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Home My Public Portal About6201 IVAR AVE_Plumbing__ 76A667 - CE817 5/70 APPLICATION FOR PLUMB NG PER diT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION F JOHN A. 6AMBIE, COUNTY ENGINEER COLEMAN W.JENKINS. SUPT. OF BUILDING FOR APPLICANT TO FILL IN (PR NT OR TYPE) T �+NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET I.50lBATH TUB 1.50 SHOWER 1.50 CITY TEL. NO. LAVATORY 1.50 CONTRACTOR SINK 1.50 ADDRESS O DISHWASHER 1.So CITY �� j TEL. NO.,,2,.,2r CLOTHES WASHER 1.50 STATE LIG LICENSE NO GjL CLASS _ 2 SWIMMING POOL RECEPTOR 1.50 DISTRICT N r GR P ZONE j P BY LAWN SPRINKLER SYSTEM 2.00 t co C. WATER HEATER 1.50 WINDUSTRIAL ASE APPROVAL GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD OUTLETS OVER / �e� }� 5 PER SYSTEM 30 Ct>/.�'��d A9 .d��J� p7' 'f �7 9. N67 D. Vf Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE .8 2 00 TOTAL FEE APPROVALS DATE ']N SPECTOR'S SIGNATURE �� Plan check applicant UNDER SLAB WORK / �` Name ROUGH PLUMBING ��✓I�/( �l.�x-el.�L1� Address GAS PIPING GASVENT City. Tel. No. HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT 1 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 GAS TEST PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT AM THE EGAL OWNER OF,AND END TO RESIDE IN.THE ABOV�D SCRIB RESIDE IAL PR OPE FINAL 1014 V SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL EN'G'R. OF PERMITTEE ` �� PERMIT VALIDATION/CK' M.O. CASH PLAN CI-IEC/ ALIDATION CK. M.0. CASH / ► ern o 6C-- jUN15 5 D 6.50- �,: 76A667-CE#617 5/63 H2701 APPLICATION FOR PLUMBING PERMIT . COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING 6201 No. Ivar JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY Temple lfy FOR APPLICANT TO FILL IN NEAREST CROSS ST. v NUMBER FIXTURE OR ITEM EACH FEE OWNER Geo. Wil son WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS same SHOWER 1.25 CITY TEL. NO. LAVATORY 1.25 CONTRACTOR General Tngtallation Co- SINK 1.25 ADDRESS 9598 West R1VA_ DISHWASHER 1.25 CITY - Los Angteles TEL. NO. pL 3_2.941 LAUNDRY TUB 1.25 CONTRACTOR'S STATE E)C REGISTRATION NO. C-36 151839 COUNTY CLOTHES WASHER 1.25 DISTRICT NO. GROUP I ZONE I P ESSED BY WATER HEATER 1.50 l 0 1 } GAS SYSTEM OUTLETS 1.50 INDUSTRIAL f a WASTE APPROVAL 0 OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD Ready for Inspection Now O W CL V) z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK O ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 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 HOT WATER HEATER .� PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES / LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST RESIDE IN,THE ABOVE DESCRIBED REST DAL gROP UTILITY CO. NOTIFIED SIGNATURE C/fi/b/'/ OF PERMITTEE 4X FINAL /VALIDATION ROBERT A. WOOD M.O. CASH SUPERVISING MECHANICAL ENG'R L (;o2 0 5 0'%'D*' OCT 30 5 A 3.50~ v WORKER'S COMPENSATION DECLARATION 20-0026 DPW 9/89 76A667A APPLICATION FOR PLUMBING PERMIT I hereby a firm that I have a certificate of consent to self insure, or a,prertific0e 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. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING /„w' Tv/w_ q /0 ❑ Certified copy is filed with the county building inspection ADDRESS (�/ �f f-�+Y(!V department. - NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET1 l�J NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. 2 COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the work involved by the SHOWER MAP BOOK � Q PAGEQ PARCELS permit is for one hundred dollars($100)or less.) OWNER LAVATORY. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to SINK MAIL ADDRESS ^' I become subject to the Workers' Compensation Laws. ADDRESS ((/ �� DISWASHER CITY � TEL.NO. 1;?2�1 � Date Y - I'Y Applican CLOTHES WASHER NOTICE TO APPLICANT: If, after rhaking this dertificaVe of CONTRACTOR Exemption,you should become subject to the Workers' Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.N0. d I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER (commencing with Section 7000) of Division 3 of the Business and STATE LIC. O LICENSE NO. CLASS Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS V OUTLETS OVER DISTRICT NO. _ PROCESSED BY [[ 5 PER SYSTEM O Q License Number Lic.Class FINAL DATE117 VALIDATION LU IL Contractor Date CA ❑ I am exempt under Sec. FINBY AL Z B.&P.C.for this reason Plan check fee , Date: PLUMBING PERMIT ISSUING FEE$ 7:5Signature ❑ TOTAL FEE J� / . C_ s Plan check applicant SINGLE FAMILY L�,l l 14". _r HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Law _ y iTEMS for the following reason (Section 7031.5, Business and Professions Address IVJ TOTAL(i_iTHL 141 ® j. Q I,as owner of the property,will do the work and the structure City G ry Tel. No. CHEI'l 14 1.15is not intended or offered for sale (Section 7044, Business t, and Professions Code). , (:HAN(I ,Illi CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the ry fi �1-olF,C i performance of the work for which this permit is issued (Sec. 3097, 0000—U Civ.C.) 64`13 i fill 9456 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 propert f �nspectio purposes. I / SEE REVERSE FOR EXPLANATORY LANGUAGE IA JA I Sigl ature of el ittee Date DEPARTMENT OF BUILDING APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ANGELES PLUMBING NATUR Or I1VJ1MA,ATION DISTRICT NO. GROUP 14( No. PE1RMIT NO. ROUGHPLUM BIND FIXTURES COMPLETC _.y/C�_]L1 �r'�✓ --I _ READY FOR RECEIVED BY DATE ISSUED _H_EATER I CESSPOOL .SEPTIC TANK�- FIRST INSPECTION OAS I MISCEILAHEOUR 3 II. CFILL—INi ' , is IIUItT! N ONLY JOB NAME ADDRESS F rADDRESS LOCALITY J I CITY TEL. �0. CROSSSST. ` 1� 4-C)�/ '?- -C L STATE COUNTY LICENSE NC_ REG. NO. W I NAME /� 1 ti• I,OCATiOiv OF SEPTIC TANK,OR CESSPOOLS Z MAIL j ADDRESS NORTH . O ' -- -- CITY TEL NO. colzl;Ecrlo:vs 1� _I ` !I J I I � SOUTH I —_ DESCRIPTION OF WORK I o BATH TUB FURNACE _I // _SHOWER _OISHWASMER LAVATORY RCFRIGERATOR I KITCHEN SINK WATER SOFTENER FLOOR BINK SAND TRAP SLOP SINK _.._FLOOR DRAIN l_ _W.I~aH TRA%' __—URINAL APPROVAUS I ' _WATER CLOSCT nRINKIN6 FOUNTAIN DATE INS►[CTOR•f NAY= WATER MEATIER DENTAL LAVATORY ROUGH PLUMBING METER GAS OUTL SODA FOUNTAIN GA9 PIPING GAS VENT < _•I-I- -�-- �e� CESSPOOLi?`� _- TOTAL NII\IRFR OF FIXTURE.S_�_ r/-- "ll-r-.r�� r I SEPTIC TANK SEPTIC TANK CESSPOOL SF.lYCR PERMIT FEE h- I UU UTILITY CO. NOTIFIED TOTAL FEE ��I V 1`� I,.°'°T 2.41 "" APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING WM. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE i PERMIT NO. t:LUMBING I—� FIXTURES COMPLETE H£aTERI-1-mfSCELLANLOUB ` GE6CPOOL i SEPTIC TANK ^� RECEIVED HY FIRREADY PFC FOR I DATE ISSUED GAS AP P I,' .Al\1 FILL iN HEAVILY OI 1—LiNED PORTION ONLY t N A M Ir L [ —T./t y_y:-*tet_. Jo ADDR EES Q • ADDRE99,..iJ LOCALITY 7 � _ L CITY..._ ):! '-L/ � TEL.NO.0 /-/ Y,� CROSS SST, COUNTY / tf CERT.No. EXPIRES K NAMEMAIL - 4 LOCATION OF SEPTIC TANK, OR CESSPOOL 3A0DRESS NORTH O TE1..No. IAM TIIE LEGAL POSSESSOR OF THE AOOVE LOS ANGELES COUNTY,CERTIFIGATF, OF QUALIFICATION. rwrst>t 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRI9ED ABOVE. i A W T -I CORRECTIONS SOUTH J DESCRIPTION OF WORK ? bArH TUB FURNACE cHOWER DISHWASHER LAVATORY AEFRIGSAATOR .It XITCHEN RINK — v° i FLOOR SINK. _------ SAND TRAP .._.017P SINK FLOOR DRAIN r APPROVALS WASH TRAY _ URINAI. WATER CLOSET FOUNTAIN DATE —WATER HEATER __DENTAL LAVATORY ROURH PLUMBING --METER—CAS !ODA ►OUNTAIN GAS PIPING OUTL - -' —^—� GAS VENT CESSPOOL I�.C _ TOTAL NUMBER OF FIXTURCV SEPTIC TANK SEWER R . - CES3SPOOl _,_,BEPTIC TANK h'Y� UTILITY.Ca. NOTIFIED TOTAL FEE FINAL' f -