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Home My Public Portal About9629 CRAIGLEE ST_Plumbing__ 76A667(C€-817) - 5/73 _ r APPLICATION FOR, PLUMB1ftIG. P'ERMflT. - COUNTY OF LOS ANGELES DEPARTMENT OF.COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING MAKE CHECKS PAYABLE TO: / ppppp ADDRESS �(�/y �G ' HARVEY T. BRAN DT, COUNTY ENGINEER , J jam,. /Jr LOCALITY'. FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST - }� �f CROSS ST-. NUMBER. FIXTURE OR ITEM @ FEE ' '- - - OWNER ,/ WATER CLOSET 1. 5 'doA '/K V-11 MAIL BATH TUB 1'.' S. " V ADDRESS SHOWER1..75 CITY C�/, TEL:NO. LAVATORY -, � �� 1 75 CONTRACTOR c �U SINK + 1!75 ADDRESS DISHWASHER CITY /j TEL. NO. CLOTHES WASHER STATE o LIC LICENSE NO. CUASS', ' SWIMMING POOL RECEPTOR 1 175 DISTRICT NO. CROUP NE /-"C' fSSED BY LAWN SPRINKLER SYSTEM 1.`5 I( 111a< WATER HEATER 1.75xx v INDUSTRIAL 1 WASTE APPROVAL d GAS SYSTEM OUTLETS 1.7,5 Q INSPECTION RECORD U OUTLETS-OVER t „ ' 5 PER SYSTEM O F- c_D, _ , W ' �— .�4—TLC; •.. .. . z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE S° , TOTAL"FEE 1� APPROVALS, DATE INSPE,C TOR'S'-SIf NATURE Plan check applicant - UNDER SLAB WORK Named/ -CJ S/IJ��d'� / U `i/U /II (ROUGH PLUMBING Address ��/ ,_. f{f / GAS PIPING GAS VENT City. �/G� Tel. No. HOT WAITER HEATER. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ' AND STATE THAT THE ABOVE 15 CORRECT AND AGREE'-TO COMPLY .PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES .AND STATE LAWS REGULATING GAS TEST ' PLUMBING. I' HEREBY CERTIFY THAT I AM� PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED - LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF :CALIFORNIA OR THAT.( AM THE LEGAL OWNER OF, AND INTEND TO .. - . RESIDE IN THE ABOV'E/D/ES/+BED RESIDENTIAL JPROPERTY. y a FINAL SIGNATURE 'OF PE'RMITTE�! PERMIT VALIDATION cK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH 316.c5 ' '�g '1'.6 5 U 17.5 o . 1 � 76A667 ((!E-817) -'5/73" - l` . APPLICATION FOR PLUM B'pNG PERM IT ' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION - MAKE CHECKS PAYABLE TO: AooREss 9`629 Crai lee Tempi-Tempi-e cit HARVEY T. SRAN'DT, COUNTY ENGINEER ` LOCALITY ' FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST _ CROSS ST. NUMBER FIXTURE OR ITEM @ FEE - OWNER WATER CLOSET 1.75 Gillmore - MAIL BATH TUB 1 'ADDRESS, lee _ SHOWER 1,75 CITY fl1 1 ,Cit TEL. N0.79.3®5631 LAVATORY 1.75 'C ONTRAC TOR Prof. Dpyelopment Co. SINK 1.75 ADDRESS 1.2 S Santa, Anita Ave . DISHWASHER 1,75 CITY TEL. NO. 445 3560 CLOTHES WASHER ; 1.75 STATE' ' . LIC 0 " LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1,75 279486 DISTRICT NO. GROUP NER CESSE BY LAWN SPRINKLER SYSTEM 1,75 -1 � . . WATER HEATER 1,75 G-� INDUSTRIAL s— WASTE APPROVAL a GAS SYSTEM OUTLETS 1.75 d'" INSPECTION RECORD ` OUTLETS OVER G �,�` �• 5 PER SYSTEM 30 ` Z. —7 , H C) W ... - Z Plan Check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 5y sra) TOTAL FEE .APPROVALS DATE INSPECTOR s SIGNATURE , Plan check applicant 'Prof, nj)mpntUNDER SLAB WORK Name ROUGH PLUMBING I 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 WI TH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQU IRED BY LOS ANGELES COUNTY AND STATE OF _ CALIFORNIA OR THAT I AM THE LEGAL. OWNER OR, AND INTEND TO REST-0E IN THE ABOVE DESC IBED RESIDENTIAL PROPERTY. FINAL -op- 7 s SIGNATURE - B OF PERMITTEE - PERMIT VALIDATION K. M.O. CASH PLAN CHECK VALIDATION CK. M.0. CASH 1 3 7 r"1nghtir 28 5 0 1 0. C) = 76A607-CE*817 9/63 APPLICATION FOR PLUMBIZgVR� I IT 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 LOCALI FOR APPLICANT TO FILL IN NEAREST 41 CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE — n OWNER ��/ ,� WATER CLOSET. $1.25 MAIL BATH TUB 1.25 ADDRESS SHOWER 1.25 LAVATORY 1.25 CONTRAC v SINE 1.25 . ADDRESS DISHWASHER 1.25 CITY EL.� J� LAUNDRY TUB 1.25 CONTRACTOR'S G` STATE REGISTRATION NO- COUNTY ❑. 0 CLOTHES WASHER 1.25 DISTRICT NO. G P ` ;ZTOEI� PRO SSED BY WATER HEATER 1.50 GAS SYSTEM OUTLETS 1.50. INDUSTRIAL (- WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .30 V INSPECTION RECORD RIO" adO _r u W a Z APPROVALS. DATE INSPECTOR'S SIGNATURE PERMIT S 2 00 UNDER SLAB WORK TOTAL FEE. ROUGH PLUMBING GAS PIPING I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION' Q 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 IFY THAT I NPROP�F,��J� REG RED A OR• PLUMBING FIXTURES LICENSED• PBY 4 G7 1/. �� - GAS TEST CALIFORNIA O H M 4J>� RESIDE IN, H�EBOV DESC IBE( ESIDENTIAL P PERTV. 6UTILITY CO. NOTI,FIEDSIGNATUR �'OF PERMI e FINAL �l i �LIDATION ROBERTA. WOOD M.O. CASH SUPERVISING MECHANICAL ENG'R Le0 8 0 M A R 2 8 5 D 5.00- 7GA667 08B 17 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND.SAFETY, COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER PLUMBING FO APPLICANT TO FILL IN T O. GROUP I ZONE PERMIT NO. PLUMBER 0 A l REL IVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS 2- _ BUILDING CITY � TE No. �� ADDRESS (� COUNTYLOCALITY LICENSE NO. �� EXPIRES - NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER i MAIL r WATER CL09ET(TOILET) @ 0.50 S/ ADDRESS BATH TUB @ 0.50 /V CITY TEL No. SHOWER @ 0.50 v 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 I Q APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ O.SD d AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS J LAUNDRY TUB OR TRAY @ 0.50 ~ 0 ANGELES COUNTY EN OR I ,THE LEGAL OWNER GAS SYSTEM OUTLETS @ D.50 v' o OF THE RESIDENT P PERTY Oft-SCRIBED ABO SIGNATURE OF ]C .� WATER HEATER @ 0.50 6 O PERMITTE SLOP SINK @ 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DI.6HWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 HOUSE SEWER @ 0.50 L�fl/� 1=1'rr/!1G,S z MISCELLANEOUS U��',? ✓D �� ' • M Wo l=LU Of?(/*dOitr hli/2lg^/o-r NA/C.) APPROVALS DATE p INSPECTOR'S NAME ROUGH PLUMBING VY� �+"( JIAIIM. GAS PIPING GAS VENT vv• CESSPOOL @ 1;00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN PIT ( ) @ 1.00 SEWER PERMIT I 1.00 GAS TEST UTILITY CO.NOTIFIED ry TOTAL FEE FINAL GlJ • I WORKERS' COMPENSATION DECLARATION 20-0026 DPW 4/87 A,,PPLACATION FOR PLUMBING PERMIT ` I hareby, affirm that I have'a certificate of consent to self in- 76A667A sure,or a certificate of Workers'Compensation Insurance,or a. CE 817-(REV. 8/86) certified copy thereof (Sec. 3800, Lab. C. n Zyj� 9 . S f_. �' COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS-.":-, Policy ORKS .- Policy N Y Certified copy is hereby furnished_ FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ADDRESS Certified copy is filed with the county building inspection de artment: NUMBER FIXTURE OR ITEM �a FEE P 1 / LOCALITY / Q �. T� WATER CLOSET(TOILET) Date — 1 ✓0 Applican ��IIISSSUUU�//�� NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. Te Gh ' COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by MAIL / the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS 9 G L ,,61.e-e- 3-7- I I certify that in the performance of the work for which this per- SINK mit is issued, I shall not employ any person in any manner so CI7Y��' TEL. NO. as to become subject to the Workers'-Compensation Laws. DISHWASHER P1. - CONTRACTOR /�f i��{� Q hl� fit,� Date Applicant CLOTHES WASHER Q / NOTICE TO APPLICANT: If, after making this Certificate of Ex- ADDRESS 2 Cr.g i 1�41c't1 N S /4"!,/CJ em tion,you should become subject to the Workers'Com en- SWIMMING POOL RECEPTOR q/ ! P Y I P CITY Ca I TEL. NO. !(sG �Z / sation provisions of the Labor Code, you must forthwith comp- �LAWN SPRINKLER SYSTEM � U , ly with such provisions or this permit shall.be deemed revok- STATE . LC. ed. WATER HEATER _ U/, LICENSE NO. CLASS 13 LICENSED CONTRACTORS DECLARATION . D�;� V DIST ICT NO. P OC SED BY GAS SY T OUTLETS .I hereby affirm that Lam licensed under provisions of Chapter � o - U 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER , and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALI AION' fect. /� DATE CL License Number Lic. Class a- U All �FINAL Contractoht 0 06,4f JDate � BY 0 O FI.am exempt under Sec. LM 1L B;&P.C. for this reason Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ 10 Go Signature Cz TOTAL FEE -215 SINGLE FAMILY ACCT. OWNER-BUILDER DECLARATION Plan check applicant. l `'t 'g I hereby affirm that 1 am exempt from the Contractor's License Name T/JG Law for the.following reason (Section 7031.5, Business and .t ;rM Professions Code): Address 2 tr 'f_e = Tel. No. P S/ ;!_l i28 = 50 Cit I, as owner of the property, will do the work and the Y ��Y ;d-2 structure is not intended or offered for sale(Section 7044, t_ e �f, wo 5l i Business and Professions Code). ,�l ! CHANK 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.). - " s AN I 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 author' representatives of this County to enter upon the a - Toned property for inspection purposes. - 3.�2� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date • WORKERS' COMPENSATION;;10; CLARATIOM 6=�1PPUCA d PON FOR I�ISUIIVtlENG !t"LSRtT OT ; _g-I herteby"offirrn that'l•heave-..a certificpte of consent .to s'elf', 20-0026 DPW 6/87. _ insur&, of a certificate of Workers' Compensation Insurance, 76A667A or a certified copy thereof. (Sec. 3800, Lab. C. COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company l \— ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING /Z Certified copy is filed with the county building inspec- ADDRESS'NUMBER FIXTURE OR ITEM FEE tion department. LOCALITY • /� �j c� CI �. �7 WATER CLOSET J Date APPlican✓'rte "^"'" NEARESCROSS ST. wi C y (V C CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB , COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by / the permit is for'one hundred dollars($100)or less:) ( LAVATORY MAIL ADDRESS a •. I certify that in the performance of the work for which this SINK ® CITY ' f TE L. NO. permit is issued, I shall not employ any person in any manner so as to become subject to the-Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If,'after making this Certificate of 'Exemption, you should become' subject -to the Workers' SWIMMING POOL RECEPTOR -Compensation provisions of the.Labor Code, .you must forth- ' CITY (A)', TEL. NO. J _ LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC: deemed revoked. ' WATER HEATER LICENSE NO. CLASS / LICENSED CONTRACTORS DECLARATION DISTRICT NO. PR §SED BY ' I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM 2—OUTLETS (commencing*with Section 7000) of Division 3 of the Business OUTLETS OVER J and Professions Code,and m license.is in full force and effect. 5 PER SYSTEM Y FINA ' X1 qVALIDATIORI n:. DATE O, License Nu 3 Lic. Class U. FINAL Contractor• Date BY / 0. ❑ I am exempt under Sec. /y U / W B.&P.C. for this reason 7 Plan check fee N Z Date: PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name AC T I hereby affirm that I am eKemptfrom the Contractor's License ACC A Law for the following reason (Section 7031.5, Business and' Address Professions Code): City Tel. No. 3307 52°50 ❑ 1, as owner of the property, will do the work and the 1 ITEM structure is not intended or offered for sale (Section , 7044, Business and Professions Code). TOTAL 52.50 CONSTRUCTION LENDING AGENCY CHECK 52051 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued {•f1rv1YwG o00 (Sec. 3097, Civ. C.). Lender's Name00 -W0I S/18/n Lender's dress pq ie �y •1 cert' t t I have read this application and state that the D 1 �i➢11d��tJ Zabe-men mation is correct. I agree to comply with all County ' and State laws regulating Plumbing, and hereby out epresentatives of this County to enter upon the A rop ty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE r 17 Signature of Permittee Date