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Home My Public Portal About8812 - 8814 ELM AVE_Plumbing__ -76A667-CE817 12159 0App' APPLD ON FOR PLU"p PE COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER , BUILDING kgBD�S FETY IVISION BUILDIN .. JOHN A. L MBI OUNTY NGINEER ADDRESS WILLIAM A. JENSEN, SUPT OF BUILDING �} h . ; d� - LOCALI . . ' FOR APPLICANT TO FILL IN NEAREST C7a CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSETMAIL CL ✓ BATH TUB DDRE ��D r CIT TEL. NO. SHOWER CONTRACT R LAVATORY SIN$ ADDRESS DISHWASHER CITY G TEL. NO. M' ' ,,, �L CONTRACTOR'S STATE LAUNDRY TUB REGISTRATION NO. �� COUNTY ❑ CLOTHES WASHER DISTRICT NO. ., I GR �9 � WATER HEATER 01 GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD y � o V z I @ $1.00 PER ITEM �// / OR FIXTURE $ /T° - APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDERS6AB'WORK / /Q�)) ROUGH PLUMBING TOTAL FEE �(p GAS PIPING lA 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT y O AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE .LAWS REGULATING PLUMBING. HOT WATER HEATER 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 1 THE LEGAL OWNER OF THE ABOVE DESCRIBED RE 31DENTIA PERTY. `p UTILITY CO.NOTIFIED �.��Q�j�.^y �� jy•� � SIGNATURE OF PERMITTE 4 ! y FINAL C�+P kr �6 I�a(A� l 2ar_' , OF VALIDATION ROBERi A. WOOD. cK. M.0. CASH SUPERVISING MECHANICAL ENG'R Ufo5 72 2 AW ?^ 5 A 16 .76A667-C E817 12/59 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING kiND SAFETY DIVISION s BUILDING�O JOHN A.•L MBIE, COUNTY ENGINEER ADDRESS a WILLIAM A. JENSEN, SUPT OF BUILDING s,.< LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL DDR Q a BATH TUB s. CITY TEL. NO. SHOWER LAVATORY CONTRACTOR SIN% ADDRESS DISHWASHER CITY �v!Z,! , TEL. NO/,� CONTRACTOR'S / STATE Ej- LAUNDRY TUB REGISTRATION NO. < D �S COUNTY ❑ CLOTHES WASHER DISTRICT NO G Pelm S BY WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD a O U 0 F U W a z PER ITEM I ` OR FIXTURE $ / v APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK TOTAL FEE ROUGH PLUMBING GAS PIPING I HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS APPLICATION 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 1 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 THE ABOVE DESCRIBED RESIDENT PROPERTY. ,/ UTILITY CO.NOTIFIED +: SIGNATURE G T!,�$�/ - - OF PERMITTE FINAL `. VALIDATIn.As ROBERT A. WOOD, R.O. RVISING MECHANICAL ENG'R Li:C o 7 z 1 � AIJ 2 9 5 f, , r WORKERS'COMPENSATION DECLARATION 7ease�w pp pp q� �pp (� (�(�n� I hereby:affirm.that I have a certificate of consent to self ce an (z-eo) del��l�:'0 C A T�,O �I FOR PLUMBING P LER M ff insure, or a_certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec. 3800, Lab.C.) 229-x`31 State Comps Ins. Fund COUNTY OF LOS AiUGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. 'FOR APPLICANT TO F-I.LL IN (PRINT OR TYPE); BUILDING" Certified copy is filed with the county building inspection ' NUMBER FIXTURE OR ITEM. O FEE ADDRESS 8812, Elm Avenue... LOCALITY n5i� WATER CLOSET Tem le Cit Dated "r — 2 Applicant N.Rlccl NEAREST BATH TUB CROSS ST. CERTIFICATE OF.EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER John .Bressan_ LAVATORY MAIL.. r (This section need not be completed if'the work involved ADDRESS , 8812 L�11ti AVenui?" O by the permit is for one hundred dollars ($100) or less.) SINK OO// ry CITY Temple e Cit . •*'TEL: NO.286-70 0 U -I certify that in the-performance of the work for.which this DISHWASHER permit is issued, I shall not employ any person in any manner CONTRACTORS Johnn s Pliihbing Service o .so as to become subject to the Workers'Compensation Laws. CLOTHES WASHER ADDRESS"' 9125 E. Las Tunas Drive 0 Date Applicant` SWIMMING POOL.RECEPTOR' O_ NOTICE TO APPLICANT:-If, after making this'Certificate of CITY Temple City' TEL,1\10-285-3224z Exemption, you "should become subject to the Workers', LAWN SPRINKLER SYSTEM STATE LIC. Compensation provisions of the Labor Code, you must forth- LICENSE NO,279687 1ry CLASS. LASS C-36 with comply with such provisions or this permit shall be WATER HEATER deemed revoked. GAS SYSTEM OUTLETS 00 DISTRICT N_O PRO ESSEQBY 1: F LICENSED CONTRACTORS DECLARATION OUTLETS OVERJ. I hereby affirm that I•am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)`of Division 3 of the Busi FINAL •.. VALIDATION ness and Professions Code, and my license is in full force and DATE effect. FINAL p License Number 279687 Lic.Class ' C-36 BY Contractor J. Ricci Date 8-24-82 , , I am exempt from the licensing requirements as 1 am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ 18 50 ff acting in'my professional capacity (Section 7051, Bus- q iness and Professions Code). TOTAL FEE $12 . 50-, 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.703.1.5, Busi- City Tel.No: 2 5 8 2.7 A" ness and Professions Code): I, as owner of the'property, am exclusively contracting 0 o o o o 5 with licensed contractors to construct the project " (Section 7044, Business and Professions Code). .2 °'° 1`.2.5 0 CONSTRUCTION LENDING AGENCY ° ° ° 1-2 5.0.20: I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is 0 8'2 4—82 issued(Sec. 3097,Civ.C.). . Lender's Name I Lender's Address I certify that I have read this application and state that the i 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-mentio ed property for inspection purposes. 2 Signature of Permittee Date