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Home My Public Portal About6005 HART AVE_Plumbing__ i .'D.S.S.17 25M SOTS 2-47 APPLICATION PPL ICA TION FO PERMIT DEPIARTMENT OF BUILDING AND SAFETY - CAK 8�Y 1/L>• JL l� 13 S HbLVAg COUNTY OF LOS ANGELES PLUMBING `-t f 03 Wm.J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP zo E PERMIT NO. ROUGH FIXTURES COMPLETE v _ 7— 5 7 9'66 HEATER CESSPOOL I—I SEPTIC TANK C LVED READY FOR DATE ISSUED FIRST INSPECTION GAS- MISCELLANEOUS .P APPLICANT FILL IN IIEmommmolooAVII,Y UTLINED PORTION ONLY //�� p 7' a, NAME ADDRESS /T /! 1 m ADDRESS O 1 F�C'1I.r��g6 /.y 9 LOCALITY � A / ' /•-'�'i J /yq � NEAREST 0. IL _ CITY (J 1 TEL.NO. 1! i CRO88 ST. COUNTY ,� CERT.NO. 4// 4y 119 y EXPIRES G�•3 a� W NAME LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL 3 ADDRESS NORTH O CITY TEL.No. I AM THE LEGAL POSE SBOR OF THE ABOVE LOS ANGELES COUNTY CERTIFIC TE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. OWNER CORRECTIONS SOUTH, J DESCRIPTION OF ®YORK z HATH TUB FURNACE 6 Q' —SHOWER DISHWASHER. O AVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SANDTRAP A SLOP SINK FLOOR DRAIN r WASH TRAY URINAL APPROVALS q WATER CLOSET DRINKING FOUNTAIN �j DATE IN/fSPZCTOR'e NAME M P WATER HEATER DENTAL LAVATORY ROUGH PLUBING /�,/7 ! I �(/� METER+ "Y/ GAS ^ODA FOUNTAIN OUn 6A9 PIPING I / • GAB VENT I r D CESSPOOL _TOTAL NUMBER OF FIXTURES c> SEPTIC TANK I I CESSPOOL SEPTIC TANK SEWER $ UTILITY CO.NOTIFIED �:�/' i.�. I f =TOTAL FEE - FINAL // 7 /-y 7�76A667 tCECP�t817 2-62 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ', JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS �j/� ✓P WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY c � FOR APPLICANT TO FILL IN' NEAREST CROSS ST. NZdl NUMBER FIXTURE OR ITEM EACH FEE OWNER �f n WATER CLOSET $1.25 MIL BATH TUB 1.25 ADDRESS SHOWER 1.25 CITY ,e TEL. NO. �"!,?,q LAVATORY 1.25 CONTRACTOR /V J49+, SINS 1.25 ADDRESS / 2.)ei/�'/G r d DISHWASHER 1.25 CITY 5j:�h 7� P TEL. NO.,# rC� LAUNDRY TUB 1.25 CONTRACTOR'S / STATE REGISTRATION NO. COUNTY ❑ CLOTHES WASHER 1.25 ,DISTRCT NO. GROUP ONE P CESSED BY f WATER HEATER 1.50 >i O B ; GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM 30 d y+' INSPECTION RECORD 11 z,J a ,\ !J �`.J�I J .i 6��ty t r;+�.,;rc .,...�' ,��`.�;,"fes!V F V ua CL N Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT 5 2 00 UNDER SLAB WORK ROUGH PLUMBING ' TOTAL FEE GAS PIPING / A _ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION y M AND STATE THAT THE ABOVE IS. CORRECT AND AGREE TO COMPLY. GAS VENT �Vqdy 6 sin .. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER AI/�I' �" �P/gyd�/1.{p�J`{:,�J�--,� PLUMBING. ,1 '� A L7 'G F/�'" .' 1 .HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST I V CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPER UTILITY CO. NOTIFIED ,y A p "7 R SIGNATURE [-� lVl OF PERMITTEE FINAL �� ALIDATION ROBERT A. WOOD ° v' CK. M.O. CASH SUPERVISING MECHANICAL ENG'R 76A667-CE817 3-59 APPL9CATRON FOR-PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, County Engineer ADDRESS �� &,c CASSATT D. GRIFFIN, Sup't of Building LOCALITY ME- FOR FOR APPLICANT TO FILL IN NEAREST `-�- CROSS ST. NUMBER FIXTURE OR ITEM OWNER Q WATER CLOSET MAIL ADDRESS Goa j 4- BATH TUB CITY TEL. NO. SHOWER CONTRACTOR ON'S PLUMBING SERVICE LAVATORY ADDRESS o' Avenue win venue SINK DISHWASHER CITY CONTRACTOR'S STATE LAUNDRY TUB REGISTRATION NO. /� COUNTY CLOTHES WASHER DIST NO. G5 7,QNE �P CESSED BY WATER HEATER V/JJt1 /J GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD @ $1.00 PER ITEM $ OR FIXTURE APPROVALS DA E INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB'WORK .TOTAL FEE ROUGH PtuMBIN� -- GAS PIPING. jI JHEREBY ACKNOWLEDGE THAT'I HAVE READ THIS APPLICATION GAS VENT _ STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER -� I 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 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTLU PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERMIT TE n FINAL ®e VALIDATION ROBERT A. WOOD, Cs. M.0. CASH SUPERVISING MECHANICAL.ENG'R 7BA667-CE817 9-59 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER -,a BUILDING AND SAFETY DIVISION BUILDING v JOHN A. LAMBIE, County Engineer ADDRESS _46 116 CASSATT D. GRIFFIN, Sup't of Building LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM - OWNER AR WATER CLOSET MAIL ADDRESS `& 019 BATH TUB .01 CITY - EL. NO. SHOWER CONTRACTOR LAVATORY SINS ADDRESS p "D so Baldwin 'Avenue DISHWASHER CITY ArcadiaNq' NJ 74Mg CONTRACTOR'S STATE ❑ LAUNDRY TUB REGISTRATION NO. COUNTY .❑ .,. CLOTHES WASHERDISTRICT�I , P g. GROUZONE V P CESSED BY WATER HEATER -- GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD Y @ $1.00 PER ITEM x OR FIXTURE $ _"s{ !�/ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK-y TOTAL FEE �, ROUGH PLUMBING / s GAS PIPING ✓1.�0 /Sn 'T9fi'C .F�(f AHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION v STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 1 GAS VENT ' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER .E 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES '"✓/'}7�rjg�) ,Q OFBYANGELESTE OS ABOVE -s GAS TEST DESCRIBED RESIDENTIA ROPERTY. UTILITY CO.NOTIFIED 11(p-r- arr)1D, SIGNATURE OF PERMITTE t ° FINAL m 7e ®e, AUDATION ROBERT A. WOOD, cic. M.0. CASH SUPERVISING MECHANICAL.ENG'R WORKERS'COMPENSATION DECLARATION Qpa PLU�Cli�1�� N FOR I�L�IUJUVl1R MMG k�LSl1�Ulvlll� ll I hereby affirm that I have a certificate of consent to self 76A667A insure, or a certificate of Workers' Compensation Insurance, CE 817(REV. 10/81) or a certified copy thereof (Sec. 3800, Lab. C. COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) gDDRESS Certified copy is filed with the county building inspec- tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date ' Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER (This section need not be completed if the work involved by SHOWER the permit is for one hundred dollars ($100)or less.) LAVATORY MAIL ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL. NO. so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR t' ; r*A C4 Date Applicant CLOTHES WASHER ADDRESS 1 NOTICE TO APPLICANT: If, after making this Certificate of s Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR CITY TEL. NO. �f / Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM ` with comply with'such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. �� _ CLASS C a� C 0 LICENSED CONTRACTORS DECLARATION DISTRICT NO. OCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is in full force and effect. 5 PER SYSTEM FINAL / VALIDATION 0. License Number 14f-k�0- Lic. Class C_-3C'��0 DATE � � tp S �! FINAL 4 Contractor I 2 S in LNIG_SiAbcite I`l,5 `rS Y BY �^-� ❑ I am exempt under LU Sec. � B.&P.C. for this reason h Plan check fee D Da PLUMBING PERMIT ISSUING FEE$' Signature Z' TOTAL FEE SINGLE FAMILY Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that 1 am exempt from the Contractor's License Address = O 7 u A Law for the following reason (Section 7031.5, Business and Professions Code): _ City Tel. No. r1 0'0 0 0 0 ❑ I, as owner of the property„will do the work-and the structure is not intended or offered for sale (Section % o'o 2 2,5 0 7044, Business and Professions Code). ' CONSTRUCTION LENDING AGENCY ° 2 J I hereby affirm that there is a construction lending agency for 0 3.1 5—F.4 the performance of the work for which this permit is issued. (Sec. 3097, Civ. C.). Lender's Name Lender's 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 laws regulating Plumbing, and hereby authorize representatives of this.County to enter upon the above-mentioned pro rty fo ' spe tion purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ign ture of Perm ttee Date