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HomeMy Public PortalAbout10134 LA ROSA DR_Plumbing__ °sAss " z�M SETS <D APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING _ WM:J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. 1 ROUGH FIXTURES COMPLfiT6 '� T ����• HEATER CEHHPOOL I SEPTIC TANK RECEIVED BY READY FOR DATEIBHUED II( FIRST INSPECTION GAB I MIBCELLANEOU APPLICANT (jFILL �IN HEAVILY OUTLINED PORTION ONLY +m NAME ADD ESB I' iflb.8.'R./ W ��5y m ADDRESS p• Q LOCALITY lzlj-J R O NEAREST 0 A CITY DY TEL.No. 7-3J A CROBB BT. �i wil COUNTY LICENSE NO. EXPIRES E NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL o y/ ��I ADDRESS l% NORTH O CITY TEL.No. 1 AM THB LEO L P086ESBOR OF THE ABOVE LOB ANGELES COUNTY CERTIFICATE O QUALIFICATI_ ON. _ - PLUNDER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK _i '� ATH TUB -•T- - � m �� HOWER DISHWASHER D /L1 AVATORY REFRIGERATOR —�K ITCNENN BINK WATER SOFTENER FLOOR SINK SANOTRAP GLOP SINK FLOOR DRAIN W W ASH TRAY URINAL APPROVALS / ATfiR CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME l/ WATER HEATER —DENTALLAVATORY ROUGH PLUMBING I /S-C y`1 .� METER 3 GAS SODAFOUNTAIN GAB PIPING •• OUTL GAS VENT CESSPOOL I TOTAL NUMBER OF FIXTUR88 SEPTIC TANK I I CEBSPOOI SEPTIC TANK SEWER I I S UTILITY CO.NOTIFIED / / TOTAL FEE FINAL T°AEET 17 S-JS ® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �' COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRIC'LNO. GROUP ZONE I PERMITNO. PLUMBER M. C. NOTTINGHAM RECEIVE BY READY FOR ATE15SUEDy/ FIRST INSPECTION /ATE J� ADDRESS 123 No. Gioyeily Ave, � /�7l*,T 7 /'1 r�A !� ` T� BUILDING CITY 1 JJl�',P�J.E l ,V9V%TNO` A I T H ADDRESS COUNTY LOCALITY G/ LICENSE NO. EXPIRES NEAREST f1 PERMIT FEES CROSS ST. NUMBER, TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) ® 0.50 5 ADDRESS O BATHTUB @ 0.50 CITY TEL. NO. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY WASH BASIN) Q 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK C<d 0.50 STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS, LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIB5D ABOVE. GAS SYSTEM-OUTLETS ® 0.50 SI�G�f!�I F //'� ' — E ./� I WATER HEATER O 0.50 7 P SLOP SINK D.SoI_ INSPECTION RECORD FLOORSINK ® 0.$0 FLOOR DRAIN n4 0.50 DISHWASHER n4 0.50 DRINKING FOUNTAIN © 0.50 �% ` �'+ '• URINAL 4 0.501 ;J HOUSESEWER © 0.50 Q Z MISCELLANEOUS I U' o I I APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL © 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) Q 1.00 SEWER PERMIT . f.oo GAS TEST $ 3, UTILITY CO. NOTIFIED TOTAL FEE I FINAL / D.B.I] RN BETE 9. 3 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES P`u�B��G WM. J. FOX. CHIEF ENGINEER ! NATURE OF INSTALLATION DISTRICT NO. GR'ODUP `iE PERMIT NO.. L ROUGH FIXTURES COMPLETE � y >� ;-Z /P- REGEIYEO BY READY FOR D TE IBBUED HEATER CESSPOOL BEPTICTANK '/ � FIRST INSPECTION GAS MISCELLANEOUS Gw" APPLICANT GFILL INIJE�AVUILY OUTLINED PORTION ONLY J S NAME /�fw/ �Z, (1Y C.CLU < d ADDRESS /i a' f ADDRESS �j �r/„/ (T/•j�,d� LOCALITY ...�� L(irG/ O •� h p NEAREST ® � 6 CITY ,�¢,y/�yyAlyJ:,�YY/ �EL N �'/. // / CROSS ST. COUNTY ,,/// µ , CERT.No. NAME ��.•,- �/i�uy� LOCATION OF SEPTIC TANK, OR CESSPOOL 2 MAIL ' 3 ADDRESS NORTH O I CITY TEL.NO. I AM THE LEGAL POSSESSOR THE ABOVE LOB ANGELES COU,N�T/Y C/E/R�TIPICATE OF QUALIFICATION. PLUMBER" 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRINED ABOVE. R D 0 OWNER H CORRECTIONS SOUTH / J DESCRIPTION OF WORK I BATH TUB FURNACE SHOWER -DISHWASHER () / LAVATORY REFRIGERATOR KITCHEN BINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN ___LWASH TRAY URINAL APPROVALS 1 , ___LWATER CLOSET DRINKING FOUNTAIN DATE /INSPECTOR'S.NAME •rWATER HEATER DENTALLAVATORY ROUGH PLUMBING / ETER_�GA8 SODA FOUNTAIN GAB PIPING OUTL GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES • SEPTIC TANK I CE98POOI SEPTIC TANK SEWER I .� S� TOTAL FEE UTILITY CO.NOTIFIED L/ ✓ FINAL 76A667-CES17-11-57 APPLICATION oICA TION FOR PLUMBING PERMIT COUNTY 1 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. County. Engineer ADDRESS CASSATT D. GRIFFIN, Sup I of Building I LOCALITYFOR APPLICANT TO FILL IN NEAREST Tamp It CROSS ST.NUMBER FIXTURE OR ITEM OWNER WATER CLOSETMAIL BATH TUB ADDRESS SHOWER CITY TEL. NO. LAVATORY CONTRACTOR Earl (Pat) AtImSIN% ADDRESS s p 2019.Ne Hoyt P-0.1+08 DISHWASHER CITY TEL. NO.CONTRACTOR'S JULAUNDRY TUB REGISTRATION NO. 1 CLOTHES WASHER DISTRICT NO. GROUP ZONE I REA OR INSPECTION WATER HEATER 1 GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD _Za lw APPROVALS A @ $1.00 PER ITEM ATE INSPECTOR"$,SIGNATURE 10 OR FUMBE S 10000 UNDER SLAB WORK / PERMIT $ 2100 ROUGH PLUMBING TOTAL FEE 1 12 00 GAS PIPING _— I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER ' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST 5.1� d4 17-y _LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDE ALL PPR/ROO/PER S OFPERMITT "" ""'�"�"'� FINAL ROBERTA.WOOD. ®r VALIDATION SUPERVISING MECHANICAL ENG'R LK. It.O. CASH p5775nYR2D7 5 A 12.00 M { &Jalv 76AS67-CEB17-8-58 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, County. Eagueer ' CASSATT D. GRUFFIN" Sup t of Building LOCALITY ✓w> FOR APPLICANT TO FIJI IN NEAREST y' CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL BATH TUB ADDRESS CITY TIES NO. SHOWER LAVATORY CONTRACTOR,r SINE ADDRESS pZ (J L DISHWASHER CITY [� 1, / TEL. NOCONTRACTOR b �+ braTti rd ,c-P— J LAUNDRY TUB REGISTRATION NO. ''--3 F' - (J �y�COIINTY ❑ CLOTHES WASHER DISTRICT NO. GRO/UPNE P ESSED BY WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL n INSPECTION RECORD �y PJScc T�f C iv c APPROVALS @ $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE OR FIXTURE S UNDER SLAB WORK PERMIT $ T 00 ROUGH PLUMBING TOTAL FEE GAS PIPING /- ---�-_�- 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GASVENT AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT A AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTI PROPERTY._ SIGNATURE ITE I A. FINAL Y ROBERTA.WOOD. ©/ ^VALIDATION SUPERVISING MECHANICAL ENG'R ' L9/ M.0. CASH LAC0 2 9 3 6 SEP 21 5 A 4.0 0 WORKERS'COMPENSAflONDECLARATION APPLICATION FOR PLUMBING PERMIT �I .affirm that I have a*certificate oFconse'nt to self 76A667A �J insu7-, or a certificate of Workers' Compensotion Insurance, CE BV(REV. 10/81) ona certified copy thereof (Sec. 3810, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Compony _ Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING p `., ,e Certified copy is filed with the county building inspec- ADDRESS Q 3 (�'�.H' tion deportment. NUMBER FIXTURE OR ITEM @ FEE LOCALITYr _0 �� Date WATER CLOSET Applicant � NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB 1600 CROSS ST. COMPENSATION INSURANCE b osL OWNERkke rL (This section need not be completed if the work involved by SHOWER V the permit is for one hundred dollars ($100)or less.) Lp,VgTpgy L MAIL ADDRESS S/' s n / r 6 O (�f' 1 certify that in the performance of the work for which this ,��q permit is issued, 1 shall not employ any person in any manner SINK CITY, 6//1 `� TEL. NO. so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date / f/ ,AAoPlcant JGK &JAII U1/_ CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, 'after making this Certificate of Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR CITYTEL. NO. Compensation provisions of the Labor Code, you must forth- - with comply with such provisions or this permit shall be LAWN SPRINKLER SYSTEM STATE LIC. deemed revoked. WATER HEATER LICENSE NO, CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO ESSED BY I hereby affirm that i am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS L—yd�( (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER .l V and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL -p VALI ATION DATE 10,V ' ( � p}j License Number Lia Class - FINAL U. Contractor Date BY ❑ I am exempt under Sec. 0 U B.BP.C. for this reason W Plan check fee poloi —Date:— PLUMBING PERMIT ISSUING FEE$ 4 4 3 4 A Z Signature TOTAL FEE SQ Plan check applicant SINGLE FAMILY ( • - 34.50 HOME OWNER-BUILDER DECLARATION - Name I hereby affirm that I am exempt from the Contractor's License Address • • • 3 4 5 0 Law for the following reason (Section 7031.5, Business and - Professions Code): City Tel. No. 010 4 8 6 I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section 7044, Business and,Professions Code). CONSTRUCTION LENDING AGENCY 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.). Lender's Name Lender's Address I certify that I have read this application and stole 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 , abov -meat- ned r perty for inspection purposes. -J �'r �6� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee,��n Dote WORKER'S COMPENSATION DECLARATION 20-0026 DPW 9/69 APPLICATION FOR PLUMBING PERMIT 6A66]A I hereby affirm Ittat I have a certificate of consent to self insure, or a certificate 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 Certified copy is tiled with the county building inspection ADDRESS department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Dale Applicant WATER CLOSET NEAREST - CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed If the work involved by the SHOWER MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or less.) LAVATORY OWNER .P /',/} / I certify that in the performance of the work for which this permit �`- va7�"v is issued, I shall not employ any person in any manner so as toMAIL become subject to the Workers' Compensation Laws. SINK ADDRESS DISWASHER CITY TEL.N0a6�� Date LI ApplicantC`L� ai CLOTHES WASHER CN S NOTICE TO APPLICANT: If, after making t is Cer ific to of NTRACTOR u: Exemption,you should become subject to the Workers' Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS �J provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM ^ LICENSED CONTRACTORS DECLARATION CITY' RW��\ TEL.NO.31O-9 Z6-6 d 1 hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER (commencing with Section 7000) of Division 3 of the Business and STATE y ^'� LIC. Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS / LICENSE NO. „7 / CLASS G� V OUTLETS OVER DISTRICT NO. PROCESSED BY 5 PER SYSTEMO License Number, ? Lic.Class C0(2 ;�— F- FINAL Date-Jn VALIDATION W DATE / ' 06 Contractor uvu 7�Vf7 1 fA I am exempt under Sec. By AL ) Z B.&P.C.for this reason G4" f V4�7Plan check fee D.ate/ 1 _ „L-�� PLUMBING PERMIT ISSUING FEE$ -2 Signature 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 Law for the following reason (Section 7031.5, Business and Professions Address Code): ❑ City Tel. No. - I,as owner of the property, will do the work and the structure tt is not intended or offered for sale (Section 7044, Business and Professions Code). , _ _ CHC . :'G _.. E CONSTRUCTION LENDING AGENCY ;r I hereby affirm that there is a construction lending agency for the t" I�1`-�- •`�(� 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 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 property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature Of Permittee Date