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Home My Public Portal About9808 DAINES DR_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of Engineer PLUMBING DIVISION OF BUILDINLDIN G & SAFETY WILLIAM J FOX, County Engineer F ERMIT NU. APPLICANT TO FILL IN TRI O. GROUP ZEN ,y PLUMBER �� READY FOR C/ RECEIVED BY DATE ISSUED ^O FIRST INSPECTION /CAT ADDRESS D(/ — /� BUILDING y/ ( / CI TEL NO ADDRESS /�Qel COUNTY LOCALITY LICENSE ❑. EXPIRES NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL ,(�/ / WATER CLOSET(TOILET) 0.50 Q ADDRESS /l BATH TUB - ®1 0.50 CITW 'r & TEL. Nq6Z7-2'Z SHOWER @ DID I HERE Y ACKN IEDOE THAT I HAVE READ THIS AND STATEABOVE 19 CORRECT LAVATORY (WASH BASIN) (it 5D Pa ANDLICATION AGREE TO COMPLY W THA ALLH COUNTY ORDINANCES KITCHEN SINK @ `O 50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB R TRAY ® 10 50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER GAS SYSTEM _OUTLETS c /f� OF THE RESIDENTIALPROPERTY DE RIBED ABOVE. L/ • SIGNATURE OF WATER HEATER PERMITTE SLOP SINK @o I) INSPIZCTION RECORD FLOOR SINK @ 0.50 / 0, ��e FLOOR DRAIN gro (1;? DI50 DISHWASHER Q 0'150 DRINKING FOUNTAIN @ 0.50 �'+••"�'��_/�J 1 URINAL @ 0.50 HOUSE SEWER Cad O 50 _Z MISCELLANEOUS a e5 CI 0 APPROVALS DATE INSPECYOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL % 1,00 CESSPOOL SEPTIC TANK: �� SEPTIC TANK DRAIN ( _') PIT 1.00 SEWER PERMIT . 1 DD GAS TEST UTILITY CO NOTIFIED TOTAL FEE S Zc/ 1 FINAL 7GA667 DBS# 17 10/52 r D B 9 17 25M�SETS 7-47 APPLICATION FOR PERMIT ' DEPARTMENT! OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WM.J. FOX. CHIEF ENGINEER _ NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE r J / HEATER CESSPOOL 1-1 SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED - � FIRST INSPECTION AS MISCELLANEOUS /� � APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLYJOB p K NAME ADDRfi SI za W m ADDRESS � y�_��"7_0S,jJ -LOCALITY D NEAREST J AJ CITY TEL.No. CROSS Ao /"f � .f A•1 . COUNTY CERT.No. EXPIRES NAM �`/y �pr _. LOCATION OF SEPTIC TANK,-OR CESSPOOL 3 ADDR106 G/ /< 4 k':flelAthileAl NORTH O CITY � .ho TEL. o. ';rfl.�/A D I AM THE LEGAL POSSESSOR OF THE 'ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF PROPERTY DESCRIBED ABOVE. , V �, � -- OWNER v- CORRECTIONS SOUTH _ J DESCRIPTION OF WORK a z_ BATH TUB FURNACE E9 0.' SHOWER DISHWASHER Q LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK BAND TRAP SLOP SINK - FLOOR DRAIN WASH TRAY- URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S VAMC WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER.-GAS SODA FOUNTAIN OUn GAS PIPING GAS VENT CESSPOOL - TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOL SEPTIC TANK n SEWER $ UTILITY CO.NOTIFIED I TOTAL FEE �� a FINAL D.B.Br17 2SM BETS 1146 / APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ' " COUNTY OF LOS ANGELES PLUMBING WM.J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT ou o PERMIT ROUGH FIXTURES H READY FOR COMPLETE '•' HEATER ",CESSPOOL SEPTIC TANK RECEIVED BY DATA 188UBD FIRST INSPECTION AS MISCELLANEOUS 6 APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB, / C NAME ADDRme ,o ,- W v m � ADDRESS �/�, 1 LOCALITY I CITY �- CJL M� � a y9 NEAREST J _ , TEL.N CROSS BT. COUNTY p�� CERT NO. a 4 0 EXPIRESNAME m LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL NORTH O ADDRESS CITY TEL.No. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE-OF QUJWFICATION. PLUMNKR I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. t4 s 3 OWNER CORRECTIONS i SOUTH J / DESCRIPTION OF WORK a z_ BATH TUB FURNACE SHOWER DISHWASHER Q - -LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR BINK SAND TRAP -SLOP BINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN D�A�T�E/ ) J INSPECTOR'S NAME • WATER HEATER DENTALLAVATORY ROUGH PLUMBING //� w t r METER�GAS SODA FOUNTAIN GAS PIPING OUTL GS VENT CESSPOOL TOTAL NUMBER OF FIXTURES / �® SEPTIC TANK I I CESSPOOL SEPTIC TANK SEWER $ UTILITY CO.NOTIFIED TOTAL FEE G FINAL 76 A 667—CE 81,7 8/68 • i APPLICATION FOR . PLUMBING PERMIT COUNTY ANGELES DEPARTMENT COUTY ENINEER BUILDING AND SAFETY DIVISION BUILDING Cg ®R '� t�rz-S r JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST CROSS ST W NUMBER FIXTURE OR ITEM EACH FEE OWNER QE' CQ� > 1�� WATER CLOSET 1 50 MAIL � BATHTUB 1 50 ADDRESS SHOWER 1.50 CITY LAVATORY 1 50 CONTRACTOR SINK 1 50 ADDRESS 2 I J ' DISHWASHER 1 50 CITY ALL jR TEL. NO. CLOTHES WASHER 1 50 LICENSE NO p. C.� LIC t��ZJ CLASS SWiMTt1ING POOL RECEPTOR 1 50 DISTRICT NO FGROUP ZONE PROCESSED BY d LAWN SPRINKLER SYSTEM 2 00 ® U WATER HEATER 1 50 INDUSTRIAL Z WASTE APPROVAL CD GAS SYSTEM OUTLETS 1 50 1 .INSPECTION RECORD V OUTLETS OVER d 5 PER SYSTEM 30 Plan check fee 25'/o of above See reverse PLUMBING PERMIT ISSUING FEE 8 00 1'0T4L FEF. % 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 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 I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL SIGNATUR G. JACK R. ALLEN, sUP 'RVISING MPCkANICAL ENG'R OF PER ID PERMIT VALIDATION K M o CASH PLAN CH VALON CK M 0 CASH WORKERS'COMPENSATION DECLARATION 7 i ) APPLICATION FOR PLUMBING PERMIT 'I hereby CE 81affirm that I have a certificate of consent to self ce ei7 z-eo 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 P Certified copy is hereby furnished FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ❑ O Certified copy is Bled with the county building inspection NUMBER FIXTURE OR ITEM • FEE ADDRESS department LOCALITY WATER CLOSET Date Applicant NEAREST / BATH TUB - CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER ` MAIL (This section need not be completed if the work involved LAVATORY ADDRESS a. by the permit is for one hundred dollars ($100) or less.) SINKO CITY TEL NO 0 1 certify that in the performance of the work for which this DISHWASHER CONTRACTOR Q/ O permit is issued, I shall not employ any person in any manner 9. so as to become subject to the Workers' Compensation Laws CLOTHES WASHER ADDRESS U Date Applicant 00 LU SWIMMING POOL RECEPTOR NOTICE TO APPLICANT If, after making this Certificate of CITY TEL NO N Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC Z Compensation provisions of the Labor Code, you must forth- LICENSE NO CLASS with comply with such provisions or this permit shall be WATER HEATER deemed revoked GAS SYSTEM OUTLETS OUTLETS OVER DISTRICT NO P O ESSED BY LICENSED CONTRACTORS DECLARATION CEJ ` � CS C, I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL VALIDATION ness and Professions Code, and my license is in full force and DATE S effect FINAL License Number 'Lic Class BY rvt Contractor Date 0 I am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code) TOTAL FEE 2, Lic or Reg No Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's /address License Law for the following reason (Section 7031 5, Busi- City Tel No2/� G A ness and-Professions Code) , 5Q1, as owner of the property, am exclusively-contracting V o'o,o o 5 with licensed contractors to construct , the project (Section 7044, Business and Professions Code) 2 0,0 1 2 5 0 CONSTRUCTION LENDING AGENCY 'o'o o'1 2-'500 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is 12 2 3—8,1 issued(Sec 3097,Civ C) Lender's Name J 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 f this County to enter upon the t ed p pert or inspection purposes ignature ermittee Date