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Home My Public Portal About10034 LA ROSA DR_Plumbing__ PLUMBING I liEPARTMENT OF COUNTY ENGINEER DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING �J WILLIAM J. FOX, COUNTY ENGINEER ADDRESS .34legalism FOR APPLICAN TO FILL IN LOCALITY._I i, BUILDING 0 _ I_ NEARESTor ADDRESS Q�iLV CROSS ST. ../A DISTRICT NO. GROUP ZONE PERMIT NO. LOCALITY,_ /�� —fi `J _ �- ac) 2 NEAREST CROSS ST. �( -„e.,.'✓ RECEIVED BY Ready for IRecection DATE ISSUED OWNER MAI— L --® INDUSTRIA-L\ ADDRESS WASTE APPROVAL CITY TEL,NO. J INSPECTION RECORD PLUMBER /rJ ry Z'SE "A7goG 'sA-- B ,4DDRES$ Cid g.e , /J y STATE LIrENSE NO. 71 // COUNTY PERMIT FEES Z 1lIM6ER TYPE OF FIXTURE OR ITEM FEE .- WATER CLOSET(TOILET) @ 0.80 $ v � BATHTUB @ 0.80 SHOWER @ 0.80 LAVATORY (WASH BASIN) @ 0.80 SS 40/ J KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY @ 0.80 �fV/!1 SdNSr D1/ TO SLOP SINK @ 0:80 FLOORSINK @ 0.80 d'e_/S 7r; o o aY' 7' 'S FLOOR DRAIN @ 0.80 DISHWASHER @ 8180 _ DRINKING FOUNTAIN @ 0.80 _ URINAL @ 0.80 GAS SYSTEM_-...._.--OUTLETS @ 1.00 WATER HEATER @ 1.00 - - MISCELLANEOUS _ APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT S I00 ROUGH PLUMBING TOTAL FEE wf0 GAS PIPING IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GASVENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER i TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES ' 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF:.CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDDENTTIIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE �4// . // . OF PERMITTEE. _._ .."'- �o-L.�'` .^[_,y3�r��_.... ............ FINAL 7 v ,6A667 DBS 17 1/53 76A667 (CE-817) - 5/73 r� APPLICATION FOR PLUUMBdNG- PEfRMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION NO MAKE CHECKS PAYABLE TO: ADDRE Ss -'� HARVEY T. BRANDT, COUNTY ENGINEER . LOCALITY " •'4 � FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST - : 1 CROSSIST. NUMBER FIXTURE OR ITEM @ FEE : .'. OWNER h I - 1 C, WATER CLOSET MAIL M�K�gsy BATH TUB 1J5 '-ADDRESS'Ims L_ Q -.t. SHOWER CITY _ TEL. N0. TTCI�" LAVATORY CONTRA O SINK - ADDRESS DISHWASHER 1.75 CITY CLOTHES WASHER 1.75 STATE .�� / -CLIC PASS - CJ - SWIMMING POOL RECEPTOR 1.75 LICENSE NO. DIS TR CT NO, GROUP ZONE �QROC EBBED B LAWN SPRINKLER SYSTEM 1.75 O / WATER HEATERrTs' INDUSTRIAL WASTE APPROVAL _ y GAS SYSTEM OUTLETS INSPECTION RECORD U OUTLETS OVER 30 DC 5 PER SYSTEM - , _ 0 H U Id p � i Plan check fee See R.Vese , PLUMBING PERMIT ISSUING FEE $ 4GAS TOTAL FEE PPROVALS DATE I ISIECTOR's DIGNA{URE Plan check applicant R SLAB WORKNdm2 H PLUMBINGAddress - - IPINGCity - - Tel. No. ENT 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 ALLCOUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. _ GAS TEST . . HEREBY CERTIFY THAT M PROPERLY REGISTERED PND/DR UTILITY CO. NOTIFIED 1 LICENSED PS REQUIRED LOS NGELES MAT E DF CAL(FOR NIA OR THA�I� THE EGAC OWN0 TORESIDE IN THE AB$�"E SCRIB RESIDENTIAFINAL SIQNATU F PERM( E PERMIT VALIDATION cK. M.D. CASH ' •PLAN CHECK VALIDATION CK. M.O. CASH �. ' a 3.2:�_n,1fa.. 16 s o. 19.5 bw18 Ou� WORKERS' PENSATIONDECLARATION ,,.a,,' APPLICATION FOR' P.LUMB_ING. PERMIT I hereby affirm that at I .have ali'certificate of consent to self cE e (z-ea) • insure, or a certificate of Workers'Compensation,lnsurance,or - a cern d copy there f(Sec. 3800, Lab.C.) /✓ �-1q �6`� � A COUNTY OF LOS ANGELES / `�/ BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING Vb �� (j O5� ADDRESS (� '® Certified'copy is filed with the county building inspection NUMBER FIXTURE OR ITEM • FEE 1 ` department. WATER CLOSET LOCALITY T•exv\ ``� ` G'i'g.• Dpte Applicant NEAREST BATH TUB CROSS ST. i.J R `QYNI CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER COMPENSATION INSURANCE SHOWER LAVATORY- NAIL t� (This section need, not be completed. if the work involved ADDRESS �a�'.1 �-- R--O SR b the permit is for one hundred dollars (SI00) or less.) - -/(� } Y P SINK CITY'T.eM-� `�,' G TEL.NO. -SIOQ I certify that in the performance of the work for which this DISHWASHERU permit is issued, I shall not employ any person in any manner CONTRACTOR so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER Ua[e Applicant ADDRESS 48 go .S , w)�s 0 SWIMMING POOL RECEPTOR / )' U NOTICE TO APPLICANT: If, after making this Certificate of CITY 6p� b0 TEL.NO.285_Z26J W Exemption, you should become subject to the Workers' LAWN SPRIN KLER SYSTEM STATEGeIL Compensation provisions of the Labor Code, you must forth- LICENSE NO. \p �1 O� CLASS `_r�J Z with comply with such provisions or this permit shall be WATER HEATER deemed revoked. I GAS SYSTEM OUTLETS DISTRICT NO. PROCESSED By LICENSED CONTRACTORS DECLARATION OUTLETS OVER S16 . 1 hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL �I � p VALIDATION � - ness and Professions Code, and my license is in full force and 1 V• DATE e•o effect. - 1�102 FINAL LicenseNumber {� �t Lia ss Clal.. 7 BY L_ �•`r— ' Contractor .1(iJ FaJ`� Date ��_�r•--• '�-y�}r ElI am exempt from the licensing requirements as I am a Plan Check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEES acting in my professional capacity (Section 7051. Bus- r�w iness and Professions Code). TOTAL FEE i Lic,or Reg.No. Date Plan check applicant ' HOME OWNER-BUILDER DECLARATION . Name . . I hereby affirm that'I am exempt from the Contractor's Address Jaga. G. (—, *r, License ,pz337.8A License Law for the following reason (Section,7031.5, Busi- City '� Tel.No. OSo • • ^ 5 ness and Professions Code): ' ❑ I, as owner of the property, am exclusively contracting 2 •.0.2 Q 5 0 with licensed contractors to construct the project (Section 7044,Business and Professions Code). •to e 2,G 5 O cZi. CONSTRUCTION LENDING AGENCY .. - 03.24—.82 I 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.). �I� 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 uthorize representatives of this County to enter upon the a ire-menti d party for inspection purpos .0. Signature of Permittee Date 1 WORKERS'COMPENSATION DECLARATION rsnierA I hereby:.affirm that I have a certificate of consent to self ce en (z-ea) -APPLICATION .FOR PLUMBING PERMIT ' insure, or a certificateof Workers'Compensation Insurance,or- C.- a certified copy thereof(Sec.3800,.Lab C.) COUNTY OF COS ANGELES � -BUILDING AND SAFETY'. t3i-zloVt�icx� Zen'-}� Policy.No. Company ('• , 7Certified copy is hereby furnished. FOR APPLICANT TO'FILL IN(PRINT OR TYPE) BUILDING I✓1-1 {l r,,,. •� Certified copy is.fded with.the cou bui inspection N .FIXTURE . rUMBER. I R ITEM • FEE 'ADDRESS ' Dated �r''Applicant CJS CALIT WATER CLOSET - - N6 AR EST - I� ��• -BATH TUB. - CROSS ST. CERTIFICATE OF EXEQIOVVROM WORKERS' - _ _ r'` c COMPENSATION INSURANCE SHOWER v OWNER i +I'- J, v.'aJ'. .. ,-• = (This section need not be completed if the work invLAVATORY- MAIL olved ADDRESS by the permit is-for one hundred dollars ($100) of less.) A SINK I CITV I TEL.N I U I certify that in the performance of'the work for which this DISHWASHER - cc permit-isissued, Ishall not employ any person in any manner CONTRACTOR S;• '0 so as to become subject to the Workers' Compensation Laws. CLOTHES WASHER ADORES : c Date Applicant SWIMMING POOL RECEPTOR NOTICE TO APPLICANT: If, after making this Certificate of CITY U3"�1 TEL. NO; to - Exemption, you should become .subject to the Workers' - LAWN.SPRINKLER SYSTEM STATE q('� ��,�+(,��\j{/�'''Tt� LIC. nn z Compensation provisions of the Labor Code, you must forth- LICENSE NO. "I 5C./l/lJ CLASS'1.. -�(O C-`{7 with :comply ;with such provisions or this permit shall be .WATER HEATER deemed revoked. GAS SYSTEM OUTLETS DISTRICT NO. PRO ESSED BV LICENSED CONTRACTORS DECLARATION OUTLETS OVER 10,91 I hereby affirm.that I am licensed under provisions of Chapter 5 PER:SVSTEM 9 (con mencing with Section 7000) of Division 3 of the Busi- FINAL _ p ness and Profes"cions Code, and my bcenae is in full force and DATE —j 7 O Z VALIDATION ' .effect. - I - �, 3O,c_ y FINAL 'License NumQQbe Lic.Class F Contractor Ix/'� , Date- -�•(`�� 1 D " am.exempt from the licensing,requirements as I am a, t Plan check-fee G licensed architect or a registered professional'engineer PLUMBING PERMIT ISSUING FEE$ 7 S 41) acting in my professional capacity (Section 7051, Bus- _/1 - iness and Professions Code). TOTAL FEE Imo-- J Lic.or Reg.No. Date Plan check,applicanit HOME OWNER-BUILDER DECLARATION - • Name- , I. hereby affirm that'.I am exempt from the Contractor's Address License Law for the following reason (Section,703 1.5, Busi- City Tel. No. ness and Professions Code): _ 9.3,7 Q,j..A +' 1, as owner ofrthe property; am exclusively contracting r - - — p with licensed contractors to construct the ..project '# •`e a-s,5 (Section 7044, Business and Professions Code). - 2'•'•.1.2. 0 CONSTRUCTION LENDING AGENCY ' - - I hereby,affirm that there is a construction lending agency - e`et••1,2J�Qczi - for the performanceof'the work for which this permit is issued (Sec.3097,Civ.C.). ` - .,- .� 4.2.2--8 2 Lender's'Name F Lender's Address I.certify that I have read this application and'stme 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 _ _ authorize re resentatives of this County-to enter upon the ge-se e I ol� rap r for inspection pur osesrie'tutha f Termittee