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HomeMy Public PortalAbout6231 IVAR AVE_Plumbing__ o.B;Br,.7 25M BET9 11-46 -- APPLICATION FOR PERMIT. (DEPARTMENT OF ]BUILDING AND SAFETY COUNTY OF ]LOS ANGELES t•WM-J: FOX.CHIEF ENGINEER PLUMBING NATURE OF INSTALLAIION DISTRICTNO. GROUP ZONE- PERMIT NO. ROUGH FIXTURES COMPLETE ( / HEATER CESSPOOL SEPTIC TANK RECEIVED BYf- READY FOR DATB ISSUED I—I FIRST.INSPECTION AS MISCELLANEOUS /� dj9 7—S �1 n``-APPLICANT pPL'L I1V,HEAVILY OUTLINEIDPORTION ONLYJOB . '1�l C NAME 106 G .. ADDRESS 6.23 1 A s4p ° e . m ADDRESS V J I�e�i LOCALITY : i�. �I! / fp. DNEA REST C CITY A ,,�' L.No. � CROSS ST. A. •e iJ - CERT.No. / " EXPIRES IT NAME DAAl HAA FIC: LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL L y� 3 ADDRESS .& 7 • T GSA NORTH O /�►/ CITY C f./1 1 .o G-PS TEL.No.@ 4" I AM THE LEGAL P408SESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I.AM THE.LEGAL OWNER OF THE PROPERTY DESCRIBED - ABOVE. L ^ ? U) OWNER CORRECTIONS SOUTH. DESCRIPTION OF WORK a - z BATH TUB FURNACE SHOWER- DISHWASHER - _ 13 /LLAVATORY REFRIGERATOR —1—KITCHEN SINK WATER SOFTENER FLOOR SINK' SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL - - APPROVALS - WATER CLOSET DRINKING FOUNTAIN. DATE IwaPE R'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUNSING. Y 9i METER GAS QODA FOUNTAIN • OUTL GAS PIPING GAS VENT I I CESSPOOL TOTAL NUMBER OF FIXTURES S'U SEPTIC TANK I I CESSPOOL_.. Z EPTIC TANK Z. SEWER TOTAL FEE UTILITY CO.NOTIFIED I.0 d/I .� FINAL IL IL APPUGATION FOR -PLUMBING PERMIT DBS-17 10-55 DIVISION OF BUILDING AND SAFETY Department of County Engineer w. County of Los Angeles BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ' CASSATT D,GRIFFIN,SUPT OF BUILDING FRE LOCALITY.94411 APPLIC TO FILL IN NEAREST CROSS ST. DISTRICT NO- GROUP ZONE READY FOR INSPECTION INDUSTRIAL TEL. N WASTEAPPROVAL `� INSPECTION RECORD` LICENSE Nqa 7/7 NUMBER TYPE OF FIXTURE OR ITEMFEE WATER CLOSET (TOILET) @ $1.00 $ BATH TUB @ $1.00 v 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 DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ ' 1 00 - ROUGH PLUMBING GAS PIPING TOTAL FEE A 612 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 'a WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I -HEREBY CERTIFY THAT-1 AM PROPERLY REGISTERED AND/OR ' GAS TEST �y ir •� § LICENSED AS REQUIRED BY -LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I THE-LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED ` DESCRIBED RESIDENTIA RO_pE RTY. SIGNATURE ! `� OF PERMITTEE r FINAL JOHN A. LAMIRIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR CK. M.C., C S Co 6 3 4 Jum 3 2.4 - In r D.B.B.17 25M BETS 10-47 I APPLICATION FOR_PERPHT �R DEPARTMENT OF BUILDING AND SAFE, � COUNTY OF LOS•ANGELES WM.J. FOX. CHIEF ENGINEER PLUMBING NATURE OF NSTA TION DiSTRICT NO. GROUPI ZONE PE _M' o. ROUGH FIXTURES COMPLETE _ q—r HEATER CESSPOOL pj I SEPTIC TANK RECEIVED®Y READY FOR DATB ISSUED FIRST INSPECTION SAO- APPLIQANT FILL IN IIEA)VILY OUTLINEID PORTION ONLY JOB K NAME f•/ tF^ f2�vF� '. ADDRESS m ADDRESS [ / ct rC" LOCALITY / -J Ct / EAREST CROss NST. r- tli�• COUNTY CERT.No. EXPIRES NAME LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL 3 ADDRESS NORTH O CITY TEL.No. I AM THE LEGAL POSSESSOR OF THU ABOVE LOSS ANGELES COUNTY CERTIFICATE OF QUALIFICfTION. ' ✓i".�..M�1�°�°��"ya„-'-R.fi'� dim '!I PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY pESCRIBED ABOVE. / R D OWNER CORRECTIONS SOUTH J IDESCRIPTION OF WORK BATHTUB FURNACE Q. SHOWER DISHWASHER LAVATORY - REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'©NAME WATER HEATER DENTAL LAVATORY I I ROUGH PLUMBING METER—GAS SODA FOUNTAIN GAS PIPING OUTL GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOL SEPTIC TANK SEWER Ir T) 8 UTILITY CO.NOTIFIED I I I! (Y I I I TOTAL FEE FINAL \\ DEPARTMENT OF COUNTY ENGINEER DIVISION OF BUILDING AND SAFETY PERMOT APPLOCATBOM COUNTY OF LOS ANGELES BUILDING WILLIAM :J:, FOX, COUNTY ENGINEER '-';ADDRESS FOR APPLICANT TO FILL IN Locaury BUILDING �y NEAREST ADDRESS > oG J CROSS ST, DISTRICT NO. GAUP ZONE _PERMIT N0. LOCALITY NEAREST CROSS ST. RECEIVED BY Ready for Inspection DATE ISSUED OWNER 2 —3 y MAIL INDUSTRIAL a ADDRESS WASTE APPROVAL clry TEL.N0. 6 2 a. INSPECTION RECORD i PLUMBER �' 0'S4 , 1 ADDRESS J CITY I(j. TEL.N04�V 7- 0 STATE LICENSE N0. ❑COUNTY .J PERMIT FEES _ 9 Q z qu MBER TYPE OF FIXTURE OR ITEM FEE ue WATER CLOSET(TOILET) @ 0.80 S O BATH TUB @ 0.80 SHOWER @ 0.80 LAVATORY (WASH BASIN) @ 0.80 KITCHEN SINK @ 0.80 o a LAUNDRY TUB OR TRAY @ 0.80 D SLOP SINK @ 0.80 FLOOR SINK @ 0.80 f FLOOR DRAIN @ 0.80 3 - DISHWASHER @ DRINKING FOUNTAIN @ 0.80 e URINAL @ 0.80 GAS SYSTEM...-- .-...--OUTLETS @ 1.00 O WATER HEATER @ 1.00 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE' UNDER SLAB WORK PERMIT $ 1 0000ROUGH PLUMBING TOTAL FEE -1 a, 6 GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI• GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER a TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS G REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GASTEST AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE % /! j /.l ¢ /--....--•-••.. FINAL ��s' OF PERMITTEE. -. .-�- r. o v 7GA667 DES 17 f:IG te_cv I �,p n� WORKERS'at I have a' certificate of C n667A �PPp �C pAT0QU�I FOR PLam.p p MB��`YlG PER0 11 �T I hereby affirm that I have a' certificate of consent to self ce ev (i-so) L� l4� insure,or a certificate of Workers'Compensation Insurance,or of c py t ere f(Sec. 3800, Lab. C.) q COUNTY OF LOS ANGErS BUILDING AND SAFETY Po r y No. ompany (` ertified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDINGprip Certified copy is filed with the�,�,Qunty •ng inspection NUMBER FIXTURE OR ITEM O FEE ADDRESSL part 'e� ._C � LOCALITY Date- Lklicant �� WATER CLOSET' NEAREST BATH TUB CROSS ST. _ CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER MAIL � (This section 'need not be completed if•the work involved LAVATORY ADDRES a by the permit is for one hundred dollars ($100) or less.) SINKCITY T No. O / .-,- U I certify that in the performance of the work for which this DISHWASHERI tr permit is issued, I shall not employ any person in any manner CONTRACTOR 1 � a _ 0 so aceto ec�me. ubPepct tp the ec,' mpeasati Laws. CLOTHES WASHER H �l.:C`�► $(p�1 .V\L ADORES � 1 " Date A lic t� SWIMMING POOL RECEPTOR �T W NOTICE TO APPLICANT: If, after making this Certificate.of CITY TEt l.! – a1i WL I .Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. Compensation provisions of the Labor Code, you must forth- LICENSE NO. CLASS with comply with such provisions or this permit shall be WATER HEATER deemed revoked. I DI NO. CESSED Y GAS SYSTEM OUTLETS LICENSED CONTRACTORS DECLARATION OUTLETS OVER d I hereby affirm that I®m licensed under provisions of,Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL / ✓ VALIDATION ness and Professions.Code, and my license is.in full force and DATE effect. FINAL ,)License Numbe Lic.Class BY Contracto � � 1 am ex mp1 from the licensing requirements as I am a Plan check fee se'd architect or a registered professional engineer PLUMBING PERMIT ISSUING.FEE$ acting in my professional capacity (Section 7051, Bus- iness and P ofessions Code). v TOTAL FEE -- Lic,or Reg.No �`j:D= Date: —, Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address License Law for the following reason (Section.7031.5, Busi- City Tel.No. ness and Professions Code): z 5 4 5 1 A 1, as owner of the property, am exclusively contracting ' with licensed contractors to construct the project 0 0 0 0 o 5 (Section 7044, Business and Professions Code). 2,0 o .1. 600 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency o 0 01 600= for the performance of the work for which this permit is , v issued(Sec. 3097,Civ.C.). Oa 2.$_81 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 SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing,.and hereby thorize representatives of this County to enter upon the ab ent�. ed roperty for inspection purposes. Signature of Permittee. Date