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Home My Public Portal About9974 BOGUE ST_Plumbing__ . PPL.ICATION FOR -PLUMBING PERMIT OF BUILDING_AND SAFETY 7 1 partment of County Engineer County of Los Angeles _ W.10.J. FOX, COUNTY ENGINEER - BUILDING ADDRESS CASSATT D. GRIFFIN, SUPT OF BUILDING / -LOCALITY FOR'APPLICANT TO FILL INNEARE' T CROSS ST. OWNER 1 �� /'� DISTRICT:N0-7[GROUP. �jQ N READY FOR INSPECTION MAIL �!•T ADDRESS zyG�C, I INDUSTRIAL CITY , TEL. NO WASTE APPROVAL PLUMBER - INSPECTION RECORD ADDRESS CITY TEL, TEL.. LICENSE NO. NUMBER ,TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) BATH TUB SHOWER LAVATORY (WASH BASIN) - KITCHEN SINK DISHWASHER LAUNDRY TUB OR TRAY. CLOTHES WASHER TOTAL NO. @ 080 APPROVALS DATE INSPECTOR'S SIGNATURE GAS SYSTEM OUTLETS @1 00 WATER HEATER @ 1 00 / 190UNDER SLAB WORK ROUGH PLUMBING PERMIT 5 1 00 GAS PIPING TOTAL FEE fop 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, 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST 1(O r X/I LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE,OFw� CALIFORNIA OR THA 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED' DESCRIBED RESIDE AL PROPERTY � SIGNATURE I� OF PERM ITT ,FINAL l �b �- `�'-^in.i1 1 ---r WILLIAM J. FOX,COUNTY ENGINEER VALIDATION R.A.WOOD,CHIEF PLBG. INSPECTOR =21 :.3. 2.4.0 � 7BA667 DBS-17 10.55APPLICATION FOR PLUMBING LUMBING PEq M IT 1 DIVISION OF. BUILDING AND SAFETY Deportment of County Engineer County of 'Los Angeles BUILDING /7I JOHN A. LAMBIE.-COUNTY ENGINEER ADDRESS +� CASSATT D. GRIFFIN,SUPT OF BUILDING �j�� LOCALITY FOR APPLICANT TO:FILL IN NEAREST CROSS ST. OWNER �'✓�' - "DISTRICT NO. GROUP ` READY FOR INSPECTION MAIL clq,�7 ADDRESS 7! !! / k- INDUSTRIAL CITY TEL. NO. //,-� WASTE APPROVAL PLUMBER 7 -'t.f " `^� INSPECTION RECORD D ADDRESS S--AII `'�,�/`e,M -/.'_ �f 2 CITY �vvvv �4121/�1/�JV2 TEL. NO. I �7 LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 $ BATH TUB @ $1•.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $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 UU APPROVALS DATE INSPECTORS SIGNATURE UNDER SLAB WORK PERMIT $ t 00 ROUGH PLUMBING ^I GAS PIPING TOTAL FEE �( GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING, I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR T=LPrOERT., LEG OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDE � M SIGNATURE OF PERMITTEE �'� FINAL, \ �. JOHN A. L.AMBIE. COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR CK. N.0. SH CAC -1�9 JAN 17 3- 2.0.0 +� WOf?KERS'COMPENSATION DECLARATION -APPLICATION FOR PLUMBING PERMIT 20-0026 DPW•4/87 - I hereby firm-.that I have a certlficate'of c_onseni'toiself m- 76A667A sure, certificate of Workers'Compensation,lnsurance,or a' CE 817'(REV 8%86) certified copy thereof (Sec 3800, Lab. C.) a COUNTY OF LOS;ANGELES DEPT. OF PUBLIC WORKS Policy No. Company, - } Certified copy'is hereby furnished 111 FOR APPLICANT TO FILL IN(PRINT OR TYPE) t BUILDINGQO^_,� s _ Certified'copy is filed•with'thecounty building inspection ADDRESS -1 y U (oN T ; department.•-. NUMBER FIXTURE.ORAITEM @ FEE LOCALITY � WATER CLOSET(TOILET). " 1 y ' 1 \ " Date•• Applicont' NEAREST .€ --CERTIFICATE OF EXEMPTION,FROM'WORKERS' BATH TUB. CROSS ST COMPENSATION INSURANCE ;' OWNER' �'j „ SHOWER' v' (This section need not be completed"if'the work'involved by MAIL G� st q the permit is for one hundred dollars($100)or less.) I LAVATORY + ADDRESS• �r!'1� ftS A26ov�' -1 certify,that•in the performance of the.work for which this per- mit is issued; I,shall not employ any person,in dny;mdnner,so SINK CITY, TEC NO as to bec'o'me sublecf t&the;Workers' pensa n Laws. _ DISHWASHER r, < - CONTRACTOR pON bate-2-7 " Applicant _ CLOTHES WASHER T , NOTICE TO APPLICANT -If, after making t s Certificate-of Ex ADDRESS, �; MA�� 'SI em tion, you should becori 'sub ect tdthe Workers'Com en- SWIMMING POOL RECEPTOR P Y I P CITY/.K TEL NO cation provisions of-the Labor Code;you must forthwith com . LAWN SPRINKLER SYSTEM yr , p- ly with such provisions or this,permit shall be deemed revok-' :STATE / UC ed: 'i • WATER HEATER•• ti" LICENSE NO �` .� 2 S q ASS y'� LICENSED CONTRACTORS DECLARATION' • ' DISTRIC PR SED�BY I hereby affirm that 1 am licensed under provisions'of•Chapter, GAS SYSTEM' OUTLETS ) 9(commencing with Section 7000)of Division 3 of the,Business OUTLETS,OVER and'P•,rofessionofocle, and my license is in,full'force and ef- 5 PER SYSTEM FINAL A ION - fect. " DATE a0 License-Number Lic Class V FINAL Q "Contractor "'Date BY O I am•exempt under Sec W• B &P C' for this reason r• T N Plan check.fe"e Date: = ► - - PLUMBING PERMIT ISSUING FEE$ , Signature TOTAL FEE. SINGLE FAMILY Plan check applicant'; ' = HOME OWNER-BUILDER DECLARATION. _ - - >_ c •• —` - - , I.kereby,affirm that I am,exempt,from the Contractor's License ••' +'Name j Law for the following 'reason'(Section 7031 5, 'Business and f1 L:y a • . Professions Code)' Address - 3367 '5D 35. Lf 1,`as ownerof'the property, will do the,work.and the City i :{ Tel •No. structure is`'not intended'or offered for sale(Section 7044, M 1TEl�= _ Business and-Professions Code) ►< ZPI�A� 35 ® 50 CONSTRUCTION LENDING AGENCY i 35.50 T'hereb'y affirm that-there is'a construction lending agency for E:' the performance of the work foriwhich this permit is issued ' CHANGE (Sec. 3097, Civ. C.) Lender's Name a. 0008 (00 >i+1S:''_i Lender's-Address-" +y �. AM' ;yf 6'certrfy'tFat•I have read this application dnd.state thdt the abodelinformahon is correct-I.agree to comply'with al County , ordinances and State laws regulating Plumbing,and hereby ; aufhonze representatives of this County to`enter,upon the abo ntioned pr rty for inspection,purposes. „3x— 90. SEE REVERSE FOR EXPLANATORY LANGUAGE Y - ignature:of rmrttee -Date , ION DECLARATI ff,WOtiat I have a certificate of consent to 76A666DPW9/89 APPLICATION FOR PLUMBING PERMIT IJ 76A667A I hereby affirm that I have a certificate of consent to self insure, • or a certificate of Worker's Compensation Insurance, or a certified �. copy thereof(Sec 3800 Lab C.) COUNTY OF LOS ANGELES' DEPT.OF PUBLIC WORKS : DEPT.OF PUBLIC WORKS DIV. Policy No. Company ❑ Certified copy is hereby furnished r r El Certified APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspection ADDRESS department NUMBER FIXTURE OR ITEM @ FEE LOCALITY 'G�•� Date' Applicant WATER CLOSET ` ` Q'(J NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST-- a i ow, COMPENSATION INSURANCE ASSESSOR rj 7 (This section need not be completed if the work involved by the SHOWER MAP BOOK aj PAGE�/� PARCEIf/� permit is for one hundred dollars($100)or less.) f Ly� OWNER i_ I certify that in the performance of the work for which this permit LAVATORY pv is issued, I shall not employ any person in any manner so as to MAIL SINK ADDRESS become subject to the Workers'Compensation Laws. DISWASHER CITY TEL i-2 -e7_ 1 Date � � Applicant � g CLOTHES WASHER CONTRACTOR / sfi U 7rC NOTICE TO APPLICANT: If, afte makin this ertificate of i �✓7 G s� Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS79 provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY �/ T O 3 _(1533 a I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER w� (commencing with Section 7000) of Division 3 of the Business and STATELIC. O Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS LICENSE NO. uQ��j IR CLASS Q y�Q CQQ OUTLETS OVER DISTRICT NO PRC)_6ESSED BY a:5 PER SYSTEM /J License Number �UU / OCA Lic.Class p' -t FINAL O -+i °g U DATE VA BTION �_ W Contractor Date ❑ I am exempt under Sec. BY AL ! j EMS Z B.&P.0 for this reason TOTAL!AL d'0 - 65 Plan check fee- Date.. ee �Ff_;;� ; Date. r: I:°=_r g PLUMBING PERMIT ISSUING FEE$ p?� CHGE ° il) Signature F I - TOTAL FEE Q(� Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name ( i I hereby affirm that I am exempt from the Contractor's License Law t7f i :=It for the following reason (Section, 7031.5, Business and Professions Address i Code). ❑ - -1 City _ Tel. No. 1,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 1 certify that I have read this application and state that the above ' informatiowis 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 0721-93 &gnature of Pe ittee Date WORKERS' COMPENSATION DECLARATION ' 20-0026 DPW 4/87' APPLIC�►TI®N ®R PLUMBINGPERIVIlT 1,hereby, affirm that I Iia"ve'a,certificate of consent to self in- 76A667A ; or a certificate of Workers'Compensation Insurance, of a CE 817'(REV 8%86') < certified cop - e eofr(Sec 3800, Lab. ' s ( " ,COUNTY"OF LOS ANGELES DEPT. OF.PUBLIC WORKS . Policy A Company FCertified copy'is hereby furnished.' „• FOR APPLICANT TO FILL IN (PRINT'OR'TYPE).• ;` .' BUILDING tified copy is filed with the county building ms ct n ;Z,, ADDRESS depart ent NUMBER FIXTURE. ITEM [d ;�;^-FEE LOCALITY . �� WATER CLOSET(TOILET) Date = Applicant NEAREST %J CE TIFIC' TE EXEMPTION FROM,WO ERS' BATH TUB CROSS ST OMPENSATION INSURANCE SHOWER OWNER` (This section:need not.be completed iF the work involved-by i-, MAIL' �7 the permit is,for one hundred dollars ($100)or less.)' LAVATORY, ADDRESS / V I certify that in the performance of the work for which this per. mit is issued, I shall-n6t employ,any person in any manner so SINK' CITY TEL NO a3.'to become'sublect to.ihe Workers"Compensation Laws" u DISHWASHER" ° - r. CONTRACTOR Date Applicant, - -, CLOTHES-WASHER ADDRESS NOTICE TO APPLICANT ,If, after making this•'Cerhficafe of Ex= - -, SWIMMING-POOL RECEPTOR _ emotion;you,should become su6lect to the,Workers'Compen- CITY TEL,NO sation proviswns of'the Labor Code, you must fa thwith'comp- LAWN SPRINKLER SYSTEM "-��—��'� ly:with-such'provisions or this permit shall be deemed revok- STATE' LIC !n ed'' ' - <. r, WATER,HEATER•• LICENSE NO• 7 7 3 CLASS V, _? LICENSED`CONTRACTORS DECLARATION C% DISTRICT PROCESSED BY GAS SYSTEM . OUTLETS I hereby:affir'm'thatal am;licensed under provisions,of:Cha'pter - G� 9(commencing with Section 7000_)of Division 3 of the Business OUTLETS'OVER ✓ " e and Profess ons Co e and my license is in full force and�ef-. 5-PER SYSTEM' y_ DA" v V LIDATION feet v 0. License Number Lic.'Class r FI L' Coritractor /�— D'ate 0 F- I am exempt and r Sec. . i` W B 8P C for'this reason c N -� Plon`check fee • n Date- .. , - - PLUMBING PERMIT,ISSUING FEE $ Signature L TOTAL FEE S SINGLE FAMILY' HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby,affirm that I am exempt-from the Contractor's License Name' s " Law for the following reason (Section 7031.5:Business and - Professions,Cdde'), Address. ` 0 •I, as,owner of the,property, will(do,the'work"and the city Tel No'= ' structure isnot intended•or offered for sale(Section 7044, Busme'ss and Professions Code•) " CONSTRUCTION°LEN DING:AGENCY " ► I hereby affirm that there is a construction lending agency-for - 4 ;he performance of the`work foe which this permit is'issuedq,- (Sec 3097, Civ. - Le_rider"Name ; > Lender's Address ', I I?rM 1 �Ih• r 1••certify,that'I'have read-this application and.state,that,the above information is co re t. I agree to comply with all County f•- f+ ' ' ordi nces,and Sind laws regulating Plumbing, and hereby ri repre atives f'this•Courty'to enter-u on, the. ' a ropert for ermrttee Dat-inspection- poses M, ve 6 - SEE.REVERSE FOR,-EXPLANATOOW'YhLfrNGU�C�En ), Signature of s 1 �` "_, ;