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HomeMy Public PortalAbout9441 GARIBALDI AVE_Plumbing__ D.B. 17 iO-a 25M APPLICATION FOR PERMIT ' I DEPARTMENT OF BUILDING AND SAFETY PLUMBING 1 COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE RECEIVED BY READY FOR DATE ISSUED HEATER I_ CESSPOOL I SEPTIC TANK FIRST INSPECTION GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB NAME H. W. GE;yl ADDRESS 2-4 ADDRESS 810 SO. Flower . to 1p1 LOCALITY ! �` IL CITY U:)S ATlp�AZ©8 MI 5181 NEAREST L7 TEL.No. CROSS ST. COUNTY CERT.No. 711 EXPIRES 11-3c)-Li, E NAME � r�!\' s 64/2- MAIL LOCATION OF SEPTIC TANK, OR CESSPOOL 3 ADDRESS ?� ja .64t NORTH 0 ` CITY f TEL.No. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICAT F ALIFICATION. PLU ER I AM THE LEGAL OWNER OF THE PRO RTY DESCRIBED ABOVE. F W 3 1 OWNER CORRECTIONS J SOUTH Q Z DESCRIPTION OF WORK — 5 a BATH TUB FURNACE O SHOWER DISHWASHER - --LAVATORY -A REFRIGERATOR KITCHEN SINK WATER SOFTENER - FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN 'O.-WASH TRAY --_URINAL APPROVALS r _1!1 WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS _ SODA FOUNTAIN GAS PIPING OUTL GAS VENT ��. CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CE86P001 SEPTIC TANK SEWER - 1! ^ UTILITY CO. NOTIFIED I TOTAL FEE /r FINAL 6 A 667—CE 817 8/68 APPLICATION FOR PLUMBI G PERM1 . COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING � JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS �j/ 421 COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY 4� FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST CROSS S7. NUMBER FIXTURE OR ITEM E CH FEE OWNER WATER CLOSET 1. 0 BATH TUB 1. 0 ADDRESS �iGjL�s•TLQ SHOWER 1 0 7 CITY 7 L C TEL. NO. LAVATORY 1 50 CONTRACTOR SINK 1.50 ADDRESS Z DISHWASHER 1.50 CITY �y� TEL. NO. `_ CLOTHES WASHER 1 SO STATE LIC LICENSE No. y4�B8yy CLASS �--, SWIMATING POOL RECEPTOR 1 50 DISTRICT NO. YUP ZO E P �iq BY LAWN SPRINKLER SYSTEM 2 00 C./ CD U WATER HEATER 150 INDUSTRIAL Z WASTE APPROVAL o H GAS SYSTEM OUTLETS 11-50 INSPECTION RECORD U W OUTLETS OVER 5 PER SYSTEM .30 -'�..�i� Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEF: 8 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Ndme ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel• No. HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT 1 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. 1 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 09 RESIDE IN, THE ABOVE DESCRIBED ESIOENTIAL PROPERTY. FINAL G 7 SIGNATURE OF PERMIT., ERMIT JACK R. ALLEN, SU PER VISIN CH ANIC AL ENG'R. PERMIT VALIDATION CK. M.O. CASH PLAN CHEC LIDATION M.O. CASH 1 Af 8 9 9L AUG 11 Vp d 825- 7eAg57.cE*e17 4-67 r APPLICATION FOk PLUMB I G PERMIT �OUNtY OF.LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUMDING AND ISAFF.TY DMSION ADDRESS 6"ef . JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDINGLOCALrr7 —t—,M FOR APPLICANT TO FILL IN }( NUP4512LIR FIXTURE OR ITEM EACH FE[ 4CROW389T. owl® a -ws.41/+ WATER CLOSET Fj RATE TUB im KAM 94g, SHOWER r m CI7 ,.* je Ca f T>� NO. LAVATORY im j CONTRACTOR r 4F-co )W I ffM 170#Ir IMADDREW 32// '4rvty DEUIWASHER r.0 / zs- Ern A o r'fr. A r h TEL. No. ZqLIC 9 LAUNDRT TUB im BTATE LIICENBF NO. ;120 "3S I CLASSS-c31d CL6THO RASHER im DISTRICT NO. GROUPZO r E Q ■Y WATER HEATER im / �0 GAS SYRTE!( O 1 b0 ASTE�PP OVA OUTLETS OVER 5 PER 40 DIIISPECTION RECORD t APPROVALS DATE IN '•1510N ATU RE IDERMrr. i 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING I H[RSSY.ACKNOW KDSK THAT 1 HAY[ IQAD THIS APPLICATION GAS VENT AND STAT[ THAT THZ ASOV[ IS CO RIO[CT AND AGR![ TO COMP LY WITH ALL COUNTY O/IDINANCSJ AND STAT[ LAWS RKSULATING HOT WATER HEATER PLUMBING. I H[RID]Y CJUMFYr THAT I AM rROPKILY RK01"RiD AND/OR PLUMBING FIXTURES LICi Nom AS RLGUIRKD SY LOS AN6[LXS COUNTY AND STAT[ OF GAS TEST CALIFORNIA OR THAT 1 AM THR L[GAL OWNER OF,AND INTKND TO RISID[ IN,THK ANOVK D&SCF4WW WAIDiNTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE FINAL VALIDATI9N'^ -,,, JACK R. ALLEN CIC M.0. (` CASH✓) SUPERVISING MECHANICAL ENG'R. LAC03 8 0 2�2 W27 5 D 16.75- QPUNTY OF LOS ANGELES TEMPLE CITY 0508 L!6 NG PERMIT DEPARTMENT OF PIMLIC WORKS 9071 LAE TUNAS 0508 1a 0036 BUILDING ANDr SAFETY / LAND DEVELOPMENT - TEMPLE CITY CA PHONE: (818)-285-0488 EXT: LEW ID: FEES PAID E!YILUD ON .FILE 1ESS° . FEE DESCRIPTION: QIIAMTITY: U(!1: AMCU T: 1 - NEAREST CROSS STREET: 5385-008-020- 01 PElRl1IT ISSUANCE FEE 27.75 -TH01 AS PAGE: 596. GiRID: J2 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16.35 25 LAVATOfRICS/SLNK$ 2.00 FIX .32.70 - 45 WT-ER CLOSET/LJRINAL 1.00 FIX 16.35 06/11/97• .- TC - 06/11/98 TOTAL FEES. _ 93.15 OWN�R: TEL. *0: FINAFDATE FINAL SCHOR.VINCK F�DOR A;CARQLYN A (818) 309-0320.- . 9441 GARIBALAV UY - TV 417801DESCRIPTION.-OF WORK7' PLUMBINQ FOR REMODELING EXISTI G BATHROOM SANE AS 0I1IERTEL, NO- INSPECTOR SIGkA APPRMALI TIRE _ SPECIAL CONDITIONS:_ SANE AS OWNER _ _ C® LIC. N0 - u PLASITC Y/N NETAL.Y/N _ OR f ' LIC. N0� ' W PIPINGW VENT �TI 5 X17 ' PUBLIC WOR Ks PLUMBING FIXTURES VRIN E1 7 . r 3/: C, �5e -�� _ REPORT ID: DPR263 ROUTE TO: RS0508- WORKERRS'COMPENSATION DECLARATION 4/90 APPLICATION FOR PLUMBING PERMIT t herviby,--ff m that I have a certificate of consent to self In ��V A sun,ora certificate of Workers'Compensation Insurance,ora V f Sec. 3800 Lab C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS 1% y ❑ Certified copy Is hereby furnished. Certlfled copy Is filed wlth'the county building Inspection FOR sPPLI(.4Nr TO ALL RJ(PRINT OR TYPE) ADDRESS ' departmennt. NUMBERFUCTURE OR[TEM � FEE LOC111ffY Date If Appllca WATER CLOSET.(TOILET). tEAl ST CJ CERTIFICATE QF E)MYPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE SHOWER OWNER (This section need not be cornpletrd FFthe work Involved by MAIL the permM Is for one hundred dollars ($100)or less.) LAVATORY ADORE55 I certify that In the performance of the work for which this mCifY per- SINKmit Is Issued, I shall not employ any person In any manner so -5, as to becorrLe subject to the Workers'Compensatlon Laws. DISHWASHER CONTRACTOR- Date. Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this CertificateSWIMMING POOL of Ex- ADDS Z0� emption,you should become sublect to the Workea'Comperr- CTTY TEI satlon provisions of the Lab•x Code,you must forthwith tromp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE n Ur– ad. Ced. . WATER HEATER LICENSE NO: LJ CLASS C/V I LICENSED CONTRACTORS DECLARATION OAS D 7-- DIS CT NOO� PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9(commencing with Section 7000)of Division 3 of the Business OUTLETS and Profession Code, and my license Is In full force and of- 5 PER SYSTEM FINAL VALIDATION fect. HOSE g4B DATE Ucense Number LJc glass � d FINAL T Q ContrOdO Date r BY aITEfiS .�i. ¢ I am exempt under Sec. o B.&P.C. for this reasonTOTAL 43 0 40w Plan check fee 30 ► QECK 43.40 1 Date: PLUMBING PERMH ISSUING FEE i Signature TOTAL FEE D .00 SINGLE FAMILY Plan check applicant 0000--OWI 10/ 3/95 HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Controctor's License Name �•y�� Low for the following reason (Section 7031.5, Buslness and 2M 1 AM10:10 Professions Code): Address I, as owner of the property, will do the work and the Tel. No. structure Is not Intended or offered for sale(Section 7044, 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.). i Lender's Name Lenders 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 ;�b-ont operty for Inspection pu, g SEE REVERSE FOR EXPLANATORY LANGUAGE ft—Ar.o ttee Date