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Home My Public Portal About10324 DAINES DR_Plumbing__ I A CE 8 17( CE REV.6/78) OPS i� APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE( BUILDING ADDRESS NUMBER FIXTURE OR ITEM ® FEE LOCALITY a: WATER CLOSET NEAREST BATH TUB CROSS ST. SHOWER OWNER LAVATORY MAIL ADDRESS SINK CITY TEL.NO. DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL.NO, LAWN SPRINKLER SYSTEM STATE LIC. WATER HEATER LICENSE NO. i CLASS GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK CL 5 PER SYSTEM ROUGH PLUMBING O GAS PIPING V W GAS VENT J HOT WATER HEATER PLUMBING FIXTURES Q GAS TEST Plan check fee1L UTILITY CO.NOTIFIED PLUMBING PERMIT ISSUING FEE$ W TOTAL FEE j FINAL Plan check applicant PLAN CHECK VALIDATION Name Address City Tel. No. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION r: I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 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 DESCRIBED RESIDENTIAL p. A PROPERTY. SIGNATURE OF PERM ITTE E DISTRICT NO. PROCESSED BY INDUSTRIAL WASTE APPROVAL 7M%7-CE817 3-59 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUIL=77== JOHN A. LAMBIE, County En ineer ADDCASSATT D. GRIFFIN, Sup t of BuildingLOCALITY FOR APPLICANT TO FILL IN NEAREST / CROSS ST. / NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL BATH TUB / ADDRESS CITY TEL. NO. SHOWER - CONTRACTOR LAVATORY SINS ,/ ADDRESS Ajay DISHWASHER CITY NO,.,,::- CONTRACTOR'S ONTRACTOR'S �y STATE LAUNDRY TUB REGISTRATION NO. COUNTY R DISTRICT NO. GROUP ZONE CESSED BY / WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD @ $1.00 PER ITEM l OR FIXTURE o APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK TOTAL FEE (77 ?�6I ROUGH PLUMBING GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY LCALIFORNIA COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER . Y CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES 3LICENSED AS AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST n'�"L cS —+► t A OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE RESIDENT PROPS UTILITY CO.NOTIFIED REI7TE FINAL 2 5 f-f J r -Y RE OF VALIDATION ROBERT A. WOOD, cs. M.o. CASH SUPERVISING MECHANICAL ENG'R :� = - AO.5 7 7 3S JM 28 5 A 1 1 .0 0 r,E 8 1 7 �..: -• - '-Cf 817('REV "" . APPLICATION FO- PLUMBI;riG PERMIT, COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ADDRESS 1,0324 Ea baikwsb -. , NUMBER FIXTURE OR ITEM' @. FEE v 'LOCALITYei4,e— .0 -WATER CLOSET NEAR EST ' BATH TUB CROSS ST (�dI r SHOWER- OWNER L�h/� S7�IG2G - LAVATORY MAIL ^, ADDRESS G y' (,, 1)aivtes ,✓ SINK CITY-• /e Cf� TEL NO X4-53 DISHWASHER CON'TRACTOlf dhSfuce I. CLOTHES WASHER " ADDRESSA�- SWIMMING POOL RECEPTOR CITY + pa�+[�• le, TEL.NO ��s36 LAWN SPRINKLER SYSTEM', TATE _ / WATER HEATER L CENSE NO 7 '6 CLASS V� l GAS SYSTEM OUTLETS 'APPROVALS DATE - INSPECTOR'S SIGNATURE OUTLETSOVER UNDER SLAB WORK ¢, /Kv1v.- 5 PER.SYSTEMROUGH PLUMBINC(O O ��....�f }. GAS PIPING _ �' � Z� d `_ -�,J`„ Q GAS VENT V HOT WATER HEATER C PLUMBING FIXTURES U GAS TEST N Plan Check fee UTILITY CO NOTIFIED - z PLUMBING-PERMIT ISSUING FEE$ TOTAL'FEE �' FINAL Plan check a Ilcant r PLAN CHECK VALIDATIO N fes' Name J��/ll G SCS f e Address. 1,6324 E. City Tel No,, I HER BY ACKNOWLE GE THAT I HAVE'READ THIS,APPLICATION AND STATE - THAT THE ABOVE IS CORRECT•AND AGREE TO COMPLY WITH ALL COUNTY,ORDINANCES AND STATE LAWS REGULATING PLUMBING PERMIT'VALIDATION IHEREBY CERTIFY THAT I AM'PROPERLY REGISTERED AND/OR LICENSED AS - REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE - LEGAL OWNER-OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL y 2 p - 3 1.0 0 PROPERTY SIGNATURE + / ;� p O 3 1,0 V v - OF PERMITTEE + _ 07,02-79 DISTRICT ROCESS BY INDUSTRIAL WASTE APPROVAL ' 76 A 667 YC'E 817 7-69 ' APPLICATION FOR PLUM ING PE "IT COUNTY OF LOS ANGELES -'=' DEPARTMENT' OF COUNTY ENGINEER ADILDING DRESS BUILDING AND.SAFETY DIVISION - BU JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS.-SUP'T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN PR NT OR•TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE - OWNER WATER CLOSET 1.50 MAIL` r ` BATH TUB 1.50 ADDRESS SHOWER 1.50-• CITY, �" l TEL. NO.4/ ,;3 Z LAVATORY 1.50 CONTRACTOR SINK - 1.50 , ADDRESS - DISHWASHER 1.50 'CITY / >-( TEL. NO. Y ��1 0 CLOTHES WASHER - 1.50 - STATE LIC LICENSE NO. Lam[�� CLASS' SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROIJ.p Z E PRC 5 Fy 00, LAWN.SPRINKLER SYSTEM 2.00 CZ WATER HEATER 1.50 INDUSTRIAL; WASTE APPROVAL GAS SYSTEM - OUTLETS 1.50 INSPECTION RECORD Z OUTLETS OVER 30 - `� O 5 PER-SYSTEM ,. (> I O. Z a Plan check fee 25% of above. See reverse. PLUMBING"PERMIT ISSUING FEE 800 TOTAL FEE ;1 0— - APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING, Address GAS PIPING' " GAS VENT City Tel. No. HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND.STATE THAT;THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMMNG'FIXTURES. WITH ALL COUNTY .ORDINANCES AND- STATE LAWS REGULATING GAS TEST PLUMBING.' I�HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED - LICENSED AS' REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT,1 AM THE LEGAL OWN OF,AND INTEND TO RESIDE IN,THE ABOVE DEYCRIBED DENTI ROPE RTV. FINAL ' SIGNATURE JACK R:ALLEN, SUPERV.ISM HANICAL ENG'R. . OF'PERMITTEE - ;' PERMIT VALIDATION' C K. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH I � � 3 or 3-3. - EEE,�,�'' 5 D 3.5 O'" WORKERS'COMPENSATIOP,tDECLAR<T+ON APPLICATION FOR PLUMBING PERMIT I hereby affirm that I-have a certificate of con*ant'to�"s�;lf 176A667A ^�s insure, or a certificate of Workers' Compe,,)sa;+on Ir;aurUnce, :CE 817(REV t0/81) , or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. ' Company 43 Certified copy is hereby furnished BUILDING ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) Certified copy is filed with the county building inspec- ADDRESS tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY DateAppliganl WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. (� COMPENSATION INSURANCE OWNER �L SHOWER (This section need not be completed if the work involved by f� the permit is for one hundred dollars($100)or less.) LAVATORY DDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK ITY Gimtle, TEL NOy 5 so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTO l X/� DateApplicant CLOTHES WASHER ADDRESS \NOTICE TO APPLICANT: If, after 4king this Certificate of Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation'provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY TEL. NO. with comply with such provisions or this permit shall be STATE LIC deemed revoked WATER HEATER LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER e__7�4�� 0. and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL VALIDATION V DATE 3 "O License Number Lic Class OG �0 FINAL ` Contractor Date _ BY W I am exempt under Sec N B.BP C for this reason Z Plan check fee Date- PLUMBING PERMIT ISSUING FEE$ 3(3 Signature TOTAL FEE S� Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and Professions Code): City Tel. No❑ 9:1319:131 7.2 R 1, as owner of the property, will do the work and the structure is not intended or offered for sale (Section , #10 0'0 0,0 rj 7044, Business and Professions Code) ' CONSTRUCTION'LENDING AGENCY 2'0 0 3 0,5 0 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued 0•o 0 3(1.3 (Sec 3097, Civ. C.). . - •02•, 04•-83 Lender's Name Lender's'Address I certify that I have read this application and state that the pop.above information is correct. I agree to comply with all County ordinances and State jaws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Sign ure of Permittee Date