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Home My Public Portal About10831 GRAND AVE_Plumbing__ 7&AA4r7 Off'17 11-50 APPLICATION FOR PERMIT .rDEPARTKEWT OF F LOS NG AND SAFETY PLUMBING i COUNTY OF L08 ANGELES WILLIAM J. FDX. OHI[F [NaIM[= FOR APPLICANT TO FILL IN � . GROUP I ZONE PXRMrr NO. PLUMS[R REOEIVIED XY READY FDR DATE INNW ED —.=:,le—,& FIRNTINEWTIMON ADDRIME 1 e UILDINIII OITY T'[L No. 'ADDR[SX COUNTY LOCALITY N[7►1!OI'I' PERICT FEES ORDIO NT. NUMB" TYK OF F3CTUM OR ITa F[i OWNrR MAIL WATER OLOXiT(TOILET) 0 m.an ADD.nm MATH TUB 0 0.00 OITY L N0. a OHCWLR 0 CLEO I H[R[DYp�Qyyum THAT I HAV7�1![AD THIN LAVATORY (WAXH BASIN) 0.60 API L'nATIDHHRT N D OTATE TAT T [ ABOVE I■ OOR[C AND AQROC TD OCMPLY WITH ALL COUNTY CADINANOM KITCHEN BINK ! 0.60 AND BTATE LAWS RP.OULATINO PLUMSINO. 1 OZTIF OY THAT 1 PO.Bor" TH[ AADVX VALID LOB LAUNDRY O. AUNDY TUB OR TRAY a OO "BIEUM DOUNTY LIC[NS[. OR 1 AM THE A-WAL OWNER OF THE RJ311DPROP[RTY NZABOVE.. MAX N V E IZ LITL.[TX Q CLOD ■IONATIJR[ DF WATrR HEATER 0 CLOD POiMITT[r V47; - SLOP MINK 41 O.00 MW.CTICIN BE60RD FLOOR ■INK 0 CLOD FLDOR DRAIN 0 [LBO DIOHWAXHO! 0 0.60 DRINKING FOU?4TAIN D.OD URINAL CLSO J HOUR[ SSW[R CLOG M I SO 93-L AN[O W � !Y D APPROVALS DATEe. 1 M![OTO PM MAH[ ROUSH rLUMSINO y / L �• DAX FIPIN■ OA!! VENT OEXSTOOL 1.DO DEEBTOOL SEPTIO TANKI OaTIC TANK DRAIN ( PIT ( 1.00 NEWER PERMIT 1,Dq DAN TEST J I a •"`� UTILITY O0.NOTIFI[D TOTAL FEE X D.B.B.17 25M BETE '-4" APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ' COUNTY OF LOS ANGELES WM.J. FOX. CHIEF ENGINEER PLUMBING NATURE OF INSTALLATION DISTRICT NO. GROUPI ZONE PERMIT NO. ROUGH FIXTURES COMPLETE READY FOR HEATER CESSPOOL 1-1 SEPTIC TANK RECEIVED BY DATE ISSUED FIRST INSPECTION r._. A8 MISCELLANEOUS ' /f _ APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB E NAME ADDRESS W m ADDRESS LOCALITY f m NEAREST .J CITY TEL.No. CROSS ST. d COUNTY CERT.NO. EXPIRES NAME LOCATION OF SEPTIC TANK, OR CESSPOOL 3 Z MAIL EB �� ADDR NORTH 0 CITYpj TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER p► 1 AM THE LEGAL OWNF�$OF THE PROPERTY DESCRIBED W D ABOVE. .. (_ 1 � � Q�. �/yC�G� Iq �� _ ._ 9�prw��_ 3 i OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK i BATH TUB FURNACE Q' SHOWER DISHWASHER O LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING —METER—GAS SODA FOUNTAIN OUTL GAS PIPING I GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK I I CESSPOOI SEPTIC TANK SEWER I I $ I I UTILITY CO.NOTIFIED TOTAL FEE FINAL D.B.S.17 2SM SETS 7-47 APPLICATION FOR PERMIT DEPARTi AENT OF BUILDING AND SAFETY �� '�� COUNTY OF LOS ANGELES Wm. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZO E PERMIT NO. ROUGH FIXTURES COMPLETE ` / ? r RECEI E BY READY FOR DATE ISS ED HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLYJOB p E NAME ADDRESS -C/l— ADDRESS 1 f__G/Com• LOCALITY _ I .=J NEAREST 4. CITY TEL.No. CROSS ST. COUNTY /�� CERT.NO. EXPIRES W NAME �� i" LOCATION OF SEPTIC TANK OR CESSPOOL Z MAIL 2 2, q �,��,,� r, ,• n 3 ADDRESS NORTH O CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER F6�IHPROP6jtTY DESCRIBED R ABOVE. ' ��;' Gds .. -. OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK a z_ HATH TUB FURNACE lY SHOWER DISHWASHER cl j LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP GLOP SINK FLOOR DRAIN f WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FOUNTAIN GAS PIPING OUTL 1 GAS VENT I _! CESSPOOL II .�J TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOL SEPTIC TANK SEWER $ UTILITY CO.NOTIFIED TOTAL FEE FINAL D.B.Sr17 25M SETS II-46 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 _ HEATER CE88POOL 1-1 SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION A8 MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY ,r r JOB :l E NA61E ,r - .I .. ADDRESS .� W in ADDRESS :E LOCALITY DNEAREST d CITY .' Etl No. CROSS ST. COUNTY CERT.No. EXPIRES WK NAME LOCATION OF SEPTIC TANK, OR CESSPOOL 2 MAIL �y 3 ADDRESS NORTH O CITY TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. 3 OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK a z_ BATH TUB FURNACE [7 it +aHOWER DISHWASHER 0 _LAVATORY REFRIGERATOR _KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER -DENTAL LAVATORY � ROUGH PLUMBING METER ._GAS SODA FOUNTAIN OUTL GAS PIPING GAS VENT CESSPOOL 3 TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOII fiEPTIC TANK SEWER S TOTAL FEE UTILITY CO.NOTIFIED FINAL . r y WeRKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certlflcate of consent to serf 20-0028 DPW C/87 Insure, or a certificate of Workers' Compersatfon Insarance, 76A6467A � or acertlfled copy thereof (Sec. 3800, Lab. C. COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS Policy No. Company {I�JI Cem1fled copy Is hereby fumished. FOR APPLICANT TO RLL IN(PRINT OR TYPE) LNNG ❑ EkJO Certtflbd copy Is filed with the county bVliding InspecADDRESS - tlon deppriment. NUMBER FLXTURE OR ITEM a FEE LocurrY O Dare Applltant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATHTUB CRCM ST' `� � A-L IL COMPENSATION INSUR#NCE SHOWER OWNER v (Tlsb seciFon n4*d not be completed If the work Ihvohred by MAIL, the pwmtf Is for one hundred dollars($1011)Or less.) LAVATORY ADDRESS I'c&Wfy that in the performance of the work for which this -permlt Is Issued, I shall not ernploy any person}In any manner SINK Crry 17PTEI-NO. to as to become subject to the Worker Compensation Laws. D%?WASHER tONTRAGTOR � l dates Atpnllocint CLOTHES WASHER ADtiZESS �Ol NOTICE.TO APPLPCANT: if, after making this Cadiflcate of SWMWNGFC�OLRE�iOR Exemptlon, you should become subject to the-Worker' ary NO Compensatlon provisions of the Labor Code, you muit forth, LAWN SPRINKLER SYSTEM with, Somply with such provlsloru or this pprmlt shall be STA LIC deemed revoked. WATER HEATER LICA NO. LICENSE CONTRACTORS DECLARATION DLSMCT NO. c � BY ` I hereby offlrnl-thaa t I m licensed under pmvlsions of Chapter 9 GAS SYSTEM OUTiE75 (commencing with Se8on 7000) of DIAtron 3 of the-Business OUTLETS OVER and Professions Code,and my•lk n"kin fell force and effect. 3 PER SYSTEM FINAL VALIDATION DATE License Number Llc. Ckns q FINAL Contractov Dote BY ❑ I am exempt undef Sec. B.3P.C. for thI*'reuson Plan Chock fee Date: PLUMBING PERMIT ISSUING F5E$ - SlgrwhJre TOTAL FEE Q 5 Plan check appllcant ACCT.T ,. SINGLE FAMILY MI HOME OWNER-BUILDER'0ECLARATK)N Name 331D7 I hereby affirm that 18m exempt from the Contractors Liwhse Law for the following reason (Section 7031,55, Business and - Address 1 ITEM I J?r61'esslons Code): City Tel. No. JrLlpl}' Q 1, as owner of the property, will do the work anC�"��i d the ECK strvrfure Is rept Intended or offered for sale (Section .� 70", "Ineu and Professions Code). �S CONSTRUCTION LENDING AGENCY p - I I hereby affirm that there Is a construction lending agency for the pelformance of the work for which this perm.lt Is Itsued (Sec. 3097,.Cly. C.). 17 00—IJOIJI 7f 2/91 Lenders Name -ru iCl 1 AM 8:'t4 lender's Address I certify hat I have Food this opplIcat-ron and state that the pool Information agree to I agrto comply with all County ordinances arc[5tate laws regulating Plumbing, and hereby authorize repre"ntatives of this County to enter upgn the a e-mentioned property for Insibectlorr purposes. TEE REVERSE FOR EXPLANA70RY U►NGUAGE Signature of Perrhl"ee Date