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Home My Public Portal About10101 LANDSEER ST_Plumbing__ 76A607-MI7 10-60 _APPLICATION FOR PLUMBING. PERMIT COUNTY OF LOS ANGELES T. DEPARTMENT OF COUNTY ENGINEER BUILDING AND'SAFETY DNlSION BUILDING 10101 Landseer- JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY Temple -City FOR APPLICANT TO FILL IN NEAT CROSS ST. NUMBER FIXTURE OR ITEM OWNER 2 WATER CLOSET , Weber-Construction's-Co - 1 1 BATH TUB' DAD�RESS 8632 Las Tunas Drive— SHOWER CITY San QabriML NO. CONTRACTOR WaSAW aumbin co. LAVATORY ADDRESS. ppaa9q , Fl a e-twnc d '�1 .• ]. SINS CITY QI7d®�� DLSHWASHEH' TEL. NO., Ed 5-12 CONTRACTOR'S STATE ❑ LAUNDRY,TUB REGISTRATION NO. COUNTY CLOTHES WASHER DISTRICT Nb._j GROUP ZONE P E BED BY ' ]. WATER HEATERS l ]� GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD ° 0 o a to 0 $1.00 PER ITEM 10 OR FIXTURE $ ` APPROVALS- _ DATE. I -PCTO R'S SIGNATURE PERMIT $ 2100 UNDER WORK' `S TOTAL FEE ROUGH PLUMBING s �.d _ �►/ R�r' GAS PIPING - - .� ,/`� 1 HEREBY ACKNOWLEDGE THAT I 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 FLU MBING. - HOT WATER HEATER 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ORPLUMBING FIXTURES• +' y LICENSED AS REQUIRED BY LOS ANGELES COUNTYAND STATE OF - [y. CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE GAS TESTpp �y,''�,,CC,�•+ vr'',d:-j DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITT FINAL - ALIDATION ROBERT•A.�WOOD CK. M.O. CASH SUPERVISING MECHANICAL ENG'R - .� 5 D1 `' 76A687 (CE-817) - 1/7r APPLICATION FOR. PLUMBING PERMIT. COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BAD DD' RD DING Q HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. d2--- NUMBER -NUMBER FIXTURE OR ITEM @ FEE OWNER WATER CLOSET 2.00 MAIL ' BATH TUB 2.00 ADDRESS C SHOWER 2.00 CITY TEL. NO. LAVATORY 2.00 CONTRACTOR V " , SINK 2.00 ADDRESS �Z DISHWASHER 2.00 CITY J� TEL. NO. *4.1��- CLOTHES WASHER 2.00 STATE ^^ t LIC LICENSE NO. ei_ /Ztm CLASS O SWIMMING POOL RECEPTOR �Op C DIS�ICT NOpo.'P�J�7— ZE - RO SED BY LAWN SPRINKLER SYSTEM 2.00 v..do / WATERHEATER 2.00 INDUSTRIAL WASTE APPROVAL a CD GAS SYSTEM OUTLETS 00 Cyp INSPECTION RECORD OUTLETS OVER 5 PER SYSTEM .30 O F- U W O_ - C/J Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL FEE J 0 APPROVALS GATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING VG S'l2'7� City Tel. NO. GAS VENT 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 ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST 41 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED 1 LICENSR A ED AS REQUIRED BY ANGE S COUNTY AND STATE OF Z ,� 110 y' CALIFORNIA 01' THAT I A T LE NER OF, AND INTEND TO RESIDE IN THE ABOVE DES R ED SIDE TIAL PROPE TY. INAL �70-77 ►,r-�, SIGNATURE OF PERMITTEE P MIT VALIDATION CK. M,0. CASH PLAN CHECK VALIDATION CK. M.O. CASH ' 37 r"-'R.pp 1.-6 5 1 .5 0 7 6 A 6 67 (C E-8 1 7)-4/72 / I." y O t C✓G� ce' r-1 .� . APPLICAT O tORVUMBING PGG E��RMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDING s� ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER 7eX- LOCALITY �� FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. s NUMBER FIXTURE OR ITEM @ FEE OWNER f WATER CLOSET 1.75 45 MAIL BATH TUB 1.75 ADDRESS SHOWER 1,75 CITY v TELNO. ..17 Q ' LAVATORY 1,75 CONTRACTOR SINK 1.75 ADDRESS J DISHWASHER 1.75 CITY 6.—°9 EL. NO. CLOTHES WASHER 1.75 STATE // LIC LICENSE NO. �`� CLASS SWIMMING POOL RECEPTOR 1.75 DISTRICT NO. GROUP Z E FR CES D B LAWN SPRINKLER SYSTEM 1.75 r 7 WATER HEATER 1.75 y INDUSTRIAL Y WASTE APPROVAL 0 GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V OUTLETS OVER d � ' 5 PER SYSTEM 30 � I U j� r y v Y f. W Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE Ij APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING 4 Address GAS PIPING City Tel. No. GAS VENT V 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 ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED J LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL wo, Vim' SIGNATURE �� r OF PERMITTEE PERMIT VALIDATION CK. M.O. CASH . PLAN CHECK VALIDATION CK. M.0. CASH ijAL,o n 7 1 9 J JAN 2 4 5D 4.2 5- WORKERS'COMPENSATION DECLARATION ' 76AG67A I hereby' affirm ,that I have a certificate, of consent to self CE 617 (z-so) APPLICATION FOR PLUMBING 'P E R M'I T r insure, or a certificate of Workers'Compensation Insurance,or — acertified copy thereof(Sec. 3800,Lab.C.) COUNTY OF LOS ANGELES 77/ ��' BUILDING AND SAFETY ,^, ,,_64/.3y/' qo! -.Olt1I'L./4 a.ru Policy No. Company — BUILDING is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ADDRESS (J Certified'copy is filed with the,county building r spection NUMBER- FIXTURE OR ITEM • FEE riepart nt. �' WATER CLOSET LOCALI TY Date –1 Applicant r ' BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER • U C MAIL LAVATORY• " (This section need not be completed if the work involved ADDRESS by the permit.'is for'one hundred dollars ($100) or less.) SINK0 CITY TEL.NO.q 'W f(5 L) I certify that in•the performance of the work for which this. DISHWASHER permit is issued,.I shall not employ any person in any manner CONTRACTOR CL4 f s%-C/ ee-KTr,, 0 so as,to become,subject to the Workers' Compensation Laws. CLOTHES WASHER Z S /S ~ ADDRESS d �. W Date Applicant' SWIMMING POOL RECEPTOR NOTICE'TO,,APPLICANT: If, after'making this Certificate of CITY `� ti,� TEL. NO.��/tIgQ z Exemption,; you 'should become 'subject to the Workers-, LAWN SPRINKLER SYSTEM Z Compensation provisions of the Labor Code, you must forth- STATE ?? `` LIC. _ p p LICENSE NO.3gb r! CLASS < ';� TC with •corriply with such provisions or this permit shall be WATER HEATER deemed revoked. a DISTRICT NO. P.RO ESSED16BY GAS SYSTEM. OUTLETS Y LICENSED`CONTRACTORS DECLARATION OUTLETS OVER Se'Vu I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL VALIDATION ness and Professions Code;"and my,license is in full force and l DATE " effect. FINAL License Number 359 1-0 k "Lic.Class SC 4 4 Lc � - BY, - Contractor&M_h`lN?etr+ Date t d -H Q4 I am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ /7 acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE -x--.J.� 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 License Law for the following reason (Section 7031.5, Busi- City Tel.No. - ness and Profess28L6Aions Code):. ' ElI, as owner of the property, am exclusively contracting with licensed-contractors•to construct the project 0 0 0"rj (Section 7044, Business and Professions Code). 2 °•°'T 250 CONSTRUCTION LENDING AGENCYx I hereby affirm-'that-there is a construction lending agency :°5° ° 1 2'5,0 cv for' the performance of the work for which this permit is issued' 3097,Civ.C.). a 2,01 8,2- JS Lender's Name Lender's Address I certify that I have read this,applicatiorr 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 authorize, representatives of this County to enter upon the above-phentioned property for in p ction purposes. " Signature of Permittee Date l WORKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have p certificate of consent to self 20-0026 DPW 6/87 insure, or a certificate of Workers' Compensatit.n Insurance, 76A667A or a certified copy thereof Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Y 7�4P Y Policy No. an ❑ • Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspec- ADDRESS ti d part nt. NUMBER FIXTURE OR ITEM @ f FEE LOCALITY WATER CLOSET �� C'' DateOEIC Apphgont �rNEAREST RTI CATS OF EXEMPTION FROM WORKERS' BATH TUB _ CROSS ST. C y„ /alt COMPENSATION INSURANCE OWNER ' w ry (This section need not be completed if the work Involved by SHOWER the permit is for one hundred dollars ($100)or less.) LAVATORY MAIL ADDRESS S /'*t I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL. NO so as to become subject to the Workers'Compensation Laws. DISHWASHER w CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS; NOTICE TO APPLICANT: If, after making this Certificate of d r� �'1 C IY�C 1*O Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR up Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM ��.p TEL NO 3 7/ with comply with such provisions or this permit shall be STATE /► deemed revoked. WATER HEATER LICENSE NO. �I� Op CLASS t�'�� LICENSED CONTRACTORS DECLARATION DISTRICT NO PROCESSED BY I hereby affirm-that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL VALIDATION DATE O, License Number Lic. Class `a -",rr FINS Contractor� - Date^� -9d BY < ❑ I am exempt under Sec. BAP C-for this reason Plan check fee Date: `, .. . � PLUMBING PERMIT ISSUING FEE$ 00 Signature TOTAL FEE 20 c Plan check applicant �'� SINGLE FAMILY ACCT HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License = 1 f Law for the following reason (Section 7031.5, Business and Address s T t Professions Code): � City Tel. No. TOTAL A.TEIT3 ® —s�� ❑ j, as owner of the property, will do the work and the structureis not intended or offered for sale (Section — 00. CWCK _ ylloi 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY CHANGE .00 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 23P 1 AM 8:46 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 jaws regulating Plumbing, and hereby aut orize representatives of this County to enter upon the ab a-m ntioned prop ty for i sp tion purpose SEE REVERSE FOR EXPLANATORY LANGUAGE �.. lqb gnature of Permittee Dale