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HomeMy Public PortalAbout9640 CRAIGLEE ST_Plumbing__ 76A667 DBS 17 11-SO APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF EN®.NEER 01-13TRICT NO. GROUP -ZONEPL FOR APPLICANT TO FILL IN. l L,Ly 40 PLUMBER GENERAL INSTALLATIONRECEI ED ®Y READY FOR DATE ISSUED FIRST INSPECTION ADDRESS 311 E. 80th STREET L. A. 3 v 8f1 BUILDING CITY TEL. No. ADDRESS 9640 E. Oraiglee St. - COUNTY LICENSE ND. 4399 LOCALITY EXPIRES - NEAREST Barela Ave. PERMIT FEES CROSS BT. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER McKinley Broomfield WATER CLOSET(TOILET) @ D.50 $ MAIL ADDRESS AS above BATH TUB @ 0.50 CITY Temple gity TEL No. 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 @ 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELEB COUNTY LICENSE, DR 1 AM THE LEGAL OWNER OF THE RESIDENTIALRRDPER SCRIBED ABOVE. GAS SYSTEM OUTLETS @ 0.50 SIGNATURE OF WATER HEATER @ 0.50 PERMITTE SLOP'SINK @ D.50 INSPECTION RECO RD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 - DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 J Q HOUSE SEWER @ 0.50 _Z MISCELLANEOUS 1— Water Softener 0 0 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ) PIT ) @ 1.00 SEWER PERMIT I 1.00 GAS TEST UTILITY CO.NOTIFIED 1' TOTAL FEE 1 50 FINAL �csnse�Yn a-so APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRI NO. GROUP ZONE PERMIT NO. PLUMBER r e G� RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION 4 Jr ADDRESS / Z ��t �. d �� / `�,',f BUILDING ® �y per_ G' I 'g, /e CITY Sc(��,. �,�A�� TEL. NO.A/- O v��X ADDRESS E��' iL CJ �r COUNTY LOCALITY /r O� /" 9 LICENSE NO. EXPIRES s NEAREST CROSS y�.4" p, PERMIT FEES ST. A� OWNER NUMBER TYPE OF FIXTURE OR ITEM FEE MAIL �y �2 WATER CLOSET (TOILET) C 0.50 Z�$ 1 ADDRESS �A•�� L'57 C=;C=;K.A 1 BATH TUB a .O.50 I CITY -Gn l7�rGJ TEL. NO. �� SHOWER «_il 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND LAVATORY (WASH BASIN) @ 0.50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK a O.SOI STATE LAWS REGULATING PLUMBING. 1 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY �+ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER 1 1 OF THE RESIDENTIA PRO ERTY DASCRIBED ABOVE. GAS SYSTEM OUTLETS @ 0.50 1 WATER HEATER Q 0.501 PESIGNATURE OF � /.,'!/'7,1 /4 RMITTEE Illlll !!!/// /// �GA SLOP SINK 0-5 0'-1 - INSPECTION RECORD FLOOR SINK 0.50 1 J FLOOR DRAIN Q 0.501 DISHWASHER 0.501 DRINKING FOUNTAIN (a7 0.501 A 1 URINAL @ 0.501 I J HOUSESEWER 0.501 1 .S V a �- Z MISCELLANEOUS 1 I 1� APPROVALS ISI 1 DATE INSPECTOR'S NAME 1 1 ROUGH PLUMBING 1 GAS- PIPING 1 ' 1 GAS VENT CESSPOOL Q 1.00I CESSPOOL 1 SEPTIC TANK: 1 SEPTIC TANK 1 1 DRAIN ( ) PIT ( ) tail 1.001 1 SEWER ' PERMIT . I 1.00 GAS TEST TOTAL FEE 1 $ UTILITY CO. NOTIFIED �! FINAL I Z �i0 atid 76K667 IV r.-5o '® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING ����' COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. PLUMBER VALLEY BOULEVARD PLUMBING CO. RECEIVED BY READY FORDATE ISSUED r FIRST INSPECTION , ADDRESS 900 EAST VALLEY BLVD. ROSEMEAD AT. 2.2719ADBUILDING CITY TEL. NO. DRESS COUNTY 3M 6-30• LOCALITY LICENSEE NO. EXPIRES — NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) tN O.50�$ � ADDRESS BATH TUB (1) 0.50 I I CITY TEL. NO. SHOWER (7 0.50 I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) a 0.50 I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK 0.50 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 4 0.50 1 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS O.50 SIGNATURE OF WATER HEATER (Z 0.501 PERMITTEE SLOP SINK (a) 0.50 1 INSPECTION RECORD FLOOR SINK d 0.50 1 FLOOR DRAIN 2 0.50 IDISHWASHER (a) 0.501 DRINKING FOUNTAIN @ 0.50 1 1 URINAL tl 0.50I I J 1 HOUSESEWER (:) 0.501 I Q 1 MISCELLANEOUS O I 1 I I 1 I APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING 1 I GAS VENT CESSPOOL (n) 1.00 I.. CESSPOOL 1 SEPTIC TANK: 1 SEPTIC TANK I DRAIN ( ) PIT ( ) a 1.001 I SEWER PERMIT . I 1.00 GAS TEST I UTILITY CO. NOTIFIED TOTAL FEE $ FINAL WORKER'S COMPENSATION DECLARATION 20-0026 DPW 9/89 /�/�(� p //�� ��np 2 �p nn ��j I 76A667A WI)"PL��1C�1��©N FOR I�L�UOtlOL��ll�1G PERMT �hereby affirm,l,hat 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. OFPUBLIC WORKS DIV. Policy No. Company . Certified copy is hereby furnished. - - ' FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING / f� Certified copy is filed with the county building inspection ADDRESS (p o department. , NUMBER FIXTURE OR ITEM @ FEE T�<' l - _ LOCALITY 11�'L G Date Applicant e." WATER CLOSET NEAREST - CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. ' COMPENSATION INSURANCE ASSESSOR /� (This section need not be completed if the work involved by the SHOWER MAP BOOK��3 // PAGE PARCEL permit is for one hundred dollars($100)or less.) OWNER E) QM I certify that in the performance of the work for which this permit LAVATORY is issued, I shall not employ any person in any manner so as to SINK MAIL- become subject to the Workers' Compensation Laws. ADDRESS DISWASHER CITY - TEL.NO. Date 0 193 Applicant CLOTHES WASHER /, NOTICE/TO AP LICANT: If, after making this Certificate of CONTRACTOR _ e 4 Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS /_ provisions or this permit shall be deemed revoked. LAWN SPRINKLER•SYSTEM av LICENSED CONTRACTORS DECLARATION CITY TEL.NO. I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER tl LIC. (commencing with Section 7000) of Division 3 of the Business and STATE O Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS LICENSE NO. �(f/� CLASS () OUTLETS OVER DISTRICT NO. PROCESSED BY O 5 PER SYSTEM License Number Lic'Class _ U FINAL VALIDATION W DATE fl,�]'� , a - " Contractor ��/ /� Date �h �~� ❑ t under Sec. FINAL •• .a. Z I am exempt BY Ile B.&P.C.for this reason I .; Plan check fee Date: 1 1!T ENS PLUMBING PERMIT ISSUING FEE$ Signature TOTAI _ 55 TOTAL FEE 3/ " `� Plan check applicant :HECK K lL;ta•_ SINGLE FAMILY _ HOMEOWNER-BUILDER DECLARATION Name CHANGE I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Address Code): (}0ti ^— - City Tel.No. ❑ I, as owner of the property,will do the work and the structure oc_s is not intended or offered for sale (Section 7044, Business 0 30 1 1 Arlt 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 above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize N. representatives of this County to enter upon the above-mentioned property for inNon urposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date