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Home My Public Portal About9803 GARIBALDI AVE_Plumbing__ 74w66"7A IW 0178)-11/76 11 APPLICATION FOR.PLU M B ING PERMIT BUILDING AND SAFETY DIVISION FOR APPLK:4NT TO FILL IN(PRINT OR TYPE( BUILDING h NUMBER RXTURE OR REM FEE ADDRESS Q WATER CLOSET LOCALITY — N SANEST ' BATH TUB ST, SHOWER OWNER Y LAVATORY ADDRESS LppRESS - 1 SINK CITY - TEL.NO. DISHWASHER cww-CTOR I,�± CLOTHES WASHER 1 L n D l)L ADDRESS SWIMMING POOL RECEPTOR Cf1YTEM P Cl TEL NO. LAWN SPRINKLER SYSTEM STATE p lQ DC { WATER HEATER UBISE NO. CLASS 1 GAS SYSTEM OIIRETS DGTR1CT NO. GROUP E BY INPLtSTM WASTE APPROVAL v INSPECTK>N kQCORD V Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE Plan d,*&applkant APPROVALS DATE um"CTO"SIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING O}Iy Tel.No. GAS PIPING I FURY ACKNOVRJMQE THAT I HAVE READ THt9 APPLICATION NO STATE GAS VIENT THAT THE ADOYE I$CORRECT AND AQWl TO C,01(1•LY WITH ALL COUNTY DM WILES AND STATE LAws NEauL AnNG Ft-umBLkxL HOT WATER HEATER I HERESY CFj1-tFY THAT I AM PROMiRLY REGMTETED AND/Oft tJCEN5ED AS PLUMBING FIXTL)RESS REQUIRED BY LOS AMGEli3 CWNIY AND STATE OF CAL ORNIA Oft THAT I AY M GAS TEST REGAL OWNER OF.AND INTEND TO RESIDE M THE ADOYE DEDCRISED EEEX)ENTIAL PftoPe RTY. LM UTY CO.NOTI R ED D Ia NATU Rt 8QQ0:Z) -11 — Of PF RMrrTSR FINAL PLAN CHECK VALIDATION CIL, hLa CAM PERMIT VALIDATION hL D. CASH 997KAN 28 15 i 7,50 76A667 -CEIMS 17 12-64 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDINGADDRESS �v L.j 7 JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST `\p CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL -, `�- BATH TUB 1.25 ADDRESS - SHOWER 1.25 CITY TEL. NO. LAVATORY 1.25 CONTRACTOR 0 SINK 1,25 ADDRESS DISHWASHER 1.25 CITY �) TEL. NO. LAUNDRY TUB 1.25 CONTRACTOR'S STATE IEEJ REGISTRATION NO. COUNTY CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY WATER HEATER 1.50 s� GAS SYSTEM f OUTLETS 1.50 !O INDUSTRIAL WASTE APPROVAL d OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V V W a N Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 CIO UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE I J'O GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST 1 ' CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND I14TEND TO RESIDE IN, THE ABOVE DESCRIBED RESOENTI OPERTY.,, UTILITY CO. NOTIFIED SIGNATURE / OF PERMITTEE iV CiC��V FINAL /VALIDATION ROBERT A. WOOD CK. / M.O. GASH SUPERVISING MECHANICAL ENG'R 09024 JA124 5 D 3,50 76A667 Das 17 7-51 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING i COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRICT GROUP I ZONE PERMIT NO. FOR APPLICANT TO FILL IN PLUMBER T. J. HOLLIDAY Y FOR v REC IV DATE U D F�. FIRST I1J6 ECTION ADDRESS 5003 N Camellia Ave. � CITY m le Cit TEL. NO. AT. 6-1754 ADDRESS " Garibaldi COONTY LICENSE NO. 156 EXPIRES 6/30/54 LOCALITY Te le Cit PERMIT FEES _`C'%aST. Golden West NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL 2 WATER CLOSET(TOILET) 0 0.50 $ ADDRESS BATH TUB Q 0.50 80 CITY TEL. NO. SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) 0.50 1,60 APPLICATION AND STATE E ABOVE IS CORRECT ND AGREE TO COMPLY W THAALLHCOUNTY ORDINANCES IL KITCHEN SINK 0.50 80 AND STATE LAWN REGULATING PLUMBING. LOS LAUNDRY TUB OR TRAY (11 0.50 1.60 AN0[LESTC COUNTY LICENSE,,ESS OR ITAM THE LEGALABOVELIOWNER OF THE RESIDENTIAL PR9PERTY DESCRIBED ABOVE. Z OAS SYSTEM 5 DUTLETS 0.50 1,50 SIGNATURE OF WATER HEATER 0.50 ZOO PERMITTE - SLOP BINK 0.50 IKSPETION RECORD FLOOR SINK 0.50 FLOOR DRAIN 0.50 DISHWASHER 0.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 j Q HOUSE SEWER III 0.50 Z L7 MISCELLANEOUS � O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAB VENT CESSPOOL 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) 1.00 SEWER PERMIT 1.00 GAS TEST UTILITY CO.NOTIFIED TOTAL FEE 9 40 FINAL broe°��t°Ihaeswccerif�te co °N to self CK,,7("$) APPLICATION FOR PLUMBING PERMIT insure, or a certificate-of Workers'Compenution Insurance,or a cer;�fldd copy the o (Sec.3800,Lab.C.) �— � g �,-�r�� COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company �"'�*��T Ce}tlfied copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING C=ertified copy it filed with the county building inspection NUMBER FIXTURE OR rfEm • PEE ADDRESS O �, 4a LOCALITY e / �' — WATER CLOSET NEA Dat Applicant — _ BATH TUB CROSS ST. CERTIFICATE OF-EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER � , (This section need not be oompRAed if the work invotred LAVATORY MAILB �O } by the permit Is for one hundred doHms ($100) or less,) BINK ADDRESCITY TEL.NO. 8 I certify that in the performance of the work for which this DISHWASHER permit is issued, I&halt not employ any person in any manner CONTRALTO so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER ADDF]ESt3523 2 pate Applicant SWIMMING POOL RECEPTORW NOTICE TO APPLICANT: If, after making this Certificate of CI TEL.NO & A Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STT LIC. T Z Compensation �idvisions of the Labor Code, you must forth- LICENSE-NO.,V'13 Q CLASS �_- vrith comply with such provisions or this permit shall be WATER HEATER deemed revoked GAS SYSTEM OUTLETS DISTRICT NOp.' PR CESSEQ BY LICENSED.CONTRAC TO R9 DECLARATION OUTLETS OVER 6—,d 4 I hereby afnhrn that I am licensed under provtslons of Chapter 5 PER SYSTEM z 9 ,(commencing with Section 7000)of Dtrfslon 3 of the Busi- FINAL ness,and Professions Code, and my license It in hill force and DATE /D _45 VALIDATION 5 effect. , FINAL -/ 2 0 0 1 O O License Number ^Lic.C1as4 gy �--� . Contractor Data 0 0,0 1 a O O�f I am exempt from the licensing requirements as I am a Plan check fee �D S3+� 09.21 —8 1 licensed architect or a registered professional eilgineer PLUMBING PERMIT I$SU1NG FEE;* acting in my professional capacity (Section 7051, Bur Ina"and Profaidons Code). TOTAL FEE CJ Lie.or Reg.No. Date Plan cher*applicant HOME OWNER-BUILDER DECLARATION. Name a-- I hereby affirm that I am exempt from the Contractor's Address License Lew for the following reason (Section.7031.5, Bud- C T.W.CAg, Ne. no as and Professions Code): I, u owner of the property, am exclusively contracting with licensed contractors to construct the project (,Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that them is ■ construction lending agency for the performance of the work for which this permit Is issued(Sec. 3097,Clr.C.). Lender's Name_ Lender's Address I certify that I have read this application and state that the above Information is correct.I agfee to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws re"ating Plumbing, and hereby authorize representatives of this County-to enter upon the above-menti ad property for Inspection purposes. e a r g t s-�-I Signature of tree Date