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HomeMy Public PortalAbout10765 GRAND AVE_Plumbing__ 76A667 (CE-817)-4/72 .� L APPLICATION FaR PLUMBRG PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING HAKE CHECKS PAYABLE TO: ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST '7 / n CROSS ST. O�7L /YUfo NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 1,75 OWNERMAIL rJ BATH TUB 1.75 ADDRESS SHOWER 1,75 / CITY ' ;� �C� ��� TEL. NO. LAVATORY 1,75 CONTRACTOR L�,e,el SINK 1,75 ADDRESS�(�(r� DISHWASHER 1,75 CITY �j �Itif��� TEL. NO. ZgO3%3 CLOTHES WASHER 1'75 STATELLICENSE NO. '1� /� CILASS 173 SWIMMING POOL RECEPTOR 1,75 DISTRICT NO. GROUP ZONE OCESSED BY LAWN SPRINKLER SYSTEM 1,75 -45- _-�` J— WATER WATER HEATER 1,75 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD v OUTLETS OVER 30 5 PER SYSTEM CD F-- U W a N Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name �6 ROUGH PLUMBING AddresGAS PIPING City oS��" Tel. No., GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALLCOUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REOU I RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTE TO l"! RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL SIGNATU RE OF PERMITTE L .L PERMIT VALIDATIONCK. M,O. CASH PLAN CHECK VALIDATION CK. M.0. CASH 4 9 ©rJM 16 5 U_ 4:15 ,&­ 76A667 (CE-817) - 175 �- 'APPLICATION FOR MBI G PERMIT COUNTY OF LOS ANGELES l DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: 7NEAREST 76 Liz —P' -4,V�) HARVEY T. BRANDT, COUNTY ENGINEER FOR APPLICANT TO FILL IN (PRINT OR TYPE( 7 NUMBER FIXTURE OR ITEM @ FEE _ OWNER J WATER CLOSET 2.00 /.1 ,( MAIL i BATH TUB 2.00 ADDRESS .0 7;�_:� SHOWER 2.00 CITY <_�; J•" TEL. NO. LAVATORY 2.00 CONTRACTOR SINK 2.00 ADDRESS <.? ;; DISHWASHER 2.00 C IT! .��' � TEL. NO. CLOTHES WASHER 2.00 STATE p Q LIC / � �/ SWIMMING POOL RECEPTOR 2.00 LICENSE NO. CLASS R ESS B LAWN SPRINKLER SYSTEM 2.00 DISTRICT NO.GRO_UP E WATER HEATER 2.00 TJ INDUSTRIAL WASTE APPROVAL C- GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD CCDj OUTLETS OVER 5 PER SYSTEM .30 O 1,— C-) W CL en Plan check fee See Reverse ' —0 PLUMBING PERMIT ISSUING FEE $ r TOTAL FEE 1 71j ' APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF CAL(FORNIA OR THAT I AM THE LEGAL OWNER F, AND IN NO TO -- RESIDE IN THE ABOVE DESCRIBED RES -TIAL0PERTY. FINAL I C SIGNATURE ,�E%' OF PERMITTEE- PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VAL DATION CK. M.O. CASH 6 5 1 r'-MAY u 1.5 V AllO 76A 667 -CE#817 5/63 APPLICATION FOR PLUMBI G 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 FOR APPLICANT TO FILL IN NEAREST V CROSS ST. C e NUMBER FIXTURE OR ITEM EACH FEE WNER _ WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS SHOWER 1.25 CITY �J TEL. NO. CONTRACTOR LAVATORY 1.25 G SINK 1,25 ADDRESS DISHWASHER 1.25 CITY TEL. NO LAUNDRY TUB 1.25 CONREGISTRATION ION NO. �j Q (j COUNSTATY [❑ CLOTHES WASHER 1.25 Dir IRICT N GROUP i Z NE P CE D Y WATER HEATER 1.50 Q } 1.50 INDUSTRIAL D_ GAS SYSTEM OUTLETS WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .30 V INSPECTION RECORD fz ix «F 4 0 1 1 LU a Z APP VALS TE INSPECTOR'S SIG E PERMIT $ 2 00 UNDER SLAB WORK . ROUGH PLUMBING TOTAL FEE GAS PIPING twirl 1H ACKNOWLEDGE THAT I HAVE READ THIS APPLI TION 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. 1 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 THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE S IBED R" E L PERrr. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTE FINAL V LIDATION ROBERT A. WOOD CK. M.O. CASH SUPERVISING MECHANICAL ENG'R Lrllyo 3 9 3 2'12*, DEC 0 5 D 8.75- 71�667_-__0817.5/70 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS AN DEPARTMENT OF COUNTY ENGINEM "" BUII.DING AND SAFETY DM3ION D O 6 �!-c/,% / JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING tO�LI.Y / FOR APPLICANT TO FILL IN R O TYPE 1IF1113�T C/ NUMBCII0m ST.ER FIXTURE OR ITEM EACH FEE WATER CLOSET Owls G F 1 C KAn BATH TUE 1.30 D SHOWER 1.50 Cm TEL *O� G O LAVATORYcTo>< BINK 1.50 ADDS M DUMWASHER 1.50 CITE TEL NO, CLOTHES WASHER 1.50 STATE LIC LICENSE NO. CLASS AWIIOQNO POOL RZCEPTOR 1.50 D18TRiCT NO. GROUT ZONE ROGEMED BY LAWN SPRMI LER SYSTEM 2.00 / r WATER HEATER 1.50 DIIDII/TIIAL WA= APPSOVAL GAS 13YBTEM OUTLETS DVQMCO>K MMOjtD OLrrLETS OVER S PER SYSTEM .30 Plan check fee Z5% of above. See reverse. PLUMBING )HERMIT BSUING FEE •Si 3100 TOTAL FEE APrROVAL.S DATE 1 OR'■aigmATUR[ Plan check licenl UND2R BLAB WORK Name 5OUGH PLUMBING Address •GAS PIPING Cil OAS VENT Y Tel. No. I HAImr ALKNOWA LDSA THAT I HA11t RA1Tro AIy TNI• ALlCATN HOT WATER HEATER AND CTAT[ THAT THE ABOVE 19 CORRACT AND AGREE TO COMPLY PLUMBIN FIXTURES W TH A" COVWry QRDIMANCXB AND STAT[ WL LAVISULATING 43".�� PLU Nes I Hd. I HVIERY CIEeTIFT THAT I AM rROFEiti.r RApIfTONM AND/OR UTILITY CO. NOTIFIED Ucw,t8mAs RA4tm UIIdT Los A tamrum COUNTY AND STATE OF CA4R FON IA OR THAT 1 AY THA LEGAL OMRLR OF,AND 1Wn04D TO RE1IDK IN.THA ABOVE DRACRiNAM RESIDENTIAL FINAL •1GNATUj :�& JACK R. ALLEN, su l[AVISING MECHANICA OF ATU PERMPT VALIDATION CK. M.O. CALH PLAN CHECK VALIDATION CK, M.0. ICAAH L�;o5348PJ An 6 5 D8.25Cw K)N WORTCEl1'BCOMPf3JSATate of consent to 24002CDPW 9,B9 APPLICATION FOR PLUMBING PERMIT 78ASB7A I hereby affirm that I have a certificate of consent to self Insure, or a certlflcnle of Worker's Compensation Insurance, or a oan led copy therec4(Seo.3800 Lab.C.) Poflcy No. Compsrty COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. ❑ Cerdfled copy la hereby furnished. ❑ Cwltfled copy Is M d with the oamty bulldog Inspection FOR APPL CANT TO FILL IN(PRNT OR TYPE) =8 /5- 6?pr r D A 67 department. NUMBER FD7URE OR ITEM . FEEE LOCAIJTY -T PLS CAT Dote AppM1oant WATER CtA8Ff /U NEAREST �. I .+ r-'C�/ CEF TfFICATE OF EXEMPTION FROM WORKER BATH TUB CROSS ST. P- `(JF' `F/ 07 COMPENSATION INSURANCE ASSEBSDR (fhls section need not be oompletod If&m work Involved by the MAP BOOK PAGE PARCEL permit to for one hundred dorlsrs(1100)or less.) ) OMER I osrttfy that In the performance of the work for which this permit LAVATORY i r Is Issued, I shall not employ any person In any manner so as toADDRESS g?ltk MAUL become subject to the Workers' Campenaatlon laws. D18WABHER CITY TEI-NO. Date AP~ CLOTHES WASHER CONTRACTOR NOTICE TO APPLICANT: If, atter making this Certificate of 4�►-� �Q+ Exemption,you should beoome subject to the Workers'Compensation SWIA(MING POOL FETOR provisions of the Labor Code, you must forthwtth comply with such RADDRESS provtsfone or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECL RAT10N CfrY TEL NO. d I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER 8 (commencing with Section 7000) of Dlvlalon 3 of the Bualneas and STATE Professtons Code, and my license h In full force and effect GAS OUTLETS LICB�E CLASS CL DiBTRFCT NO. P�ROCF.Si�BY a:6 PSI SYSY OVFJi f' 0 License Number Lb.class v .T �{y 0FINAL DATE TION f V.f}5 a Contractor r-1amami exempt under Seo. D.te FINAL BY 1 ITEMS z B.BP.C.for mfa see.«, I TOTAL 70.65 Date: Plan check fee 001. �(X 70.65 -tura PLUMBING PERMff ISSUING FEE$ �i_rh>trS F-1TOTALFEF D G L�t�T� Plan cheek app9oant — 1 2/11/9,' SINGLE FAMILY HOME OWNER-BUILDER DECLARATION ►ygrrte I hereby affirm that I am exempt from the Contractor's License Law 8151 1 Ah 7 o ■7 for the following reason (Seatlon 7031.6, Business and Profeaslons Address Code): 01 CFty Tel.No. I,ae owner of the Property,will do the work and the structure to not Intended or offered for sale (Section 7044, Business , and Proteeelona Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for the performance of the work for which this permFt Is Issued(Seo. 3097, C(v.C.) Land ere Name Lenders Address I certify that I have read this application and state that the above , Information b correat I agree to comply with all County ordlnsnoes and State laws regulating Plumbing, and hereby authorize UjZof thl County to enter upon the above-mentioned o pu Does. SEE REVERSE FOR EXPLANATORY LANGUAGE 81QnaW PerTntttee Date KERS'C°"' 'TIQN DEaAP `TION APPLICATION FOR PLUMBING PERMIT 4 hereby-affirm that I have a certiflcafe of consgnf to self 204)028 DPW 6/87 Insure, or certificate of Wacker*' Compensation Insurance, 78A8ETA ,ovy tertlfrred copy1here8f (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS , Pollicy No. `. Company �,ertffied copy Is hereby furnished. FOR APPLICANT TO RLL IN(PRING OR TYPE) ADDR 4 NO ❑ S Ceriffipd-copy I�filed with the county bulldlnfl Inspec- �S5 flon departmeht. NUM kR FXrVRE OR ITEM A FEE L Ty Date Appllgant WATER CLOSET NEAREST CERTIFICATE OF E>VAPTIQN FROM WORKERS' BATH TUB CROSS ST. l/V COMPENSATION INSURANCE / 661 OWNER (This secflmrk on need not be completed Wtbe woinvolved by the permlt Is for one hundred dollars (=100)or less.) LAVATORY ,pORE$$ I certify tfat In the performance of the work for which this permit Is Imbed, I shall not employ any pagoh In any manner SINK crry No to as to become>fubject to the Work Cor'npenaptlon TD) ASi-� � CON'fRACiOR X Dat. Ilcaht CLOTHES WA57IBt16 IN � iJOT10E TO I If; after MkIng this Certificate of POOL �� Exemptloo, you should become subject to the Workers' may, TEL NO. Comperaatlon provisions of the Labor Coda, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE L1C deemed revoked. WATER HEATER NO. CLASS LICU4151M CONTRACTORS DECLARATION. NO. BY I hereby affirm-that I am Ilcenied under provhJons of Cbaptw 9 GAS SYSTEMOUTLETSQ (commencing with SeCtlon 7.000) of Dlvlslon 3 9f the Business OUDLET3 bVE3� 7. and ProfrssloruCode,and my Iloeroe Is in full force and effect. 5 PER SYST� FINALkj— VALIDA7 SON DATE License Number Llc. Class_ IF i FINLAL Contractor Date BY pI am exempt undet Set, BAP.C. for this reason plan check fee Date: Z PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE S1NGI.E FAMILY Plan check appilcant HOME OWNER-BUILDER DECLARATIQN Name I hereby affirm that 1 am exempt from the Contractor's Licerae Address AWA Law for the following reason (Section 7031.5, Business and L -t Q tY lora Code): Tel. N4, T 3= 76.54 1, as owner of the property, will do The work and the 1 ITM structure 13 not Intended or off ere i for sale (Section 7044, Business and Profeuions Code)_ _. TOTa„ 746.50 CONSTRUCTION LENDING AGENCY CWCK 76.50 1 hereby affirm that there Is a construction lending agency for the perfo nce 6f the work for which this pbrmlt Is Issued s00 (Sec. 3097,Cly. C,). , Lenders Name _ t�000-�yyr�i �8y/s 4,49 Lender's Address ► 1 AM11124 I cbrlify that I have read this oppllcbtlon and state that the above Information la correct. I agree to compiy with all County ordinances and State laws regulating Plumbing, and hereby authorize aprelentatives of this Coun to enter upon the abo mantioned'property for in urpovs. SEEREVERIE FOR EXPLANATORY LANGUAGE S gnature of Permittee Date