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Home My Public Portal About9865 FLAHERTY ST_Plumbing__ 76A667 OBS 1',,7-51,.:.`_ APPLICATION FOR PERMIT ,:.DEPARTMENT OF BUILDING AND SAFETY • COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRICT GROUP ZONEPE . FOR APPLICANT TO FILL IN �J � PLUMBER r �_-'�✓ RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION sV / ADDRESS ) r `J NG OITY TEL.No.�/�-kv/gyp ADDRBUILDESS COUNTY pp LOCALITY NO. EXPIRES L 9E ✓ NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) @ 0.50 $ 1'$'6 ADDRESS BATH TUB @ 0.50 -,-5,0 CITY TEL No. SHOWER a 0.50 -:5-AD I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50APPLICATION AND STATE THAT THE ABOVE 19 CORRECT Q AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK 0 0.50 ,S'0 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE VE VALID L09 LAUNDRY TUB OR TRAY 0 0.50 ANDELEB COUNTY LICENSE, OR I AM HE LEGAL OWNER OF THE RESIDENT)AL PIROP T D BED ABOVE. GAS SYSTEM r UTLETS 0 0.50 SIGNATURE OF WATER HEATER @ 0.50 PERMITTEE- SLOP SINK @ 0.5o INSPECTION RECORD FLOOR SINK @ 0.50 ' 2� FLOOR DRAIN @ 0.50 DISHWASHER 0 0:50J �- �� V�~�•� DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 /�) /��J`'AP,e SlF A6vd�� /•�v�itl Q HOUSE SEWER Q 0.50 g _Z MIBCELLANEOUS / AG O APPROVALS DATES INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING -- n GAB VENT CESSPOOL 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT 1.00 SEWER A' PERMIT 1.00 GAS TEST 111-14 UTILITY CO.CO.NOTIFIED .� .., TOTAL FEE `✓ �_ v' .�J FINAL 00 .oma _NG PERIVI [T 7 A667 DBS-17 12-54 APPLICATION FO R PLUIVIBI DIVISION OF BUILDING AND SAFETY Department of County,Engineer County of Los.Angeles B U I LD i N 6 WM. J. FOX, COUNTY ENGINEER ADDRESS 9865 Flaherty St a- CASSATT D. GRIFFIN, SUPT OF BUILDING - - LOCALITY Temple City OR APPLICANT TO FILL IN NEAREST CROSS ST. OWNER J. W. Chri sty DISTRICT NO. GROUP ZONE READY FOR INSPECTION MAIL ADDRESS 9865 Flaherty St. , y INDUSTRIAL CITYJ•r7.1 emple Ci 1 t TEL. NO. WASTE APPROVAL -' PLUMBER An thony -Bros.*., Inc .s INSPECTION, RECORD ADDRESS 1 Firestone Blvd. , - " CITYSouth Gate TEL. NO. JE 3202 LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM FEE ' WATER CLOSET (TOILET) $ ' BATH TUB SHOVYER - LAVATORY (WASH BASIN) I - KITCHEN SINK DISHWASHER• ' LAUNDRY.TUB OR TRAY - CLOTHES WASHER - Fresh water _nining• to Rwim •Pnnl _LQa_ TOTAL NO. @ '0.e0. APPROVALS •DATE INSPECTOR'S SIGNATURE GAS SYSTEM OUTLETS @ 1.00 WATER HEATER @ 7.00 UNDER SLAB WORK ROUGH PLUMBING PgRMIT $ 1' 00 GAS PIPING TOTAL FEE 2 00 GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO -COMPLY - WITH ALL COUNTY ORDINANCES' AND STATE LAWS REGULATING PLUMBING FIXTURES ' PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES CO RTY AND STATE OF UTILITY CO. NOTIFIED ' CALIFORNIA OR THAT I M THE LEGAL 0 NER OF THE ABOVE DESCRIBED RESIDENT L �ROPERTY- SIGNATUR OF PERMITTEE FINAL i .CLi4.t WILLIAM J. FOX, COUNTY ENGINEER VALIDATION .. 00.3 6`2 S •FEB '• 3 2.0'0 / B7 (/ i O_ DEPUTY DBS-17 12.84 APPLICATION FOR PLUMBING PERMIT DBS-17 " DIVISION OF BUILDING AND SAFETY Department of County.Engineer County of Loa.Angeles BUILDING / p -�-- WM.J. FOX, COUNTY ENGINEER ADDRESS G pe \ CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY P FOR APPLICANT TO FILL t IN CROSS T:T. D�cJ OWNER V Q 0 V/J DISTRICT NO. GROUP ZONE READY FOR INSPECTION MAIL ,p )POO / ADDRESS 4 F1 v _ _NbINDUSTRIAL CITY TEL. NO. S WASTE APPROVAL 1 PLUMBER -INSPECTION RECORD ADDRESS c CITY -TEL. NO: •l W LICENSE NO. ^ NUMBER TYPE OF FIXTURE OR ITEM FEE Z/z 9, WATER CLOSET (TOILET) $ AAA F�y•+'�jyvhi n/cn�(((nnn / BATH TUB /1,V PAIMT! i 6 SHOWER - 14 LAVATORY (WASH BASIN) - 0 KITCHEN SINK , DISHWASHER _ n LAUNDRY TUB OR TRAY I -,7�,),f !"/j��Z2 G/�j/�f x•rt ��:`� CLOTHES WASHER lLl •r:'I� �n�y' /-rr/I-•;J�/=•� I TOTAL NO. @ o.eo APPROVALS DATE INSPECTOR'S SIGNATURE GAS SYSTEM OUTLETS @ 1.00 - UNDER SLAB WORK WATER HEATER @ 1.00 ' ROUGH PLUMBING _ PERMIT S 1 00 GAS PIPING TOTAL FEE GAS VENT' 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY. ORDINANCES AND_-STATE LAWS REGWLATING _ PLUMBING FIXTURES PLUMBING. GAS TEST 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED •`��'1�f �iti�Esn .�i:F CALIFORNIA OR THA•T�I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.� SIGNATURE OF PERMITTEE "'yam �•-1J FINAL WILLIAM J. FOXI OUNTY ENGINEER VALIDATION dJA',01 2'.'T7. PEAR S. 3 2.00 an: - BY r DEPUTY o • • ;_ � �fes. • . ORKERS'COMhave a'iIONDECLARATION CE ) APPLICATION FOR PLUMBING PERMIT I-herebyaffirm that I have a certificate of consent to self ce s» (z-eo insure, mr a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy'No. Company ❑ l ) Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING Certified copy is filed with the bui i spection NUMBER FIXTURE OR ITEM • FEE ADDRESS y g'n dep rtme LOCALITY Te/Y Date Applicant -c— WATER CLOSET NEAREST ' , l BATH TUB CROSS ST. W CERTIFICATE OF EXEMPTION OM WORKERS' COMPENSATION INSURANCE ' SHOWER . OWNER (This section need not be completed'if the work involved LAVATORY MAIL ADDRESS lrCL b by the permit is for one hundred dollars ($100) or,less.) SINK _ a CITY'� TEL.NO. I certify that in the performance of the work for which this DISHWASHER U permit is issued, I shall not employ any person in any manner CONTRACTOR so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER O Date ADDRESS SWIMMING POOL RECEPTOR �V ApplicantytoIU NOTICE TO APPLICANT: If, after making this Certificate of CITY IiJC�- TEL.NO.y(�2�(�Q STATE LIC. W . O Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM Q Compensation provisions of the Labor Code, you must forth- I 10 �� Z with comply with such provisions or this permit shall be WATER HEATER LICENSE NO. 7 CLASS _ deemed revoked. GAS SYSTEM OUTLETS DISTRICT NO. P CE QED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER Spay I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL VALIDATION ness and Professions Code, and my license is in full force and DATE effect. O�Q 13(=> r License Number r V •, ic.Class BY AL �.,,�.••_ Contractor - Date ❑ Plan check fee I am exempt r the licensing requirements as I am a r licensed arch ct or a registered professional engineer acting in my professional capacity (Section 7051, Bus- PLUMBING PERMIT ISSUING FEE$ g iness and Professions Code). 7.7o TOTAL FEE f'".�S•.�' 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 VJ License Law for the following reason (Section 7031.5, Busi- City Tel.No. ness and Professions Code): 3 1 1.O A ❑ I, as owner of the property, am exclusively contracting ; with licensed contractors to construct the project #10 0 0 0 o 5 (Section 7044, Business and Professions Code). ' .. . 2•�`� CONSTRUCTION LENDING AGENCY 1 250 I hereby affirm that there is a construction lending 'agency 0 70{0 1 2.5 0 C25 for the performance of the work for which this permit is issued(Sec. 3097,Civ.C.). 0 3,01 —82 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- nt ned p orty or inspection purposes. c�/o2s', Signature ermittee Date WORKERS'COMPENSATION DECLARATION n' APPLICATION FOR PLUMBING PERMIT I hereby'affirm that 1 have a certificate of consent to self 76A667A insure, or a certificate of Workers' Compenswion Insurance, CE 817 (REV 10/81) or a certified copy thereof (Sec 3800, Lab. C ) + COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company Certified copy is hereby furnished BUILDIN G El1 FOR APPLICANT TO FILL IN(PRINT OR TYPE) o (f/ Certified copy is filed with the county building inspec- _.w' ADDRESS - tion department .,) NUMBER FIXTURE OR ITEM rd FEE LOCALITY ' Date �b pplicant WATER CLOSET '� NEAREST i CERTIFICATE OF EXEMPTION FROM WORKERS' i BATH TUB CROSS STCIL. O 63 COMPENSATION INSURANCE OWNER SHOWER .. ...- (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars (=100)or less.) LAVATORY ADDRESS tr-t, L A 14 I certify that in the performance of the work for which this permit is issued, I shall not employ any per on Van "anner SINK CITY ! T EL NO. so as to become subject to the Work rs'.0 mp Laws DISHWASHER 1 CONTRACTOR Date"— I Applica� -��//� CLOTHES WASHER NOTICE TO APPLICANT- If, after making is Certificate of ADDRESS 13,917 S �Siti Exemption, you should become sublect to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY ( ( 7-1>?.(LL TEL. NO V with comply with such provisions or this permit shall be STATrLIC deemed revoked WATER HEATER CENSE NO9/ 761 ' CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO OCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS f/� (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER "' and Professions Code,and my license is in full force and effect. 5 PER SYSTEMO. FINAL f DATE / w - VALIDATION O License Number Lic. Class 9W {� GG FINAL / O Contractor Date r/-1 � '� D 3 ❑ I am exempt under Sec � � LU Z B.&P.0 for this reason ' � ' Plan check fee - Date: PLUMBING PERMIT ISSUING FEE$ Signature - TOTAL FEE p SINGLE FAMILY Plan check applicant' HOME OWNER-BUILDER DECLARATION Name ao 4 43.,5A'.1._ I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and Address < i Professions Code) City Tel. No. 2 -,- 3.4 5 0• E:1 1, as owner of the property, will do the work and the structure is not intended or offered for sale (Section '0:0.,o 7J U 5 0'v 7044, Business and Professions Code) , 'CONSTRUCTION LENDING AGENCY 0 2'—8!3- 1 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 I have read this application and state that the ► above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representati es ofhis County to enter upon the above-me tioned pro erty f r inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ,r Signature of Permittee Date WORKER'S COMRENSATIOMDECLARATION ' 20-0026 DPW 9/89 76A667A �ppLICATION FOR PLUMBING ,PERMIT / • I hereby affirm that I have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified cop r/-�thi1ere�j ff(��,e,�c 3^800 L b. AolicyMaL�W pang �t I sora COUNTY OF LOS ANGELES DEPT.OF'PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. El Certified copy is hereby furnished. BUILDING ❑ FOR APPLICANT TO,FILL IN(PRINT OR TYPE) ADDRESS - Certified copy is filed with•the o_unty building inspection dep rtm nt. NUMBER FIXTURE OR ITEM Q FEE LOCALITY Date v ApplicantWATER CLOSET NEAREST CER IFICATE OF EXEMP.TIO ROM WORKERS' BATH TUB CROSS ST i COMPENSATION INSURANCE ASSESSOR MAP BOOK PARCEL (This section need not be completed if the work involved by the PAGE SHOWER permit is for one hundred dollars($100)or less.) OWNER i ir1 �U NMI f certify that in the performance of the work for which this permit LAVATORY V l/ is issued, I shall not employ any person in any manner so as to SINK ADDRESS C—>, �lQ r 1 become subject to the Workers'Compensation Laws. ///'�� f DISWASHER -CI O TEL N04Q` t Date Applicant CLOTHES WASHER, CONTRACTOR 1 1 NOTICE TO APPLICANT: If, after making this Certificate of_' Exemption,you should become subject to the Workers' Compensation SWIMMING POOL RECEPTOR provisions of the,Labor Code, you must forthwith comply with,such ADDRESS provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CIT TEL NO O� I hereby affirm that'l am licensed under provisions of Chapter 9 WATER HEATER" d (commencing with Section 7000 of Division 3 of the Business and STATE LIC 0 ( 9 ) LICENSE NO CLASS Professions Code, and my license is in full force and effect. GAS SYSTEM OUTLETS f, DISTRICT NO �" PROCESSED BYit OUTLETS PER SYSTVEREM /f p AYl Q License Numbe Lic.CI.—?—O Ci lateFINALVALIDATION ContractoGkb nsf— v' / DATE a E] FINAL '• Z I am exempt under Sec BY i B&P.C.for this reason Date. Plan check fee PLUMBING PERMIT ISSUING FEE$ Signature i TOTAL FEE Q ❑ Plan check applicant SINGLE FAMILY r" HOME OWNER-BUILDER DECLARATION Name hereby affirm that I am exempt from the Contractor's License Law A 1'! for the following reason (Section 7031.5, Business and Professions Address `\ - Code): City - •Tel. No. S❑ ,j//�/ -� � -•J I, as owner of the property,will do the work and the structure Ji i S t C.,'S isnot intended or offered for sale (Section 7044, Business } 1`)! �g-bp—� and Professions Code). 1 a� k� .i; t- CONSTRUCTION LENDING AGENCY � � •- - _ I hereby affirm that there is a construction lending agency for the y [�` e�!It performance of the work for which this permit is issued (Sec 3097, L Civ.C.) r . i { '�!� Lender's'Name �'' �' �'i Ar 4 Lender's Address r I certify that I have read this application and state that the above i information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize- - - representatives of this County to enter upon the above-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE l -