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Home My Public Portal About6251 GOLDEN WEST AVE_Plumbing__ D.B.S.-17 25M SETS 6-46 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE --� HEATER CESSPOOL -I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED FIRST INSFECTION GAS MISCELLANEOU APPLICAM FILL IN HEAVILY OUTLINED PORTION ONLY . i JOB C NAME/ d t ADDRESS ADDRESS ` - -t_ LOCALITY NEAREST LDL CITY � � '{,/ TEL NO. "Ir. ST. COUNTY CERT.NO. - EXPIRES _ K NAME 4.1 LOCATION OF SEPTIC TANK, OR CESSPOOL 3 MAILADDRESS NORTH O CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CFRTIFI.CATE OF QL '/A51FICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED li ABOVE. iel D 3 N4 OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK z BATH TUB FURNACE _Lo C SHOWER DISHWASHER 0 LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK HAND TRAP SLOP SINK FLOOR DRAIN / WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSP6 WII MAMA / WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I METER-GAS SODA FOUNTAIN (IAS PIPING OUTL GAS VENT CESSPOOL i I TOTAL NUMBER OF FIXTURES �i SEPTIC TANK __CESSPOOI SEPTIC TANK SEWER $ I Io UTILIT'/CO.NOTIFIED I TOTAL FEE FINAL l L I D.S.S.17 25M SETS 2-47 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 RECEIVED BY READY FOR DATE ISSUED HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB a. NAME /;y��' ADDRESS W m ADDRESS LOCALITY D NEAREST .J CITY TEL.No. CROSS ST. A. COUNTY CERT.No. EXPIRES K NAME W 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 CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. ili D OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK Z BATH TUB FURNACE I7 SHOWER DISHWASHER ❑ LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP E' SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAB SODA FOUNTAIN GAS PIPING OUTL JI I GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOI SEPTIC TANK SEWER I UTILITY CO.NOTIFIED i -TAL. FEE FINAL 7 (CE-617)-4/72 • AI),PLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: FNIARSESSTT. RESS 1 �, HARVEY T. BRANDT, COUNTY ENGINEER ALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) _ r! S �y NUM ER FIXTURE OR ITEM @ FEE OWNER WATER CLOSET 1.75 BATH TUB 1,75 ADDRESS SHOWER 1.75 CITY TEL. NO. LAVATORY 1,75S CONTRACTOR SINK 1,75 ✓ ADDRESS / DISHWASHER 1,75 CITY TEL. N CLOTHES WASHER 1.75 STATE LIC NO.E V SWIMMING POOL RECEPTOR 1,75 LICENSE CLASS DISTRICT NO. GROUP ZONE PROCESSED BY LAWN SPRINKLER SYSTEM 1,75 or WATER HEATER 1,75 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V OUTLETS OVER 30 O 5 PER SYSTEM , CD V W a N Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEEZZ I APPROVALS DATE IN,4PECTOR S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING �..�.. Address GAS PIPING City Tel. No. GAS VENT HOT WATER HEATER I HEREBY ACKNOWLE GE T AT 1 HAVE READ THIS APPLICATION AND STATE THAT THE BOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY 0 DINA CES AND STATE LAWS REGULATING PLUMBING. GAS TEST I HEREBY CERTIFY TH I AM PROPERLY ST RED AND/OR UTILITY CO. NOTIFIED LICENSED AS R OS ANGELES C Y D ATE OF CALIFORNIA THAT I T E LOW R F, A 0 1 TEND TO RESIDE IN E ABOVE SC I IDE T ROPE TY FINAL SIGNA RE . OF P R TEE ___IIILLL PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH L a,u 1_ --2 NOV 7 5 D o.2 5 . T r OMPENSATIQN DECLARATION APPLICATION FOR PLUMB114G PERMIT �t Irm that I hove terti&ate of consent to self In- &&.66t�,/� rtIfIca of Workers'Com ensailori Insurance,or a 76Ad67A " � P CE en(REV. etas) . . ,. ,tcopy thereof (Sec. 3800, Lab.-C.) ' ' COUNTY OF. LOS ARGELFS DEPT. OF PUBLIO-WORKS Pollcy.Nb. C$mpany, t])1.Certlfied copy Is hereby furnished. Certified 4opy ltflled with the county building Inapectlon FOR APPL1CANi TO FILL IN(PRINT OR TYPE) ADDRESS 5-117 id av, department. NUMB83 FIXTURE OR ITEM B FEE LOCALITY pots Applicant -WATER CLOSEr(TOILET)' NEAREST. =lri ATE.OF EXEMPTION FRO)y1 WORKERS' BATH TLIB ST.' COMPATION INSURANCE OWN&R Sly (T#tIt s•cHon need ETIS ed riot bi completed if the work.lydofvd by MAIL permrt Is for one hundred dollars (=100) or 19"4 LAVATOkY ADbkESS 6 c, I+ertlfy that In the r formo�ce'of the-work Tor.whlch this per- SINK I Cf1Y TEL NO. rnit it Issued, T aha I not employ any person Irrany'manner so F's to §gcomesubfectYo-;he-Works mpdnsatlon Lawa.: { DISFIWASHER CONTRACTOR r7 Ucrfe l� . 'b' 7 Applicant C1QTHS W ,NH AER NOTICE TO APPLICANT: If,.after making t s CAftlfl to of Ex- SWIMMING POOL RECEPTOR erpptloo,you thou)d become s0blI'pct to the Workers'Compen- C7 ' TH sallow provlslona.of the J 615br'Code,,you m4s1 forthwith comp- [AWN$PRINKLH2 SYSTEM 1�wjth such provlslont or this pefmlt shelf be dbemed revok- SIATF LK ed. WATER 1EATFR LI NO , LICENSED CQNTRAGT6�$ DECLARATION DISTRICT NO BY I hereby a.firm tat I•am Iltensedunder pnovlslonsof Chapter 1�11AS SYSTEM 0� r, 9(commencing with Section 7000)of bmilon 3 of the Business OU LETS OVER U and sIgru Coda, pnd my Ilcerlse is In full_forcb and ef- 5 PER SYSTEM SINAL VAL ATl N � " J DATE pcpnse'Numbbr Llc. Class - Contrycror Dbte' :2 8 4 5 b A O I am exempt under Sec. - ,� _ _ _ _ o � • 0 0 5 V t. W .&P.C. for this redson Plan check fee , � • • 3.4,5 p - Date: PLUM6ING PERMIT ISSLJ.ING AE; • o • 3 4 5 QS �SlgnaturA_, TOTAL FEE SINGLE FAMILY 11.30-87 HOME OWNER-BVILDER DECLARATION Pion check app"}icaot` I hereby afflrrn that I am ezempt'from the Contra¢6r's1lcAnse Nome w Low fbr'the fgJtbwing reason (Sedlon 7031.5, Business and Professloni Code):" Address I; as owner of the property, will do thQ work dnd the City Tef. No. - ttructure i&not Intended oe offgreclJor sale($ectlon 7044; Business and Profesilons Code): , CnNM1JQTION L['NDING-AGE?K1 , t - I hereby affirm that there Is a coristrudlon iendlhg agency for 5 the performance of the work for'whlch this'permit Is Issued (Sec. 3097,Ctv. C.Y. f - Lenders Name Leipder s Address I certify.that I have read this appllcatlorl and state that the above fnfortnallon.is correct. I oprpe to comply with oil County ordinances and State laws regulatrng Plumbin9;'and hereby authorize representatives of this County fo eoter upon the a menfloned p Qpery fpr.10aped10n urposes. - l— 3C} �� SEE REV tI SE FOR EXPLANATORY LANGUAGE Signature o rmlttee Date !l�a.. WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT '- -1 y66Vgfflrm rhat vA a certificate of consent to self 76A667A Insure, or a cart)fT�Qtd Workers' Compensation Insurance, CE B17(may. 10181) or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy Na. Company Certified copy Is hereby furnished. f-0R APPLICANT TO FILL IN(PRINT OR TYPE) ❑ Cettlfied copy Is filed with the county building)nspec- ADDRESS FDCFl1RE SEM O ? tion department. LOGAllTY Data AppllranT WATER CLOSET NEAREST CERTIrICATE OF D�J1AMON FROM WORKERS' BATH TUB CROSS 5T. .1-L W Z COMPENSATION INSURANCE Oma SHOWER C (This section need not be compliefed If the work brvolved by _ the permit is for mw hundred dollars(=100)or less.) LAVATOfiY ADDRESS i 0'- I certify that In the performance of the work for which this permit Is Issued, I shall not employ any Person In any manner SINK CITY � Y Z, TEI tVO. V4 0 w as to become subject tb the Worker ClD om pensatIon Laws. D ISFf W ASFB2 CONTRACTOR VN Date IICanT CLOTHES WASHER �, , Non TO ICANT: If, after tnq Certificate ADDRESS •lW 42"6- kt Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CTiY �-`^� V- T� �' ( q0<< with comply with such provlslbns or this permit shall be STATE UC, deemed revoked. WgTER HEATER • CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS-SYSTEM, OUTLETS (.mmencIN with Section 7000) of Division 3 of the Business s and Professions Code,and my license is In full farce and effect. 5 PER SYSTEM FINAL VALID N • License Number I1c. Class DATE FI Contractor Date BY. O ❑ 1 am exempt under Sec. R 2 1 1,9 A W B.BP.C. for this reason Plan check fee # o'o o o 0'5 Date. PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE a o o 1 6 5 0 1 Plan check applicant SINGLE FAMILY O S 2 9 8 5 HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractoes License Addrea Law for the following reason (Section 7031.5, Buslrws and Professlons Code): City Tel.40. xWI, as owner of the prop", will do the work and the structureIs not Inteoded or offered for sale (Section Opp, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hdreby affirm that there Is a construction lending agency for the performcince of the work for which this permit 1■ Issued (Sec. 3097, Civ. C-). Lenders Name Lendef?s Address I certify that I have rood this appllcatlon 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 Inapedlon purposes. r SEE REVERSE FOR EXPLANATORY LANGUAGE _Stvjatu of Perm ttto