Loading...
HomeMy Public PortalAbout4856 GOLDEN WEST AVE_Plumbing__ (2) 76A667-CE0817 9/63 �� ^ • APPLICATION FOR PLUMBIN PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS c Q WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNERICA L4 (414 d �`�/ " WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS /�Q� p 2,111 SHOWER 1.25 CITY TEL. NO. LAVATORY 1,85 CONTRACTOR SINK 1.25 ADDRESS 4(,p DISHWASHER 1.25 CITY L_ W , vVQVLy TEL. NO. ECONTRACTOR'S STATE LAUNDRY TUB 1.25 REGISTRATION NO. 9 ) COUNTY CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PR ESSED BY WATER HEATER 1.50 © .� / CL } GAS SYSTEM OUTLETS 1'1.50SO WASE APPROVAL O OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V 0 H U Lu D_ N Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 OO UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE 3 .50 GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 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 AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN,THE ABOVE DESC RE516E.NTIA OP RTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITT FINAL VALIDATI ROBERT A. WOOD CA$H CK. M.0. .gUPERVISING MECHANICAL ENG'R 6 4 3 3t2 OCT 14 5 D 3.J Q`" CQ ` COUNTY OF LOS ANGELES APPLICATION FOR PERMIT . -Department of County Engineer PLUMBING �� � � ' DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer DISTRIC GROUP ZONE . FOR APPLICANT TO FILL IN k, 7r � J PLUMBJO1\TANA PLUMBING CONTOAnTn.+.+ RECEIVED BY FIRSTMontDY FOR erey, DATE ISSUED W. � ADDR. ontere� � - Mf � C — ST CITY C - TEL. NG um 3-1fun ADDREBUILDSS i? N O COUNTY LOCALITY LICENSE NO. EXPIRES O S NEAREST PERMIT FEES CROSS ST. — NUMBER TYPE OF FIXTURE OR ITEM FEE OWNE MAIL WATER CLOSET(TOILET) 0 0.50 $ ADDRESS _��_ BATH TUB @ 0.50 CITY TEL. No. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB��jjOR TRAY 0.50 ANGELES COUNTY LICENS OR 1 AM THE LEGAL OWNER GAS 9YSTEMyZ._OUTLETS Q 0.50 v OF THE RESIDENTIAL P ERTY D CRIBED ABOVE. SIGNATURE OF WATER HEATER 0.50 PERMITTEE SLOP SINK @ 0.513 INSPECTION RECORD _ FLOOR SINK 0.50 r FLOOR DRAIN 0.50 DISHWASHER @ 0.50 — DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 -J HOUSE SEWER 0.50 Z t'J MISCELLANEOUS y o APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING OAS PIPING //\'j GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) 0 1.00 SEWER PERMIT 1.00 GAB TEST UTILITY CO.NOTIFIED TOTAL FEE B FINAL 7/Jrr 76A667 DBS$17 10/52 I , 76A667 CFS 81'v-88 -' APPLICATION FOR PLUMBING PERMIT 1 BUILDING AND SAFETY DIVISION Department of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE,COUNTY ENGINEER ADDRESS CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY rf /O�,�' FOR APPLICANT TO FILL IN I NEAREST CROSS ST. OWNER "/( L>/ZC'x� /(]] T/S iDISTRICT NO. GROUP ZONE READY FOR INSPECTION MAIL ADDRESS�G' J 4 I ! J. ;Z /t INDUSTRIAL CITY TEL. NO (.� /aJ�6 WASTE APPROVAL PLUMBER .. r INSPECTION RECORD ADDRESS GI /HG/•� �� �L"-�`— 6/�.,.._.^ _ -L t CITY2 ,0 pAalA./ /tom TEL.NO. // � , ` LICENSE NO. ��'�J 3 ".%'`'may..... NUMBER TYPE OF FIXTURE OR ITEM FEE .. WATER CLOSET (TOILET) @ $1.00 Q BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 do KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 O GAS SYSTEM @ $1.00 O V APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING 1'.r GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOTV1(ATERHEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST1 - 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 RESIDENTIAL PROPERTY. SIGNATURE �. LO OF PERMITTEE FINAL / A'" ROBERTA.WOOD, JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION SUPERVISING MECHANICALENG'R CK. M.0. ASH 1 Ap 1 6 9 4 5 JUN 10 3A 8.0 O N 761k1587 (CE.517)-4/72 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES jt DEPARTMENT OF COUNTY ENGINEERBUILDING AND SAFETY DIVISION MAKE CHECKS PAYABIi TO:HARVL-Y T. BRANDT, COUNTY ENGINEER FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST SS NUMBER FIXTURE OR ITEM 0 FEE CROST. WATER CLOSET 1.75 OWNER ! If MAI L BATH TUB 1.75 ADDRES SHOWER 1.95 CITY TEL. NO. LAVATORY 1.75 CONTRACTOR SINK 1.75ADDRESS 1 11-5 DISHWASHER 1.75 CITY TEL N0. CLOTHES WASHER 1.75 STATE /^7 6 LIC SWIMMING POOL RECEPTOR 1.75 LICENSE NO. Z(jy / �� CLASS C^ DISTRICT NO. G UP E P ESS BY LAWN SPRINKLER SYSTEM 1.75 d _f WATER HEATER 1.76 WASTE APPROVAL GAS SYSTEM OUTLETS 1.76 INSPECTION RECORD OUTLETS OVER 80 5 PER SYSTEM Plan Check fee See RGwrze PLUMBING PERMIT ISSUING FEE $ B 00 TOTAL FEE APPROVALS DATE ING P[croR a ■IGNATUR[ Plan Check eppl Kent UNDER SLAB WORK Name //V ROUG-H PLUMBING AddressE GAS PIPING r Tel. No.41y 8 cr3pyn" GAS VENT HOT WATER HEATER I H RE BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AMD STAT[ THAT THE ASOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUM SING. I HERESY CERTIFY THAT I AM PROPERLY REGISTERED AMD/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS' ANGELES COUNTY AND STAT[ OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE D[SCRI D RESIDENTIAL PROPERTY FINAL 3IGNATU RE OF P-ERMITTEE I'II PE VALIDATION CK. M.O. 02H PLAN CHECK VALIDATIO CK. M.O. CASH I { �(' 4 1 1 373 17 5 D R.2 -9L ,WORKERS'COMPENSATION DECLARATION �-�26 DPW 4/90 APPLICATION FOR PLUMBING PERMIT T J hereby, affirm that I have a certtflcate of consent to self-In- 7bAbh7A sure,or q certificate of Workers'Compensation Insurance,or a cerilffed copy thereof (Sec. 360, Lab. C.) Policy No. Company COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS ❑ Certified copy is hereby fumished. FOR APPLK.s,Nr TO RLL IN(PRINT OR TYPE) ❑ BUILDING Certified copy Is filed with the county building IrapectlonNUMBER FIXTURE C fIFJN 9 ADDRESS G Ave- department. LOCALTiX�� 2 WATER QOSET(TOILET) Z 2C7 Date Applicant NEAREST CERTIFICATE OF DT. PTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE O,� B (This section need not be completed If the work Involved by MAIL the permit is for one hundred dollars(=100)cr tees.) 2 LAVATORY 32 ZZ ADDRESS Qh t/J ✓ 1 certify that In the performance of the work for which this per- SINK CTTY mit Is Issued, I shall not employ any person In any manner so P-M 0 CTjn�—u _ 3 as to become subject to the Workers Compensation Laws. DISHWASHER CONTRACTOR Date. Applicant QOTHES WASHER NOTICE TO APPLICANT: If, after making this Certtficate of Ex- ADDS SWIhAhUNG PCXx RECEPTORemptlon,you should become subject to the Workers Compen- CITY TEL NO. satlon provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE LIG ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROC ESSEI)BY I hereby affirm that I am licensed under provisions of Chapter GPS SYSTEM OUTLETS O v 9(commencing with Section 7000)of Division 3 o the Business OUTLETS OVER o and Professlons Code, and my license Is In full force and ef- S PER SYSTEM FINAL fecr HOSE B4B DATE VALlDAT10N >- License Number Lic. Class a FINAL (Oj Contractor Date BY Q O 1 am exempt under Sec. LLP B.BP.C- for this reason Plan check fee , Date: PLUMBING PERMIT ISSUING FEE; Signature TOTAL FEE SINGLE FAMILY HOW OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractors License Name Law for the following reason (Section 7031.5, Business and Professions Code): Address aowner of the property will do the work and the City Tel. No. structure is not Intended or offered for sale(Section 706", 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, Ov. C.). Lender's Name Lenders Address I certify that I have read this appllcatlon and state that the s-+ above Information Is correct. I agree to comply with all County t"` ��� yy ► ordinances and State laws regulating Plumbing, and hereby 1� authorize representatives of this County to enter upon the , abo ntioned F;r for Inspection purposes. C SEE,RI FOR E��NAT�tY LANGUAGE Imo- .. Signature Parml aDate p�`p 10 $ j