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Home My Public Portal About10043 LA ROSA DR_Plumbing__ )64fi6]-C. i 6-65 „ � APPLICATION FOR PLUMBING PEL//(r IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS / OS JOHN A. LAM BI E. COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING .� LOCALITY FOR APPLICANT TO FML IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE ��S Q WATER CLOSET 31.25 OWNER MAIL BATH TUE 1.25 ADDRESS "V'' avlf SHOWER 1.25 CITY 1-77-C , TEL. NO. •32ab LAVATORY 1.25 CONTRACTOR SINS 1.25 ADDRESS DISHWASHER 1.25 CITYL. NO. LAUNDRY TUB 1.25 STATE LIC LICENSE NO, CLASS CLOTHES WASHER 1.25 pI STRICT rye, ygOUP O P B BY WATER HEATER 1.50 I•JVD^ Cly GAS SYSTEM OUTLETS "'o n INDUSAL APPROVAL a O OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD U w O H U w d z Z APPROVALS DATE INSPECTORS SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE `',j So GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT ANO AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING, HOT WATER HEATER 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES / 'f✓_ .�/I/Y%� LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST d / CALIFORNIA OR THAT I AM T E GAL HER OF.AND INTEND TO RESIDE IN. THE ABOVE DES PROPERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTE -- FINAL f17 1 ,,-�LIDATION CK. M.O. CASH X5.4 3 5Z8 OCT 24 5, D 3.50- a J6A660A CE 619 IRE V.6/961 �2 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDIN'JG AND �ySAFETY /J FOR APPLICANT TO FILL IN I PRINT OR TYPE) ADDRESSU 1DING1j6 sJ ^i] /e OK. NUMBER FIXTURE OR ITEM ® FEE _ LOCALITY (Q WATER CLOSET _ im GG�y �•'��' __ _ BATH TUB NEAREST. •4LDa✓i�J SHOWER OWNER L !•.!/D�p1 LAVATORY ADDRESS O✓7. �l.IK�YFS•� D� SINK CITY7Z0" Ke- yl TEL.NO-41,' I'S3-S? DISHWASHER CONTRACTOR CLOTHES WASHER If ADDRESS SWIMMING POOL RECEPTOR CITY TEL.NO. LAWN SPRINKLER SYSTEM STATE LIC, WATER HEATER LICENSE NO. CLASS GAS SYSTEM OUTLETS APPROVALS DATE INSPE 40135 SIGNATURE OUTLETS OVER UNDERSLAB WORKN�7 5 PER SYSTEM ROUGH PLUMBING GAS PIPING Q GASVENTHOT WATER HEATERPLUMBING FIXTURES GAS TEST 1J LLLLLLw!1 Plan check fee UTILITY CO.NOTIFIED Z PLUMBING PERMIT ISSUING FEE$ TOTAL FEE FINAL PLAN CHECK VALIDATION Plan check applicant Name Address City Tel.No. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS L9 4 4 2 8 A REQUIRED BY LOS ANG ES COUNTY AND TE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWr OF,AN 1 EN 0 510E IN HE ABOVE DESCRIBED RESIDENTIAL {{{{ PROPERTY. H • • • • • S SIGNATURE L • • 300 OF PERMITTEE D �ISTRI NO. PR ESSED BY • • • 1 3 0 0 a=i 67v 05. 17-79 INDUSTRIAL WASTE APPROVAL 76 A�68j (CE-817) - 5/73 y 1 " APPLICATION FSR1. P 1 -1.. NG PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FNEARE NG / n ® h/� MAKE CHECKS PAYABLE TO. S �G(JSJ� �C? ``OSA Pe HARVEY T. BRANDT, COUNTY ENGINEER TY '77Z, ,0Jff 6 FOR APPLICANT TO FILL IN (PRINT OR TYPEI T NUMBER FIXTURE OR ITEM @ FEE ST'' WATER CLOSET 1.7572Gn/�BATHTUB 1.75 S• /0 It; �QJ/� /,,< SHOWER 1.7s CITY E;yP�� Li TEL. NO. yy.�h3S �7 LAVATORY 7,75 CONTRACTOR j- s is _ SINK 1.75 ADDRESS 16 o � 3 4FN �`'. DISHWASHER 1.75 CITY T��9/-L�' o�J'] TEL. NO.�IS�'S� CLOTHES WASHER 1.75 STATE LIC. _ 1 LICENSE NO. - ' CLASS SWIMMING POOL RECEPTOR 1.75 DISTRICT.NO. 'GROUP ZO OCESSED BY LAWN SPRINKLER SYSTEM 7.75 � O' WATER HEATER' 1.75 INDUSTRIAL .•2 WASTE APPROVAL y GAS SYSTEM pG. OUTLETS 1.75 5 INSPECTION RECORD U OUTLETS OVER 5 PE0.SYSTEM .30 ' o U W d Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEESISS 3 Oo TOTAL FEE Plan Check applicant // n `� APPROV ALS>,.. DATE PCCTDR'` slcNnvuRE o UNDE R.6LR8'WOI�IC'Name' �1D _ ROUGH PLUMBING - Address 0 a5 GAS PIPING -q� y.,/ GAS VENTCity . `'� GJ/' Tel. No. ,�j`.S.S� HOT WATER HEATER XEREBT ACKNOWLEDGE T AT M4VE HEAD PLICATIONAND STATE THAT THE ABOVE IS CORRECT AND AO COMPLY PLUMBING FIXTURE$ �� (��7WITH ALL COUNTY ORDINANCES AND STATE LGULATING PLUMBINGGA$TESTIHEREBY CERTIFY THAT I AM PROPERLY RED AND/OR UTILITY CO. NOTIFIEDLICENSED AS REOU IRED BY LOS ANGELES COUNSTATE OFCALIFORNIA OR THAT I AM THE LEGAL OWNER OINTEND TORESIOE IN TME ABOVE D RI O R IGEN l Pg . FINAL 51 GNATU RE ' OF PERMITTEE PERMIT VALIDATION CK M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH \- _ 68 0�APR 24 5 0 1 3.5 0 ,&&a WORKERS'that`have"SATI°" DECLARATION APPLICATION FOR PLUMBING PERMIT 20-0026 DPW�4/BJ / I hereby, affirm that f have a scertificateComeati consent ro self r a '76A667A - ,lull sure, or a opy.t eremf Workers'Compensation Insurance,ora 'CE 817(REV.-8/B6j ' ' certified copy.thereof(Sec. 3800, Lab.�C.} . � ' c. i Policy,No. - Gam an . . COUNTY OF LOS ANGELES' DEPT OF,PUBLIC WORKS, Certified copy is hereby furnished. - - FOR APPLICANT TO FILL IN (PRINT OR TYPE)" BUILD(NG 0 Certified copy isfiled with the county building inspection ADDRESS j00* department.., NUMBER. FIXTURE OR ITEM @ FEE -� LOCALITY r . < (TOILET) �n 4f cF�" Dale •WATER Applicant � CLOSET- NEAREST e' r. CER• ! - TIFICATE OF EXEMPTION FROM WORKERS' CROSS ST BATH-TUB • COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by tMAIL he Perri is for.one hundred dollars (5100).or less.) LAVATORYADDRESS I certify That in the performance of the work for which this per - /.�� mit is issued, I shall not employ any person in.any manner so SINK CITY TEL. NQS-f ��(] as to become subject to the Workers Compensation Laws. DISHWASHER ��///// z 47-Ty z T 1 rO / CONTRACTOR bate fafr Applicant nrC ' -"s CLOTHES WASHER NOTICE TO APPLICANT lf, after rnakin us Certificate of Ex- ADDRESS emotion,you should become subject to the Workers'Compen- SWIMMING POOL RECEPTOR cation rovisions of the Labor Code, you must forthwith comp- CITY TEL NO: P Y P- LAWN SPRINKLER SYSTEM ly.with such provisions or this permit shall be deemed revok- STATE •. LIC. ed, WATER HEATER - LICENSE NO. CLA55 LICENSED CONTRACTORS DECLARATION DISTRICT NO. P OCESSfD BY hereby affirm that I am licensed under pro'v inions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER. fed Professions Code, and my license,is in full force and ef- 5 PER SYSTEM FINAL DATE O License Number - Lic. Class - / U BY A� f rix � . O Contractor Date F I am exempt under Sec. - W CL B.&P.C.for this reason - - Plan check fee Poo. 6,Q 8 Q Z Date: PLUMBING PERMIT ISSUING FEE$ V e.• • e 0 rJ Signature - TOTAL FEE '( i• • 40.50 SINGLE FAMILY cant 'ee i HOME OWNER-BUILDER DECLARATION Plan check applicantPP i - LG 0,5 Q;�. I hereby affirm that I am exempt from the Contractor's License Name - t, 'Q 5r] 6=88 Law forthefollowing reason (Section 7031.5, Business and - Professions Code): - Address - 21, as owner-of the property, will do the work and the City Tel. No. structure,is not intended or offered for sole(Secnon.7044, - - Businessand Professions Cade). Poo NSTRUCTION LENDING AGENCY - - - hereby affirm that there is�a construction lendingagency for the performance of the work for which this permit is.issued ' (Sec. 3097, Civ. C.). - - Lender's Name Lendei s Addiess - ' ' - - I certify rhdt l'have read this application and state that the above,information is correct. Iagree to comply with all County - ordinances and State.laws regulating Plumbing, and hereby authorize,representatives of this County to enter upon the above-mentioned property for inspection purpose/s. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature Permittee Date - -