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HomeMy Public PortalAbout5626 GRACEWOOD AVE_Plumbing__ 7e,"7 r, "N Nr7R 7 APPLICATION FOB PERIM DEPART�T OFI NG AND N13aEBBAFE WK.J. OF FOX CHIEF IDIOM= PLUMBING NATURE 5F INSTALLATION DiSTMCT NO ZON11 PZRMff NO. ROUGH FIATURES COHrum � Z— HEATER CESSrOOL SZPTIC TANK RlCCEVID _ READY POR Fi1ttl 1NSPEQTIOM min wous APPLICANT FILL IN HEAVILY OD`I INN PORTION ONLY .lo. NAYS ADDRds ADURIe1. LocwuTY a CRY CROSS ST COUNTY LIO NO. EXPIRES HAMM LOCATION OF SEPTIC TANS, OR CESSPOOLMAIL ADDRES. 7 NORTH ctry . TEL.NO. I AY THE *raA CW THE A!•OVt LS O ANGELES C,OUMTY CERTM !ATE QUALIFICATION. I AY THE LEGAL OWNER OFT7is D ASOYE. , ow"m CORRECTIONS SOUTH J DWCRIPTION OF WORK i MATH TUS o owER DISHWASHER O JLAVATORY r CMIGERATOR EiSUM WATERSOFTEiER XLOOR SINK TRAP SiMC art xW DAN WASH TRAY URtHAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE IN1w9Xrr0q Y KAJ119 WATER HEATER_ DENTAL LAVATORY RU OGH PLUYSING 7 J.ffa"Vwff rrzR eAs NTAIN agar TITINS OUTL CLfPOOR. TOTAL NUWEt OF FI:Lf IBM-TIC TANK [ff1�00i [� *EWER TOTAL PHE UTILITY CO.NOTw= GFKAL V/, � �� DJLM6„ N MWrM 1-40 APPLICATION FOR PRI MIT DEPARTMMNT OFNG AND BAFSTY PLUMBING COUNTY OFF LOS LOS ANGELES WM.J. FOX,CHID ENOINImt ROUGH FCMRM coMrirm H[ATIM c><wrool_ t wrm TANK MYaT FtM M DATK HOWKD;;�. APPLICANT FILL IN HEAVILY OUTLINED PORTION ONL Eo? atd SOLmr, AMVM� Nt1 ADTMs LOCALrTY CrTY 1 NVAREW No. I clto s N T. cou cuff.No, NAMN LOCATION OF SEPTIC TANS, OR CESSPOOL NAM NORTH wDDRn� crrY I AM TM LAM" FO NIZOGM CWT" A>•0VZ LO/ ANNNJD-=Ri��� �I CCATi OR QUALI!►iCA ` MAfu I A THY L DMAL OVVMM GR THRAbaM rltQrEITY D onxa 2_ / CORRECTIONS 9CRYTH - DESCRIPTION OF WORE l; ATH T" —PU(AC= - O "INIINwAtHot Q vATORY RXFMGK tATOR - rrCHQ1 MLMK WATEt 8OtTO"M FLOM SINK SAND TRAP SLOP/INK DRADI WA*H TRAY UFUNAL grPROYALS AT=CL.OMLT �RUiK1Na FOUNTAIN APPROVALS TK nwrt WATM RZATOt DENTAL L.AVATCMW ROUGH FL.UMNtHO G A^DA•FOUNTAIN QA!�INa 3A!V1QiT TOTAL NUMMat OF FD=Rif !E'TIC TANK G TANK swim U ru_rry CO.NOTIFIRD � 1 l TOTAL FES �Jrj�.7/`�' r ?WLBYl-CE317-II-V APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGE M DEPARThf= OF COUNTY ENGIINIMM BUILDING AND SAFETY DIVISION a T�OpEgN�A, r IS30 �y ENV J, cimn=D. G> nym �t LOCALITY FOR APPLICANT TO FILL IN >IBAB>$t NUMBER FIX'TUREOR ITEM V/ATFB CLOT OWffi MAII. WXTR TUB ADDEEB8 313OVIF.li CIST NO, LAVATOHT CoNr A=R all Hl>'JQ ADDEM DISHIFASM CITETg30. / 4 L&UMBT Tn WXI=aAaOu NO. CLOTS WASEaM DISTRI NO. GROUP ZONE READY FORvJPl=rXdl WATER REAM Cas PTUMN L WASTE APPROVAL D=OX RECORD APPROVALS a u.oa mm rmm DATER INSPECTOR SIGIATURK O8 UNDER SLAB woRx PERMIT ; 00 ROUGH PLUMBING TOTAL FEE Q GAB PIPING 1 RERi3T ACI110W1JMGI THAT I HATE READ THIS APPLICATIOn!t GAS VENT AAD STATI TEAT THE ABOVE M CORRECT AND AGRMM TO COIPLt HOT WATER HEATER WITH ALL COUNTY ORDIUMCES AND STATE LATE REGULAnNG PLUMBING. PLUMBING FLKT-UREB 1 �' 1 HEREBY C£ TIF RT THAT I All FROPERLT REGISTERED AND/OR G"TEST LICENSED AS REQUIRED BT LOS ANGELES COUNTY AND STATE OF CALIFORMIA OR THAT 1 Al 7I1S LEGAL OWNER Ry THE ABOVE UTILITY CAD.NOT]PIIED DESCRIBED REBID PY 7 81 G NATURE OF PERM FINAL I �� ROBERT A WOOD. VALIDAIION SUPERVISING MacHA ICAL ENq- �(/'-') t.0. CAM LC 6 8 5 8 S NOV 2 0 5 A 5.0 0 �i 7EAW-CEW-I1-V APPLICATION FOR'PLUMBING PERMIT 1 CouNff oil LOS "GELES DEPARTMENT OF COUNTY ENdINMH BUTMpgDNIN�IA SAFETY DIVISION SNUMDMQ D CARNM D. SRFM�t ADDEE 6 LOCAL ol FOR APPIICANT TO FILL IN MIR , Now �) NUMDEI4 FIXTUROR ITEM !ff E WE= CLOS OWE 1(AII. R=TUB ADDIS 6HOWER CAT! so. LAVATORT COm7BiCTOB am ADDEM DIBErWAMEM car I Ito. UF r CowTRACTKm CE LAURDET Tog iD rRILTMI m °�Pti— - CLOTE30 WARM DISTRICT NO. 6 7ONE au1DT lot nupx TIox WATER BEAM GAS SYSTEM D� WAM APPROVAL { APPROVALS • (1-00 PER M31 �+ DATE INEPECTOQ'E EIGMTUQE on FECrvRE at UNDER BLAB WORK PERMIT i 00 ROUGH PLU1413t O TOTAL FEEGAS PIPING I HMLEBFT ACKNOWUDQE THAT I HAVE READ THIS &PPLICATION OA.B VENT AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COYPLT HOT WATER HMAT ER WITH A{{.L COUIITT ORDINANCES AND STATE LAMB REGULATING PLURBIIIG. PLUMBING FIXTURES I HEREBT CERTIFT THAT 1 A■ PROPERLT REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BT LOS ANGE COUNTY AND STATE OF CALIFORRIA OR TIN ZZ� OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED REBID M. eoFIE Rg FINALkk ROQERTA.WOOD. m. VALIDILTION SUPERVISING MECHANICALENG•te K.0. Cug ,. LAGo151 .9M JAI 5 5 A 3.00 WOF4SEA'S CrOMPEM3ATFON DECLARATION 20-0028 DPW 0/8B I I heraly affirm that `have a oertlflcata of consent to sell Insure, 79MAPA APPLICATION FOR PLUMBING PERMIT ILI or a carNflcate bf Viorker's Compeneation Insurance, or a cetthled Dopy thereof(84".3800 Lab. C.) - . COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT. OF PURUC WORKS DIV. Porgy Y ❑ CorttM1ed copy Is hereby furrkhed. YY FOR APPLJGVrf TO FllJ N(PRINT OR TYPE) CBA � �b2/' II�q{�j✓ ❑, ertified copy b flied with the county bufkibhie g pection department. MJYBM I DnIFE OR ITEN • FEF { CID Deis Appfosrrt WATER CL08ET NLAFEBT' CFK)CERTIFICATE OF E)CE MPT10N FROM WORKERS' A8SE 8�' __ BATH TUB I NSU RANGE (This section need not be oomplsted HH the work Imohred by the SHOWER MAP BOOM OJ�� PA43EE eI,104 PAfiCE1� parmtt Is for one hundred dollars(iltw)or I*".) LAVATORYOWNER 0 kJ ( ►� �� I oerlfy that In the performanoe of the.work for which this permit / is Issued, I shell not employ any.person In any manner so as to �fp� M �G become subjegf to the Workers'Compensation Laws. ADORE88 241 Dt WASHER, CITY ! L-I"+. TEL.NO. Date APpkant CLOTHES WASHER NOT]CF TO APPLICANT: It, after making this Certificate of JADDRESS NTRACTOR Exempdon,you should beoorhe subject to the Workers'Compansav" SWI MMING POOL RECC�FTOR provisions of the Lebof Code, you must forthwith comply whh such provisions or this permit shall be deemed revoked. LAWN SPFLNIaFA SYSTB,1 LKP48ED CONTRACTORS DECLARATIOfj TY TEL.NO. I hereby affirm (hat I em llcensed under provisions of Chapter B WATER (commencing with Sectlon 7000) oT DMelon 3 of the Buslneiai and ATE LIC. ProfessionsCode, and my Iloense Is In full force and effect. CTAS SYSTEM OUTLETS BNSE NO. CLA88 OW OVER D48TRK7 NO. P BY Lberu a Number Lb.Class Fl"AL DATE VALIDATION - Contractor Date RNAL ❑ I am exempt under Sec. BY / — B.AP.C.for this reason Data: Plan check fee Slgn urs PLUMEING PERMIT ISSUING FEE$ a AICCT.T ❑ TOTAL FEE 3307n 97.50 PUw SINGLE FAMILY check applk�nt w11 ITM ER HOME OWN -BUILDER DECL RATION Name TOTAL c-a I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7091.6, Businsaa and Professions AWrsea ��yy/1, p��c11 Code): , 7 Al ( City Tel.No. I,as owner of the property,will do the work and the stnicture � •00 is not Intended or offered for sale (Section 7044, Business ._ and Profesabnp Code). i i�I a r � CONSTRUCTION LENDING AGENCY 1 r rr TI I hereby affirm that there Is a oonetructlon lending agency for the946 1 Fel ?;`27 08 performance of the,work for which this permit Is Issued (Sec. 37, O! Ctv.C.) LendeYs Name ,Lender's Address I aertNy that I have rood this application and state that the above , inforrr�ilon Ie oorrect I agree to comply wkh all County ordlnanose and State Tawe regulating Plumbing, and hereby authorize reprthis County to enter-upon the ■bova-;,rntloned Tor In �on ^ /� SEE I'MVERSE FOR EXPLANATORY Ll1lJCil1A(iE Signal6fe of Pefmfttee /�Daft