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HomeMy Public PortalAbout6212 BURTON AVE_Plumbing__ T SAO°T DBS IT APPLICATION FOR PLUMBING PERMIT 1 1.-55APPLICATION OF BUILDING AND SAFETY Depaxtment of County Engineer County of Loa Angeles BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS � CASSATT D. GRIFFIN, SUPT OF BUROINO P LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. OWNER //( DISTRICT N'� GROUY�� ZONE j aEADx roR insPecnon MAIL J A DRE (p L ff CITY TEL. NO. — 6 G7 7 INDUSTRIAL ETAPPROVAL PLUMBER INSPECTION RECORD ADDRESS r _ CITY /� TEL. NO. LICENSE NO. (/ _. NUMBER TYPE OF FI%T RE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 $ BATH TUB @ 51.00 SHOWER @ 51.00 LAVATORY (WASH BASIN) @ $1.00 - KITCHEN SINK @ $1.00 DISHWASHER @ 51.00 LAUNDRYTUS ORTRAY @ 51.00 CLOTHES WASHER @ 51.00 WATER HEATER @ $1.00 GAS SYSTEM @ 51.00 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT S 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE r 4 GAS VENT I I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER WITH STATE THAT THE ABOVE IS CORRECT AND AGREE COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. ' I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIA 4 PROPERTY SIGNATURE OF PERMI'1TEE 1/ .�"� FINAL JOHN A. LAMBIE. COUNTY ENGINEE7" " ALIDATION ROBERT A. WOOD. CHIEF PLBG. INSPECTOR CASH `L01432 AUG21 3 4.00 0 76A667 CE#8102-62 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS WILLIAM A.JENSEN. SUPT OF BUILDING LOCALITY ITEN FOR APPLICANT TO FILL IN NEARESS7.NUMBER FIXTURE OR ITEM EACH FEE /�/�OEL (JWATER CLOSET $1.25 MAILBATH TUB 1,25 ADDRESS T2 Al CI Y .SHOWER 1.25LAVATORY 1.25CONTRACTORget_ `��SINK 1,25 ADDRESS � '.7�yDISHWASHER 1.25 CITY `-�„�` LAUNDRY TUB 1,25 CONTRA OR'S STATE REGISTR ION NO. COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZO E ESSEO BV WATER HEATER 1.50 SU GAS SYSTEM OUTLETS 1.50 INDU PIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD T d 0 U a O H v W d z Z APPROVALS DATE INSPECTORS SIGNATURE PERMIT S 200 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER N PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDIOR PLUMBING FIXTURES LICENSED AS 060"'77Y LOB ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT TH EGAL OWNER OF.ANO INTEND TO RESIDE IN.THE ABOVE GfSCRIA.RESIDER L ERTY UTILITY CO. NOTIFIED SIGNATURE /L / OF PERM ITT FINAI 4/ VALIDATIOOO� ROBERT A. WOOD CK. M.0. 1 cnsH SUPERVISING MECHANICAL ENG'R Io 8 4 4 1 o ',Ay 5 5 A 3.50 `- °EA°E° '...17 BSI APPLICATION FOR PLUMBING PERMIT 1 10.5. APPLICATION OF BUILDING AND SAFETY Department of County Engineer County of Loa Angeles BUN_DwG 2 2 ( / t L/ Q Iv JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS IV CASSATT D.GRIFFIN_ SUPT of BUILOINO LOCALITY FOR APPLICANT TO FILL IN I NEAREST /��� CROSS ST. OWNERl" !�/ I C_ ' DISTRICT,Nfj- I GROUP ZONE .ADY Fok INSPICTION MAIL N ADDRESS �L INDUSTRIAL CITY TEL. NO. WASTE APPROVAL PLUMBER ,T(J p �...-,-L- ^Q INSPECTION RECORD ADDRESS 7_ L-d' CITY j r`4Q TEL. NO, Y-2�3 7 LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TO]LET) @ $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 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING911 TOTAL FEE GAS VENT 1 D HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I M THE LEGAL OWNER OF HE ABOVE UTILITYCO.NOTIFIED DESCRIBED RESIDENTIAL' OPER Y. SIGNATURE OF PERMITTEE FINAL JOHN A. LA MBIELZou.Ty ENGINEER VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR C6. Y.0. CASH _r CO 4 5 6 C v JAN 2 3 2.© � In 7MO67-CES17 Mg APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER - BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. County Eng neer 11 ADDRESS W L� �� �— j CASSATT D. GRIFFIN, Sup t of Building LOCALITY2 [�f/yD/ FOR APPLICANT TO FILL, IN NEAREST vz CROSS ST. ,I /��1'J NUMBER FIXTURE OR ITEM OWNER///,t WATER CLOSET // pp MAIL BATH TUB ADDRESS,!!/ .tiI /yam /p f,C //�� SHOWER CITY � r ,�TEL NOAZ,, LAVATORY CONTRACTOR SINE ADDRESS%,f 9' e Q' y DISHWASHER CITYTEL. NO 1 ,�'�S/S CONTRAC R'SC'y STATE LAUNDRY TUB REGISTRATION NO. D '1 77 COUNTY ❑ CLOTHES WASHER DISTRIC'[NO. GROUP I ZONE OCESSED BY WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD i ® $1.00 FEB ITEM , OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 r UNDER SLAB WORK TOTAL FEE ROUGH PLUMBING _ n ,,..,J GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE 15 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 ANDAR PLUMBING FIXTURES LICENNI) AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 M THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL OPE TY. UTILITY CO.NOTIFIED SIGNATURE `z ' OF PERM ITTE (/i/r'�� OF VAUDATIOROBERT A. WOOD, CK. M.O. CASH SUPERVISING MECHANICAL ENG'R 6 2 7 1 FED 10 5 .A 3.0 TOABBT -CERBIT 4-64 1 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BDILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEARCROSS TT. D NUMBER FIXTURE OR ITEM EACH FEE p� OWNER WATER CLOSET $1.25 MAIL ADDRESS A1-/q / BATH SUB 1.25 ' 2. / SHOWER 1.25 CI TEL. NO /f/( b LAVATORY 1.25 ZS CONTRACTOR . L SING 1.25 ADDRESS DISHWASHER 1.25 CITY TEL. N LAUNDRY TUB 1.25 C GISTRIOUNO. COUNTY CONTRAN CLOTHES WASHER 1.25 DISTRICT NO, GROUP ONE PROCESSED BY WATER HEATER 1.50 `7 1 �� GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD C O N V w a H Z APPROVALS DATE INSPECTON'S SIGNATURE PERMIT JINTEND 2 00 UNDER SLAB WORK c-^ ROUGH PLUMBING TOTAL FEES 7J GAS PIPING IHEREBY ACKNOWLEDGE THAT I HAVE REPLICATION GAS VENT ANOSTATE THAT TME ABOVE I$ CORflECT ANO COMPLYWITH ALL COUNTY ORDINANCES AND STATEGULATING HOT WATER HEATER PLUMBING. 1HEREBY CERTIFY THAT 1 AM PROPERLYD AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COSTATE OF GAS TEST CALIFORNIA OR THAT i A THE LEGAL OWNEINTEND TORESIDE IN, THE ABOVE D RIBE SIDENTIA UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE FINAL VALIDATI9N-1 ROBERT A. W OD CK. M,0. co5a SUPERVISING MECHANICAL ENG'R Ac 3 5 4 4-, ,AJL 18 5 A 5.7 5- v COMPENSATION a DECLARATION APPLICATION FOR PLUMBING PERMIT arm that 'have o certificate of consent to self in- 100126DPW 4/87 r a certificate of Workers"Compensation Insurance,or 76A667A �IILJIII P CE 817 (REV. 8/86) certified copy thereof (Sec 800, Lab C. � 7 /' pony, ��,fjfY' �%�A. COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. , EJ Certified copy is hereby furnished. S; x? i) ® FOR APPLICANT TO FILL IN(PRINT OR TYPE( BUILDING f Gl� ,/ /JcA��_ / Certified copy is filed with the county building inspection ADDRESS 6 /V/ I rV NUMBER FIXTURE OR ITEM LOCALITY•��� department. -L ,t �D, @ EEE / Z_?") Date_-� GG / A li ca nt - 1141WV Q"�6N "T WATER CLOSET(TOILET) - PP NEAREST'N ." .-- CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE - / SHOWER l oU�V OWNER pj �l��q f v t (This section need not be completed if the work involved by MAIL7/ - the permit Is for one hundred dollars ($100)or less.) (,� LAVATORY ADDRESS tD 7//�/ /V, I certify that in the performance of the work for which this per- ) mit is issued, I shall not employ any person in any manner so / SINK CITY :/ / I Ii as to become subject to the Workers Compensation pensation Laws. i DISHWASHER V „ J /J)uwff I CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS (L�f� NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption, you should become subject to the Workers Com pen- CITY L .Al ` A G7LpU(� 7 TEL NO. 7-(-V-u� sation provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SVSTEM � �L 7 ly with such provisions or this permit shall 6e deemed revok- STATE / o ,.y/ `>”� /� LIC. ed / WATER HEATER LICENSE NO. `7 /S� CLASS LICENSED CONTRACTORS DECLARATION r� PROC ED BY I hereby affirm that I am licensed under provisions of Chapter / ' GAS SYSTEM OUTLETS U DISTRL,Q NO� /f y' 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER V U and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FFIIAN EL VALI TION a License Numbers 'I 1313 ,YLic. Class U V FIN cc 7;11 4QL[ _ / I Z /,&, BY ContractorDate O r I am exempt under Sec. U B.BP.C. for this reason W CL Plan check fee , Z a Date: PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE z 8 7 3 9 A SINGLE FAMILY ' HOME OWNER-BUILDER DECLARATION Plan check applicant #,o o e e • 5I hereby affirm that I am exempt from the Contractor's License Name �.. � (��� Law for the following reason (Section 7031.5, Business and " r .1 -:1 O 5 O Professions Code): Adress d `ag,. L Yr7 El s I, as owner of the property, will fio the (Sect and the City �� � �l'oa�! Tel. No. '752 —u�� ° ° rJ Q structure isnot intended or offered for sole(Section 7044, 01A .1 `8 8 Business and Professions Code). pop- CONSTRUCTION CONSTRUCTION LENDING AGENCY I hereby affirm that there is.o 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-mentiio propeVor inspection purposes. ��' -7 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date