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Home My Public Portal About9432 CAMINO REAL AVE_Plumbing__ D.S. 17 25M SETS 12-43 - APPLICATION FOR. PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMING 1 COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE � MIT_ ROUGH FIXTURES _I COMPLETE _ HEATER CESSPOOL I X/,JAI}SEPTIC TANK RECEIVED BY READY FOR ISSUE FIRST INSPECTION r 9tP GAS MISCELLANEOU APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB NAME ADDRESS Ll ADDRESS / LOCALITY 7-- D NEAREST "1 CITY TEL.No. CROSS ST. K COUNTY CERT.No. EXPIRES IY NAME W LOCATION OF SEPTIC TANK, OR CESSPOOL Z 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. a 3 i OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK z _z BATH TUB FURNACE L3 Q' SHOWER DISHWASHER p LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER _FLOOR SINK SAND TRAP i SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTORS NAME `i WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FOUNTAIN GAS PIPING OUTL GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURESL SEPTIC TANK I I CESSPOOL SEPTIC TATK -1p SEWER UTILITY CO.NOTIFIED Ll TOTAL FEE FINAL D.B.17 SM SET8 9-43 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 Wm. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GB,2pP ZONE PERMIT NO. _ _ 6 �- ROUGH FIXTURES COMPLETE `�,.� """�"" READY FOR HEATER CESSPOOL SEPTIC TANK RECEIVED BY DATE ISSUED - FIRST INSPECTION o1 GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB a, NAME _-.� ADDRESS ADDRESS (.,,•�' LOCALITY NEAREST IL CITY l .-T .No. CROSS ST. CO TY CERT.No. EXPIRES _iR IC NAME f LOCATION OF S PTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH O CITY TEL.No. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS FANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. t4 Y .= 1 OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK a z BATH TUB FURNACE 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 INSPECTOR'e NAME _WATER HEATER DENTAL LAVATORY ? ROUGH PLUMBING J I Ll•7��=�-`• METEROG TS gODA FOUNTAIN ! �,2 GAS PIPING GAS VENT ...s I r F'1 CESSPOOL I i TOTAL NUMBER OF FIXTURES d ! SEPTIC TANK CESSPOOL---------SEPTIC TANK SEWER I ! I ! ! UTILITY CO.NOTIFIED TOTAL FEE - FINAL D.B.S.-IV 25M SETS 11-46 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ��'�� COUNTY OF LOS ANGELES WM.J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURESCOMPLETE RECEIVED BY READYIFOR DATE ISBUED HEATER CESSPOOL h SEPTIC TANK FIRST INSPECTION GAS MISCELLANEOUS - -' APPLICANT FILL IN HEAVILY OUTLINED�PjORTION ONLY d' NAME -' ADDRESS �C t0 ADDRESS y LOCALITY } O NEAREST J CITY TE . o. C018 ST. a COUNTY CERT.No. EXPIRES S NAME W LOCATION OF SEPTIC TANS OR CESSPOOL Z MAIL 3 ADDRESS NORTH 0 CITY r - TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER)OF THE PROPERTY DESCRIBED ABOVE. a 3 i OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK z BATH TUB FURNACE E9 R' SHOWER DISHWASHER O // LAVATORY REFRIGERATOR � -KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER—L—GAS SODA FOUNTAIN OUTL 6A8 PIPING GAS VENT I I ._ r CESSPOOL TOTAL NUMBER OF FIXTURES I I SEPTIC TANK CESSPOOI SEPTIC TANK SEWER UTILITY CO.NOTIFIED I TOTAL FEE FINAL COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of CD Engineer PLUMBING DIVISION OF BUILDININ G & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRICT-NO. lI GRO�I Z� PLUMBER RECFIVED BY READY FOR �DyTJ IHBL FIRST INSPECTION X-1 � /� ADDRESS Z. m'y7 BUILD ING/s ADDRESS ( ? 2 6� CITY _ - � TEL No. _ h COUNTY LOCALITY �/�`'^ ";)1,4NEAREST LICENSE NO. EXPIRES Jy CROSS HT. NUMBER PERMIT FEES TYPE OF FIXTURE OR ITEM FEE OWNER 120+1—.j0P �j /�,( s /'��(,'F-7MAIL /' l WATER CLO9ET(TOILET) 0 0.50 B D ADDRESS BATHTUB @ 0.50 CITY TEL. No.�C/ 6�d 7 SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK ((i? 0.50 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAI,L PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS @ 0.50 SIGNATURE OF ,� i WATER HEATER @ 0.50 PERMITTEE SLOP SINK a 0.50 INSPECTION RECORD FLOOR SINK (a 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN 0.50 - Z (�Z' � URINAL 0.50 si` J Q HOUSE SEWER ® 0.50 _Z MISCELLANEOUS O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT _CESSPOOL x_1.00 CESSPOOL SEPTIC TANK, SEPTIC TANK DRAIN ( ) PIT ( ) 1.00 SEWER PERMIT . . . . 1.00 GAS TEST TOTAL FEE 5 ') ! A I- UTILITY CO.NOTIFIED �! FINAL 7GA667 DBS#17 10/52 WORICE;W COMPENSATION DECLARATION APPLICATION FOR PLUMBING P E RM I T I hereby affirm that I have a certificate 0116- dnientfto self 76-667A ' r Insure, or a cerilficate of Workers' Compensation Insurance, CE 817(REV. 10/81) or a certlfled copy thereof (Sec. 3900, Lab. C.) COUNTY OF LOS ANGELES SUILIMNG AND SAFETY Policy No. Company Certified copy Is hereby furnished. BUILDING !/ ❑ FOR APPUM CATO FILL IN(PRINT OR TYPE-) ADDRESS certion department. 7 eFEE copy Is.flled with the county building Irspec- NUMBER FDCTUREORITEM tion d ��R�.—� f• Date Applicant WATER CLOSET NEAREST CERTIFLCATE OF ID(EMPTION FROM WORKEkS' BATH TUB / CROSS ST' COMPENSATION INSURANCE GWtR (This section reed not be completed FF the work Involved by SHOWER the permif u for one hundred dollars (=100)or Ise.) LAVATORY AMAR DDRESS I certify that In the performance of the work for which this permit Is Issued, I shall not employ any person In any manner CITY TD ,a- so as to become subject to the Worker Compensatlon Laws. DISHWASHER q CONTRACTORDate, 'ic k ,APplfcant CLOTH LS WASPIER NOTICE TO APPLICANT: If, after mqldng this Certlflmte of ADDRESS Exemptipp, you should become subject to the Workers' SWLYMNG POOL RECEPTOR CTry TE3- NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRUNDQER SYSTEM with comply with such provisions or this perm1t shall be STATE LIC deemed revoked. WATER HEATER LiCEN$E NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED 6Y I hereby affirm that I am licensed under provisions of Chapter 9 OAS SYSTEM OUTLETS (tommencIng with Section 7000) of Division 3 of the Business OUTLETS OYER- and Professions Code,and my license is In full force and effect. s PER SYSTEM FINAL VALIDATFON DATE License Number r I Ic. Clea! L� FI Q Contractor Date BY EJI am exempt under Sec. B.BP.C. for this reason - Plan check fee Date: O PLUMBING PERMIT ISSUING Fid:; Signature TC7TAL FEE -- Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractors License n .7-90 1,b A Law for the following reason (Section 7031.5, Bovines and 'fess 3 `c Professions Code): CityTel. No. s/7. 0 0-0 0 0 S 1, as owner of the property, will do the work and the 0 4 Q J 0 structure Is not Intended or offered for sale (Section 7041, Business and Professions Code). o 0 4 Q V 0 CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for 0 1, 1 2—81-71 the performance of the work for which this perwlt Is Issued (Sec. 3097, Clv. C..). Lender's Name Lenders Address I certify that I have regal 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 authorlxe representatives of this County to enter upon the above-mentioned property for I Ion purposes SEE REVL`RSE FOR EXPLANATORY LANGUAGE Sign re of Permittee Date