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HomeMy Public PortalAbout6113 IVAR AVE_Plumbing__ 76A667 (CE- APRPLICATIOIiIFOR PL MBING ERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND'SAFETY DIVISION I BUILDADDRESS •: 6113-Iv t, MAKE CHECKS PAYALE To. BUILDING B ar f� HARVEY T. BRANDT,,COUNTY ENGINEER LOCALITY FOR,APPLICANT TO.FILL,IN (PRINT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR'ITEM @ FEE : WATER CLOSET �; OWNER Dick Bowen ��I MAIL BATH TUB 1.15 v .ADDRESS . 1620 Melanie ,Lane SHOWER 1. 5 o� CITY Arcadia TEL. NO. "5=1.1.97 LAVATORY 1.75 L,)e) CONTRACTOR / SINK '1.75 3 cd ADDRESS 4265 No Baldwin AVeo DISHWASHER 1-75 CITYEl M6At'e' -TEL. NO. 44�_ 0078 i CLOTHES WASHER 1.75 3 �%� STATE' I LICENSE NO. 231 741 s .-.c36-20 SWIMMING POOL RECEPTOR i.V5 +BI STRICT NO. QW UPJ ;AE OCESSED BY LAWN SPRINKLER SYSTEM 1 5 WATER HEATER 1 75' (/� INDUSTRIAL WASTE.APPROVAL a. GAS SYSTEM OUTLETS 75 J �U INSPECTION RECORD ' Ov OUTLETS OVER a 5 PER SYSTEM - .30 p Cn y. Plan Check,fee See Reverse PLUMB;CN13 PERMIT'ISSUING FEE $ 0 TOTAL FEE � . APPROVALS D TE SPE C TO R'.5.51 TURE Plao check applicant . UNDER SLAB WORK Nagle ROUGH PLUMBING Address- GAS PIPING City Tel. NO. GAS VENT HOT WATER HEATER - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING � /L / PLUMBING. GAS TEST —2-.5r4 6 iHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO y� - RESIDE IN THE ABOVE D CRI BED RESIDENTIAL PROPERTY. o FINAL —Z SIGNATU RE OF PERMITTEE PERMIT VALIDATION' UK. .O. CASH PLAN CHECK VALIDATION CK. M_0. CASH 47 6 "0cT 5 37.5 U A'_ WORKERS'COMPENSATION DECLARATI N APPUCAMN FOR PLUM o pMIG, PERMV 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 f F-1FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS / (SCO Certified copy is filed with the county building inspec- oe tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY WATER CLOSET W� �j C T Date Applicant NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB O CROSS ST. P 841- DI COMPENSATION INSURANCE OWNER �A /ZL 2 SL (This section need not be completed if the work involved by SHOWER 12, A Z ©o MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this TY TEL.N7 permit is issued, 6 shall not employ any person in any manner SINK CIR-: j" � 5_00 / so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR / *.',C7 t_j_ Date . &3 Applicant v7JkaL) Ra&/ CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of ADDRESS 3a lA S A Exemption, you should become subject to The Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY� � /� Cy TEhI with comply with such provisions or this permit shall be STATE //C' LIC. I I deemed d revoked. WATER HEATER LICENSE NO,36 y d CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. OCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER >_ and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL0 DATE / "("` � VALIDATION V License Number 3 d /; rJ Lic. class—3 6 Ix FINAL Coniracto Date g� BY 6J I am exempt under Sec. B.&P.C. for this reason Plan check fee Date- D a . Signh�re r® PLUMBING PERMIT ISSUING FEE$ TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address -4*'Y 5:4 A Law for the following reason (Section 7031.5, Business and Professions Code): City Tel. No. # o 0 0 0 0'5 ❑ I, as owner of the property, will do the work and the 2 0 - 46.50 structure is not intended or offered for sale (Section _ 7044, Business and Professions Code). D o 0 o 4.6500 CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for 8 1 1 — 3 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 D 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 ab - entioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date ''DEPAR TENT OF.AUII.DINQ `;a�1 PPUCATION FOR PERbQT cow 4 ,ios`AxcE wTLUMBING} ORDuF x.N rERMIT N0.,:. .. •t K RYMRIIN�7i :�. rIXTU111Z ^ -RRADY FOR - .e. Clff*00� IFTiQ'M Rltt! OA It}Y O.. FIR1T INnT1 tC0N - e •t �`'�' •1A 9:T'�.•�' :VK, jr Joe Ae. , 'NAM '-" S '�rii:Mt7:'��� •f j�x� ADORtH'O .��/•' �� ,>�� �AtDR 1K°°�r: r.e •:•:,° - �,.�* ,. 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