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Home My Public Portal About4826 DOREEN AVE_Plumbing__ DEPARTMENT OF COUNTY ENGINEER '41)IVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING �E �y WILLIAM J. FOX. COUNTY ENGINEER ADDRESS :: CJZ FOR APPLICANT TO FILL IN LOCALITY BUILDING NEAREST Ifl S. A ADDRESS -2-C— �nQ_�>F-s A� CROSS Si. DISTRICT N0. GRr'11UP ZONE PERMIT NO. LOCALITY NEAREST ^^ CROSS ST. L en L-1V-- c---- A-7 ..]9 �R' CCEiReady for InsOaetlon DATE ISSUED OWNER . [� -n Lt1�0 I.�f l�i1 "^"" ,&A�— ( —1,/-/ MAIL INDUSTRIAL A00 KESS L - L G L4,.1 WASTE APPROVAL CITY A L Q TEL.NO. INSPECTION RECORD PLUMBER /r) L-A L(� 1� ADDRESS CITY TEL NO. State Contractor's Llcensa No. Class L. A.C.Onty Contrao t 0 is J R.gistratlon No. Q Z PERMIT FEES NUMaER TYPE Or FIXTURE OR ITEM FEE Q: 0 1 WATER CLOSET(TOILET) @ 0.80 $ CHO BATH TUB @ 0.80 SHOWER @ 0.80 LAVATORY (WASH BASIN) @ 0.60 KITCHEN SINK @ 0.80 _ �_ LAUNDRY TUB OR TRAY @ 0.80 RQ SLOP SINK @ 0.80 FLOOR SINK @ 0.80 _ FLOOR BRAIN @ 0.80 _ DISHWASHER @ 0.80 DRINKING FOUNTAIN @ 0.80 _ URINAL @ 0.80 + GASSYSTEM............OUTLETS G IAB _ WATER HEATER @ 1.00 _ MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK �.`I' PERMIT S I pG ROUGH PLUMBING ,/-144- CA +-.�p TOTAL FEE Z Cep GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI. GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN. ER OF THE ABOVE DESCRIBEDRESIDENTIALPROPERTY. UTILITY CO.NOTIFIED SIGNATURE 11..A.(:_.' .LIF .p iJl_--CB. i. OF PERMITTEE....... .... .. J..L_.I.!. ..5'..:^..'._.^s. FINAL 7GA667 DHS 17 8/5{ r DF,PARTMENT OF COUNTY ENGINEER P L U BONG 2 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING WILLIAM J. FOX, Cou NTv ENGINEER ADDRESS FOR APPLICANT TO FILL IN CEARET. BUILDING ,{ Tom, NEAREST ,Lryk G� A Z L.J%A ADDRESS � � ZG_. . 1 y�� its A� CRO SS ST. /`V1 DISTRICT NO. OR P ZOE NPERMIT NO. LOCALITY �� L. A .1 I !1 CJ 1a NEAREST P\ 0 CROSS ST. LO VJ —' Q Am., J �CEIVj'ID�BV Ready for Inspection DATE ISSUED OWNER C. /.c� . E3 LF1Fs G> A.Ft P,-kL \ /UA.st.._1 . I�� AODR I _Q p _ LrV AIL INDUSTRIAL 1 WASTE APPROVAL CITY A L a TEL.NO- INSPECTION RECORD PLUMBER /' J L.,11,1 v ADDRESS CITY TEL.N0. State Contractor's ' License No. Class W L. A.County Contractor's F Registration No. U PERMIT FEES a NUMBER TYPE OF FIXTURE O0. ITEM FE[ 1 WATER CLOSET(TOILET) 0 0.80 O BATH TUB 0 0.80 SHOWER 0 0.80 _ LAVATORY (WASH BASIN) 0 0.80 KITCHEN SINK 0 0.80 LAUNDRY TUB OR TRAY 0 mm cTar l SLOP SINK 0 0.80 _ FLOOR SINK 0 0.80 FLOOR GRAIN 0 0.80 DISHWASHER 0 0.80 DRINKING FOUNTAIN 0 0.80 URINAL 0 0.80 GAS SYSTEM-----------OUTLETS 0 1.00 WATERHEATER 0 1.00 _ MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE 4o0 GAS PIPING 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI. GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN. ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.. UTILITY CO.NOTIFIED SIGNATURE (I �G �� OF PERMITTEE_._.. 1.R Ta 76Ag67 DDS 17 6/64 D.B.S.-17 251 SETS 12-45 IAPPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES Vim. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DIST NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE —I SEPTIC TANK / HEATER CESSPOOL pECEIVED BY READY FOR DATEISSUED /3"i/qw__ FIRST INSPECTION GAB MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY w .w NAUAKER SEPTIc TANK CO. A'ODBDRESS Z �• ADDRESS LOCALITY yCyrl A J CALIFORNIA NEAREST y CITY TEL.No. CROSS ST. �ft� COUNTY CERT.NO. EXPIRES W NAME LOCATION OF SEPTIC TANK, OR CESSPOOL 2 MAIL 3 ADDRESS NORTH O CITY TEL.No. I AM THE LEGAL POSSESSOR OF THIS ABOVE LOS ANGELES COUNTY CERTIFI pUA IC TON. 'LYNY¢R 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIOED ABOVE. OWN{R CORRECTIONS SOUTH a e DESCRIPTION OF WORK ATN TUB —FURNACE a HOWER DISHWASHER O AVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR BINK SAND TRAP LOP BINK FLOOR DRAIN 1 WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSP6CMR'9 NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAB SODA FOUNTAIN OUTL OAS PIPING GAS VENT CESSPOOL I:(/X�X'7 TOTAL NUMBER OFFIXTURES SEPTIC TANK I / CESSPOOI SEPTIC TANK SEWER D P TOTAL FEE V�� UTILITY CO.NOTIFIED FINAL D.R.S. 17 25M SETS 6-46 i APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY n �� COUNTY OF LOS ANGELES Wm. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP z/0 E PE /1RMIT NO. ROUGH FIXTURES COMPLETE HEATER CESSPOOL 'SEPTIC TANK RECEIVED BY READY FOR % DATE ISSUED FIRST INSPECTION MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY E NAME ADSOBORfi88 W I� //yy f ADDRESS .J'J T LOCALITY ( i -1 NEAREST y '1 CITY TEL.No. CROSS ST. 1 514 CCE�RTN. ( EXPIRES /r 3 NAME LOCATION OF SEPTIC TANK, OR CESSPOOL MAIL NORTH ADDRESS CITY TEL.NO. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFI ATE OF,OUAL1 IClyJ ION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED qq ABOVE. E D .2 N OWNER 'i CORRECTIONS BourH !'c->-spccC ✓i �,iYr'.c.� /'�.�tir7iy.�/�1�:T-"�' `h DESCRIPTION OF WORK �z_ BATH TUB / FURNACE ll SHOWER -DISHWASHER O LAVATORY REFRIGERATOR KITCHEN BINK WATER SOFTENER FLOOR SINK SANOTRAP GLOP BINK FLOOR DRAIN / WASH TRAY URINAL - APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE IMSPECTOR'B NAME WATER HEATER DENTALLAVATORY ROUGH.PLUMBIN'G V-7 I METCR 1 GAB ` SODA FOUNTAIN OUTL GAS PIPING ' 1.,2a Y7 _ f \' GAS VENT r ) � CESSPOOL TOTAL NUMBER OP FIXTURES SEPTIC TANK CESSPOOI SEPTIC TANK SEWER II I Ll • 3 /4 UTILITY CO.NOTIFIED TOTAL FEE �� j ��J .7 (�✓' FINAL ,., -f�- v '' +-•- 'w' TBABOT-CE#RIT 10-02 APPLICATION FOR PLUMBING P COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY,ENGINEER ADDRESS 26 N. -Doreen WILLIAM A. JENSEN. $UP'T OF BUILDING _ LOCALITY TQTR Cl.t FOR APPLICANT TO FILL IN NEAREST ARESSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER R. Lawyer WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS SBUle CITY TEL. NO - SHOWER 1.25 LAVATORY 1.25 CONTRACTOR SINK 1,25 ADDRESS 10920 E. Grand DISHWASHER 1.25 CITY a Cit TEL. NO -12 LAUNDRY TUB 1.25 REGINSTRA ION No. 211898 COUNTY CLOTHES WASHER 1.25 DISTRICT NO. GROU NE PROCE BED BY WATER HEATER 1.50 1 GAS SYSTEM OUTLETS 1.50 1, 50 INDUSTRIALy WASTE APP VAL 0 OUTLETS OVER 5 PER SYSTEM .00 ! N RECORD u 6' 0 H u W a Z_ I %WV J D 1 PROVALS DATE INSPECTOR'S SIGNATURE PERMIT 5 2 00 UNDIN SLAB WORK ROUGH PLUMBING ' TOTAL FEE 3150 GAS PIPING I HEREBY STATETHAT TH ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND LAWS E COMPLY GAS VENT_ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRI ED RESIOENUTILITY CO. NOTIFIED , SIGNATURE S OF PERMITTEE—.ZFINAL ALIDATION ROBERT A. WOOD ( cR. M.D. CASH SUPERVISING MECHANICAL ENG'R 1 7 8 0Q OCT 23 5 D 3.50- v t WORKERS' COMPENSATION DECLARATION - FOR Ir6UMBING Ir ERM� 1 herQb)} affirm that'( have ateriificate of consent to se•If in- -APPLICATION'20-0016 DPW 4/8] -sure,:or o certificate of Workers'Compensotiah.lnsurance,oro CE 817(REV. a/Ob) " certified copy tIereot (sec.3000 Lob G.•.) 17L�t,.ai.'�Q ' �Polic No, i t L t�'aglnPa^Y-cam _COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS _ Y j' Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING -- Certified copy is filed with the county building inspectionADDRESS deportment. NUMBER FIXTURE OR ITEM-.- @ . ` FEE - LOCALITY _ Date• ( e4:ZIft Applicant _ WATER CLOSET(TOILET) - NEAREST C RTIFICATE OF EXEMPTION FROM WORKERS' BATHTUB, CROSS ST. COMPENSATION INSURANCE OWNER 9 ; - ' (This section need not be<omSHOWER pleeed if the work involved by MAR the permit is for one hundred dollars($100)or less.) 'LAVATORY ADDRESS - I certify that in the performance of the work.for which this per- ' SINK. mit is issued, I shall not employ any person in any manner so CITY TEL. NO. asto become subject to the Workers' Compensation Laws. DISHWASHER - - CONTRACTOR Date Applidorm ' CLOTHES WASHER ADDRESS NOTICE T6APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR - emption,.you should become subject to the Workers'Compen- CITY TEL. NO. sationprovisions of the Labor Cade, you must forthwith comp- ., LAWN SPRINKLER SYSTEM - ly with such provisions or this permit shall be deemed revok- _ STATE LIG ed. 'WATER HEATER LICENSE NO. CLASS < LICENSED CONTRACTORS DECLARATIONISTRICT�LO. PROCESSED BY I hereby affirm that am licensedunciprovisions of Chapter GAS SYSTEM 'OUTLETS �v) 9(commencing with Section 7000)of Division of the Business: •OUTLETS OVER - / and Professions Code, and my license is in full force and eft 5 PER SYSTEM FINAL U VALIDATION i fest. DATE('(��'f� �!y^� c License Number„Lic. Class - O t ContractorlI �Y rG1tDate Vt 2yBY AL }” G ❑ I am exempt under Sec W e BP.C. for this recjsori' Plan check-fee _ Date: PLUMBING PERMIT ISSUING FEE S Signature -_ TOTAL FEE SINGLE FAMILY — - HOME OWNER-BUILDER DECLARATION - Plan check applicant I hereby affirm that I am'exempt'from the Contractor's License Name - c Law for the following reason (Section,7031.5, Business and Professions Code): ' "' y Address - At .A CT I, as owner of the:,property, will do the work and the City — Tel. No. 3307 16.50 O structure is not intended or offered for sale(Section 7044, - - - 1 ITEM+. Business and Professions Code). P .. D TOTAL 16- 50 CONSTRUCTION LENDING AGENCY - ' - ., ._.... . 1 hereby offirm,that there is a construction lending agency for - - �.r CHECK .. 16.50 - 6e'performonce of the work for Which this,permit is issued - ✓` - + -- .(Sec. 3097;'Civ C.). CHANGE .LIQ ender's Name " 0000-0001 11l2�/89 Lender's Address I certify that,I have read this applicationand,state that the a. - 6967 1 AM m4 above informatior-Js correct. I agree to comply with all County D - ordinances ond'State laws regulating.Plumbing, and hereby I -authorize'representatives of this County to enter upon the - - above-mentioned pr p or inspection purpose%. 2 SEE REVERSE FOR EXPLANATORY LANGUAGE Signa ureof Permittee Dote