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Home My Public Portal About9628 CRAIGLEE ST_Plumbing__ -7eAS67 0 s-BO igAPPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBINGI WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP1I ZONE PERMIT NO. VALLEY ARD PLUMBING S —"'I— �i��--DD PLUMBER RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION 900 $T VALLEY BLNDo ADDRESS ID 0 ° ADD EISS �✓ ..��d/✓ .r�r't-/ CITY NG TEL. NO. COUNTY - ° J LOCALITY LICENSE NO. EXPIRES - NEAREST e � PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE -OWNER i7C /,/�,�,1/�Imo, kL MAIL WATER CLOSET (TOILET) Q 0.501$ +j5'0_ -ADDRESS _ � t2� _ , r..c".�--•�J�,�/ /�/ l I BATH TUB @ O.50 Iy CITY Jyy` '/r� TEL NO t 5? SHOWER - @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS B I LAVATORY (WASH BASIN) Q 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND I KITCHEN SINK@ 0.50 jZ7 STATE LAWS REGULATING PLUMBING. 1 I li"O 1 CERTIFY THAT i POSSESS THE ABOVE VALID LOS LAUNDRY I� B OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR t AM THE LEGAL OWNER OF THE RESID ENTIA-?PROPERTY DESCRIBED ABOVE. GAS SYSTEM -? OUTLETS Q 0.50 I SIGNATURE OF WATER HEATER Q 0.50 PERMITTEES _ -✓ `=.� ✓I%�"`" SLOP SINK @ 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 I ' FLOOR DRAIN @ 0.50 DISHWASHER @ 0.501 DRINKING FOUNTAIN @ 0.501 URINAL Q 0.501 J HOUSE SEWER @ 0.50 Z' 2�.',) V Ix H.i. 1" LR 6,--- ,K 'Z_ MISCELLANEOUS O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.001 /1&10 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( Q 7.001 I SEWER PERMIT . I 1.00 GAS TEST / I UTILITY CO. NOTIFIED n _,•. r� .-.("7 �d1.TOTAL FEE `r' FINAL I •7GA687 .r 5-50 i® ° APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBRMP WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRIGY NO. GROUP ZONE PERMIT NO. PLUMBER _ / `,� RECEIVED BY READY FOR DATE ISSUED -'FIRST INSPECTION / ADDRESS �y J 1 If ././,G —/BUILDI NG ip �l�r TEL. NO. ADDRESS CITY 50 111 �� p COUNTY LOCALITYNEAREST LICENSE NO. EXPIRES CROSS ST. PERMIT FEES NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER o µ,p//v/�,�•/ ' MAIL WATER CLOSET (TOILET) @ 0.50 S ADDRESSn BATH TUB @ 0.50 I CITY i/1!f .04%eJ-/;�- TEL. NO � f Y y� . SHOWER @ 0.50 I 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 AND KITCHEN SINK @ O.50 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS i LAUNDRY TUB OR TRAY @ 0.50 I ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIA PROPERTY Df-SCRIBED ABOVE. GAS SYSTEM OUTLETS @ O.50 I SIGNATURE OF WATER HEATER @ 0.501 PERMITTE P SLOP SINK @ 0.501 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN - @ 0.501 DISHWASHER @ 0.501 DRINKING FOUNTAIN @ 0.501 J I URINAL @ 0.501 I J p� Q I HOUSE SEW ER @ 0.501 ,._S � . MISCELLANEOUS i (� O I� I I I� I I I APPROVALS 1 DATE INSPECTOR'S NAME I I ROUGH PLUMBING GAS PIPING �— GAS VENT CESSPOOL @ I.001_1__ CESSPOOL SEPTIC TANK: I� SEPTIC TANK 'I 1 DRAIN ( ) PIT ( @ 1.00 I SEWER PERMIT . I 1.00 GAS TEST I TOTAL FEE UTILITY CO. NOTIFIED S ( FINAL 76A667 (CE-817)-8-71 (N�✓ tJ { APPLICATION SFO PLUMBING PE MIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUIDDRELDISS NG A (� LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. !Ci E 1� NUMBER FIXTURE OR ITEM @ FEE OWNER WATER CLOSET 1.75 I MAIL BATH TUB 1.75 S ADDRESS G SHOWER 1 .75 CITY �. L. NO,? LAVATORY' 1 .75 CONTRACTOR / SINK 1.75 ADDRESS DISHWASHER 1.75 CITY TEL. N0. [�, r}7 CLOTHES WASHER 1.75STATE, `9 LIC LICENSE NO. tl CLASS SWIMMING POOL RECEPTOR 1.75 DISTRICT 10. GROUP ZON ES ED LAWN SPRINKLER SYSTEM 1 .75 j WATER HEATER 1.75 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD u OUTLETS OVER .30 5 PER SYSTEM Lu 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 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 1 AM PROPERLY REGISTERED ANO/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DES ED R IDENTIAL OPE RT Y. FINAL SIGNATURE OF PERMITTEE PERMIT VALIDATION CK. M.0. CASH PLAN CHECK VALIDATION CK. M.O. CASH .tG'7'..7 4.8N` AUG 25 5 p 825- a WORKERS'COMPENSATION DECLARATION pp p �p I�j I�I� � p(�/� �,Fl�s 2 �n c, ��L��D�WG ��ll� 11�"L��J{fGp�01J`CJ�J �1,511�UW110� P' e y affirm that IR have a certificate'of consent to self 76A667A sure,.t,r a Certificate of Workers' Compensation Insurance, CE 817(REV. 10/81) or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ❑ Certified copy is hereby furnished ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Q� Certified copy is filed with the county building inspec- ADDRESS / tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY WATER CLOSET Date Applicant -7k NEARE CROSS bT. CERTIFICATE OF EXEMPTION FRO BATH TUB COMPENSATION INSURANCE_ OWNER (This section need not be completed if the work involved by MAIL SHOWER the permit is for one hundred dollars $100 or less. T ADD p ( ) ) LAVATORY (f ADDRESS .1 certify that in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner SINK CITY TEL. NO.- so as to become subject to the Workers' mpensati Laws DISHWASHER b CONTRACTOR ` Date 'Applicant' ��s < y� CLOTHES WASHER ADDRESS r NOTICE TO APPLICANT: If, after making this Cer ific of Exemption, you, should become subject to the orkers' SWIMMING POOL RECEPTOR Compensation provisions of,the-Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY TEL. NO. t with comply with such provisions or this permit shall be STATE a •,+ pp��IC. deemed revoked. WATER HEATER CICENSE NO. LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCES ED BY I hereby affirm that I am licensed under provisions of Chapter 9- GAS SYSTEM OUTLETS /j (commencing with Section 7 of Division 3 of the Business OUTLETS OVER CJ and Professions Co 'a s is in full force and effect. 5 PER SYSTEM, FINAL V IDATION t,• Twat_ DATE �� 1 License Number–!nLic. Class 0 FINAL U. Contractor Date BY ❑ 1 am exempt under Sec. J O U B=$P=C:for=this=reason _ Plan check fee (Li Date: PLUMBING PERMIT ISSUING FEE$ Z Signature TOTAL FEE Plan check applicant p2° n n R SINGLE FAMILY 2f 7S 2f HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address 4 0,50 Law for the following reason (Section 7031.5, Business and . Professions Code):' 0 0 0 4 Q 5 0= • City Tel. No. ❑ I, as owner of the property, will do the work and the :�$6structure 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 I certify that I have read this application and state that the D above information is correct. I agree to comply with all County ordinances and State laws regulating'Plumbing, and hereby- out horize ereby-authorize representatives of this County to enter upon the above derty or inspection purposes. �/ �.�/ SEE.REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date C�