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HomeMy Public PortalAbout5926 HART AVE_Plumbing__ 76A667 -CE#817 12-64 APPLICATION FOR PLUMBING PE IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING 59 26 Hart JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY Temple Citv FOR APPLICANT TO FILL�IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EAFH FEE OWNER Valentine . WATER CLOSET $1 5 MAIL ADDRESS Same BATH TUB 1 25 p CITYCi t'T TEL. NO. 287-10,97 SHOWER 125 a LAVATORY 1 5 CONTRACTOR Aquatic Pools Inco SINK 1. 5 ADDRESS 31.1. Eo Live Oak Ave, DISHWASHER 1. 5 CITY Arcadia TEL. NO. L"-4661 CONTRACTOR'S 263283 0-53STATE COUNTY El TUB 1. 5 REGISTRATION NO. CLOTHES WASHER 1.4 1 _7 DISTRICT NO. CSF}OUP �N ER CES HD BY WATER HEATER 1.5 GAS SYSTEM OUTLETS 1.5 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER,SYSTEM .30 INSPECTION RECORD Q 9 hr— MJ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE ' GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THI5 A PLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY �I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING -' HOT WATER HEATER ti PLUMBING. I HEREBY CERTIFY THAT I A PROPE5LY REGISTEFIED AND/OR " PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGEL COUNTY D STATE OF ' CALIFORNIA OR THAT I A TH LEGAL WNER O ,AND INTEND TO GAS TEST RESIDE IN,THE ABOVE D CR ED RES ENTIAL P OPERTY. UTILITY CO. NOTIFIED SIGNATURE ; OF PERMITE fINAL E /L -iLIDATIbN ROBERT A. WOOD cK. %_j'�j CASH SUPERVISING MECHANICAL ENG'R iV � 7 D 4.75 76A667-cE4817 6-66 >, � APPUCATION FOR .PLUMBNG PERM17T ` � COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITYTr_ C-1 FOR APPLICANT TO FILL IN CROSS SL C�TZ M O NUMBER FIXTURE OR ITEM EACH FEE OWNER V A cz WATER CLOSET 31.25 MAIL BATH TUB 1.25 ADDRESS 15 1 EiA`iz_ SHOWER 1.25 CITY TEL. NO.A ZOC�, LAVATORY 1.25 CONTRACTOR �AK. F ' FA SINK 1.25 ADDRESS 1 C)C)7 (� DISHWASHER 1.25 CITY TE::, ( C' ti-TTEL. NO. LAUNDRY TUB 1.25 STATE y LIC LICENSE NO. `) CLASFTR I'`' CLOTHES WASHER 1.25 DISTRICT NO. Z PR C Y WATER HEATER 1.50 _ C� GZ } GAS SYSTEM OUTLETS 1.50 INDUSTRIAL CLO WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U O 1- V W a to Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK O ROUGH PLUMBING TOTAL FEE GAS PIPING IH ACKNOWLEDGE THAT I HAVE READ THIS APPLI ATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO C .PLY WITHALL COUNTY ORDINANCES AND STATE LAWS REGUL TING HOT WATER HEATER PLUMBING. ' e I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE F GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND RESIDE IN,THE ABOVE+p€SCREESIDEI TIAL PROPERTY.PROPERTY. v UTILITY CO. NOTIFIED SIGNATURE (/`l OF PERMITTEE FINAL ALIDATION CK. M.O. CASH LA 01.•4.2 3APR 2 0 5 D 3.50 76A667-CE#817 2-66 APPLICATION FOR PLUMBING COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL.IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OW WATER CLOSET NER$1.25 MAIL BATH TUB 1.25 ADDRESS SHOWER 1.25 ✓ CITY TEL. NO. LAVATORY 1.25 CONTRACTOR SINN 1.25 ADDRESS ✓ DISHWASHER 1.25 CITY LAUNDRY TUB 1.25 STATE LIC LICENSE NO. CLASS CLOTHES WASHER 1.25 * S, DISTRICT NO. GROUP ZONE PROCESSED BY WATER HEATER 1.50 �� / , GAS SYSTEM OUTLETS 1.50 INDUSTRIAL y WASTE APPROVAL d OUTLETS OVER 5 PER SYSTEM .30 CD INSPECTION RECORD v CD U W N Z APPROVALS DATE INS P SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK 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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER 1 HEREBY CERTIFY THAT 1 AM. PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED B LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 M HE LEGAL OWNER OF,/AN INTEND TO RESIDE IN,THE ABOVE DES IBED RESIDENTIAL PR P AY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE // .e� FINAL 7%fr�••'�.11 `�ji�e r.aft"X'� LIDATION JACK R. ALLEN CK. M.O. CASH SUPERVISING MECHANICAL ENG'R. WORKERS'COMPENSATION DECLARATION n nnp �CAMN FOR Imp (j �n,�, n�ll G FIER ( T 'i rt - 20-0026 DPW 4/87 G�11f�IT L�, II V FOR u L�v u�u LaJ I1 G u LS ll�tlll°/11 11 'I hprebtkirm t I'have a certificate of.conse,nt to self in- 76A667A' ire of a e'eYtific of Workers'Compensation Insurance,ora CE 817(REV..8/86) certified -opyNhereof (Sec. 3800,tab. C. •; COUNTY OF L•OS'.'ANGELES -,DEPT.,OF PUBLIC'WORKS Policy No., Companyr 'Certified copy is hereby furnished • FOR.APPLICANT TO FILL IN'(PRINT OR TYPE)' .BUILDING. ,/ ' ied.copy is filed with the county building inspection ADDRESS ll NUMBER FIXTURE OR ITEM FEE ' LOCALITY department. @. Date ApplicantC-ILI WATER CLOSET(TOILET) W NEAREST • -CERTIFICATE OF EXEMPTION' M WORKERS' BATH TUB CROSS ST. e completed if the work involved " SHOWER- ;(This' 'COMPENSATION INSURANCE OWNER: Q' (This section need not b p by, MAIL'i t� ` the permit is for one hundred dollars7($100)or less.) LAVATORY ADDRESS �S_� �('-1/`� ?.certify that in.the performance of the work for which this per`- od. O.12 3 rTit is issued, I shall not em o n ' SINK .. CITY 3 as'to become sub ject'to,the`Workers'Compensation Laws. DISHWASHER •. .t CONTRACTOR.. ; TEL N tYn P Y PersoninanY manner so` j Date Applicant CLOTHES.WASHER NOTICE TO APPLICANT: If,•.'after'making'this Certificate of Ex ADDRESS ¢ Q © emption;you should become subject to the:Workers'Compen SWIMMING POOL RECEPTOR' CITY TEL. NO cation provisions of-the Cabor Code, you must forthwith comp LAWN.SP.RINKLER SYSTEM ly with such provisions or this permit shoWbe deemed revok", STATE ' ,� LIC. _ :ed. . WATER HEATER O CLASS / LICENSE NO. 3 v LICENSED CONTRACTORS DECLARATION DISTRICT NO. CES D BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division•3 of•the$usiness OUTLETS OVER`. `� fe d'Professions Coae, and my license is in full force and ef- 5 PERSYSTEM FINAL - VALIDATION 0 (ice �' DATE O -7 License.Numb r _-Lic .Class FINAL U "" ( �"J ' �. Co'ntra¢toP DateBY - ' O am exemp{_under Sec. W. . B&P.0 for this reasonW „ Plan check fee' Date PLUMBING PERMIT ISSUING FEE $ Signature - TOTAL FEE ;991 9.5 A SINGLE FAMILY HOMEOWNER-BUILDER-DECLARATION- Plan.check applicant '#;o ,e 5- Ihereby affirm•:that I am exempt from the Contractor's License Name Law for the following reason (Section 7031.5, Business and, ( ;o o (G 5 Professions Code): Address I, as owner'of the property; will do the,work and the City,- T61. No. o 'o o 4 Q''5`OU ' structure'is not'intended'or offered'-for:saleL(Section 7044, Business and,Professions Code). &3.1 Tt 8.8 CONSTRUCTION`LENDING AGENCY the perforfmlance'oftther work fotswhiclh this'npermrt is iss for` ;•? yg agency, issued (Sec.'3097, Civ. C:). Lender's Name Lenders Address I certify that I.have read this application and state that,the above information.is correct. I agree to comply with all County ordinances and State law's regulating Plumbing, ano hereby authorize representatives of this.County to enter,upon the - above-mention property for in ection z os s: 3 SEE.REVERSE FOR EXPLANATORY LANGUAGE ; Si re of Permittee Date