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Home My Public Portal About9839 HOWLAND DR_Plumbing__ D.S.9.17 EGM SETS 1.46 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ��'�� -' COUNTY OF LOS ANGELES WM.J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. G Oupi ZONEPr kmIT NO. ROUGH FIXTURES p COMPLETE . ) L J & / HEATER CESSPOOL I ( I SEPTICTANK RECEIVED BY READY FOR DATH ISSUED FIRST INSPECTION A � M18CELLANHOU D/�C y AaPP�LIICANT FILL IN HEAVILY OUTLINlE�D PORTION ONLY JOB S, NAME ( /(lF L'f_LiJ ADDRESS M r000f. - ADDRESS 9�A/1}- �.C�A1e. LOCALITY NEAREST 4 CITY. TEL.No. CROSS 8T. COUNTY / CERT.No. EXPIRES tl NAME �f•I..�n , LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL ADDRESS V NORTH O CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOB ANGELES COUNTY CERTIFICATE.OF/QUALIFICATION. PLUNGER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK z_ ATH TUB FURNACE C KNOWER -DISHWASHER D AVATORY REFRIGERATOR B FMITCHEN BINK WATER SOFTENER FLOOR SINK SANDTRAP GLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET -DRINKING KING FOUNTAIN DATE INSPECTOR'S MAKE WATER NEATER DENTALLAVATORY ROUGH PLUMBING METER GAB 90 FOUNTAIN GAS PIPING I I OUTL ' `I W GAS VENT CESSPOOL TOTALNUMBEROFFIXTURES SEPTIC TANK I I CESSPOOL_ REPTICTANK SO SEWER S UTILITY CO.NOTIFIED I TOTAL FEE / ,$�Q FINAL i 0.B.5.17 25M¢RB 1r8 APPLICATION FOR PERMIT DEPARTMENT COUN OFF LOS NG AND SAFETY COUNTY OF LOS ANGELES PLUMBING WM.J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRI .NO. 6 0 o P R IT NO. _ _ ROUGH FIXTURES COMPLETE H 9TER MIBGBELLANEOVB SEPTIC TANK FIVE FIRST INSPECTION �`��= APPLICANT FILL IN HEAVILY OUTLINED PORTION, ONLYJOB E NAME � C l ADDRESS 'l 11Q If ADDRESS G�� () /kt d.-�+�w� ALOCALITY J NEAREST n� y CITY I'�/-7 .sIAe�1 TEL.NO. --`` CROBB ST. �/ .1w.//N COUNTY - �V s � 2 NAME I / CERT. Y 0• E%PIREB q LOCATION OF SEPTIC TANK, OR CESSPOOL 3 MAIL ADDRESS l VIIL a NORTH O CITY TEL.NO. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOB ANGELES COUNTY CERTIPIC�.Tf O_ j fly ICAT PLUMMER 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK Q z_ ATH TUB FURNACE l7 E SHOWER —DISHWASHER D LAVATORY REFRIGERATOR ---,L--KITCHEN SINK WATER SOFTENER FLOOR BINK SANDTRAP PLOP BINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATH INSPECTOP'S NAM¢ —.—WATER NEATER ^ENTAL LAVATORY I ��[' 9 I /, (� ROUGH PLUMBING ETER-4—0A8 SODA FOUNTAIN OUTL GAB PIPING I I pAB VENT I I REMEMBER: CESSPOOLCLII I TOTAL NUMBER OF FIXTURES SEPTIC TANK I I CESSPOOL SEPTICTANK SEWER I p I UTILITY CO.NOTIFIED TOTAL FEE FINAL APPLICATION FOR PLUMBING PERMIT 1 S-17 DBs.IT(DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUIL 7 JOHN A. LAMBIE, COUNTY ENGINEERJAADDROEI.N.G CASSATT D.GRIFFIN, SUPT OF BUILDINGOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST :zz. OWNE I DISTRICT NO. GROUP— ROP— ZONE/ I aEAOY 10B IN seem ory MAIL ' ADDRESS INDUSTRIAL CITY TEL. N . + WASTEAPPROVAL PLUMBER INSPECTION RECORD ADDRES 6X I (_ CIT �� 22 pp^�^�-�T�EEL. NO.�f A� '�US/1�l LICEN E NOL,6--21 JIWZ� 1x7 NUMBER TYPE OF FIXTURE OR ITEM r FEE WATER CLOSET (TOILET) @ $1.00 S w BATH TUB @ S1.00 !30 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 �D KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TU B 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 12 GAS PIPING TOTAL FEE 00 GAS VENT I HEREBY ACKNOWLEDGE THAT i HAVE PEND THIS APPLICATION THE AND STATE THAT THE ABOVE IS CORRECT AND AGREE COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY 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 RESIDENTIA PR PERTY. SIGNATURE OF PERM ITT E """ FIN///555A777L�T—�� JOHN A. LAMBIE. COUNTY ENGINEER VALIDATIOIT�:�ROBERT A. WOOD. CHIEF PI-BG. INSPECTOR CK. Y.0. CPUSX X4699 DE ? 4.0 W°RKEe"SAT'°" DECLARATIONAPPLICATION FOR PLUMBING PERMIT {� ' I hereby,affirm thathol I have certificate of-consent to self in- 20-0026 DPW 4/87 (� sure,or a certificate of Workers'Compensation Insurance,ora 96A667A certified copy thereof (Sec. 3800, Lab.•CCE 817(REV, 8/86)) � ' Policy No. Company - COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS 0 Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspection ADDRESS department. ` NUMBER TIXTURE OR ITEM @ FEE LOCALITY Date ApplicantWATER CLOSET (TOILET) NEAREST T L `� CERTIFICATE OF EXEMPTION f FROM WORKERS' BATH TUB CROSS ST. G0 xw. W. .J" J'•:5 r COMPENSATION INSURANCE SHOWER OWNER Tr14C D dp•D (This section need not be completed if the work involved by MAIL. the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this per- SINK CITY TEL. NO. mit is issued, I shall not employ any person in any manner so as to become subjectto the Workers' Compensation Laws, DISHWASHER CONTRACTOR Date Applicant CLOTH ES WASHER gODRESS NOTICE TO.APPLICANT: If, after making this Certificate of Ex- - •�/ /Z �• �L emption, you should become subject to the Workers'Compen- SWIMMING POOL RECEPTOR sation provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEM CITV sC (• /rR TEL. NQ �rR� ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. _ WATER.HEATER LICENSE NO. I CLASS LICENSED CONTRACTORS DECLARATION _ DISTRICT NO. P CESSED BV I hereby affirm that I am licensed under provisions of Chapter GASSYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and.Professions Code, and m license is in full fo e and el 5 PER SYSTEM - y FINAL fect. ) IDTION i / DATE 1 Z O License Number 1 6 lic. Class U '''',,r� �� p (7 FINAL S Contractor�TTvvCJ. `e J AWS:"1 Date — �6 BY O OI am exempt under Sec. 6 W a B.BP.C. for this reason Plan check fee ► 2 Date: PLUMBING PERMIT ISSUING FEE$ Signature - . SINGLE FAMILY —TOTAL FEE 2 ' ;205a5A HOME OWNER-BUILDER DECLARATION Plan check applicant e e s e e 5 hereby affirm that am exempt from the Contractor's License Nome Law for the fallowing reason (Section 7031.5, Business and 1 • •' &5 0 Professions Cade): Address e : 650. � Tel. Nof; 0 9, 02-88 ' I, as owner of the property, will do the work and the Cit Y ' structure is not intended ar offered for sale(Section 7044, Business and Professions Code). ONOCONSTRUCTION LENDING AGENCY hereby affirm that there is a construction.lending.agency for the performance of the work for which this permiYis issued (Sec. 3097, Civ. C.). • - Lender's Name - - - Lender's Address - I certify that I have read this application aril 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 property for inspection purposes. - - ��1 SEE REVERSE FOR EXPLANATORY LANGUAGE gnoture of Permittee Date WORKERS'COMPENSATION DECLARATION APPLICATION A TION EOR PLUMBING PERMIT I hwre6y, affirm that I�hove�o certificate of consent to self in- 20-0026 DPW 4/90 /1r r A ,\ R r ,Y, 1\V GR,Y, 1 sure;or a certifcato of Workers'Compensation Insurance,or a 76A667A z-n certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company 1Z COUNTY OF LOS ANGELES - DEPT. OF PUBLIC WORKS [IILJIII �� n/s 2b'�'.. . . ❑ Certified copy is hereby furnished. _ FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUI Certified Copy is filed with the county building inspection ADDRESSRESS C department. -P NUMBER FIXTURE OR ITEM @ FEE / LOCALITY _Z co P_ WATER CLOSET(TOILET) Date Applicant 'NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER vLTJ �CIJ (This section need not be completed if the work inolved by MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this per- SINK - mit is issued, I shall not employ any person in any manner so CITY TEL. NO. as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS 02.5' �A NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- CITY T TEL. NO. sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS r-L- ly with such provisions or this permit shall be deemed.revok- STATELIC. ed. WATER HEATER LICENSE NO. i4rCLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS rO Q 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER �..J O and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATIONfect. DATE Z License Number �� HOSE BIB �`✓ CO } - C FINAL Contractor �Q C_ Date( BY V I am exempt under Sec. - � � OU B.BP.C. for this reason W Plan check fee ► a Date:— PLUMBING PERMIT ISSUING FEE$ Q Z S4.3 yo ignature—D�d -^ TOTAL FEE SINGLE FAMILY 5 HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License -Nome. ACCT.$ Law for the following reason (Section.7031.5, Business and �]03 4J.40 Professions Code): Address I, as owner of the property, will do the work and the City Tel. No. I ITEMS structure is not intended or offered for sale(Section 7044, - TOTAL mr�l Business and Professions Code). CONSTRUCTION LENDING AGENCY ► CHECK 43.40 I hereby affirm that there is o construction lending agency for CHANGE .00 the performance of the work for which this permit is issued (Sec. 3097, Ci, C.). 0000-0001 1/26/96 Leaders Name 4469 1 AM10:18 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 obPE: e-m , boned property for inspection purposes. —7V` SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date