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HomeMy Public PortalAbout10511 FREER ST_Plumbing__ 76A667 (CE-817) - 5/73 ��.. APPLICATION OR PrlC .B[NG PERMIT - COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY-ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO:' FAADDRESSHARVEY T. BRANDT, COUNTY ENGINEER ITY'FOR APPLICANT TO FILL IN (PRINT OR TYPE) STNUMBER FIXTURE OR ITEM @ FEE ST. /[ eeig ..1 OWNER, 1J /� ` ) WATER.CLOSET 1,75 s dQP_QT� ' lJA'/.L=/�Aj MAIL BATH TUB, 1,75 ADDRESS ` �dSIJ E -IC'QC'fL ST SHOWER 1,75 CITY `� TEL. N0.`.yl� - I ,k LAVATORY 1,75 CONTRACTOR SINK 1,75 ADDRESS L DISHWASHER 1,75 CITY TEL. NO. CLOTHES.WASHER 1,75 STATE LIC LICENSE NO. c.a CLASS SWIMMING POOL RECEPTOR 1,75 DISTRICT NO. GROUP Z NE FRO ESSED Y LAWN SPRINKLER SYSTEM 1,75 f� O WATER HEATER 1,75 INDUSTRIAL �J r WASTE APPROVAL a GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD C:) OUTLETS OVER 5 PER SYSTEM 30 O, U Z Pian check fee See Reverse PLUMBING PERMIT ISSUING FEE S 3 00 TOTAL FEE G APP •VACS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER WOK AM !20—79/ 9M h 1 Name e CAUArid ROUGH PLUMBING �Ro 7y � �� � �• Address Q J [ Gcr`vR s7 GAS PIPING ��,,!! GAS VENT City /YM /? �r f1 Tel. No. �/!� _37 w , HOT WATER HEATER 7, sxI4' Of��' � I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION _ AN D. STATETHAT THE ABOVE IS CORRECT AND AGREE TO COMPLY,. PLUMBING,FIXTURES WITH ALL',COUNTY ,ORDINANCES AND STATE LAWS REGULATING - 0 PLUMBING. GAS TEST .r.....��.. ' I ,HEREBY CERTIFY THAT I 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 1 , RESIDE IN THE ABOVE DESCRIBED RESIDE NTIAL.PROPERTY. FINAL 17—,R F , .� SIGNATURE OF PERMITTEE - ' PERMIT VALIDATION CK. M.0. CASH PLAN CHECK VALIDATION CK. M.O. CASH 0...7 N inr 20 5 ,o .1 .3.5 0 ♦�13 D B.S. 17'25M SETS ,x.44 - APPLICATION FOR PERMIT, DErARTMENT OF BUILDING.AND SAFETY COUNTY OF LOS ANGELES : Wm. J. FOX. CHIEF ENGINEER - NATURE OF INSTALLATION DISTRICT NO. GROUP • ZZ(O�/N/E PERMIT NO. ROUGH FIXTURES COMPLETE sh / I '- `•/ HEATER CESSPOOL I-I SEPTIC TANK RECEIVED BY' READY FOR DATE ISSUED FIRST INSPECTION GAS MISCELLANEOUS_ ,--�'O- � APPPLICANT FILL IN HEAVILY J•OOBUTLINEDPOpRTION ONLY . ., gNAME ADDRESS / £ ADDRESS V�/� /f /�jy�.�,��� X LOCALITYNEAREST „/ d CITY �Ls'sso�.-"�-�y> TEL. �y C. fi�y'/P�r CROSS 6T. COUNTY CERT.No. EXPIRES '"4�'�`�%� 6' NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH Q r CITY TEL.NO. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. • �Zig ti'r`:�;e',% �-,_�/`;,— > - 'PLUMBER 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. OWNER CORRECTIONS SOUTH DESCRIPTION OF WORK � BATH TUB - FURNACE SHOWER DISHWASHER I.l.`. o LAVATORY REFRIGERATOR - KITCHEN SINK - WATER SOFTENER ,. FLOOR SINK AND TRAP SLOP SINK FLOOR DRAIN c WASH TRAY URINAL APPROVALS / WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S+NAME / WATER HEATER DENTAL LAVATORY \ '\ ROUGH PLUMBING (}�� �, METER 5 GAS SODA FOUNTAIN ' GAS PIPING - I r `- JJ• - IA OUTL -4A1\W, GAS VENT CESSPOOL ✓ I I _ TOTAL NUMBER OF FIXTURES .60 gEPTIC TANK CESSPOOL SEPTIC TANK _ ,SEWER TOTAL FEE I d UTILITY CO.NOTIFIED FINAL _ 76A667 (CE-817) - 175 APPLICATION FOR PL M NG PERMIT COUNTY OF LOS ANGELES - DEPARTMENT'OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: ADDRESS D /I z S� HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY 7emple �'1 FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST (( i CROSS ST. Li' A Y d' OWNER `2��� NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 2.00 obeP r GP A9 u'�f MAIL y BATH TUB 2.00 ADDRESS SHOWER 2.00 CITY /� /P ( ( fI TEL. NO. 4 - 373,? LAVATORY 2.00 CONTRACTOR SINK 2.00 ADDRESS DISHWASHER 2.00 CITY TEL. NO. CLOTHES WASHER 2.00 STATE LIC' LICENSE NO CLASS SWIMMING POOL RECEPTOR 2.00 � [,) DIST RIC NO.GROUP ZONEp PCIESSED BY LAWN SPRINKLER SYSTEM 2,00 41N J T_ —7 WATER HEATER 2.00 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD 0 OUTLETS OVER 30 v 5 PER SYSTEM CD U W CL N Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ /3,50V TOTAL FEE /� S7) APPROVALS 'DATE INSPECTOR'S SIGNATURE Plan 00eck applicant UNDER SLAB WORK Name ' C!beR Ar�C1 ROUGH PLUMBING Address S7- GAS PIPING CityTel. No. 7W 3-)35? GAS VENT HOT WATER HEATER IHEREBY 9CKNOWLEDGE TH T 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 I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CAL:FORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO /1 ' RESIDE IN THE ABOVE DDE JSC/R�IBEDD R E/SlIDENTIAL'nPROPERTY. FINAL S I G NA TU RE /j'.y,� y ✓�%' �L% v OF PERMITTEE[/I L�V"'1 C PERMIT VALIDATION /LK- M.0. CASH PLAN CHECK VALIDATION CK. M.0. CASH �- 609r',AR. 9 5 D 7.5 0 ,&s8 D.B.S.-17 25M SETS 1i-45 APPLICATION FOR PERMIT bEPAttTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING Wm. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. A ROUGH FIXTURES* COMPLETE 5 HEATER CESSPOOL IrSEPTIC TANK RECEIVED BY EADY, OR DATE ISSUED -- �� F INS CTION / 6 GAS MISCELLANEOUS lll� Bola APPLICCANT FILL pIN HEAVILY OUTLINED PORTION ONLY JOB E NAME y 1 [/,,I1,' ,�� ADDRESS fi6� A e I ADDRESS* LOCALITY P `7 I A � //f /� //1e �J NEAREST a CITY � t` TEFL.NoCROSS ST.COUNTY "'� - ,} ,�� •^•,,,� CERT.No. ' EXPIRESC I NAME I Iy1}��11 LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL - � 3 ADDRESS NORTH O CITY TEL. No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY-CFRTIFIICAgqTE OWQUALIFICATION. ��r7.ae�4r+"i"/ '.^ice;,��..•?21_F-A. _ CPU R v • I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. 0 OWNER '-1 CORRECTIONS SOUTH a DESCRIPTION OF WORK ATH TUB FURNACE ►ti SHOWER DISHWASHER. O LAVATORY, REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP LOP BINK FLOOR DRAIN G WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'$WANE WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER 'GA8 SODA FOUNTAIN GAS PIPING OUTL GAS VENT I I r� CESSPOOL I'1Kti z TOTAL NUMBER LOFFIXTURES SEPTIC TANK CESBPOOI IC N /TAI /I SEWER I TOTAL FEE UTILITY CO.NOTIFIED FINAL D.B.S-17 25M SETS 12-95 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY, ��� ���� COUNTY OF LOS ANGELES Wm. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE 1 / Ql /-�o g � RECEIVED BY READY FOR DATE ISSUED HEATER CESSPOOL SEPTIC TANK 6r� FIRST INSPECTION CTAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB E NAME ADDRFSSJ�p4olzp ,�/,►•�y . ® ADDRESS ® LOCALITY ' aD ry NEAREST CITY TEL.N�/ CROSS ST. _ COUNTif CERT.No. 9 EXPIRES ��a"�� W I NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH 0 CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTII_KIICCAT,,EOF QUALIFICATION. A PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. N a d OWNER CORRECTIONS I . SOUTH DESCRIPTION OF WORK BATH TUB FURNACE aHOWER -DISHWASHER O LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK ------SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS X WATER CLOSET DRINKING FOUNTAIN DATE INgrecroR's NAME I _ i WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I �/bb/ I (//''���`!`�'•' METER GAS SODA FOUNTAIN OUTL GAS PIPING GAS VENT �/� CESSPOOL TOTAL NUMBER OF FIXTURES / V `•-' SEPTIC TANK I / ) ' CESSPOOI- SEPTIC TANK SEWER I $ / UTILITY CO.NOTIFIED I TOTAL FEE I ` 6 FINAL rI,�.�/" ✓ I / / �, WORKERS'COMPENSATION DECLARATION ® �� I,I4reby affirm thotvl have o certificate of cogsent to self 20-0026 DPW 6,87 , APPLICATION FOR PLUM"B11\GPERMIT inspre, or a certificate of Workers' Compensation Insurance, . 76A66?A �• _ oro certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES DEPT. OW PUB 'IC WORKS Lj Policy No Company LnJ ,Certified copy is hereby furnished ; FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspec- ADDRESS ��S.;( �1 FR 7 r- 17 -ST, Tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY ' Date Applicant WATER CLOSET d O NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. 'COMPENSATION INSURANCE OWNER R p(3tTR 1 L Z 0 (This section need not be completed if the work involved by SHOWER d the permit is for one hundred dollars ($100)or less.) LAVATORY © MAIL ADDRESS 0­5 IRZ it�R `57, I certify that in,the performance of the work for which this II permit is issued, i shall not employ'any person in any manner SINK CITY (eW��l'e c iT TEL so as to become subject to the Workers Compensation Laws DISHWASHERr. 1 CONTRACTOR Date ( Applicant LCLOTHES WASHER ADDRESS NOTICE TO APPLICANT: -If, after making this Certificate of Exemption,-you should become .subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth-' CITY TEL NO. LAWN SPRI R SYSTEM with comply with such provisions or this permit shall be STATE LIC deemed revoked., WATER HEATE LICENSE NO CLASS LICENSED CONTRACTORS DECLARATIONf-T RIC ¢-OT N1 PRO SED BY I hereby affirm that I am licensed under,provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the•Business OUTLETS OVER ��... and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL � VALIDATION DATE �t�~�t<// License Number, Lic Class U FINAL Contractor Date BY 0, ❑ I am exempt under Sec. (� B BP.C. for this reason Plan check fee ® �. Date: s—ll—� Signature / SQ /J PLUMBING PERMIT ISSUING FEE$ �"" 1� - • TOTAL FEE SINGLE FAMILYPlan check applicant - C7 HOME OWNER-BUILDER DECLARATION Name rLp g LZ U I hereby affirm that I am exempt from the Contractor's License ACCT o a � Law for the following reason (Section 7031,.5, Business and Address vs t-zlj;b' ST. _ Professions Code): City Tern C;+ Tel. No tf. 'g_Ss- C 3307 :x'405-0 I, as owner of the property, will do the work'and the I. •1.TTEi� structure is not intended or offered for sale (Section 7044, Business and Professions Code) TOTAL 34 . 50 CONSTRUCTION LENDING AGENCY CHECK 34.50 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued CHANGE .011 (Sec 3097; Civ C ) Lender's Name L 0-0001 5!16/89 Lender's Address 3 '1 AM 8e57 j certify that I have read this application and state that the ® - above information is correct j agree to comply,with all County Poo- 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' Signature of Permittee Date _ WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby, afFjrm that I have a certificate of consent to self in- 76A6667A PW 4/90 sure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF'LOS•ANGELES DEPT. OF•PUBLIC WORKS Policy No. Company Certified copy is hereby furnished. BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) 1 p [` ) 1 F(Z ; F] Certified copy is filed with the county building inspection ADDRESS department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY WATER CLOSET(TOILET) Date Applicant NEAREST 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($100)or less.) LAVATORY ADDRESS Qj ` �rZ ��• S I certify that in the performance of the work for which this per- m er- SINK mit is issued, I shall not employ any person in any manner so CITY Teyr Ei CTEL. NO ; as to become sublect'to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING•POOL RECEPTOR emption,.you should become subject to the Workers'Compen- CITY TEL. NO sation provisions of the Labs•Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE LIC ed.- WATER HEATER { LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION / / DISTRICT NO "PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM` OUTLETS ' 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER 5� - and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL 2 —7 &--"' VALIDATION fect HOSE BIB DATE Y License Number Lic.-Class a FINA�„ / O • U/(r Contractor Date BY a Q ❑ I am exempt under Sec. -- H B.&P C. for this reason Plan check fee ; w - _ _ N Date: PLUMBING PERMIT ISSUING FEE$ - V) 30, Signaturel_E 5 r TOTAL FEE SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant CH1H .3E I hereby affirm that I am exempt from the ControctoVs License Name Law for the following reason (Section'7031.5, Business and Professions Code): Address _ . I, as owner of the property, will do-the work and'the City Tel. No. ._+' , tMli-s.� structure is not intended or offered for sale(Section 7044, sl 1 Business and Professions Code) ,® 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 above,/mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Dat