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HomeMy Public PortalAbout9744 CRAIGLEE ST_Plumbing__ p - T � 76A607-CE817 10-60 ' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSYON BUILDING ,� 1� �e JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS WILLIAM A. JENSENN SUP'i of BUILDING LOCALITY ( Imo'•7� ( .i�c ' . FOR APPLICANT TO FILL IN NEAR SST. (rev C!?J U NUMBER FIXTURE OR ITEM. ((� OWNER WATER CLOSET. �. ) MAIL / BATH TUB /I ADDRESS o _ TEL. NO. -' 337 le SHOWER CONTRACT LAVATORY I S /,,�J— ADDRESS f ! DISHWASHER ` `�J CITY o.l y y�-j:tll TEL NO..��.}(o_p�y�e o CONTRA OR's S ATE i LAUNDRY TUB REGISTRATION NO. c: Q /.S I. COUNTY CLOTHES WASHER �' ,... �,.,;�J DISTRICT NO. BROLIP ZONE PROCESSED BY f WATER HEATER 7,.J V ©k � �� — Z u GAS SYSTEM INDUSTRIAL WASTE APPROVAL } F INSPECTION RECORD °- O c u ckeG W CL N `� OR FIXTURE APPROVACSL/fJDATE� I/NSP{EC/TO/�R A"? S�IgGNATURE UNDER SLIAB�WORK )61(�NJS''1 /�E)JO/'4A"?' PERMIT $ ' 2100 _ e p , TOTAL FEE ROUGH PLUMBING �U GAS PIPING 4 Y 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE-TO COMPLY GAS VENT - - - 6 WITH ALL COUNTY ORDINANCES AND STATE LAWS.REGULATING PLUMBING. HOT WATER HEATER m 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF , ;d CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OFTHEABOVE GAS.TEST DESCRIBED RESIDENTIAL PRQPERTY. - ` UTILITY CO. NOTIFIED ' c �f" Ll. SIGNATURE � ,�,., OF PERMITTE FINAL e •;_ 'AM TION ROBERT A. WOOD CASH SUPERVISING MECHANICAL ENG'R 0 6:C' u 1 5. J 76A667n(Ck-81713) -9/7S '}Y... _APRLICATION FOR PLUMBING PERMIT LD1 NG AND SAFE DIVISION FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING � NUMBER FIXTURE OR ITEM '@ FEE ADDRESS WATER CLOSET LOCALITY NEAREST BATH TUB CROSS ST. SHOWER OWNER LAVATORY MAIL ' ADDRESS SINK CITY TEL. NO DISHWASHER CONTRACTOR I� c_ CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR / JJ' ' LAWN SPRINKLER SYSTEM CITY TEL. NO. - STATE LIC WATER HEATER LICENSE NO. -(� .� CLASS. .. -. -.. CD D STRICT ROUP ZONE ESSED BY �' v GAS SYSTEM �OUTLETS U o OUTLETS OVER ( I I- 5 PER SYSTEMINDUSTRIAL d WASTE APPROVAL to INSPECTION RECORD Z rn,t .a1 N,u Plan check fee PLUMBING PERMIT ISSUING FEE $ TOTAL FEEZ221 O Plan check applicant Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK Address - ROUGH PLUMBING City Tel. NO. GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER :27*6 Fi 11 A PLUMBLNG. - I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES llyv + LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST &.IA CALI FORNIA OR THAT I &Z" AL OWNER OF, AND INTEND TODRESIDEIN THE ABOVEENTIAL PROPE ,TY. UTILITY CO. NOTIFIED 9A`0 0'1. n n n• GNA7U RF SIOF PERMITTEE FINAL /1Q O U• 1 PLAN CHECK VAL ATION CK. M.O. cnsH PERMIT VALIDATION clfc� reIj 0 ccASH7 9 ti. t G 78A687•CE#817 10-82 li APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES �-L- DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER �^ WATER CLOSET $1.25 MAIL / BATH TUB 1.25 ADDRESS 1 SHOWER 1.25 CITY ;TEL. . NO. LAVATORY 1.25 CONTRACTOR SINK 1.25 ADDRESS DISHWASHER 1.25 CITY NO. ��LAUNDRY 'fUB 1.25 CONTRACTOR'S STATE REGISTRATIONNO. lCOUNTY CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P ESSED BY WATER HEATER 1.50 GAS SYSTEM OUTLETS 1.50 INDUSTRIAL p� WASTE APPROVAL Q OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD V 6 0 F V W d N Z �.j APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 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 CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN, THE ABOVE ESCRIBED�/EIDNTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE ' OF PERMITTEE - FINAL VALIDATION ROBERT P,: WOOD CK. M.O. CASH SUPERVISING MECHANICAL ENG'R _ r �., � WORKERS'COMPENSATION DECLARATION •` an., o offirm+that'I-hAe a certif.icpte of consent to self in- z6-0026 DPW 4/87 Qpp���" "����' �O°" PLUMBNG `p�°"��� y'. . 76A667A -- sure,or a certificate of Workers'Compensation Insurance,or a CE 817. REV. 8/86 certified co hereof Sec: 3800 Lab C., ( ) ^^�� COURITY OF. LOS-ANGELES. DEPT -OF PUBLIC WORKS Policy INMg �ct Company Certified copy'is hereby furnished , FOR APPLICANT TO FILL-IN (PRINT.OR TYPE) BUILDING Certified copy is filed with the county'bualdmg'inspecfion ADDRESS S. rQ department., NUMBER FIXTURE OR ITEM @. FEE LOCALITY WATER,CLOSET(TOILET)'. - Date Applicant. NEAREST `' �' CERTIFICATE.OF EXEMPTION-FROM WORKERS' BATHTUB CROSS ST. VCJ .:. COMPENSATION INSURANCE OWNER (This section need-not be completed,if the work involved by SHOWER MAIL 7 the permit is for one hundred dollarse($F00)'or less.) ' LAVATORY ADDRESS. 7QU r!' e I'certify.that in the pe`rforroance'of the work for which this per- SINK m&is issued/I shall not,employ dny person'i any`man erso " CITY EL. NO as to become subject to the Workers' pensation aw'. DISHWASHER CONTRACTOR 1 ' � U . Date •� Applicant �. G • CLOTHES WASHER NOTICE TO APPLICANT If,,(fter.makind'this Certificate of.Ex v + / em tion, `ou sh`o'uld become sub'ectto the Workers`Com e'n- SWIMMING POOL RECEPTOR ADD P Y I c: P •. ; .' .• CITY RES _ TEL. NO.. S sation'provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEM ly,with such provisions or this permit shall be deemed revok STATE • LIC. ed. WATER HEATER''. LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION. DISTRICT NO` PR CESSED BY' Thereby affirm that l am licensed under provisions of Chapter' GAS SYSTEM OUTLETS % �j 9(commencing with Section 7000)of Division 3 of-the Business -OUTLETS OVER fand e Professions Code;and.my license is m full force and ef= S�ER'SYS7 M FINAL VALIDATI ���/ v DATE !� 4 License Number. Lic. Class O .,/r FINA f$ Contracto ate j. BY / �. r: 0.- Fam exempt-under'Sec 0 _ Uj 8.8P C forthis reasoCLn Plan check fee Date ' D • PLUMBING PERMIT'ISSUING FEE - ..Signature SINGLE FAMILY 4 TOTA'C-FEE HOME OWNER-BUILDER DECLARATION.- Plan check applicant �. I hereby affirm thatl,am'exempt from the Contractor's License Name Law for,.the following reason_(Section 7031.5, Business•and Professions Code): "Address I. Is'ownerof the property, will`do the'work and the City' Tel..No: structure isnot intended_or offered for sale(Section 7044, . 9'0 4 al A' ssionsCode) 'CONSTRUCTIONF $t! o o,o o. o Business and.Profe LENDING AGENCY o o)� &5'a ' I hereby,affirm'that there is,'a construction lending agency for. �- - °"m - t1 6 Jr Q c=i 'the performance of the'work'for which this permit is issued C�/j� l� �L �.•'. �.� 9.:.�.8 (Sec. 3097-,:Civ..-C.)_, s Lender's Nome Y.. 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 D ordinances and State I ws regulating Plumbing,,and hereby 'author`" representati ea of this County to 'enter upon the .. e-mentioned r erty f r inspection purposes. , e SEE REVERSE.FOR EXPLANATORY LANGUAGE Si 'nature o ermit a ate