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HomeMy Public PortalAbout6156 HART AVE_Plumbing__ 76A667-CE8173-59 APPUCATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ' BUILDING JOHN A. LAMBIE, County Engineer r CASSATT D. GRIFFIN, Supt of Building a-0 m a w LOCALITY .C�'J�L FOR APPLICANT TO FILL IN NEA 3SST. Z— %>L- NUMBER FIXTURE OR ITEM OWNER e WATER CLOSET MAIL BATHTUB ADDRESS CITY TEL. NO. SHOWER LAVATORY CONTRACTOR SINS ADDRESS DISHWASHER CITY i<, TFL. NO. � CONTRACTOR'S / A 771STATE ❑ LAUNDRY TUB REGISTRATION NO. COUNTY ❑ CLOTHES WASHER DISTRICTNO. I GR�JJP ZONE P OCESSEDBY WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD p @ $1.00 PER ITEMI I �Z'(� - OR FIXTURE $ (J (J APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK TOTAL FEE v ROUGH PLUMBING GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER [ HEREBY CERTIFY T I AN PROPERLY REGIST AND/OR a PLUMBING FIXTURES 4 LICENSED AS REQUIR BY LOS ANGELES COUNTY N• STATE OF - GAS TEST CALIFORNIA OR TH t THE 'L OWNER F THE ABOVE - DESCRIBED RESIDENTI OPERTY. '. UTILITY CO.NOTIFIED d SIGNATURE - OF PERMITTE Nr FINAL a - -o :4 \ OF ALIDATION ROBERT A. WOOD, Q CK. M.o. CASH SUPERVISING MECHANICAL ENG'R p� DBS-17 10-55 AP ��C'ATdO ti If O 0PLUtltll0B® NVtl`AN PERMIT I DBS-17 DIVISION OF BUILDING AND SAFETY Deportment of County Engineer e r County of Los Angeles BUILDING - .{� JOHN A. LAMBIE, COUNTY.ENGINEER ADDRESS c/ CASSATT D. GRIFFIN,SUPT OF BUILDING - �..> LOCALITY a FOR AYPLICANT TO FILL IN CROSS ST ST. OWNER DISTRICT NO. GRR ZONE I READY FOR INSPECTION MAIL ADDRESS !® {{� INDUSTRIAL CITY TEL. N010,7—J117lJ WASTE APPROVAL - PLUMB INSPECTION RECORD c. ADDRESSPA CITY TEL. NOj, LICEN NO /® - - 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 . .e DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK p ry PERMIT' $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE - 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 FIXTURES PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY OS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I A TH.E LEGAL OWNER OF THE ABOVE .. UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL RTY.. . SIGNATURE OF PERMITTEE E%"6��'✓ FINAL Z•` Y.. Y JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION----,) ROBERT A.WOOD, CHIEF PLBG. INSPECTOR CK. If.0. S C»8 a 0 0 f� SIL►, 1 3 4 .00 N 76A667A ICES 175))- 11/76 n �p 2 'np pnn �p �p ��{ 11 ,fid ' 4r AFFL�OC�ATOOoN If-'®R -I�L�UllV{lB011�lG PE�RMRT dd�� BUILDING D SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ✓ NUMBER FIXTURE OR ITEM @ FEE ADDRESS WATER CLOSET LOCALITY NEAREST BATHTUB CROSS ST. SHOWER OWNER -2�1 114- LAVATORY MAIL ADDRESS SINK TEL. fi DISHWASHER CONTRACTOR t. CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL.NO. LAWN SPRINKLER SYSTEM STATE LIC. WATER HEATER LICENSE NO. CLASS GAS SYSTEM OUTLETS DISTRICT NO. GROUP N jE OC+SSED BY OUTLETS OVER 5 PER SYSTEM . INDUSTRIAL WASTE APPROVAL INSPECTION RECORD 09 IIJ 64A Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE Plan check applicant APPROVALS DATE INSPECTOR'S SIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING City / Tel.No ` GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE GAS VENT THATTHE 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 LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL C; PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE FINAL �/'��7 PLAN CHECK V LIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.0. ASH 0 8 5 MAY 4 5 7.5 G o ©S 70A887 -CE*817 1,2-84 ' 14374 . City- of Temple Ctiy APPLICATION - ICOR PLdJM B NC 6®ERWT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING. r JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 6156 No. Hakt Ave COLEMAN W. JENKINS, SUPT OF BUILDING „ - .'LOCALITY Temple Cit FOR APPLICANT TO FILL IN NEAREST EARE ST .T 03 Tunas NUMBER FIXTURE OR ITEM EACH FEE OWNER Burkhart WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS :Same CITY TEL. NO. SHOWER 1.25 LAVATORY 1.25 CONTRACTOR General Installation Co. SINK 1.25 ADDRESS 6558 west Blvd. DISHWASHER 1.25 CITY Los Angeles TEL. NO. PL 3°2541 LAUNDRY TUB 1.25 REGISTRATION NO. C-36 151839 7816OUNTY CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY WATER HEATER 1:50 i i GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD 1 Softener Ready for Inspection Now , APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK •� ROUGH PLUMBING TOTAL FEE 3 50GAS PIPING i a 1 HEREBY ACKNOWLEDGE THAT I 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 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 AM THE LEGAL OWNER OF,AND INTEND TO I I " RESIDE IN,THE ABOVE DESCRIBED RESIDEN L PROPERTY. UTILITY CO. NOTIFIED r SIGNATURE OF PERMITTEE FINAL LIDATION ROBERT A.WOOD CK. M.0.', CASH SUPERVISING MECHANICAL ENG'R Y iAG- 6S36w OCT 11 5 D 3.50~ I; wet, n..�(� (gip(� [� ' (.�/� "WORKERS COMPENSATION DECLARATION.`! ��'fp p ,�C'^'ll,MIN 'FQR., (t�fl p f1UNY B.�l1Cl':V PLS�jllVll� •j20-0026 DPW�4/87 I!" tL !r� Il Cl IT U� u L�IJ ll� I hereby;,aff+rm that I have a cert+ficate.of consent to self in- 76'A667A•::" sure„or o certificate of-Workers'Compensdtion In'surance,'ora CE 817 REV: 8/86 , cert+f+ed,copy`thereof (Sec: 3800 Lab C T iOF UBL`IC ( ) 'Policy No Company �U Y C! } • C YVT F.:LOS ANGELES • DEP ':P 'WORKS Certified co h P.Y is ere by furnisl ed FOR A LICANT_T0 FILL IN (PRINT OR TYPE);” BUILDING '7 Certified copy+s filed:w+th the county b6ild+ng inspection. Sdepartment:.= s -, X'TURE:OR.ITEM ". @ FEE n NUMBER'; FI r„ 77 ^ WATER CLOSET TOILET),:,_ ADDRESS Date -,'Applicant. ,. NOEAREST co- CROSS ST f L f CERTIFICATE OF EXEMPTION FROM WORKERS' ^. BATH TUB, G COMPENSATION.INSURANCE OWNER SHOWER r.r P ►LL�— (This section need not be completed if the'work involved by , 'MAIL the permit is foi`one hund"red dollnfs ($1;00);or less.) L"AVATORY: ADDRESS I'ce.ti y that in,tF e;performanceof.the wo)k°for which thi per ��L mit is•issued'I shall not'e'mploy any person:in any manner o r' :, SINK �J D CITYa_ ' TEL NO. iZ :as to b'ec'ome sublect.to the>Workers Compensation;Laws: -0ISHW J ASHER - .,;- ,. • � � CONTRACTOR,, Date Applicant 1 CLOTHES WASHER NOTICEJo APPLICANT:-.If; after.r'hakin „this Ceft+f+cate of:Ex- ,h SWIMMING POOL,RECEPTOR g ADDR emption;you.should'beeome sublect,to the:Workers'•Compen- E SS �NI 3.' - CITY'" ,TEL. NO.ZSf sation proy+sions.of th'e•Lab"or Code;you must forthwith comp- LAWN SPRINKLER'SYSTEM 7 lthsuch PTo'aps,•ar,this permit shall be deemed revokry' STATE d > WATER HEAKTER LICENSE NO ', CLASS, C LICENSED CONTRACTOR3;DECLARATION,.• f DISTRICT NO PROCESSED BY F 1.hereby affirm that.l am licensed under provisions of.Chapter. « O GAS SYSTEM OUTLETS'd 9,(commen6ng with'Secti' 7000)'.of Division.3 of the,Business '' :, OUTLETS OVER' _, and Professions CocJe and=mylicerse +s intull force and of FINAL VALIDATION.O `S PER SYSTEM;, fect DATE L cense.Number Lic. Class r FINAL CC' Contractok Date BY fj' ` .O• ' I am exempt under Secy ujU ` B 8P':C for this reason P1pn Che"cI< fee ; Date - PLUMBING PERMIT,ISSUING FEE'S � Signature .' 9 TOTALFEE 'Q SINGLE FAMILY ' - . . . ' HOME,.OWNER:BUI[DER'.DECLARATION ' Plan check applicant.' _ I'her'eby'affirm that I am exempt from 1he�Contract6rs.Lieense' Ndme •,, Law for.the following reason (Section 7031.5 Business and. Pr f ss+ons de :;. _., -. o e Co ,,. , r ,._ :•:.. .Address r as`owner of•the property, will do,the work and the'; City j� �1(F:' CST structure is,'hot` offered for.sale.(Sectian 7044; '` _ y�`, sB_# Business and.Profess+ons Code) TRUCTION'LENDING AGENCY x.. ' CONS t, a , D♦ n I hereby affirm that there is a construction le4n6`agency foi the•performance'of the work for which;this`perrnit is issued (Sec 3097, Civ C:,) Lender's-Name ' L`ender's Address's' I.ceriify, that.l have read this apI6 i'cat+on ond-state.that the: above information is'correct. agree to comply with dll County ' ordiriances'and State;Iaws.regulating Plumbing; and'hereby D authorize representatives of this'County to.enter upon the ab =men +onecl erty f, in '_ct+on purposes., ° 6 SEE I;EVERSE FOR.EXPLANATORY LANGUAGE Signature of Permittee Y,. Date