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Home My Public Portal About9550 GIDLEY ST_Plumbing__ 7. 76A667 -CE#'817 2-62 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY t FOR APPLICANT TO FILL IN NEAREST r CROSS ST. v NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS SHOWER 1.25 CITY TEL. N LAVATORY 1.2S CONTRACTOR L SINK 1.25 ADDRESS �. e DISHWASHER 1.25 CITY TEL. N LAUNDRY TUB 1.25 CONTRACTOR'S _ STATE REGISTRATION NO. COUNTY CLOTHES WASHER 1.25 DISTRICT NO. GR ZONE P SSED BY WATER HEATER 1.50 _7 GAS SYSTEM OUTLETS 1,50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD Ix _ . 0 U W d N Z �� APPROVALS AT INSPECT,OR'S SIG E PERMIT $ 2 00 UNDER SLAB WORK < ROUGH PLUMBING TOTAL FEE 52 GAS PIPING "- '-- -- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP (CATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER �-^'�� PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AN STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL O R OF,AN (NTE TO RESIDE IN,THE ABOVE CRIBE RESIDE I PRO v. UTILITY CO.NOTIFIED SIGNATURE , I OF PERMITTEE FINAL VAL ROBERT A. WOOD M.0. CK. M.O. (`SCASH �) SUPERVISING MECHANICAL ENG'R 7ABAPPLICATION FOR PLUMBING PERMIT DBS-17 12.54 DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles WM. J. FO7C, COUNTY ENGINEER BUILDING a42 ADDRESS CASSATT D.GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST -7- CROSS 7CROSS ST. OWNER L c DISTRICT NO. I fG ROUP ZONE READY FOR INSPECTION MAIL ADDRESS INDUSTRIAL CITY �. TEL. NO. WASTE APPROVAL. PLUMBER INSPECTION RECORD ADDRESS 'r - I _ CITY CL TEL. NO LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) $ BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN SINK DISHWASHER LAUNDRY TUB OR TRAY CLOTHES WASHER OL= 14 TOTAL NO. @ 0.e0 APPROVALS DATE INSPECTOR'S SIGNATURE GAS SYSTEM OUTLETS @ 1.00 C _ UNDER SLAB WORK WATER HEATER @ 1.00 ROUGH PLUMBING PERMIT S I 1 00 GAS PIPING TOTAL FEE GAS VENT I 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 REGULATING _ PLUMBING FIXTURES PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST I -7, h�-�.�•�' LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED 4 CALIFORNIA OR THAT 1�OP LE L OW ER �FT)f ABOVE DESCRIBED RESIDENTIAL 1 SIGNATURE 1, '� _`7 !! ` OF PERMITTEE FINAL �.J..' ( ��,�l.tt,T WILLIAM J. FOX, G" U TY ENGINEER VALIDATION BY EPUTY 76A667 APPLICATION FOR PLUMBING PERMIT 1 DBS-17 10-56 DIVISION OF BUILDING AND SAFETY Department of County Engineer County Of Los Angeles "ULD' INGSS JOHN A. LAMBIE, COUNTY ENGINEER ADDRE CASSATT D. GRIFFIN,SUPT OF BUILDING I-LOCALITY FOR APPLICANT TO FILL IN I NEAREST CROSS ST. OWNER a, tj 4LI,LI' DISTRICT NO, GROU.L ZONE'? READY FOR INSPECTION MAIL ADDRESS -�-+ -fi-- INDUSTRIAL CITY TEL. NO. WASTE APPROVAL PLUMBER INSPECTION RECORD ADDRESS ' CITY / EL. NO. / C �� LICENSE NO. ! T fj /y'z- NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 D� GAS SYSTEM @ $1.00 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE Cd GAS PIPING GAS VENT s 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ��'" r, ;,'• AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER J. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THaLP' 'PHE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENERT .SIGNATURE OF PERMITTEE FINAL JOHN A. L E, COUNTY ENGINEKR VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR CK. M.G. CASH 06o O ? 2 4 ,IAN 2$ 3 2,0 O 76A667-CE817-8-57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. i NUMBER FIXTURE OR ITEM OWNER K WATER CLOSET MAIL ef BATH TUB ADDRESS SHOWER CITY TEL.NO. LAVATORY CONTRACTOR SINK ADDRESS DISHWASHER CITY TEL.NO. LAUNDRY TUB CONTRACTO S /� STATE REGISTRATION NO. g A COUNTY CLOTHES WASHER DISTRO. GROUPNE READY FOR INSPECTION WATER HEATER T � �_ z GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS @ $1.00 PER ITEMi Q DATE INSPECTOR'S SIGNATURE OR FIXTURE $ UNDER SLAB WORK ROUGH PLUMBING - -•s.-rte PERMITS 1 00 GAS PIPING TOTAL FEE OC 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 REGULATING PLUMBING FIXTURES PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED DESCRIBED RESIDENT[ L P PERTY. SIGNATURE OF PERMITTEE I X/ FINAL ROBERT A. WOOD, o,. LIDATION SUPERVISING MECHANICAL ENG'R 7111 - M.O. CASH � , 0 5 9-9S ,TAN 2 2 3 A 3.00 76A687 APPLICATION FOR PLUMBING PERMIT IVI ION OF BUILDING AND SAFETY 1 Department of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 11 c:� t v CaJ CASSATT D. GRIFFIN, SUP'T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN I NEAREST CROSS ST. OWNER DISTRICT NOJ GROUP ZONE READY FOR INSPECTION MAIL ADDRESS _ INDUSTRIAL j CITY TEL. NO. WASTE APPROVAL PLUMBER V�/�-� &1 /,aN�'1�'f.t,> INSPECTION RECORD ADDRESS � � Ao CITY / 1�eoab C* TEL. NO � LICENSE NO. rZ 17t }� NUMBER TYPE OF FIXTURE OR ITEM FEE { WATER CLOSET (TOILET) @ $1.00 $ /, 00 BATH TUB @ $1.00 .Lw � 9M0OPGR JAL,C/k7 CA @ $1.00 0 L? ,� / LAVATORY (WASH BASIN) @ $1.00 JJ U KITCHEN SINK @ $1.00 _ DISHWASHER @ $1.00 D LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 17 Ila WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 aL L2 APPROVALS DATE INSPECTORS SIGNATURE UNDER SLAB WORK PERMIT $ 1 , 00 ROUGH PLUMBING TOTAL FEE G OD GAS PIPING GAS VENT LESCRIBED BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY L COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES G. EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST \ D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF NIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED ED RESIDENTI P OfIERTYURE RMITTEE FINAL h JOHN A. LAIVIEU. COUNTY ENGIN ER LIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR CK. Y.O. CASH L t OOUNTY OF LOB ANGELES APPLICATION FOR PERMIT DepartmentF of I PLUMBING 1 DNiSION OF BUILDING & SAFETY WILLIAM J. FOX, Oea.ty Em/loear bISTRIGT NO. ZONE PERMIT NO. FOR APPLICANT TO FILL IN �� PLUMOERR V[D REAFOR OR p ED FIRST INSPECTION AD D R KEM BUILD HO CITY TEL.No. ADDR[OR OOUNTYec A LOCLITY46) I NBHip, 1 NEAREST PERMIT FEES oleo�e ST. HUMMER TM OF Fl%TURK OR ITEM FEE OWNER "MAWATER CLOSET(TOILET) a D.B0 0 SOATH TUB O•BO TEL .No. SHOWER Q 0.80 1 HERBY AOKHOWLEDGE THAT I' HAV[ READ IB�l LAVATORY (WASH BABIN) c O.BO APPLICATION AND STAT£ THAT TH[ ABOVE IN CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANOEN D KITCHEN OINK m D.BO AHD STATF. LAWS REGULATING PLUMBING. 1 OERTIFY THAT 1 POOSEOSt TH[ AOOVK VALID LOS LAUNDRY TUB OR TRAY a 0.60 ANGELES COUNTYL [, OR 1, TH KUA-.L OWNER OF THK RESIDENTI PR P[ D D WL CAB BYBTKN T OULETfs 0 0.513r ■IGNATURE OF WATER H[AT[R a 0.60 PERMITTE SLOP SINK 0 MOD MWECTION RECORD FLOOR OINK •� 0.50 FLOOR DRAIN O 0.60 / DISHWASHER Q 0.60 DRINKING FOUNTAIN f 0.60 / ` 'Clc�2' rl URINAL EL BU _ Q ❑USE SEWER • 0.60 z - O MINCKLLANEOUR O APPROVAIS R. HAIf[ ROUGH PLUM19IMB GAD PIPING r GAB VENT �- CESSPOOL 1.00 OKSUPOOL O[PTIG TANKI SEPTIC TANK DRAIN ( PIT ( ) 1.00 BEW[R PERMIT 1.00 GAS TEST UTILITY O0.NOTIFIED TOTAL FEE FI NAL T6A667 DBS#1T 665 ATION I herebyaffirmthatOII have r certificate ofRc-Aomeat�to self K M(2-8.) A P P.L I.0 A T I O N FOR PLUMBING PERMIT. insure, or a certificate of Workers'Oompensation Insurance,or r a certified copy th 3 0 Lab.C. ' ) COUNTY OF LOS ANGELES ' BUILDING AND SAfETY PolScy lYo. j—�/ �Pl isheroby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING q J� �'7 14 lay iflai copy.is flied with the county building Inspection NUMBER FIXTURE OR ITEM FEE ADDRESS (f (7" department. WATECLOSET LOCALITY R r y Date Applicant NEAREST BATH TUB CROS&ST. e- CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER (This owfloo need n ,, not be ,capMeted if the work larohvd LAVATORY AD D R-EM d by the permit is for one hubdred dollars (=100) or km) SINK (C3] •� CITY TEL. NO. I certify that in the performance of the Work for which this DISHWASHER permit is Issued, I&hall not employ any person In any manner CONTRACT Cr h/0.9f� so as to become subject to the Worker&' Compensation Lw1. CLOTHES WASHER ADDRESS Date Applicant SWIMMING POOL FIECEPTOR CITY a U) ��( trey TE L. NO. t NOTICE TO APPLICANT- If, after making thls Cmlificate of Exemption, you should become subject to the 'Worken' LAWNSPRINKLERSYSTEM STATE LIC. Z m Copensation provision& of the Labor Cbde, you must forth- with comply with such proyWons or this permit. shall be WATER HEATER LICENSE NO. S CLASS deemed revoked. GAS SYSTEM OUTLETS DISTRICT N PROCESSED BY LIGEN8ED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that 1 am licensed under ppoyWons of Chapter 6 PE SYSTEM l 9 (commencing with Section 7s 0b0) of DivWon 3 of the Buai- pQ�%,�,� • VALIDATION neand Professions Code, and my license Is in full force and effect. f s t AL License Nu blcumCLIt ! /✓t 9Y Contractor Z ,spate it�� t✓r I. /� ,� fj 0 I am exempt from the licensing requirements as I am a Rlen Check fee licensed arcbltect or ■ registered professional engineer PLUMBING PERMIT ISSUING FEE_ acting In my professional capacity (Section 7051, Bur 1 lases and Professions Code). TOTAL FEE �v Lic.or Reg.No. Date Plan check appllant HOME OWNER-gUII.,DER DECLARATION Name I hereby affirm that I am exemptAddrpa from the Contractor's �5 4 � �:A License Law for the following reason (Sectton.7031.5, Bud-- Clty Tel.No. nesl and Professions Code): 0 I, as owner of the property, am exclusjvely contracting 0 0 0 0 o FJ with Ucensed contractors to cons tuct the project 2'-'o'2&5 0 (Section 7044, Bµsines and Profeadons Code). CONSTRUCTION LENDING AGENCY a 5 0 I hereby affirm that there is a construction lending agency 0 4 R 2 for the performance of the work for which' this permit Is issued(Sea 3097,Clv.C.). Lender's Name Lander's Address I certify that I have read this application and state that the above in-formatiorl Is correct.I agree to comply with all County ordinances and State laws regulating Plumbing„ and hereby SEE REVERSE FOR EXPLANATORY LANGUAGE authorise representatives of this County to enter upon the ■bove-mtoned property for lnspeelonrposm Signa o Perms to ,