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Home My Public Portal About9870 FLAHERTY ST_Plumbing__ bez 9-soKD APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. PLUMBER \,/ 11 a P- , RECEIVED BY READY FOR 7/.')TE IS UED _ /� �qy FIRST INSPECTION - : ADDRESS X3,3/ ,/ 1 de P7 ri es .y y.,..�_ BUILDING Q1 e,�q +,e St CITY �� !{ TEL. NO. (��/ J a-y ADDRESS d A l� Y (d b' COUNTY LOCALITY LICENSE NO. I °-1 EXPIRES NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER �y {/O I✓��,�Q MAIL I y- WATER CLOSET (TOILET) @ 0.50 �S I �O ADDRESS`/-. (J�//� N OSC p"�eJ.a�l �J J' BATHTUB @ 0.50 CITY J A q�[/1'�BP/� TEL. NO. SHOWER @ 0.50 1 HEREBY AC NOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND LAVATORY (WASH BASIN) @ 0.50 1-0 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN'SINK @ 0.50Q STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.501 Iflo ANGELES COUNTY LICENSE.„ OR 1 AM THE LEGAL OWNER ,A OF THE RES[DENTIALyPOPERTY DESCRIBED ABOVE. . —1 GAS SYSTEM OUTLETS @ O.50 / R 1 SIGNATURE OF )L q WATER HEATER @ 0.50 PERMITTEE �-✓ I ��' SLOP SINK @ 0.5o I INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.501 DISHWASHER @ 0.501 1 DRINKING FOUNTAIN @ 0.5o 1 1 URINAL @ 0.501 1 HOUSE SEWER @ 0.50 I ` Z_ MISCELLANEOUSi lI ('A // // Aei ,�J2/ll��r �J///// L. U�' fY OG � G4”APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING 1 1 GAS VENT 1 CESSPOOL @ 1.00 �� CESSPOOL �) 1 SEPTIC TANK: SEPTIC TANK I DRAIN ( ) PIT ( @ 1.00I� SEWER PERMIT . I 1.00 GAS TEST `� UTILITY CO. NOTIFIED TOTAL FEE Is (/O I FINAL 76A667 (CE-817) - 5/73 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDING ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM @ FEE OWNER WATER CLOSET 1.75 MAIL BATH TUB 1.75 ADDRESS SHOWER 1,75 CITY TEL. NO, LAVATORY 1.75 CONTRACTOR SINK ' 1.75 ADDRESS DISHWASHER 1.75 CITY TEL. NO. - y. CLOTHES WASHER 1.75 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.75 DISTRICT NO. GROUP ZONE PROCESSED BY LAWN SPRINKLER SYSTEM 1.75 WATER HEATER 1.75INDUSTRIAL CD WASTE APPROVAL GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD w J_ OUTLETS OVER 30 w 5 PER SYSTEM t CL w e" Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS, - DATE INSPECTORS 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 I PLUMBING. GAS TEST I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSEDAS 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 SIGNATURE OF PERMITTEE PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH p„ WORIJ�RS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT ; have ce I here v" offirm-that I he a rtificate of cnsent tlf i 20-0026 DPW 4/90 h•- oo sen- 76A667A sure,or a certificate of Workers'Compensation Insurance,ora n ` U certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS OF PUBLIC WORKS ANGELES � DEPT. Policy No. (�Sf>5-11Campany �s�.�e l��✓�L Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspection ADDRESS O L department. ` NUMBER FIXTURE OR ITEM @ FEE 5AZI-4 -A p � � Q`LAVv�0iA- ) LOCALITY C DatelApplicant ��° V�DrJ WATER CLOSET(TOILET) NEAREST if r � CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this per-. mit is issued, I shall not employ any person in any manner so SINK CITY TEL NO as to become subject to the Workers'Compensation Laws. DISHWASHER , CONTRACTOR f L '-Al_ 1 Date Applicant - CLOTHES WASHER' YV NOTICE TO APPLICANT: If, after making this Certificate of Ex- ADDRESS L12 1,t/SWIMMING POOL RECEPTOR _ emption,you should become subject to the Workers'Compen- CITY TEL NO. jr sation provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE LIC. /f tt/ ed. WATER HEATER LICENSE NO Q CLASS `/J b LICENSED CONTRACTORS DECLARATION DISTRICT NO PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER a and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION fect. HOSE BIB DATE `�� a License Number �SZS'o �I Lic. Class f �PO Q�Y�c �,A Lin - FINAL c V Contractor Date / p BY 't C/ I am exempt under Sec ACCT.g B.&P.0 for this reason /AIVDate Plan check fee ► 3303 ITEM 43.40 IL PLUMBING PERMIT ISSUING FEE$ Signature + _ - TOTAL' 43- 40 TOTAL FEE LE FAMILY Q CHECK 43.40 HOME OWNER-BUILDER DE ��tor's Plan check applicant I herebyaffirm that I am exempt License Name CHANGE .00 Law for the following reason (Section 7031.5,'Business and Professions Code): Address j, as owner of the property, will do the work and the City Te j. No. 0000-0001 4/ 1/96 structure is not intended or offered for,sale(Section 7044, `604 F`{'117C7r Business and Professions Code) CONSTRUCTION LENDING AGENCY ` oil 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.) A� Lender's Name�lft 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 jaws regulating Plumbing, and hereby authorizereprese tatives of this County to enter.upon the ab coned ro ert for inspection,purposes. - Lk 1.dcit SEE REVERSE FOR EXPLANATORY LANGUAGE . Signature of Permittee Date +WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT v ° 20-0026 DPW 4/90 I hereby, affirm that I have a certificate'of consent to self in- 76A667A sure,or a certificate of Workers'Compensation Insurance,or a � 1 ,r certified copy thereof (Sec. 3800, Lab. C.) 7! fW q � Policy No. � Company COUNTY OF LOS ANGELS' DEPT. OF PUBLIC WORKS ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN-(PRINT OR TYPE) BUILDING G� ❑ Certified copy is filed with the county building inspection ADDRESS (J /� �✓ department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET(TOILET) .• NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST /1,11 , l,GCiZ/ G 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 / •�lG I certify that in the performance of the work for which this per- mit is issued, I shall not employ any person:in any manner so SINK. CITY TEL. as tZb a ublecT to the Workers C mp sat: nLaws. DISHWASHER CONTRACTORDatApplicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT- If, after m ing this Certificate of Ex- SWIMMING POOL RECEPTOR �y emption,you should become subject to the Workers'Compen- CITY /f/il/ — TEL. NO,. sation provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEMS v v ly with such provisions or this permit shall be deemed revok- STATE / /a LIC ed WATER HEA LICENSE NO. !9 G CLASS LICENSED CONTRACTORS DECLARATION - �� 4 DISTRICT NO PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3.of the Business OUTLETS OVER and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION fecT. dYG�� r i HOSE BIB DATE >_ License Number,/. Lic. Class a / FINAL BY V Contractor Date L cc El I am exempt under Sec. O 11- 0 U B.&P.C. for this reason W Plan check fee ► tZ N Date: PLUMBING PERMIT ISSUING-FEE$ Q Z Signature TOTAL FEE. SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name QO T�r{6/1:';' 4QLaw for the following reason (Section 7031.5,'Business and -n8 WTAL ITJA 101 Professions Code) Address j, as owner of the property, will do the work and the City Tel. No. (;H� tE 43. structure is not intended or offered for sale(Section 7044, H� (1 ° Business and Professions Code). pop.CONSTRUCTION LENDING AGENCY 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 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 representatives of this County to enter upon the �11516rty for inspection pun ses. SEE REVERSE FOR EXPLANATORY LANGUAGE , Sig re of Permittee Date