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HomeMy Public PortalAbout9949 DUFFY ST_Plumbing__ 76A687 .9`1 -as APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRIeNO. I GROUP ZONE. PERMIT NO. 6 6 y3'2_ PLUMBERFONTANA P1 IIMRINGCONTRArTORS RECEIVED BY READY FOR DATEISSUED FIRST INSPECTION ADORE ADOREss344 W. Carvev - Monterey Park. Calif. _ CITY A!-lantic 2-4654 -TEI CWnberland 3.1040 ADDRESSBUILDIN COUNTY //�� �, LOCALITY <fi LICENSE NO. .,7 EXPIRES 6 NEAREST C PERMIT FEES CROSS ST. (4 NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER WATER CLOSET (TOILET) @ 0.50 S MALL ADDRESS BATHTUB__ - - -_- 'a 0.50 - I- -.�. -`CITY _.... - =-.. .TEL.-NO. SHOWER @ 0:50 1 �.. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS p APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND LAVATORY (WASH BASIN) a 0.50 I `GREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ O.50 I STATE LAWS REGULATING PLUMBING. '1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.501 ANGELES COU DENTY LICENS OR 1 AM THE LEGAL OWNER GAS SYSTEMS OUTLETS @ 0.50 I OF THE RESINT PR TY ABOVE. SIGNATURE OF WATER HEATER @ 0.501 PERMITTEE SLOP SINK @ 0.50 Ii5PECTIOPd RECORD IFLOORSINK @ O.50 FLOOR DRAIN a O.SO I� DISHWASHER @ 0.501 DRINKING FOUNTAIN @ o.50I� IURINAL @ 0.501 ,J 1 HOUSE SEWER @ 0.so 1 MISCELLANEOUS 0 I I I I APPROVALS- DATE PPROVALS-DATE / INSPECTOR'S NAME ROUGH PLUMBING - GAS PIPING /y''�j27'�• �- GAS VENT L/ CESSPOOL @ 1.00 I� CESSPOOL SEPTIC TANK: I SEPTIC TANK 1 DRAIN ( ) PIT ( @ 1.00 1 SEWER � j` 0 PERMIT . I 1.00 GAS TEST r ,{ UTILITY CO. NOTIFIED IfI E I TOTAL FEE 5 � FINAL I 76A667A (CE`176;r�-6/77 s . A-0P OC ATOONN FOR PLUMBONG PERMlOT b • �+1 N BUILDING AND SAFETY DIV-1 IN FOR APPLICANT TO FILL IN IPRINT OR TYPE) BUILDING ADDRESS 9�9 Duffy S t. NUMBER FIXTURE OR ITEM ® FEE WATER CLOSETF1;\ LOCALITY 1 e �1 t ll`� NEAREST . BATH TUB CROSS ST �L�-e j v SHOWER OWNER Evans LAVATORY s MAIL ADDRESS same SINK CITY Temple C 1 ty' TEL.N0.28` - 805 DISHWASHER. CONTRACTOR'UnTversal Plumbing CLOTHES WASHER ADDRESS 2631 Lee Ave . SWIMMING POOL RECEPTOR CITY So-.--El Monte TEL.N0575-3460 LAWN SPRINKLER SYSTEMQ WATERHEATER LICENSE NO. 316o18 CLASS C 3 6&2 0 GAS SYSTEM OUTLETS DISTRICT NO./ OUP ZONE ROCESSED BY a OUTLETS OVER i! , g � � O 5 PER SYSTEM INDUSTRIAL G 7 WASTE APPROVAL INSPECTION RECORD OD V W CL VJ Z Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE J Plan check applicant Name APPROVALS DATE INSPECTOR'S SIGNATUR o UNDER SLAB WORK Address ROUGH PLUMBING City Tel.No. GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGELES COUNTYD STATE OF CALIFORNIA OR THAT I AM THE GAS TEST ',��[� LEGAL OWNER OF,AND INTEND TO IDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE FINAL PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDAJION C j M,O. CASH W CH ( WORKERS'COMPENSATION DECLARATION zsweszA. I hereby affirm that I have a certificate of consent to self CE e17 (2-80) A P P L-I C A T I O rl F®R PLUMBING .PERMIT insure, or a certificate of Workers'Compensation Insurance,or U a certified copy thereof(Sec. 3800,L b. ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company ' !y\1 © Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING 9 /� �]( NUMBER FIXTURE OR ITEM O FEE ADDRESS y Certified copy is filed with t ounty b ilding inspection d ar me t. LOCALITY WATER"CLOSET Date Applicant NEAREST /- / BATH TUB CROSS ST. U l� CERTIFICATE OF EXEMPTION FROM WORKERS' At COMPENSATION INSURANCE SHOWER OWNER 'u (This section need not be completed if the work involved LAVATORY MAIL ' ADDRESS by the permit is for one hundred dollars ($100) or less.) } SINk CITU' TEL. NO.a�'_, ' I certify that in the performance of the work for which'this DISHWASHERU permit is issued, I shall not employ any person in any manner CONTRACTOR so as to I)ecojne subject.to-the rker '.„ompensation Laws. CLOTHES WASHER 0 �j ADDRESS' O �O (�, �' O DateZ7` Applican a SWIMMING POOL RECEPTOR -NOTICE TO APPLICANT:=If,-afte aking-thisCertificate of CITY TEL. NO. LU Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM O�© G. Compensation provisions of the Labor Code, you must forth- STATE ll (� LIC. to with comply with such provisions or this permit shall be WATER HEATER LICENSE NO. p( 6 �� CLASS 'L deemed revoked. DISTRICT NO. EtOCE$SED BY GAS SYSTEM OUTLETS LICENSED CONTRACTORS DECLARATION OUTLETS OVER t/Ojr 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 / ✓� , ness and Professions Code, and my license is in full force and DATE VALID TION effect. License Number Lic.Class.. C 3h NAL FIFI Contractor Date 1 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 Lie.or Reg.No. Date Plan check applicant° HOME OWNER-BUILDER DECLARATION Name r G2 ' Q4R I hereby affirm that I am exempt from the Contractor's Address License Law for the followingreason Section,7031.5, Busi- 0 0,0 0 0 ( City Tel.No. ness and Professions Code): r- E] I, as owner of the property, am exclusively contracting 2 ° ° 2 J with licensed contractors to construct thero ect x (Section 7044,Business and Professions Code). p 1 0 0 0 CONSTRUCTION LENDING AGENCY . 01, 04-82 ' 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 1 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- Tioned property for inspection pur oses. ignatu f Permittee Date