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Home My Public Portal About9903 HOWLAND DR_Plumbing__ 76A667-CE917 12159 TEMPLE COTY APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY IVISION ADDRESS,s /� / / �y JOHN A. LAND COUNTY SAFETY NGINEER 6 LJ ! hd WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY / FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER O O WATER CLOSET MAIL O /7O T BATH TUB ADDRESS CITY + TEL. NO. SHOWER LAVATORY CONTRACT& SINK ADDRESS DISHWASHER CITY TEL. NO. CONTRACTOR'S STATE ❑ LAUNDRY TUB REGISTRATION NO. COUNTY ❑ CLOTHES WASHER DISTRICTNO. G OUPNF� P ESSED BY WATER HEATER I 1-' (/ GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD i. w O V 0 O F U 4i w N z $1.00 PER ITEM nn OR FIXTURE $ / <6 APPROVALS DATE gNSPEC fSSIGNATURE PERMIT $ 2100 UNDER SLAB WORK J TOTAL FEE K/j ROUGH PLUMBING f 6 3/ 11�� GAS PIPING w"E, ANDEREBY STATE THAT THE IAPPLICATIONT I HAVE READ THIS ABOVEDGE CORRECT AND AGREE DCOMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER, _', sY V PLUMBING. /n 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTI ROPERTY. UTILITY CO.NOTI ED SIGNATURE / OF PERM FINAL ®r VALIDATION ROBERT A. WOOD. CK. M.0. cesx SUPERVISING MECHANICAL ENG'R ? U 3 .50 2 9 0 5 � 17; � 5 7GA667-CE6ITa57 O J e-/4- — \ APPLICATION FOR PLUMBING PERMIT 1 'COUNTY OF LOS ANGELES ' DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS ✓�'-�—�— A2a'.. ;$— -v JOHN A. LAMBI E, COUNTY ENGINEER CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY kyr- FOR APPLICANT TO FILL IN NEAREST p 7A CROSS ST. NUMBER FIXTURE OR ITEM OWNER QD WATER CLOSET MAIL BATH TUB ADDRESS ® e A SHOWER CITY TEL. NO. LAVATORY CONTRACTOR SINK ADDRESS Ix DISHWASHER CITY TEL.NO. LAUNDRY TUB CONTRACTOR'S STATE ❑ REGISTRATION N COUNTY f.] CLOTHES WASHER DISTRICT NO, GROUP 7.C}NE REAor voq Insrscr mn WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS @ S1.00 PER ITEM DATE INSPECTOR' SURE OR FIXTURE S 3 UNDER SLAB WORK ROUGH PLUMBING g Z' ROUGH PERMIT S 1 00 -- J-. GAS PIPING TOTALFEE GAS VENT C I HEREBY ACKNOWLEDGE THAT HAVE READ THIS A PLICATION HOT WATER HEATER AN STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES �s PLUMBING. 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 1 AM THE LEGAL OWNER OF THE VE UTILITY CO. NOTIFIED DESCRIBED RESIDENTIAL ROPERTY. SIGNATURE ' / 1 OF PE FINAL ./ LN. VALIDATIQN_" ROBERT A. WOOD. SUPERVISING MECHANICAL ENG R CK. M.0. CASH I �A4258 -� AM26 5 A4.00 L, 76AG07 -CE98I7 4-64 � APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BADUDRESS ILDING /� JOHN A. LAMBIE. COUNTY ENGINEER !/ WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY / 'P 1n- FOR APPLICANT TO FILL IN NEAREST CROSS ST. -YI U NUMBER FIXTURE OR ITEM EACH FEE ) _ WATER CLOSET $1.25 OWNER �GOla d MAD BATH TUB 1.25 ADDRESS L SHOWER 1.25 CITY e TEL. NO. LAVATORY 1,25 CONTRACTOR SG SINE 1,25 ADDRESS ✓y DISHWASHER 1.25 CITY CG yyT e TEL. NO. Sd3TATEy CONTRACTOR'S LAUNDRY TUB 1.25 REGISTRATION NO. CLOTHES WASHER 1.25 DIST ICTr_ GROUP Z HE R CE55ED BY WATER HEATER 1.50 (O/ } CAS SYSTEM OUTLETS 1'50 INDUSTRIAL WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD V O H V w a h Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT S 2 00 UNDER SLAB WORK ROUGH PLUMBING A TOTAL FEE GAS PIPING HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT P AND STATE THAT THE ABOVE IS CORflECT ANO AGflEE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER \ / PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES / LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AND INTEND TO RESIDE IN, THE ABO EECRIBED RESIDENTIAL PROPERTY, UTILITY CO. NOTIFIED �r�r S IGNATUR OF PER FINAL VALIDATIROBERT A. WOOD CK. M.o. c4SH SUPERVISING MECHANICAL ENG'R 1555 14f 7 5 0 3.50" K F 76A667-CE817-11-57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING 99 ala / JOHN A. LAMBIE, CDuvty E.,i. I, ADDRESS / AV% 1- CASSATT D. GRIFFIN, SHIP t Of Bvi z l LOCALITY C I)f � � /tt✓ FOR APPLICANT TO FILL IN NEAREST Sq „S' NUMBER FIXTURE OR ITEM �/ OWNER A,d GtY /7 FD j1 O tj WATER CLOSET MAIL 9y0� O 4 h. HATH TUB ADDRESS / /tJ SHOWER CITY a NO. 7 LAVATORY CONTRACTO SINK ADDRESS DISHWASHER CITY TEL. NO. LAUNDRY TUB CONTRACTOR'S STATE ❑ REGISTRATION NO. COUNTY Fl- CLOTHES WASHER DIST Rf CT NO. GRO P ZONE READY FOR INSPECTION WATER HEATER 5 GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD. APPROVALS @ SLOG PER ITEM DATE INSPECTOR'S SIGNATURE OR FIXTURE S QQ UNDER SLAB WORK J �� PERMIT 8 �00 ROUGH PLUMBING TOTALFEE Da GAS PIPING _ 1 HEREBY ACKNOWLEDGE THAT I 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 1 HEREBY CERTIFY THAT 1 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 F THE A OVE UTILITY CO. NOTIFIED DESCRIBED RESIDE TI PROPERTY. SIGNATURE • - 4, r OFPERMI FINAL ROBERTA.WOOD. ®F VALIDATION SUPERVISING MECHANICAL ENG'R crc. M.0. CASH � NGo 3 5 8 7 h1Aft 1 8 5 A 4.0 0 ,� t � 96A667 -C EkEIT 4-64 . APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING Gjn3 / n ]BY JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS //%%//WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITYFOR APPLICANT TO FILL IN NEAREST CROSS ST. S UNUMBER FIXTURE OR ITEM EACH FEE OWNERWATER CLOSET $1.25 ¢ ��MAICBATH TUB 1.25 ADDRESS DLJ Q 7SHOWER 1.25CITYZ:c TEL. NO.LAVATORY 1.25 CONTRACTOR SINK 1.25 ADDRESS IllDISHWASHER 1.25 CITYTEL. NO.LAUNDRY TUB 1.25 CONTRACTOR'S STAREGISTRATION NO. COUNCLOTHES WASHER 1.25OIBTRICT NO. GROUP ZONE P E65 r WATER HEATER 1.50 J'�(J GAS SYSTEM OUTLETS 1.50 INDUSTRIAL vo. WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD U z O H U W a N Z APPROVALS DATE INSPECTORS SIGNATURE PERMIT S 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT , AN 0 STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY 1 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER (,- PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURE �� LICENSED AS REOUIREO BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO RESIDE IN.THE OV RIBED Rf81 PR RTV UTILITY CO.NOTIFIED - SIGNATUR OF PE FINAL VALIDATION ROBERT A�WOOD CK. M.o. cwSH SUPERVISING MECHANICAL ENG'R LACO9 9 3 9' 141826 5 D 3.25~ WORKER'S COMPENSATION DECLARATION 20-0026 00-0-0 7 A 02 A DPW 9189 APPLICATION FOR PLUMBING PERMIT ll I hereby affirm tha•1'I h>ve a certificate of consent to self insure, filr or a certificate of Worker's Compensation Insurance, or a certified - copy thereof(Sec. 3800 Lab. C.) - - COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS -DEPT.OF PUBLIC WORKS DIV. Policy No. Company ❑ Certified copy is hereby furnished. / 1 F1 Certified APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ..903 y.+l Yrs Certifietl copy is filed with the county building inspection ADDRESS / 1 department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Y SL Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATHTUB CROSS ST. COMPENSATION INSURANCE ASSESSORap �r1 (This section need not be completed if the work involved by the SHOWER MAP BOOK S�v PAGEC06 PARCEL) permit is for one hundred dollars($100)or less.) OWNER I certify that in the performance of the work for which this permit LAVATORY S' is issued, I shall not employ any person in any manner so as to SINK MAIL i`/d3 become subject to the Workers' Compensation Laws, ADDRESS 1 _ D DISWASHER CITV��/ TEL.NO. .eel/E Date Applicant 0 CLOTHES WASHER CONTRACTOR _ L, C NOTICE TO APPLICANT: If, after making this Certificate of Exemption,you should become subject to the Workers'Compensation D SWIMMING POOL RECEPTOR ADDRESS provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. O LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.NO. >' I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER fl (commencing with Section 7000) of Division 3 of the Business and STATE LIC. 0 Professions Code,and my license is in tui) force and effect. GAS SYSTEM OUTLETS LICENSE NO. CLASS (� OUTLETS OVER DISTRICT NQ !O. C�p PROCESSED BY 5 PER SYSTEM �l D' y License Number tic.Class U FINAL VALIDATION w DATE Lr.l _ _ a Connector Date J I '} (1) ❑ I am exempt under Sec. FINgy AL ice':'-f •s Z S.&P.C.for this reason l'.ri iLl``•4"r Plan check fee Date: g PLUMBING PERMIT ISSUING FEE$ Signature — T (I AL 1.03 ® 40 EJTOTAL FEE SINGLE FAMILY 7�hn7G Plan check applicant CHANGE •i E_F HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Address (T(j1 F�(— {t';(!y :y Code): _ City Tel. No. _ _ Lpj I, as owner of the property,will do the work and the structure °1 i6 1 Nr 17=j ' is not intended or offered for sale (Section 7044, Business and Professions Code). , CONSTRUCTION LENDING AGENCY f 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'.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 represegAtives of this County to anter upon the above-mentioned proper f insp do urposes. 3_y SEE REVERSE FOR EXPLANATORY LANGUAGE Sig tura Of Permz-ittee Date - WORKERS' firm that I have DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self in- 20-0026 DPW 4/90 sure,or a certificate of Workers'Compensation Insurance,or a 76A667A �T certified copy thereof (Sec. 3800, Lab. C. [IllJlll COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy Na Company Certified copy is hereby furnished. BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) Certified copy is filed with the county building inspection ADDRESS department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST, COMPENSATION INSURANCE SHOWER NER (This section need not be completed if the work involved by MAIL W f the permit is for one hundred dollors ($100)or less.) LAVATORY ADDRESS 0703 1 certify that in the performance of the work for which this per- SINK mit is issued, I shall not employ any person in any manner so CITY0 1. TEL. NO. Z _ as to become subject to the Workers Compensation Laws. DISHWASHER 6 CONTRACTOR Date. Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- CITY TEL. NO. sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. [moi PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER . J ��✓!�'� and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION Li ct. HOSE BIO DATE S''!54 6 License Number Li<. Class 0 FINAL O Contractor Date BY Q Elam exempt under Sec. U B.sP.c. for this reason Plan check fee IL m N Date: PLUMBING PERMIT ISSUING FEE$ s 2 Signature TOTAL FEE SINGLE FAMILY - HOME OWNER-BUILDER DECLARATION Plan check applicant -° I hereby affirm that I am exempt from the Contractor's License Name Low for the following reason (Section 7031.5, Business and - Professions Code): Address - 'IUhS AI/VI 1, as owner of the property, will do the work and the City Tel. No. f T i G1'�_� structure is not intended or offered for sale(Section 7044, Business and Professions Code). c 0 ' - p - CONSTRUCTION LENDING AGENCY '► A '_HEiK I hereby affirm that there is a construction lending agency for CHANGE CO, the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name 4'111,7 1 AN-0:74 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 4anrnd State laws regulating Plumbing, and hereby presentativ' of ths County to enter upon the one prop ty for inspection purposes. z_ ZC1 _ 9 SEE REVERSE FOR EXPLANATORY LANGUAGE Permittee Date