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Home My Public Portal About5132 DALEVIEW AVE_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer /� �p bIVISION OF BUILDING & SAFETY. � � UB � 0 N , I WILLIAM J. FOX. County Engineer D15 RIOT NO. GROUP pZUNE PLRMIF FOR APPLICANT TO FILL.IIN� I --T• A I 1 z4N� I• PLUMBER IA 1 I"; w/ 1 RECEIVED BY —fR`EADY FOR 1 DATE ISSUED v ( V ,,.,v _ 1Ha�{pr FIRST INSPECTION ADDRESS 1 Y� BUILDING @R, DA t v u A i� Q a a CITY TEL NO. ADDRESS Vf/ D/J ,O 'r /rte 2�7 COUNTY LOCALITY / /a/kl�� L.9 �s I ! ✓ LICENSE N0. EXPIRES NEAREST /•�� PERMIT FEES ca❑ss sT. I� pJ �i NUMBER TYPE OF FIXTLRE OR ITEM I FEE OWNER { ` • A. U17 R A PgAt�Y) /j 11 yam{- ADD EBB '•�( �"� �AF El /C.r/f A,,P WATER CLOSET(TOILET) ® D.SO 8 yypv A na. �^''_�)'j y �(,�/ BATHTUB 0,50 6 d CITY �dr�I'Yl b(P G�II TEL No.9^'d9 4 3 VY p SHOWER @ O. O I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS f LAVATORY (WASH BASIN) @ 0.50 (J <�) APPLICATION AND STATE THAT THE ABOVE IS CORRECT y AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK 0.50 p CJ AND STATE LAWS REGULATING PLUMBING.. I CERTIFY THAT I POSSESS THE ABOVE VALID LOB LAUNDRY TUB OR TRAY a 0.50 ANGELES COUNTY LICENSE. OR I 'AM THE LEGAL OWNER GAB SYSTEM a OUTLETS 0 0.4O OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. II SIGNATURE [IF 13,A 14 , WATER HEATER @ ❑.g0 QQ PERMITTEE • 9L❑P SINK 0 ❑.so INSPECTION RECORD _ FLOOR SINK O. ❑ FLOOR DRAIN @ 0.150 v� DISHWASHER @ O. ❑ DRINKING FOUNTAIN ® 0.60 3v URINAL p. O � � F Q HOUSE SEWER ❑. 0 I , L �� 41-"-/7 A A 1/aPn �'&'q -Z M,IL PSCELANEOUSS�� ,f w go APPROVALS DA rE INSPECTOR'S NAME ROUGH PLUMBING GAB PIPINp_ •I GAS VENT �Q CESSPOOL ® 1.00 CESSPOOL _ SEPTIC TANK: SEPTIC TANK DRAIN ( } PIT ( ) @ 1.00 SEWER ,y PEI7MIT 1.00 GAB TEST TOTAL FEE 9 �J UTILITY CO. NOTIFIED / FINAL 7GA067 DBS$17 10/52 - —i \76 A 667- CE 817 7-69 I� RM APPLICATION FOR LUMSING P IT ' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ADILutNc 7 JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUP T. OF BUILDING LOCAi[TY FOR APPLICANT TO FILL IN (PR NT OR TYPE) CROSSSS CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADDRESS SHOWER 1.50 CITY - TEL. NO. LAVATORY 1.50 CONTRACTOR SINK 1.50 ADDRESS DISHWASHER 1.50 CITY TEL. NO. - CLOTHES WASHER 1.50 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.50 DIBCT I GROUP ZONE CESSE Y LAWN SPRINKLER SYSTEM 2.00 k. I O WATER HEATER 1.50 INDUSTRIAL 3 WASTE APPROVAL u GAS SYSTEM OUTLETS 1.50 IN ECTION ItECORID .E, OUTLETS OVER .30 i �_ 5 PER SYSTEM FU f y //.(a Y.( )aA/ .SLP!1 . �� C Plan check fee 2..,% of above. See reverse. PLUMBING PERMIT ISSUING FEF 3 2 00 TO'PAL FIsF ' APPROVALS DATE IrvsvEEioqs slGNAiuRE Plancheck applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City, Tel. NO. HOT WATER HEATER LR BY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION / ANDTE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES ✓ / LL COUNTY ORDINANCES ANDSTATELAWS 'RE6ULATING GAS TEST G. HE CERtIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED / D AS REOUIREO BV LOS ANGELES COUNTY AND STATE OF - �, NIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO /" N, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINALURE �, .TACK R. ALLEN, SUPERVISING MECHANICAL ENG'R. RMITTEE - PERMIT VALIDATION <K.. M:o. CASH PLAN CHECK VALIDATION CK. M.0. CASH Al r 8 .9 .3 8�i�/ckR 1 5 D 5,00— a n 76 A 667 - CE 817 7-69 eGFP APPLICATION FOR PLUMBIER IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION Ruanrnc JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS, SUP T. LOCALITY FOR APPLICANT TO FILL IN (PR NT OR'.TYP E) NEAREST CROSS ST. IZ NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET -t-cq- MAIL ' BATH TUB .y,yp ADDRESS SHOWER CITY TEL NO. LAVATORY CONTRACTOR SINK y.56. ADDRESS DISHWASHER - CTTI' TEL. NO. CLOTHES WASHER - STATE LIC LICENSE NO. 9 CLASS SWIMMING POOL RECEPT R' 4+6d S�l{ICT NO. / GRO P ZO E P O 5 eY LAWN SPRINKLER SYSTE V ! fJ/� fl(� WATER HEATER F+58 INDUSTRIAL y WASTE APPROVAL O GAS SYS- EAI OUTLE .1.56 INSPECTION RECORD V OUTLETS OVER 5 PER SYSTEM .30 - Q Lu W CL Ln Z Plan check fee 2.5% of above. See reverse. PLUMBING PFAINIIT ISSUING F'EE S 00 TOTAL FEE APPROVALS DATE INSPEC TOR'S SIGNATURE PIm1 Cheek applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT Ci[}'. Tel. NO. . HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ,THIS APPLICATION ANO STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS-REGULATING GAS TEST PLUMBING. I 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/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 SIGNATURE r JACK R. ALLEN, SUPERVISING-MECHANICAL ENG'R. OF PERMITTEE / - PERMIT VALIDATIONUK. M.o. CASH PLAN CHECK VALIDATION 'C K. M.o. CASH 9636 r>pR12 5 0 4.75- WORKERS' COMPENSATION DECLARATION APPLICATION PP IC A SrB®1�111 FOR PLUMBING A OAA10I1�1Arf'e PR_'RM IT I hereby affirm that I have a certificate of consent to self 76g667q /"ilk 1� IL '4.YY 0 SCI FOR IrnIL't1tEtlBID II CI`l9 161F1®HY 0 insure, or a certificate of Workers' Compensation Insurance, CE 817(REV. W/81) , a or o certified�ccoppyqy��the��r�e�of (Sec. 3800, Lab. C.)/� COUNTY OF LOS ANGELES T, BUILDING AND SAFETY Policy No. / Compony 0RLO C1+SU>4L r Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING 5'l L Certified copy is filed with the county building ins ec- ADDRESS lion 6 d artm t. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date AppliSant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST, COMPENSATION INSURANCE SHOWER OWNER i (This section need not be completed if the work involved by the permit is for one hundred dollars ($100)or less.) LAVATORY G ADDRESS5:W I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITYTEL. NO. _2l 1 so as to become subject to the Workers'Compensation Laws, DISHWASHER CONTRACTOR c, Date Applicant CLOTHES WASHER ''ll D NOTICE TO APPLICANT: If, after making this Certificate of 00D R SWIMMING POOL RECEPTOR ADDRESS Exemption, you should become subject to the Workers' CITY C TEL. NO. �j Compensation provisions of the Labor Code, you must forth- LXA 15_ A p�� with cam with such provisions or this permit shall be LAWN SPRINKLER SYSTEM comply P P STATELIC. / deemed revoked. WATER HEATER LICENSE NO.43347-4 CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. P ESSED QY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS U y (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER (((fff and Professions Code,and my license is in full force and effect. 5 PER SYSTEMC' 4334 { / FINAL VALIDATION CL License Number Lic. Classp�s]_L— DATE — 0 f� G�[��L�j�,� FINAL Ad Contractor�,F1 L_IOI� �l�$f-� Date i BY r�v,�;,� O 1— F1I am exempt under Sec. OW. {O N BAP.C. for.this reason D Z Plan check fee Date: PLUMBING PERMIT ISSUING FEE$. O S Ii Signature TOTAL FEE V Plan check applicant SINGLE FAMILY $2 3 5 'Q HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License # e 0.0 .,. '5 Low for the following reason (Section 7031.5, Business and Address , Professions Code): City Tel. No. 2 t 1 0 0 2 8 5 ❑ I, as owner of the property, will do the work and the o o c 2'G 5 0€j structure is not intended or offered for sale (Section D ,. 7044, Business and Professions Code). 0 6 2$_84 CONSTRUCTION LENDING AGENCY _ I hereby affirm that there is o 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 D above information is correct. I agree to comply with all County ordinances and State lows regulating Plumbing, and hereby ' ou'"ari representatteof this Coutpty to enter upon thabo - e p r inspe ion purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sig tur of Pe ee Dote