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Home My Public Portal About6329 ENCINITA AVE_Plumbing__ CEB BIKE V.@/781 OS ' A '' APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FORAPPLICANTTO FILL IN(PRINTOR TYPE) gUILDINDDRES '� G NUMBER FIXTURE OR ITEM ® FEE WATER CLOSET d-� LOCALITY -. NEAREST BATHTUB CROSS Si. SHOWER OWNER nF,.s P. LAVATORY MAIL ADDRESS 41-7 SINK CITY TEL.NO. DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL.NO. LAWN SPRINKLERSYSTEM STATE �/ LIC. WATER HEATER LICENSE NO. CLASS GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR"SIGNATURE OUTLETS OVER UNDER SLAB WORK N-15-71e ,�y�Yltiss 5 PER SYSTEM ROUGH PLUMBING GAS PIPING — 6 O , GAS VENT V HOT WATER HEATER PLUMBING FIXTURES GAS TEST Plan check fee UTILITY CO.NOTIFIED VZ PLUMBING PERMIT ISSUING FEE$ TOTAL FEE < FINAL J c Y Plan check applicant PLAN CHECK VALID TION av �,Y�F0 _ j2DD12/6ve-L. Name Address ;9 ' 2 3 J A City Tel. No. . I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE ry O O O O O 5 THATSHE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION L r� O - 2500 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS O O O 2 O O REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE U LEGAL OWNER OF,AND INTEND TO USIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. F , I1.09-78 SIGNATURE OF PERMITTEE DISTRICT NO. R CESSED BY r� Q INDUSTRIAL - WASTE APPROVAL CE 817(REV.11/78) r ✓ APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPD BUILDING / 7 Al al / C / G I�/ NUMBER FIXTURE OR ITEM ® FEE ADDRESS (.7:J WATER CLOSET LOCALITY�� NEAREST BATH TUB CROSS ST. SHOWER OWNER i e f.o III /- LAVATORY MAIL ADDRESS SINK CITY TEL.N0.1�j Y DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL.NO. LAWN SPRINKLER SYSTEM STATE LIC. WATER HEATER LICENSE NO. CLASS GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING _ GAS PIPING — U GASVENT pE HOT WATER HEATER O PLUMBING FIXTURES iS'1 d GAS TEST � Plan check fee UTILITY CO.NOTIFIED PLUMBING PERMIT ISSUING FEE$ 0-0 TOTAL FEE FINAL Plan check a licant PLAN CHECK VALIDATI�f,?N Name 19-' ` Address / aw City Tel. No. 1 HEREBY ACKNOWLEDGE THAT I HAVE HEAD TH15 APPLICATION AND STATE �9 8 8 68 A THAT THE ABOVE IS CORRECT AND AGREE 10 COMPLY WITH ALL COUNTY ORDINANCES p AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION µ o o 0 o e 5 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS Z REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE L p G D 130 O O LEGAL OWNER OF.AND INTEND Tp RESIDE 1.4 THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. / ` /� /� O 10 O ,L Z O O V SIGNATUREl//�j//-�A./� 0 4 0 5—8 0 OF PERMITTEE DISTRICT NO, P CS O INDUSTRIAL WASTE APPROVAL • WORKERS'CO1, a ION DECLARATION reweeow APPLICATION- FOR PLUMBING. PERMIT I hereby affirm Ghave a'hat I, have certificate of consent to self cn e a (z-eo) - insure;or a certificate of Workers'Compensation Insurance,or ' a certified copy thereof(Sec. 3800,ULD.C.) //. '2/ COUNTY OF LOS ANGELES BUILDING AND SAFETY Pottc N • Company G- 'Y_��'o• Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ertified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM 0 FEE ADDRESS LOCALITY department. WATER CLOSET / Date Applicant NEAREST BATH TUB CROSS ST. p/I/C, rCERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved LAVATORY ADDRESS !O G -ir d� tl by the permit is for one hundred dollars ($100) or less.) SINK �'7�� O CITY TEL. NO-:X,, I certify that in the performance of the work for which this DISHWASHER Ir CON7RAC permit is issued, I shall not amp qY any-,person in any manner _ 0 so as to'b b e subject to the ork fs%C9m� "cation Laws. CLOTHES WASHER qD ES _ - W Dale Applicant SWIMMING POOL RECEPTORZT] S , NOTI E T APPLICANT: If, after making this Certificate of CITY TEL. NO. Gs2O N Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM ST TE ( LIC. z Compensation provisions of the Labor Code, you must forth- LICENSE NO. vp y� CLAS 3� with comply with such provisions or this permit shall be WATER HEATER deemed revoked. GAS SYSTEM OUTLETS Gn DISTRICT NO. PROCESSED BV LICENSED CONTRACTORSDECLARATION OUTLETS OVER / eV If 1 hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencingwith Section 7000 of Division 3 of the Busi- ll / Q9' FINAL Q ) I ,Pd/ _ .E'�-f / DATE / � ��- VALIDATION ness and Professions Code, and my license is in full force and effect. p _ FINAL License Number o�s Lie:Class e-S BY Contractor Date r� lam exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE r 1 Lie.or Reg.No. Date Plan check applicant HOMEOWNER-BUILDER DECLARATION Name , I hereby affirm that I am exempt from the Contractor's Address - 2 0 0 7 6 A License Law for the following reason (Section.7031.5, Busi- City - Tel.No. ness and Professions Code): # e"o le'o e 5 I, as owner of the property, am exclusively contracting 2 0 0 76001 with licensed contractors to construct the project (Section 7044, Business and Professions Code). 'e o e 1 6 0 0 0 CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency 0'6.0.$—8 1 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 au[hor'.e r pre gntasive of this County to enter upon the aba men fo 6 Toper y for' sFaction purpo es. ' Sign tura ermittee ate