The URL can be used to link to this page

Home My Public Portal About10221 GREEN ST_Plumbing__ 7eAW7-Cue1T 9/E9 11-7 APPLICATION FOR PLUMBING PERMIT COUNW OF LOS ANGELS DEPARTNUMT OF CO ENGIIiM B .La,Fil�i NQINKKR ADDms° WILLIAM A.JUIMM, Suri OF Wm LDINa �,�,n 27 FOR APPLICANT TO FILL IN NUMBKR Fl)�TURE OR TT[M [ACK F[[ OWmuR - WATER CLOT 1115 MlIIbe 4c LATH Tul 115 ADDSE� CITY NO:! -2'-2 IHOY/F1 1 t5 LAVATORY 1.8 z CORTIAcrOR sm 115 ADDRFJ� DnfHy►A� 143 crn TEL NO. TE LAUNDRY TUN 1.45 / ZS` R�TIOON NO. /o� COUNTY CLOTHO WAX= IM Z DIR�TR�iCT NO. GROUT I ZONE r D ■Y WATER HEATER 1.60 �- G" 6T6TD[_�OUTIST6 1 WASTE APPROVAL O OVTLETd OVER 5 PER RTRTEw .70 DmPZC'nO f RECORD U O �nc3F5en CJUT AL 0-A PA-Af .1 W AP ROVALS DATE NS►[CTOII'S 6I0NATU1R PERMrr f Z 00 UNDER SLAB WORK - R UGH PLUM9ING TOTAL FEE OAS PIPING I H[RISY ACKNOWL[D" THAT I HAV[ MAD THIS CATION OAS VENT AND STAT[ THAT THK AaOVI 15 COPdWCT AND AdR= TO COYFLY WITH ALL COUNTY Oflo1NANCX5 AND STAT[ LAWS RlaULAT1N• HOT WATER HEATER rLU►OIH0. I )- O ClQTIFY THAT I AH rIIOF[RLY RZa1ST[IMD AND/00 PLUMBING FIXTURES LIC NWED AS Riq UIRm Iry LOS ANSILCS COUNTY AND STAT[ OF UILIFOR NLA OR THAT 1 AN TH LLGA. OWNIII OF,AND INTIEND TO. GAS TEST LBM[;CtNATU IN, UTyLITY CO. NOTIFIED RRp -FINAL OMM VAIMATIQN----) ROBERT A. WOOD CK. M.0. CASH// SUPERVISING MECHANICAL ENG'R UfzA 3 8 1 zz JW 16 5 D 1 1.25' 4 J r� 76A667-CE817-8-58 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING J / JOHN A. LAMBIE, County Engineer ADDRESS I CASSATT D. GRIFFIN,Supt of Building LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL BATH TUB ADDRESS SHOWER CITY TEL. NO. LAVATORY CONTRACTOR SINK ADDRESS DISHWASHER CITY TEL. NO. CONTRACTOR'S STATE ❑ LAUNDRY TUB REGISTRATION NO. COUNTY CLOTHES WASHER DISTRICT O. O P ZONE/ PROCESSED 'y WATER HEATER IAO GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD A( APPROVALS @ $1.0OR 0 PER TRE $ 14,6 ITEM DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 2 00 ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE `r f"_ FINAL OF PERMITTEE ROBERT A.WOOD. ®F ALIDATION SUPERVISING MECHANICAL ENG'R 6C M.O. CASH 1 h{�o 0 6 5 6 5 A 3.0 0 F__ 776A667-CE#817 4-64 ��t//%! v APPLICATION FOR PLUMBING 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 w FOR APPLICANT TO FILL IN NEAREST , CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNERM. , WATER CLOSET 51.25 MAIL BATH TUB 1.25 ADDRESS CITYTe TEL. NO.y L�S'��17 SHOWER 1.25 CONTRACTOR LAVATORY 1.25 SINK 1.25 ADDRESS DISHWASHER 1.25 CITY S TEL. NO. CONTRACTOR's STATE LAUNDRY TUB 1.25 REGISTRATION COUNTY p CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PR ESSED BY WATER HEATER 1.50 GAS SYSTEM OUTLETS 1'50 INDUSTRIAL n WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V ! is o.- G vT C,L Os c--r- E fi g.;MSW' O V I L d L Ldtear. T-` S 64-0 W6r- I-LU Z APPROVALS A E INSPECTOR'S SIGNATURE PERMIT 5ITOOMPLY Oo UNDER SLAB WORK ,f ROUGH PLUMBING �. TOTAL FEEGAS PIPING I HEREBY ACKNOWLEDGE DGE THAT I HAVE READ TATION GAS VENT ANO STATE THAT THE ABOVE IS CORRECT AND AGMPLYWITH ALL COUNTY ORDINANCES AND STATE LAATING HOT WATER HEATER PLUMBING.HEREBY CERTIFY THAT I AM PROPERLY REGID/OR PLUMBING FIXTURESLICENSED AS REQUIRED BY LOS ANGELES COUNTYTE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, ND TORESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPUTILITY CO. NOTIFIED SIGNATURE yOF PERMITTEE) FINAL ALIDATION ROBERT A. WOOD CK. M.O. CASH SUPERVISING MECHANICAL ENG'R � 1 3 i 4 �� 5 D 5.7 53 7e BS--1177 IO-55^ APPLICATION FOR PLUMBING PERMIT D ,1 DIVISION OF BUILDING AND SAFETY 1 Deportment of County Engineer County of LOS Angeles BUILD ING D JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS CASSATT D,GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. OWNER&. DISTRICT NO. GROUP ZONE I READY FOR INSPECTION MAIL ADDRESS !0 INDUSTRIAL CITY TEL. NO. WASTE APPROVAL PLUMB R. INSPECTION RECORD ADDRESS Npj _ CITY , TEL. NO a LICENS d NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 $ BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ _$1.00 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE G GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED B LOS GELES COUNTY AND STATE OF CALIFORNIA OR THAT I M TWE LEGAL OWNER OFF THE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIA PRO RTY, SIGNATURE0 41 oe Of OF PERMITTEEFINAL - F{-! JOHN A. LAM<alE. COUNTY ENGINEER VALIDATION ROBERTA.WOOD. CHIEF PLBG. INSPECTOR NCAA H I yr` 'Wodld s COMPENSATION DECLAR.AnON 20-O02B DPW 9f 80 f hereby aftn that I�reve a oertmoate of consent to self InsGre, 76A867A APPLICATION FOR PLUMBING PERMIT LI or a^wtIflcate'of 0iorkers Compensation Insuranoe, or a certlfled oopy thereof(8eo.3800 Lab.C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. Policy No. Company ❑ CertHbd copy Is hereby f xTftied. ❑ FOR APPLICANT TO RLL IN PRINT OR TYPE] oOREse ILDM X/V S CardW oopy M filed with the county bWlc!N depa m—t- NUMBER FDCTURE OR rrEM . FRE LOG Lrry T, Date App6oant WATERCLOBEr NEAREST ��E�/4 ��cK CERT RCATE OF EXIEMPTION FROM WORKEF0 BATHTUB an ST. COMPENSATION INSURANCErt 7 Mils section need not be oompletsd If the work Invotvo by the I 8HOW9R ► t PAO�dQSI/ PAFtCa permit Is for one hundred dollars({100)or less.) LAVATORY cy(NER i / �N/1 �✓!��/I s I certify that In the performance of the work for which this permit r Is Issued, I shall not employ any person In any manner so ae to gpp� pp ESS ,c�1 FIV s /' become subject to the Work&m'Compensation Laws. DiBM/ABNEFI CITY p1-,,:� G Date APplt CLOTHES WASHER NOTICE TO APPLICANT: If,' after making this Certificate of Exemptlgn,you ahculd beoome sub)sat to the Worker'Compensefion SW1,1R11h1G POOL RECEPTOR provtalone of the Labor Code, you must forthwtth oompty wtth suoh provision or this permtt&hall be deemed revoked. LAWN 8PFdNXLER SYSTEM LiCENBED CONTRA'TORS DECLARATION CITY /1-ELNO. 0} I hereby affirm that I am licensed under provisions of ChaSTATE �'Chapter 9 WATER HEATER8 (oommencing with Section 7000) of DhAslon 3 of the Business and Profese$ona Code,and my Iloenee Is In full force and effect GAS SYSTEM Ot1TLEl8 L NO. CLASS OUTLETS OVER D1,8TAICT NO. PROCESSED BY 66 PER SYSTEM /{�D d License Number Uo.Claes •�` 49•�`~ l g oN w Z, VALIDATION a. Contractor Fete T►_ITL- 4 _ fn FINALtt�x- Z F'-] pt I am exemunder sec. BY (I-EY'. 49.9 35— ' B_aP.C.for tide reason Dater. Plan check fee 001, CHMT .(If► PLUMBING PERMIT ISSUING FEE$ s%r'ab're jll�]�7-I�b11 41 I ` TOTAL FEE ❑ , 3,. Plan check apptiCartt 9744 1 AM SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contraator's Lloense Law for the follmAng reason (Section 7031.6, Buslneea and Profaaslona Address Code): CRy Tel.No. p�J 1,as owner of the property,will do the work and the structure / Is not Intended or offered for sale (Ssiron 7044, Buelnees and Professions Code). , CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a conatructlon lending agency for the parformanoe of the work for which this permh Is Issued (Sec. 3097, ctv.C.) Lenders Name Lenders Address I certify that I have read this appllostlon and state that the above , Information Is correct. I agree to com*with 41 County ordlnanose and State laws regulating Plumbing, and hereby authorize repreeentativea of thls Go u ty to enter upon the above-mentloned property for n pu _ SEE REVERSE FOR EXPLANATORY LANGUAGE -3 It, SWO16ii of Pe&tfte It,, Det& WORKERS'COMPENSATION DECI ARATION affirm p P L I CAT tO N FOR PLUMBING P E RM I T I hereby, arm that I have a certificate of consent to-self In- ^ y sure,or G-Wiflcate of Workers Compensation Insurance,$r a certified copy thereof(Sec. 3800, Lab. C-) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company Certified copy is hereby furnished. FOR APPL1CANT TO RLL IN(PRJr1T OR TYPE) BUILDING Certtfled copy Is filed with the county building Inspection ADDS department. 'NUMBER FDTURE OR ITEM FEE � LocoLrrY �'F�f'.z� L+ T g'S WATER aosET(TOILET) Ddto Applicant WATER t CERTIFICATE OF E)EMP'PON FROM WORKERS' BATH TUB CR035 ��y L COMPENSATION INSURANCE SHOWER OwNim (This secffon nosed not be comp6ted if tho work Imrolwd by MAIL the permh Is for one hundred dollars(;100)or km.} LAVATORY AppRE55 O h I '5 I certify that In the performance of the work for which this per- CITY p I�/ _f mit Is laved, I shall not employ any rson In any manner so S1 NKr r LI/T as to become subject to the Workers Compensatlon Laws. DI.S✓-WASHER CONTRACTOR Date_ _ Applicant aOTHES WASHER NOTICE TO APPLiCANT: If, after making this Certificate of Ex- ADDRESS emption,you should become subject to the Workers'Compen, 5� CITY TE1 NO. sation provislons of the Labor Code,you must forthwith comp- LAy,rN SPRItiaa SYSTHrLS ly with such provisions or this permit shall be deemed revok- STATE LIG ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLAkATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Profasslont Code, and my Ilcenuc Is In full force and of- S PER FINAL VALIDATION fact. HOSE BIB DATE Ucense Number Llc. Class�_ 0 FINAL 0 ACCT Contractor Date __ BY 3303 43.409 I am exempt under Sec.. 1�_ B.BP.C. for this reason Plan check fee TOT 'TO14 4,0 Date: PLUMBING PERMrr ISSUING FEE; CHECK 43.40 Slg�aturo TOTAL Fa3 SINGLE FAMILY 14/45 CHWE HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name Q01 {��14I{ Law for the following reason (Section 7031.5, Buslriess and Professlons Code): Address 2309 1 AM11:30 TPI, as owner of the property, will do the work and the aty Tel. No. structure Is not Intended or offered for sale(Section 7041, Business and Professions Code}. ► CONSTRUCTION LENDING 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, Civ. C.). Lender's Name Lender's Addrea I certify that I have read this application and state that the above Information Is correct. I agree to comply with all County I , ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mention property f Inspection purposes. Z,41— SEE REVERSE FOR EXPLANATORY LANGUAGE Signaturermittee Date