Loading...
HomeMy Public PortalAbout9844 DAINES DR_Plumbing__ 78A887 -CE it817�4-64 APPLICATION F R PLUMBING PERMIT � * COUNTY OF LOS ANGELES u DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING Ll // /� JOHN A. LAM IE, COUNTY ENGINEER _ WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY �� �- 1 FOR APPLICANT TO FILL IN CROSS TT . (�'r�/ NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 ,Z/rl-�/�l! MAIL BATH TUB 1,25 ADDRESS CITY TEL. NO. SHOWER 1.25 LAVATORY CONTRACTOR rf r SINS 1,25 ADDRESS 4 v /% DISHWASHER 1.25 CITY !M© `j� TEL. NO.�i.� 71 j CONTPACTOR'S STATE LAUNDRY TUB 1.25 REGISTRATION NO. COUNTY CLOTHES WASHER 1.25 DIST ICT O. GROUP ZONE CESSED BY WATER HEATER 1.50Q OAS SYSTEM OUTLETS 1's INDUSTRIAL p}, WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V •'''' C n y� �0 ./��''� Y'_�.,•— �O�[as e�., PFYAa. f�LI �j,l z APPROVALS DATE INSPECTOR'S IGNATURE PERMIT $ 2 00 UNDER SLAB WORK r ROUGH PLUMBING TOTAL FEE GAS PIPING P I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS IPPLICATION 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 ASO EX RESIDE 1,.,$L PROPERTY UTILITY CO NOTIFIED SIGNATURE (/=j/�__-� OF PERMITTEE FINAL C-1ALIDATION ROBERT A WOOD M o CASH SUPERVISING MECHANICAL ENG'R i LJ Co 6 4 0 9 a DEC 5 D 1 0.0 0 a SNCORKER'SCOMPENSATION DECl4RATION r 200026 DPW 9/69 APPLICATION FOR PLUMBING PERMIT'' �' 76A667A I hereby, effirm that,I have a certificate of consent to 3self insure, ' or a certificate of Wor'rers Compensation Insurance, or a certified copy thereof{Sec 3600 Lab' C) -, - - - � - •_ ' 994965 REPUBLIC INDEMNITY COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. ` Policy No •Company ; ❑ r ° Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINTIOR TYPE) BUILDING. 9844 DAINES DRIVE®, ADDRESS Certified copy is filed with the county budding mspectiori' department , {�_ NUMBER FIXTURE OR ITEM @ FEE LOCALITY TEMPLE CITE CES Date 6/25/95 - Applicar�[ '/ • C�,� - WATER CLOSET ' NEAREST CERTIFICATE OF EXEMPTION BATH TUB FROM WORKERS' CROSS COMPENSATION INSURANCE / / ASSESSOR (This-section need not be completed if the work involved by the SHOWER �h 90 MAP BOOK d PAGE 0�/ PARCEL�� permit is for one hundred dollars($100)or less.) UU / OWNER LAVATORY PIERCE CONSTRUCTION I certify that in the performance of the work for whi"ch this permit • J - is issued, I shall not employ any person in any manner so as to SINK IMAIL become subject to the Workers'Compensation Laws C S 'ADDRESS.- P.O. BOX 1437 _ DISWASHER V CITY TEMPLECITY, CA 91780TEL NO 28-1083 Date Applicant CLOTHES WASHER CONTRACTOR4 NOTICE TO APPLICANT If, after making this Certificate of FRANK MARRONE & SONS; INC. Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR ADDRESS ~ provisions of the Labor Code, you must forthwith comply/with such .9860 LOWER AZUSA ROAD ` provisions or,this permit shall be deemed revoked LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY Ej I�NTE CA�91731 TEL _25[8 } I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER STATE` LIC d (commencing with Section 7000) of Division 3 of the Business and LICENSE NO 397884 CLASS Professions Code,and my license is in full force and effect ' - GAS SYSTEM OUTLETS C 35 C 16 OUTLETS OVER DISTRICT NO PROCESSED BY 5 PER,SYSTEM License Number 397884 Lic Class C/36 C/16 I FINAL 50 A ALIDATION a - (FRANK b1ARRONE & SONS,INC. 12/31/94 DATE Contractor Date C0 ❑ I am exempt under Sec FINgy AL Z B&P C for this reason Plan check fee Date ' PLUMBING PERMIT ISSUING FEE$ Signature - - TOTAL-FEE ❑ - (!JD _-1f�. -. -'la••'- SINGPlan check applicant LE FAMILY, = HOME OWNER-BUILDER-DECLARATION Name ='i d Vii_: a a=h 1 hereby affirm that I am exempt,from the Contractor's License Law _, E:.,l1��- _ • �� for the following reason (Section 7031 5, Business and Professions Address - Code) ' ❑ - ` � - =:e�+=fr�t�C " jf i- 1, as owner of the property,will do the work and the structure City Tel No is not intended or offered for sale (Section 7044, Business and Professions Code) �T CONSTRUCTION LENDING AGENCY In I hereby affirm that there is a construction lending agency for the y - - performance of the work for which-this permit is 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 ordinances and State laws'regulating Plumbing, and hereby authorize �- representatives of this County to enter upon the above-mentioned for i ec p rposes SEE REVERSE FOR EXPLANATORY LANGUAGE pk?_�ty - 71 L (J�// Signature 6f Permittee Date