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Home My Public Portal About9426 DAINES DR_Plumbing__ 7q?:88'7 -CE#817 12-84 APPLICATION R PLUM ING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ' BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY f FOR APPLICANT TO FILL IN NEARECROSS SST. NUMBER. FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS CITY TEL. NO. SHOWER 1.25 LAVATORY 1.25 CONTRACTOR SINK 1.25 ADDRESS ~ DISHWASHER 1.25 CITY TEL. NO.�� LAUNDRY TUB 1.25 CONTRACTOR'S STATE REGISTRATION NO. COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NOJ G -UP ZO E PR ESE BY WATER HEATER 1.50 GAS SYSTEM OUTLETS 1.50 INDUSTRIAL � - 916 WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD eg �` LLI w� s 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 4 GAS VENT s AND STATE.THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT 1 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 DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE �! OF PERMITTEE FINAL VIA fl— LIDATION ROBERT WOOD CK. M.O. CASH SUPERVISING MECHANICAL ENG'R o 9'0 6 3 1 JUN 14 5 D 3.5 0 $$M SETS IZ-44 APPLICATION FOR PEIt.MT , DEPARTMENT.OF BUILIDING AND SAIF COUNTY OF"LOS ANGELES Wm. J. FOX'. CHIEF ENGINEER" -PLUMBING NATURE OF INSTALLATION DI8TRIc O: GROUP /ZONE PERMIT NO. ...ROUGH FIXTURES - " •n 8' _ READY FOR TE 188 D HEATER CESSPOOL-. -I SEPTIC.TANK: RE -PV 13D D E/� 3. FIRST INSPECTION GAS. MISCELLANEOUS - APPLICANT FILL.IN.-HEAVILY OUTLINED PORTION .ONLY . JOB- a, NAME i C'a - ' . ..ADDRE'SS' W -q _ Q ADDRESSGX s(,/•Q` �Q�j�:. 'LOCALITY. -- - - 7 'O NEAREST .J �.,.. LL CITY, �/�,o/,J _ TEL.,No. CROSS ST. COUNTY J CERT.N01 +O I�fPIRES. W NAME LOCATION OF SEPTIC-TANK, OII CESSPOOL. z MAIL _ - ADDRESS NORTH "1�/� - ''.CITY "TEC.�No. .•,�.. I •AM THE LEGAL. POSSESSOR OF THE ABOVE .LOS (-. - ANGELESCOUNTYCERTIFICAT E F Q�UALIICA 10 I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED' ABOVE. N _ OWNER .. i. CORRECTIONS' .. " SOUTH DESCRIPTION OF WORK. z` ATH TUB -FURNACE py HOWER-_ - DISHWASHER AVATORY ' REFRIGERATOR KITCHEN SINK' WATER SOFTENER' FLOOR SINK .• _ -�QAND TRAP - SLOP SINK FLOOR DRAIN _WASH TRAY URINAL APPROVALS WATER CLOSET DR INKING FOUNTAIN DATE INBPBctoR'eNA1aE WATER HEATERDENTAL LAVATORY, i_ ROUGH PLUMBING I' .- G1- METER�GAS SODA FOUNTAIN GAS:PIPING I ' OUTL _ GAS VENT - .. CESSPOOL TOTAL NUMBER OF FI)CTURES � :SEPTIC TANK I. CESSPOOL- SEPTIC TANK ,SEWER !3 I TOTAL FEE I UTILITY CO.NOTIFIED FINAL D.B.S.17 25M SF(S 12.44 APPLICATION. FOR PE'JRLYiBA - EPAItTmdENT OF )3UILDING AND SAFETY. 77 COUNTY OF, LOS ANGELESPLUMBING - Wm. J. FOX, CHIEF ENGINEER ' NATURE OF INSTALLATION - DISTRICT NO. GROUP ZONE " . PERMIT,NO; ROUGH FIXTURES COMPLETE. BYD READY, FOR TE.ISSU ED HEATER CESSPOOL. -I SEPTIC TANL FIRST INSPECTION -- GAS MISCELLANEOUS.. - - -••-�" /�. - ' APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY � • JOB. •- / NAME ��. ,O- / ADDRESS. ' ADDRESS O O (.� !p .LOCALITY /'1 ! J.. - �- NEal AREST,. ,/ .0. CITY A' TEL.NO..__ - CROSS ST. COUNTY .CERT.No.1310'' `." :EXPIRESteG .r RLp ..W NAME- LOCATION OF SEPTIC TANK, OR CESSPOOL z 'MAIL 3 ADDRESS - NORTH O -:CITY � •TEL.NO. I AM THE LEGAL'POSSESSOR OF THE ABOVE LOS �. ANGELES COUNTY CERTIFICATE OF QUALIGIPATION. 1 AM THE LEGAL OWNEROF THE.PROPERTY DESCRIBED .. .... -, ,, '- .. ,•: ABOVE. :, - -- OWNER. _ CORRECTIONS SOUTH _ .a DESCRIPTIONOF' wolzK ' �pATH TUB FURNACE O *SHOWER. DISHWASHER, 'A ATORY . -%'REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK- QANDTRAP- -4,- - - - - =LOP.SINK - FLOOR DRAIN WASH TRAY - _ URINAL APPROVALS. WATER CLOSET' DRINKING'FOUNTAIN DATE INSPECTOR'S NAME WATER.HEATERDENTAL LAVATORY ROUGH PLUMBING _ =METER GAS AODA FOUNTAIN GA�PIPING OUTL _ - - GAS ViNT /g � CESSPOOL, TOTAL NUMBER OF FIXTURES �J SEPTIC TANK. CESSPOOI SEPTIC TANK SEWER -• - 1 UTILITY CO.NOTIFIED- I TOTAL FEE FINAL - ' L D.E.S.-17 25M SETS 12-45 APPLICATION FOR PERMIT DEPARTMENT OF BUILDINGAND SAFETY : COUNTY OF LOS ANGELES Wm. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUPI ZONE PERMIT NO. ROUGH FIXTURES COMPLETE _ HEATER CESSPOOL SEPTIC TANKRECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION GAS MISCELLANEOUS APPLICANT,FILL IN HEAVILY OUTLINED PORTION ONLY JOB / E NAME S ,,_„�� ADDRES6 Q (p m ADDRESSA 2 LOCALITY g 6 % / NEAREST � `. CITY y%_ TEL.No. CROSS ST. COUNTY CERT.No. EXPIRES m I NAME LOCATION OF SEPTIC TANK, OR CESSPOOL° z MAIL 3 ADDRESS - 'NORTH O - - CITY TEL. No. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ' ANGELES COUNTY CERTIFIC E OF QUALIFICATION. PLUMBER 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED .n w - - ABOVE. > B OWNER CORRECTIONS SOUTH a DESCRIPTION OF WORK BATH TUB FURNACE ty M SHOWER DISHWASHER 0 LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR BINK SAND TRAP SLOP SINK FLOOR DRAIN O WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S nnMe,*' WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER-GAS SODA FOUNTAIN OUTL GAS PIPING GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES // SEPTIC TANK CESSPOOSEPTIC TANK SEWER •�. $ ' UTILITY CO.NOTIFIED TOTAL FEE y/ � � � FINAL ��" Se5 I��i✓Vb"iv. 76A667-CE#817 2-66 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY �^ FOR APPLICANT TO FILL IN NEAREST / CROSS ST. ��-- NUMBER FIXTURE OR ITEM EACH FEE - OWNER S e_v i.`/7 T 1 WATER CLOSET $1.25 MAIL ^ BATH TUB 1.25 ADDRESS ��Z �, �� tl. �' J I/4e_ s SHOWER 1.25 CITY 1,0 '.p e f TEL. NO. LAVATORY 1.25 CONTRACTOR I fit- SINK 1.25 .,ADDRESS DISHWASHER 1.25 CITY TEL. NO. LAUNDRY TUB 1.25 STATE LIC LICENSE NO. CLASS a CLOTHES WASHER 1.25 DISTRICT NO. ROUP ZONE PROC SED BY WATER HEATER 1.50 v � tok Ar—/ GAS SYSTEM OUTLETS 1.50 INDUSTRIAL a WASTE APPROVAL OUT ETS OVER 5 PER SYSTEM .30 INSPECTION RECORD v eT' ,fl 5'0 CD U W D_ !/l � Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE J 15-0 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 PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF GAS TEST CALIFORNIA OR THAT 1 AM.THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESIDENT IAL PROPERTY. .. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE FINAL VALIDATI JACK R. ALLEN CK. M.0. CASH SUPERVISING MECHANICAL ENG-R, LACO9 4.2 6'� JUL3 5 D 3.5 0 c WORKERS'COMPENSATION DECLARATION 76A667A I hereby affirm that.I have a' certificate of consent to self cE oi (2-ao) A%P P L I C A TI ON FOR., PLUMBING P E R W T insure, or a certificate of Workers'Compensation Insurance,or. a certified copy thereof(Sec. 3800,Lab.C.) COUNTY OF LOS ANGELES BUILDING.AND,SAFETY, Policy No., Company. El Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BU.ILDING ADDRESS �/ a9 Ist/ 3 I� Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM O FEE 6. �. department. LOCALITY, Date Applicant 1` WATER CLOSET �� Lem-', ' NEAREST BATH TUB CROSS ST. U CERTIFICATE OF EXEMPTION FROM WORKERS' �. ,COMPENSATIONINSURANCE f SHOWER v—• WNER CW �V w (This section need'not be com P-leted if the work involved LAVATORY MAIL ADDRESS [ by the permit. is for one hundred-dollars ($100) or less.) SINK } CITY f TEL. NO.c r®$ 0- I certifythat.in the erformanca of. the work for which this e r p DISHWASHER OU '. permit 4s-issued,-I shall not employ any person in any manner CONTRACTOR so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER cc ADDRESS Q Date Applicant H SWIMMING POOL RECEPTOR U -NOTICE TO APPLICANT:If, after making this Certificate of, CITY TEL.NO: W; Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM d Conrpensation provisions of the Labor Code,you must forth- STATE LIC. to with comply with such provisions or this permit shall be WATER HEATER LICENSE NO. CLASS Z 'GAS SYSTEM OUTLETS deerned,revoked. DISTRICT NO. PROCESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL �j LI DATION ness and Professions Code, and my license is in full force and DATE /' VA effect. FINAL �:....� License Number Lic.Class. BY lllsss�� Contractor Date ` El I am exempt from the licensing requirements as I an a Plan Check fee licensed architect or a registered professional engineer -acting in my professional capacity (Section 7051•,.Bus- iness PERMIT and Professions Code): TOTAL FEE Lic.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name z 47 0 VA I hereby affirm that I am exempt from the Contractor's Address o 0 0 o o 5 License Law for the following reason (Section.7031.5, Busi- City Tel.No. ness and Professions Code): 0 0 20,50 ` I, as owner of the property, am exclusively contracting with -licensed contractors to construct the project o.° 0 20.5L 0 c=. (Section 7044, Business and Professions Code). S 2. 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 SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. Signature of Permittee Date