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Home My Public Portal About9018 EMPEROR AVE_Plumbing__ 76A667 A(C E817 Al - 0/75 APPLICATION F R PLUM ING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING MAKE CHECKS PAYABLE TO ADDRESS O / h'1 �!?6 I'C.— HARVEY T. BRANDT, COUNTY ENGINEER LOCALITv1 FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. 37 v /�} !UFF NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET O OWNER J�gJ� p3 ve Kra y MAIL BATH TUB ADDRESS D IZ SHOWER CITY Io (� TEL NO. T LAVATORY V CONTRACTORfifiS a /✓ i SINK ADDRESS 7 2 ,3 Usv f'( r-- 2 DISHWASHER CITY T 11- TEL NO CLOTHES WASHER STATE ` CI416 LASS SWIMMING POOL RECEPTOR LICENSE NO 2 C>O DISTRICT NO GROUPNE OCESSED Y LAWN SPRINKLER SYSTEM rj - 1 WATER HEATER INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS INSPECTION RECORD d OUTLETS OVER O 5 PER SYSTEM U OC O Ii- 11i 67 W G. V1 z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ Al TOTAL FEE v APPR VAiS DATE INSPEC,OR S SIGNATURE Plan check applicant UNDER S1sA WORK Name ROUGH PLUMBING !•-3 7 +� Address GAS PIPING Olty Tel No GAS VENT HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT,1 AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DES IBED RESIDfi TIA��`�L PROPERTY yy��-- FINAL SIGNATURE -7�j�q` OF PERMITTEE �r� PERMIT VALIDATION �CK7 M•0 CASH PLAN CHECK VALI TION CK. M 0 CASH � v 6� 76A667 17 I5-49® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY L COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER t FOR APPLICANT TO FILL IN DISTRICT NO. GROUPZONE PERMIT NO. � l PLUMBER RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS f/ BUILDING �f /��+ CITY TEL. NO. ADDRESS / /Y "` ♦ /C' COUNTY LOCALITY M PL� I Y LICENSE NO. EXPIRES NEAREST 't /t f PERMIT FEES CROSSST. V / b c4 p ` /p/� NUMBER TYPE OF FIXTURE OR ITEM FEE OWNERJMAIL . '� .,]IL/1�1,! \ ADDRESS WATER CLOSET (TOILET) O 50 $ �J p� Q/� It BATH TUB @ O 50 CITY L !7 1 2 / TEL. NO.1 (Y I S / T SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ O 50 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DE CRIBED HOVE. GAS SYSTEM OUTLETS @ O 50 SIGNATURE OF WATER HEATER @ O 50 PERMITTE SLOP SINK @ O 50INSP TIO RECORD FLOOR SINK Q O 50 FLOOR DRAIN @ O 50 yir DISHWASHER @ O 50 DRINKING FOUNTAIN @ O 50 URINAL Q O 50 1 .J HOUSE SEWER Q O 50 I Z MISCELLANEOUS �_ R O APPROVALS DATE INSPECTOR'S NAME `] ROUGH PLUMBING If:.-/7 l 14.. — a nl - GAS PIPING ` GAS VENT q 1� CESSPOOL Q 1 00 I D (/ CESSPOOL / SEPTIC TANK' I SEPTIC TANK I DRAIN ( ) PIT ( ) Q 1 00 SEWER PERMIT 1 00 GAS TEST UTILITY CO NOTIFIED a ,SI AJ S I b� FINAL TOTAL FEE $ 76A667 (CE-817)-4/72 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION .. MAKE CHECKS PAYABLE TO: BUIL7NG ADD HARVEY T. BRANDT, COUNTY ENGINEER LOC '' A'' f ._r C' FOR APPLICANT TO FILL IN (PRINT OR TYPE( NEAR CROS NUMBER FIXTURE OR ITEM @ FEE - WATER CLOSET 1.75 OWNER MAIL BATH TUB 1.75 ADDRESS .� SHOWER 1,75 CITY'"- TEL. NO. LAVATORY 1,75 7 CONTRACTOR f' SINK 1.75 ADDRESS DISHWASHER 1.75 CITY TEL. NO. C -1 . 7 / CLOTHES WASHER 1.75 1 7 STATE LIC LICENSE NO.,' J�- CLASS 1� SWIMMING POOL RECEPTOR 1,75 DISTRICT NO. GROUP ZONE FROCESSED BY LAWN SPRINKLER SYSTEM 1,75 -- Y WATER HEATER 1.75INDUSTRIAL - �? WASTE APPROVAL U GAS SYSTEM . OUTLETS 1.75 INSPECTION RECORD OUTLETS OVER 5 PER SYSTEM 30 Q a O J 0. W Plan Check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE !`. _ APPROVALS DATE INSPECTOR'S SIGNATURE Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/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 SIGNATU RE .,i� OF PERMITTEE I - PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH WORKERS'COMPENSATION DECLARATION 76A667� ) . -APPLICATION FOR PLUMBING PERMIT I hereby affirm .that I have a certificate of consent to self CE 86t-so insure, or-a certificate of Workers',Compensation Insurance,or /] a certified copy thereof(Sec 3800,Lab C.)' / �� -11 COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy ��No.�Company State, Comj2ensation, Ins: O O Certified copy is hereby furnkh� d� FO,R,APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING 018 E. Emperor 1 - ADDRESS R Certified copy ishfiled with the county building inspection NUMBER FIXTURE OR ITEM FEE department. WATER CLOSET LOCALITY Tem le Cit Date 912918(l Applicant' 'a'prry Tile NEAREST� - BATHTUB Ck6SSST Rosemead & Longden -,CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE 1 SHOWER " ' 3 00 OWNER E LAVATORY MAIL (This section need' not be completed if the-work involved ADDRESS Same ° by the permit is for,one hundred dollars ($100) or less.) O SINK: CITY • em le ,Cit�r TEL'NO 285-2.5 I certify that in the performance of the work for which this DISHWASHERccpermit is issued, I shall not employ'any person in any manner CONTRACTOR Te_rty Tile O, so as to become subject to the,Workers' Compensation Laws CLOTHES WASHER B H. ADDRESS 52'00 '311. Washington lvd. IU Date Applicant "' SWIMM-ING POOL RECEPTOR NOTICE TO APPLICANT If, after making this Certificate of CITY LOS - ng'eles TEL NO 1_186 Exerii tion, you should become' subject to the Workers' LAWN SPRINKLER SYSTEM Z P Y STATE.' LIC Compensation provisions of the Labor Code, you must forth- LICENSE NO 105264 CLASS (r'54 with comply with such provisions or this permit shall be WATER HEATER deemed revoked GAS SYSTEM OUTLETS DISTRICT NO Z:r=SSD BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER • f. I hereby affirm that I am licensed under provisions of Chapter 15 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi-' r FINAL VALIDATION ness and Professions Code, and my license is-in full force and DATE .effect I n�r-i264 4.Lie Class 05FINAL License Number � BY ��•-�1�3►Q/�^v Contractor Terry Tile Date 1/1/80. I am exempt from the licensing requirements as I am a Plan check fee Lam- CX r licensed architect or a'registered professional engineer PLUMBING PERMIT ISSUING FEE$ 7 00 � acting in my' professional capacity (Section 7051, Bus iness and Professions Code) TOTAL FEE 1�. 0 Lie.or Reg.No Date Plan check applicant HOME OWNER-BUILDER DECLARATION, Name Address '.o Li 11 a o' : UU CCvJJ CJ I hereby affirm that I am exempt,from the Contractor's v License Law for the following reason (Section 7031 5, Busi- City Tel No 11,20-80 ness and Professions Code) DI, as owner of the property, am exclusively contracting with licensed contractors to•construct the project (Section 7044, Business and Professions Code) ; CONSTRUCTION LENDING AGENCY I hereby affirm thai- 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 I 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-mentioned propertX for inspection purposes - Si nature of Permittee FDalre 6' p