THE LEGAL 0 OF E BOYEESIDE IAL OPERUTILITY CO.NOTIFIED T FINAL �ti//K�;� _�,..,/�,��•� ®P ALIDATION ROBERT A. WOOD. �l cK. M.0. CASH SUPERVISING MECHANICAL ENG-Ft � DiL: o� 5 D {" W / i WORKERS'COMPENSATION DECLARATION ; r CE 81 A APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a' certificate of consent to,self ce e» (z-so) insure, or a certificate of Workers'Compensation Insurance,•or ` . "fl a certified copy thereof(Sec. 3800,L b.C.) L� COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy N �erh any ?/l�� ylil' ZCe,,,,ified copyis hereby furnished. FOR APPLICANT TO FILL IN (PRINT ORT_YPE) BUILDINGADDRESSfied copy is filed with the county building inspection NUMBER FIXTURE OR ITEM • FEE, WATER CLOSET LOCALITY L16�NEAREST d ar n �// Date �Applicant � BATH TUB j` CROSS ST. �/� 5� Y� CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER G,m, s' �GGfJ LAVATORY MAIL L (This section need not be completed if the work involved % ADDRESS /Dv? 6 ? by the permit is for one hundred dollars ($100) or less.) SINK CITY'SZ�—,�Tf TEL. NO.�/�� I certify that in the performance of the work for which this DISHWASHER U permit is issued, I shall not employ any person in any manner CONTRACTOR so as to become subject to the Workers' Compensation Laws. / CLOTHES WASHER (� ADDRESS 0 O Date Applicant SWIMMING POOL RECEPTOR U NOTICE TO APPLICANT: If, after making this Certificate of CITY TEL.NO. W Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM 0. STATE LIC. N Compensation provisions of the Labor Code, you must forth- LICENSE NO. CLASS Z with comply with such provisions or this permit shall be WATER HEATER deemed revoked. GAS SYSTEM OUTLETS DISTRICT NO. CESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL ness and Professions Code, and my license is in full force and DATE _ t' ¢—�3 VALIDATION effect. FINAL License Numb er= Lia Class BY Contractor u—Date w I'am exempt from the licensing requirements as I am a Plan check fee licensed :architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE a Lic.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. ness and Professions Code): F1I, as owner of the property, am exclusively contracting 2 7 2 8 1 A with licensed contractors to construct the project (Section 7044, Business and Professions Code). '.`, ,if o 0 0 0 o 5 r, CONSTRUCTION LENDING AGENCY 2 - - 3250 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is o o o32505: issued(Sec. 3097,Civ.C.). Lender's Name 1.02-82 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 ove-mentioned ppoperty for inspection purposes. Signature oppefmittee Date