The URL can be used to link to this page

Home My Public Portal About5600 GRACEWOOD AVE_Plumbing__ i ca e i+7RIM.e/-M r t MIS ' y APPLICATION OR PLU M B ING"PERM IT COUNTY OF LOS ANGBES BUILDING AND SAFETY FOR A P PL}CANT TO FI UL I N(PFJ NT O R TY PEI BUILD NUMBER FIXTURE OR ITEM O FEE LOCALITY WATER CLOSET _ N 1 BATH TUB �Rom STST jf SHOWER OWN LAVATORYV k SJNK CITY TEL DISHWASHER ,3 CONTRACTOR CLOTHES WASHER A SWIMMING POOL RECEPTOR OTY ,, TEL 0 +� LAWN SPI INKLER SYSTEM STATE �yy LIIC- WATER HEATER UCEN.SE NO. "(/ CLASS f GAS SYSTEM OUTLETS 00 APPROVALS DATE oR s E pU7�T�py� LINDER SLAB WORK o 5 PER SYSTEMA ROUGH PLUMBING ! ( GAS PIPING GAS VENT V a h HOT WATER HEATER _ PLUMBING FIXTURES GAS TEST Plan Check fes A sv rL3 U7LITYCaNOT]FIED PLUNKING PERMIT ISSUING FEES 7 TOTAL FEE ,3�.. FINK `�"7— PIQn pplkant PLAN CHECK VALIDATICNJ Nam3,r3--t- S 4 1 9, 1 A 9 Addmss v f9 # oaoOoF ClryTel.N 2o667. 50 IHC AC!(NOWu DGfi T 1 HAVE READ THIS T50N AND STATE '��f--77 _ THAT T}IC US CORRECT AND AG Rl£TO COMPLY WITH COU NTY ORDMAWCES O O AHD STAT¢LAWS REGULATING PLUMBING. PERMIT VALIDATION 504-79 7 C I HIRE BY CL RTPY Ail Y REG D AIIDOR RAT I AMD AS J_ (� !j„ O U O — 7 9 REQUIRED BY LAS COUNTY D STATE Of MIA OR THAT I All l`FIL LEGAL OWNER OF. D IN ABOV MJBED RESIDENTIAL POPERTY. 1'f'C 3dZ651S 8 ATV RE P f RM TT7C DISTRICT N/Ol, BY -67v IND RIAL WAST 7bA&W7A ----------------- V CIE•17(MV.oris) �E !llSSS APPLICATION F R PLU PERMIT COUNTY OFLOS ANGELES BUILDING AND SAFETY FOR APPLfCANTTOFILL IN(MNTORTYPBI BEBIDING REsS 5600 GRACEWpaD NUMBER FIXTUkEORITEM � FTS LOCAITTY TEMPLE CITY WATER,CLOSET " BATH NB GRACEWODD & DAINES 02055 ST SHOWER OWNER GOLDEN STATES HEALTH CARE LAVATORY , I13347 VENTURA BLVD SINK CITY SHERMAN OAKS TEL NO. DISHWASHER CONTRACTOR GREENWAY IAANDSCAPE CLOTHES WASHER ADDRESS 17307 FLALLON AVE. SWIMMING POOL RECEPTOR CITY ARTESIA TEL No-8953043 LAWN SPRJNKLER SYSTEM TATEr7 �7 }� WATER HEATER v CENSE Na. 3/4(2`f' a.Ass Ci 27 GAS SYSTEM OUTLETS APPROVALS DATE LKSPECTOR'S SUNATURE 5 YS�EN� UN DER SLAB WOQ( ROUGH PLUM8JNG GIS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES GAS TEST Plan Check fee UTIUTYCO.NOT]AED PLUMBING PERNUT ISSUING FEE$ .7 evu TOTAL FEE Fl"'� pq LAN K V LIDAT N 0 / 44 ck D� Plan Chad gpplkant Name Address i A ' /,0, ,90 C' Tel.No. I HEREBY ACKNOIYUDQRI E THAT I HAVE AD THts A"LF-ATNIN AND STAtE HE THAT TADM tS CORABCT An AORLE TO COMELY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATTNG PLUMBIN0. PERMIT VALIDATION Q 2 06-r8 0 I HEREBY CERTIFY THAT I AM PROPMY REGMnWD AND/OR UCXWLIEDD AS REOU RIED BY LOS AM 0L"COUNTY AND STATE OF CALItO(WU OA THAT I AY THG LEGAL OWNER OF.A"I "D TO RUIDE W THE ABOVE DESCAIDED RESIDENTIAL PR PEJITY. S16NATURC OPERMfTTLC P - BY I N DUST RLAL WASTE APPROVAL G ATION I herebyy°RffErrm thatOII haveSif ccettMcate DECLARATION coru=t�to self 76AWA ("O A P P L I C AY I O N FOR PLUMBING PE R M I.T insure, or a certificate of Workers'Componsatlon Insurance,or e cw-lfked copy thereof(Sec. 3500,Lab.C.) COUNTY OF LOS ANGELES BUI LDtNG AND SAFETY Policy No. 4DQmpany Certhled copy is hereby furnished. FQR APPLICANT TO FILL tN (PRINT Opl TYPE) BUILDING Certified copy is filed with the c6uhty building tnspectioh NUMBER FIXTURE OR ITEM[ FEE AQDRE88 Q6 ' ciepartMent. WATER CLOSLOCALITYET {� Data Applic\nt WrAR a6T BATH TUB CROSS ST. 1 CF,RTIFICATE OF EXEMPTION FROM WQRIERS' SHOWER OWNER COMPENSATION INSURANCE LAVATORY MALL (Thin pwdon -peed not be comp let�ed If the wort[ 4ivolved � ADDRESS 00 by the peri is for one -hundred doilm ($100) or leaf.) SINK 8 EITY TEL.NO a I certify tlrst in the performance of the work for which this DISHWASHER " peimtt i. +trued. I shall not emCONTRACTO ploy any person in any manner �0 Aw'I so as to become subject to the Workers' CompeoWtion ICLOTHESWASNER ADDRESS U Date Applicant�r�' ? SWrMMINl3 POOL,RECEPTOR NOTIC TO APPLICANT: Ifer , , after making this Ctificate of OITY TEL.NO. Exemption, you should become subject to the Worheo' LAWN SPRINKLER SYSTEM STATg LIC, Z Compensation provisions of the Labor Code, you must f6rtb- WATER HEATER LICENSE NO. CLA88 with comply vdth sugh provisions of thI/ permit shall b¢ deemed revoked. GM SYSTEM OUTLETS DISTRICT NO. PROCFeS5P BY LICENSED CONTRACTORS DECLARATION 10-UTLETSOVER S r O I Hereby affirm that I am 14censed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Buaf- pA� se . a. VA�IpATtOf�' I new and Profeesions Code,and my license Is in full force and i I effect. - I FINAL 4 License Number Lits CLes—�' I? BY Contract r Z Date 3 I am exempt from the licensing mquh-ements as I am r 'Plan d1BCk fee licensed architect or a registered profestional engineer PLUMBING PERMIT ISSUING FEF=* acting in my professional capactty (Section'7051, Bur �bI�Q 1 iness and Profeadons Code), TOTAL FEF z Lic.or Req.No. Date Prsp chock■pplloarit # 0 0 01'0 0.5' HOME OWNBR-BUILDER DECLARATION Nana 2 ° -- 2Q50 I hereby affirm that I am exempt nom the Contractor's Address o 0 0 2050H. T L,106nse Law foe the following reason (SectLon.70�1.5, Busi- City Tel,Nd, Rees and Profeastons Cede): O 9, 3 -82' I, ea owner of the property, am exclusively contracting with licensed codtracton to construct the project (Section 7044,Buatness and Profenions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there L t construction lending agency for the perforhWce of the work for WWr-h tbJs permit is issued(Sec. 3097,Civ.C.)_ Lender's Name L4mder's Address I certify that I have read this application and state that the above.Information is correct.I ag roe to comply with ajlCount? ordinances and State laws regylating Plumbing, and hereby SEE REVERSE FOR EXPLANATORY LANGUAGE authorise repretentatfvm of this County to enter upon the abgve-mentlgned property for inapectlon purposes. r L tore of ti t/ �s r6 to j WOI:IERs'coMPENSA710N QKLARATION'4 APPLICATION FOR PLUIV ENNG PERMIT L hereby afflrm that I havq a certificate of consent fo self 7Mb67A Insure, or a certificate of Workers' Compehsatlon Insurance, CE 817(REV. 10/81} or a certifiedo th r f (Sec 3000Lab. C.) COUNTY OF LCIS ANGELES T �' BUILDING AND SAFETY �, CompA Iii rtffled copy Is hereby fumished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING - Certified copy Is filed with the county building inspec- ADD" %reP NUMBER FU(RJREORTEM O Fly tion dbpertment. LOCAll7Y fog P Date App 114a n t WATER CJLO5Er NEAREST CERTIFICATE Of:.E?( TION FROM WORICEkS' BATH RUB CROSS ST. COMPENSATION INSURANCE (This swctlon n*ad not be cgmp4eted If th*work lnvohmd by- SHOWER Sif 12,MODWA& the parrmlt to fpr one hundred dollars (=100)or leu.) LAVATORY I cervIfy that In the performance of the work for which this permit Is'Tatued, I shall not employ any person Im any manner SINKT$ Z r was fo become avb(ett to the Workers Compensation Laws. DISHWASHER CONTIZACTOR -.4didoul F r- Date AMlicant �� CLOTHES WISHER ADDRSS NOTICE TO APPLICANT: ff, after making this Certificate of SWIMMING POOL RLCSFTOR Exemption, you should become subloct to the Workers' CITY ipq Compensation provisions of the Labqr Codq, you mutt fortis- LAWN SPRINKLER nVEM with comply with such provisions or this permlt shall be STA deemed revoked. WATER HEATER NO. 5 LICENSED CONTRACTORS QECLAPAT10N IDSTRO NO. BY I hereby affirm that I am ll�:ensed under provislons of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Drvlsloh 3 of the Busloeat OUTLtTS OVER and Profeaslonatroc e,and my license is In full forte and effect. s PER SYSTEM FINAL �� ell YALIDATION Y?— 1 �� DATE r License Number. �7�0�7 7 Llc. Clats �� X VA �,,.�,� s,anr. LNG. L.�-,2,Z s gYR ` I am exempt under Sec. B.BP.C. far this reason / Z Plan 4heck fee Date: PLUMBING PERMFr ISSVINGFff; OY Slgrtature TOTAL FSE SINGLE FAMILY Plan Check applicant , HOME OWNER-BUIW�k ISECLARATION Name I hereby affirm'that I am exempt from the Contractors License Law for the following Teasan (Section 7031.$, Business and A4dfen Professlons Code): City Tel.No. a o 0 0 0 5 ❑ I, as pwaor of the property, will do the work and the structure is not Intended or offered for tale (Section 2 0 -30-50 7044, Business and Profeulons Code}. CONSTRUCTION LENDING AGENCY o 0 a 7j 0, 5 0 E. I hereby affltrn that there Is a construction lending agenty for 2• 9— 3 the performahce of the work for which this permit Is Issued (Sec. 3097, Clv. C.). Lenders Name LendeS s Mdress- ------i- I certify that I have rood this appllootlon and state that the above Irrfgrmatlon Is correct, I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of th❑ County to enter upon the obove-mentioned property for Intpectrpn purposes. ' SEE REVERSE FQR EXPLANATORY LANGUAGE , S, Slgaa re of Permlttee '+�Dcrte - WORKE;MCOMPENSATIOK135dLARATI N APPLICATION FOR PLUMBING PERMIT eby rm that I novo a certLf1Af4of consent to self- 764667A e, o��Ce}Lfflcate of Workers'C,ompdhsatlon Insurance, CE 817(REV. 1p/81) cdFtlfled copy*mr•eoftpany-lme- 3800COUNTY OF LOS ANGELES BUILDING ANDSAFETY 6. RJA S APollcy No. C � A . " Certffied copy Is bereby furnIpb d, . S / DD Q FOR APPIJGANT TO dLL IN(PRINT OR TYPO �l C� ❑ Certified copy Is filed with the county b In Inspec- 1 m t NUMBER FiXTiJRE OR rrEht Q � LOCftLf[Y (� � 1� l Dat — pppll9a 9 WATER CLOSET 17 JVNFAR�ST CERTIFICATE OF DTMPT10N FROM WOR BATH TUB J CROSS ST, �t e— Qt COMPENSATION INSURANCE �� pWf�g2 (This section n6od not totcompleted lF the work Involved MAIL tfle Permit Is For one hundred dollars($100)or loss.) LAVATORY ADDRESS I certify that In the performance of the work for which thls SINK CffY 1 e C ' TEL NO. permit Is Issued, I shall not employamy perton In any manner so as to become subject to the Workers Compensation Laws. DtSIIWASFER OCNTRACTOR �& [LEI�1 t Dater AWicant CLOTHES WASI-CER NOTICE TO APPLICANT: If, after making this Certificate of SWLMMING POCK RECEPTOR l �tI C.r Exemptlon, you"should become subject to the Work"" QTY C a 11 � NO Compensaflon provisions of the Labor Code, you trust forth- LAWN-SPR It�KLER SYSTEM W with comply with such provlsioris or this perrult shall be STATE LTC dtemed revoked. WATER HEATER CLASS L[C%NSED CONTRACTORS DECLARATIONDISTRICT BY affirm I hereby arm that I am licensed under pravislons of Chapter 4 (*M SYSTEM OUTLETS U (commencing with Section 7000) of Divlslon 3 of the Business OUTLETS OVER and Professions Code,and my license Is In full forcq andeffect. S PER SYSTEM FDIA VALJDATIOK Llcbnse Number Ilc. Clan ` pd FI O Contractor Data BY �, ❑ I am exempt under Sec 1 B'.BP.C. for this reason ys+ Ptah check fee Date` PL`UM.0ING PERMIT ISSUING FEE$ (> r Signature TOTAL FEF Plan check applfoant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractors License A. . Law for the following reaspn (Section 7031.5, Business and (Professions Code): City Tel. No. r e v n o U I, as owner of+.&property, will do the work and the 1 structuroIs not Intended or offered for sale (Section , ^'o 2 0 7041, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that ther&lk a wtittructlon lendl6g agency fx � O_8 4 the performance of the work for which this permit Is lssued - (Sec. 3D97, CIV. C-). Lender's Name Linder' �dres! , I oertify that I have read this application and state that the , above Informatfom Is correct. I agree to tomply with all County ordinances and State laws regulating Plumbing, and hereby q nor rgpresentatiy ty to enter upon the a entloned for Ion ti W REVUME FOR EXPLANATORY LANGUAGE S gnaturs of Perrpittes e "'�ORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT d I hereby affirm that I have a certificate of consent to self 76A667A Insure, or a certificate of Worker' Compensation Insurance, CE-E17(REV. 10/81) or a gerttfled copy thereof (Sec. 8800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No 2"3+�r Ajq# Company&S,C yjj Al, Certified copy Is hereby furnished{/Nb ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING rOeO Certified copy Is filed with the qouhty building Insect- J W�/ tion department. �. 'yJ `l �.I J ' NUMBER FIXTURE OR ITEM O FEE L m Abj Dp �— Appll4ant AZ 4L6^—'' -" jWATER CLOSET te 3-1— � NST CERTIFICATE OF EXEMPTION FROM WORXEkS' BATH TUB QROSS ST AOLC-6K& COMPENSATION INSURANCE SHOWER OWNER (This secRon rseed not be comp6t6d If the work Irmi ved by MAIL the permit Is for one hundred dollars(:100)or less.) LAVATORY ADDRESS 54zvO I certify that In the pgrformonce of the work for which this permit Is Issued, I shall not employ any Person In any manner SINK CITY TEL NO. to as to become subject to the Workers Compensation Laws. DISHWASHER CONTRACTOR Qate AmBcant CLOTHES WASHER ADDRESS! NOTICE TO APPLICANT: If, after moking this Certlflcate of SWIMhVNG POOL RECTOR Exemption, you should becomb subject to the Worked' TEL. NO Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM f. / &6-30 wlth comply with such provlsloAs or this permit shall be STATE ^� LIG deemed revoked. WATER HEATER UCBNISE NO. 3 '7.2 CLASSL-27 LICENSED CONTRACTORS DECLARATION DISTRICT NO. BY I hereby affrrm that I am licensed.under provisions of Chapter 9 GAS SYSTEM OUTLETS (/ (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER r 8 and Profealons Code,and my license is in full force and effect. 5 PER SYSTEM FINAL VALID ON O License Number 37T7�T� Llc. Class C�� DATE 1 FINAL ZdVContractor Dote /' DY ❑ I am exempt under(Sec. ; d B.&P.C. for this reason Plan chE�tk fee 1 b 2 5A Date. PLUMBING PERMIT ISSUING FEE; d #.o 0 0 0 0 Signature TOTAL FEE Q .1 1 6,50 Plan check applicant SINGLE FAMILY 010 o.1 &506 HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address 0 3,0 5—8 5 Law for the following reason (Section 7031.5, Business ono• . Professions Codi): City Tel. No. ❑ I, as owner of the property, will do the work and the structure Is not Intended or offered for sale (Section , 71144, Business and Professions Code). CONSTRUCTION IFNOING 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, Cly. C). Lenders Name Lenders Address I certify Chet I have rgod 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 above-mentioned property for Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Jr, 2L"6=6e, SI tura 4 PTZrmtfea�- Date I--*1'- Z 7D WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I herotby cfflrirn that I have a certificate of consent to self 76A667A Irtsure, or a certiflcate of Workers'Compensation Insurance, CF 817(REV. 10/81) or a centFled copy thereof (Set. 3800, ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company - I reby furnished. FOR APPL1Gsrlr 1'O FILL IN(PRINT OR TYPE) BUILDfTJCi Certified copy Is filed with the county byllding inspec- ADDRESS tion partmenf. FIXTUREORTfEM O FEELOC0Q69ACX"000 AM ALITY WATER CLOSET IZ4kA FLA C4 Tf Date Ap pl l qa n t NEAREST CiRTI&ATE QF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER (This sectlon need not be completed tF the-work Imrolvsd by MAR SHOWER the permlt.to For orte hundred dollars ($100J or len.) LAVATORY ADDRESS IS I certify that In the performarKo of the work for which this permit Is Issued, I shall not employ any�erson In any manner SINK CTTY TEL NO. to as to become sublecrt to the WorkeCompensatlon Laws. DI-51—WASHER CONTRACTOR Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of Z- SWLYMNG 00 CA- L411,10 Exemption, you ahpuld become subject to the Worker' POOL Compensation provislons of the Labor Cdde, you must forth- CITY i� kk TEL NO. � LAWN SARINER SY5TEM with Comply with such provlslons or this permit shall be STATE UC deemed revoked. WATER HEATER LICEN.SE NO. CLASS ~ LICENSED'CONTRACTORS DECLARATION WsTizict No BY I hereby afflrm that 1 am licensed under provisions of Chapter9 GAS SYSTFJN OUTLETS ��U (commencing with Section 7000) of Division 3 of the Business OLI TETS OVER �} and Professions Code,and my license is In full forca aandd effect. �j S PER SYSTEM p FINAL ' VALID ON V License Number 45,00 V7 LI, Class DA WI I FI r Contradora� «++ 2-9001A Date V ❑ ty I am exempt under Sec. H B.BP.C. for thl;reason Plan check fee Date. s.1 b 2 b A PLUMBING PERMIT ISSUING FEE$ pol- Signature # 0 0 0 0 0 5 TOTAL Fly 1 Plan check applicant 1 ,0650 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name o o 1 0 6 5 0 i I h"by affirm that I am exempt from the Contractors License Address ,o a 0 5-8 5 (Section taw for the following reason (Sion 7031.5, Business and Professions Code): City, Tel, No. ❑ I, as owner of the property, will do the work and the structure Is not Inter)ded or offered for sale (Sectlon , 7044, Business and Professlons Code}. CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a co0structlon lending agency for the performance of the work for which this permit Is Issued (Sec. 3097, Cly. C-). Lenders Name Lendees Address I certify that I hgve rood this application and state that the , above Irtformatlon Is corrgct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby *%Z�his County to enter u n the nspection pu SEE REVERSE FOR EXPLANATORY LANGUAGE O Signature of Permittee e