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Home My Public Portal About9953 LAS TUNAS DR_Plumbing__ 7 )CE-817) - 1/75 't APPLICATION F R PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO BUILDING ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST NUMBER FIXTURE OR ITEM p FEE CROSS ST. OWNER WATER CLOSET 2 00 MAIL BATH TUB 200 ADDRESS SHOWER 200 CITY TEL. NO LAVATORY 200 CONTRACTOR SINK 2 00 ADDRESS DISHWASHER 200 CI A TEL. N CLOTHES WASHER 200 STATE LIC LICENSE NO CLAS SWIMMING POOL RECEPTOR 200 DISTRICT NO.GROUP ZONE C ED BY. LAWN SPRINKLER SYSTEM 2 00 WATER HEATER 2 00 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 2 00 INSPECTION RECORD OUTLETS OVER 90 v 5 PER SYSTEM CC O 1-- C.J W CL !/7 Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel NO. GAS VENT HOT WATER HEATER LRESIDE EBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES LL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST r� G. EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED AS REQUIRED BY ANGELES COUAND STATE OF NIA OR THAT I AM LEGAL OWNE 0 AND INTEND TO N THE ABOVE DESC EO RESIDENTIAL RTY, FINALU RE ERMITTE PERMIT VALIDAcK. ,O. CASH PLAN CHECrK VALID TION CK. A 2 2 4iA 23 5 b 1 C.0 sr � 8 �� 0 � 76 AV7-C E#B 17 10-67 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT-AF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FNEAREST- CROSS G JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUP T OF BUILDING Y FOR APPLICANT TO FILL IN (PR NT OR TYPE) T. NUMBER FIXTURE OR ITEM EACH FEE OWNE WATER CLOSET 1 50 MAIL BATH TUB 1.50 ADDRESS � SHOWER 1.50 CITY TEL. NO. LAVATORY 1 so CONTRACT SINK.T 1 50 ADDRESS`l -�`� DISHWASHER 1.50 CITY TEL. NO._5q r CLOTHES WASHER 1 50 STATE Q 2 LIC LICENSE NO CLAS y SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP a ZONE PROCESSED BY LAWN SPRINKLER SYSTEM 2.00 �0 - ,.� G� � � �AV WATER HEATER 1 SO INDUSTRIALWASTE APPROVAL � O GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD V OUTLETS OVER 5 PE4 SYSTEM .30 CL Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2( 00 TOTAL FEE APPROVALS DATE INSPECTOR 5 SIGNATU REY Plan check applicant UNDER SLAB'WORK [dame ROUGH,PLUMBING Address GAS PIPING GASVENT City Tel. NO. 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 GAS TEST PLUMBING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED ' LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE CALIFORNIA OR THAT 1 AM THE LEGAL OWN OF,AND O ' RESIDE IN,TH OVE DES ED R I[jE PROP FINAL SIGNATUR _ JACK R. ALLEN, SU PERVI ING IFCHANI,CAL ENG'R OF PERMI PERMIT VALIDATION—CK M o CASH PLAN CHECK VALIDATION CK M o CASH i dr,2 4 n' O� -C:T24 5 0 1.1.001— 76A667 (CE-817)-4/72 APPLICATION OlPLLOBING PERMIT {� COUNTY OF LOS ANGELES �J DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ILDIN MAKE CHECKS PAYABLE TO ADDRESS `CQJ �� HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY r FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS S NUMBER FIXTURE OR ITEM @ FEE OWNER WATER CLOSET 1.75 MAIL BATH TUB 1.75 ADDRESS S SHOWER 1,75 CITY�� TEL. NO 3 LAVATORY 1.75 CONTRACT r SINK 1.75 ADDRESS r DISHWASHER 1.75 CITY TEL NO CLOTHES WASHER 1.75 STATE LIC / LICENSE NO CLASS �3(d SWIMMING POOL RECEPTOR 1.75 ' DISTRICT NO GROUP ZONE FRO ESSE BY LAWN SPRINKLER SYSTEM 1.75 G /11 WATER HEATER 1.75 INDUSTRIAL 1 WASTE APPROVAL Gp�_ GAS SYSTEM 3 OUTLETS 1.75 S- INSPECTION RECORD C7 OUTLETS OVER 5 PER SYSTEM .30 p V W O.. � Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR S SIGNATURE Plan check applicant UNDER SLAB WORK NameROUGH PLUMBING Add4ss GAS PIPING City Tel NO GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT IHAVE 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 LICENSED AS REOUI RED BY L05 ANGELES COUNTY AND STATE OF , CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRI ED RESI ENTIA ROPER Y / FINAL SIGNATURE OF PERMITTEE PERMIT,VALIDATION CK M.0 C lBL%AN CHECK VALIDATION CK. M 0 CASH i NOV 7 ' 5 4.7'5�9G • CITY 76A667-CLs#817 2-62 TEMPLE '" ITY APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER. BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS WILLIAM A JENSEN, SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. r NUMBER FIXTURE OR ITEM EACH FEE OWNER . •7/ WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS / .� CITY SHOWER 1.25 TEL. NO. Y LAVATORY 1.25 �� CONTRACTOR SINN 1.25 ADDRESS /'w DISHWASHER 1.25 CITY TEL. LAUNDRY TUB 1.25 CONTRACTOR'S d STATE REGISTRATION NO. COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO 11 GROUP ZONE P SSED BY WATER HEATER 1.50 S. �- C- --GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM 30 i INSPECTION 4EECOARD ou P r / G A++ V) < U Z v ` a APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 OQ UNDER SLAB WORK1( r ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES Qui LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED SIGNATURE 4` ee_j OF PERMITTEE "�(JJ�• �'4 ��lLl ^/I FINAL .f'1 I DATION ROBERT A. WOOD cK M D CASH SUPERVISING MECHANICAL ENG'R L,i+.po 6 1 9 6 MAR 4 5 D 9.50- 76A 667-C E0817-9/63 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES u DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION FNEAREST 1 JOHN A. LAMBIE, COUNTY ENGINEER C WILLIAM A JENSEN, SUPT OF BUILDING FOR APPLICANT TO FILL IN NUMBER FIXTURE OR ITEM EACH FEE OWNER • WATER CLOSET $1.25 MAIL `✓ BATH TUB 1.25 ADDRESS SHOWER 1.25 CITY TEL. NO. LAVATORY 1.25 CONTRACTOR 1 SINK 1.25 ADDRESS/d3 V, giJ/L OL010,14:e- � DISHWASHER 1.25 CITY �� TEL. N04J J 6 J CTOR'S STATE LAUNDRY TUB 1.25 R GINSTRAT ON NO. �� 7 COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO GROUP ZONE P ESSED BY WATER HEATER 1.50 GAS SYSTEM_OUTLETS 1.50INDUSTRIAL WASTE APPROVAL ' W a -�o O OUTLETS OVER 5 PER SYSTEM 30 INSPECTION IMCORDol V t � O W CL Z - APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT S 2 00 UNDER SLAB WORK ROUGH PLUMBING'r, TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST RESIDE IN,THE ABOVE DEYCRIBED R SIDENTIAL PROPERTY UTILITY CO NOTIFIED SIGNATURE OF PERMITTEE ..r FINAL (� VALIDATION ROBERT A WOOD CK M o CAS SUPERVISING MECHANICAL ENG'R [Ao1 8 3 5% JUL27 5 D 6.00- 11 76A667A Q •CE 1B17,WE 6J7S) ®s . APPLICATION FO LUM B G PERMIT . COUNTY OF. LOS ANGELES* BUILDING AND SAFETY FOR APPLICANT TO FILL IN IPRINTOR TYPEI BUILDING ADDRESS G( NUMBER FIXTURE OR ITEM @ FEE • LOCALITY WATER CLOSET NEAREST' BATH TUB CROSS ST ' SHOWER OWNER H LAVATORY MAIL I ADDRESS 71t.IVAS SINK �p CITY TEL NO DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY A 0 eR TEL NO LAWN SPRINKLER SYSTEM WATER HEATER 2 LICENSE NO CLASS GAS SYSTEM OUTLETS 3 APPROVALS DATE t Ns_,10J'S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYS'EM ROUGH PLUMBING r G V GAS PIPING Ar k GAS VENT c HOT WATER HEATER .ro r, 0 PLUMBING FIXTURES 12 S, 113 GAS TEST Plan check fee UTILITYCO NOTIFIED r v PLUMBING PERMIT ISSUING FEE TOTAL FEE FINAL 17-7-2' Plan check applicant /PILAN CHECK VALIDATION t Name Address City Tel No I HEREBY ACKNOWLEDGE THAT•I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS'CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES 076AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION 5 //�� A I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS _ 1'F O 0:0 O O 5 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE ! , LEGAL OWNER OF AND INTEND T SIDE IN THE ABOV DESCRIBED RESIDENTIAL p PROPERTY- (- O o97,00 SIGNATURE _ 'O O O 9 /,0 OZ OF PERM ITTEE - L f� DISTRICT NO ROCESSED BY 0 u 2 1 '—7 T INDUSTRIAL ,// WASTE APPROVA Zo 7O - , ` �� ARTMENT OF COUNTY ENGINEER PLUMBING 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES _ BUILDING WILLIAM J. FOX, COUNTY ENGINEER J ADDRESS � � =" FOR APPLICANT TO FILLS LOCALITY BUILDING NEAREST ADDRESS `y S CROSS ST. U t cam _ Y DISTRICT N0. GROUP ZONE PERMIT N0. LOCALIT NEAREST/ I C7 CROSS S�T,.� � ECEIVED BY .Ready tor'InspeotG DATE ISiU,E\ OWNER �! lsfe�/Lit7 ad/ '�.✓ ^�r _ v /�Qj �.o J,IIDUSTRIAL, I DDRESS AWASTE APPROVAL MAIL ,EL.No. � 164:2 INSPECTION/RECORD PLUMBERS f�.d° � , s ADDRESS __ff Q �•"�� e /Il r� ' / �C�Q'� -21 N0. 1 LICENSE NO. ✓ []COUNTY PERMIT FEES � ��/r��^�(��/•"� � Q/L � Z NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET(TOILET) @ 0.80 3 Q u _ BATH TUB @ 080 G- SHOWER @ 0.80 lA,0J0 i LAVATORY(WASH BASIN) @ 0 80 -,m KITCHEN SINK @ 0 80 LAUNDRY TUB OR TRAY @ 0 80 SLOP SINK @ 0 80 FLOOR SINK @ 080 FLOOR DRAIN @ 0.80 DISHWASHER @ 0 80 v ` DRINKING FOUNTAIN @ 0.80 G Q URINAL @ 080 Q GAS SYSTEM... ..._OUTLETS @ I.00 WATER HEATER @ 1.00 MISCELLANEOUS APPROVALS DATE I SP CTOR'S SIGNATURE UNDER SLAB WORK }I PERMIT $ 1 00 ROUGH PLUMBING / / ,� GAS PIPING 111:4` TOTAL FEE 4pol, 0 1 HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLI• GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS 9 REGULATING PLUMBING. PLUMBING FIXTURES f, I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST 1'r4o f'b, AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOV. D CRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED GNATU OIF PERMRTTl. + � _ ,.+_ ..___. l =..ew.-c �" 6 —` C`- -••. .._ FINAL e 6&Y 76A667 DBS 17 1/53 PLUMBING 1 DEi-ARTMENT OF COUNTY ENGINEER DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING WILLIAM J. FOX, COUNTY ENGINEER =ADDRESS FOR APPLICANT TO FILL IN LOCALITY BUILDING NEAREST ADDRESS CROSS ST DISTRICT NO. GROUP ZONE LOCALITY NEAREST CROSS ST. RECEIVED Ready for Inspection D�/�S_9 OWNER 601.'.c V iP '>.r��'" (J�y MAILINDUSTRIAL�� ADDRESS Qf�� !d WASTE APPR VAL CITY TEL.NQ. INSPECTION RECORD PLUMBER (� ADDRESS CITY . 1-04 ;1 _/_4 TEL.N STATE LICENSE NVg // �/S O COUNTY J PERMIT FEES a z 4UMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET(TOILET) @ 0.80 $ - O BATH TUB @ 0.80 SHOWER @ 0.80 ZLAVATORY(WASH BASIN) @ 0.80 KITCHEN SINK @ 0 80 LAUNDRY TUB OR TRAY @ 0.80 SLOP SINK @ 080 FLOOR SINK @ 080 FLOOR DRAIN @ 0.80 DISHWASHER @ 0.80 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 y PERMIT $ 1 00 ROUGH PLUMBING �� GAS PIPING TOTAL FEE IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS i REGULATING PLUMBING. PLUMBING FIXTURES 1 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 I AM THE LEGAL OWN- ER OF THE AVCZ RIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED _ SIGNATURE-11 OF PERMI .................... FINAL 76A667 DBS 17 r.16 D.B.S.17 25M SETS 12.44 • s - APPLICATION FOR-PERMIT- DEP ENT OF BUILDING AND SAFRTY OUNTY OF-LOS ANGELES — PLUMBING Wm. J. FOX. CHIEF ENGINEER ATURE OF.INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT NO. ROUGH _ FIXTURES COMPLETE, _ RECEIVED BY READY FOR DATE ISSUED i HEATER CESSPOOL SEPTIC TANK ^y FIRST INSPECTION GAB MISCELLANEOUS t V APPLICANT FILL IN.HEAVILY OUTLINED PORTION ONLY Joe '44, t r/ .a fA . 67 E NAME ADDRESS ' III ADDRESS /r[ -5 -,/4 ��, / / erLOCALITY.' _ ,L � -CITY�, lNEAREST - r •pJ,- f TEL.No. CROSS BT." COUNTY 'f Y ': • �� n . ' CERT.NO. EXPIRES • td LOCATION-OF SEPTIC TANK, OR CESSPOOL' - 3 pDDREB (' a _ - NORTH O _ - ' CITY _ TEL.NO.. I AM THE LEGAL, POSSESSOR OF THE ABOVE-LOB ANGELES COUNTY CERTIFICATE OF QUALIFICATION. 01 ' _ 1 - ,. - - - • .. �' ' PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY-DESCRIBED ABOVE. ' -1 CORRECTIONS' SOUTH ; DESCRIPTION OF WORK ATH TUB 1 FURNACE s c ra HOWER DISHWASHER I AVATORY REFRIGERATOR T. - s ✓ITCHEN�SINK 'WATER SOFTENER LOOR SINK _ CANDTRAP 5 1, "LOP SINK FLOOR DRAIN ?, WASH TRAY• URINAL ° APPROVALS- WATER CLOSET DRINKING FOUNTAIN DATE y INSPECTOR'S NAME ' WATER HEATER DENTAL LAVATORY •ROUGH PLUMBING. I METER-GAS CODA FOUNTAIN OUTL GAS PIPING I' `1- GAS VENT • - -CESSPOOL _ ' TOTAL NUMBER OFLEPT ESSEPTIC TANK CESSPOOL TANK SEWER- , I. ' ° $ UTILITY CO.NOTIFIED r ' TOTAL FEE I C FINAL D.B.S /M RETS 12.44 - � - " APPLICATION FOR- PERDiIT • DEPA_ ENT OF BUILDING AND SAFETY, z 'lffOUNTY OF LOS ANGELES ."PLUMBING • Wm.J. FOX. CHIEF ENGINEER ATURE OF, INSTALLATION DISTRICT O. GROUP Zr/ONE PERMIT `l , ROUGH FIXTURES COMPLETE RECEIVED BY,, READY FOR' DATE ISSUED, r/ HEATER' CESSPOOL —I SEPTIC TANK �.y}� FIRS ION •GAS MISCELLANEOUS '" V 7�'i►�' �-!�J APPLICANT FILL%IN HEAVILY OUTLINED PORTION,ONLY JOB /tea- . S NAME l! '��, Pq i�1' ADDRESS �� 1�fG,�',1,� ,.ls ..S'�st•r� - � ADDRESS LOCALITY D - r , NEAREST �- V - - OJ. CITY TEL.No.,' (J —CR SS BT. COUNTY CERT.No. 451- ./ted 'EXPIRES NAME .� / •(� J � , LOCATION OF S PTIC TANK, OR C S OOL z MAIL / 3 ADDRESS ..d A NORTH O - CITY•• TEL.No.- x' t AM THE, LEGAL POSSES�rOF �(Q�UjALIFICATIP THE ABOVE LOS ANGELES COUNTYhCHRTIFICA6 �q. PLUMBeR_ t 1 AM THE LEGAL OWNER OF HE PROPERTY DESCRIBED ABOVE. Y 3 - OWNER= J CORRECTIONS • / b/-'7�:f/,'� /../ eco/-s•7",^Jd SOUTH DESCRIPT , N OF WORK ATH TUB, f FURNACE ROWER ` • DISHWASHER I AVATORY, ` REFRIGERATOR ' ITCH6N SINK a 1 WATER SOFTENER F'LOOR.SINK BAND TRAP • LOP SINK FLOOR DRAIN WASH TRAY. _URINAL�Q ' AP `/ PROVALS � .• WATER CLOSET �� T ^KINKING FOUNTAIN ' R' DATE �^ INSP6CTO �6Id •�NA6 WATER HEATER. DENTAL"LAVATORY ROUGH PLUMBING G J-Yy .W o- ME GAS' -. -------SODA GAS PIPING: I �.3 LFc Cl)`C] C OUTL ` GAS VENT v _ j.ya CESSPOOL ® TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOL--------SEPTIC TANK SEWER - $ UTILITY CO.NOTIFIED I' TOTAL FEE I S FINAL 7BA667 17 5-- APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRIjj�T NO. G OUP ZO PERMIT NO. PLUMBER REC VED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS / „ BUILDING e- �"'� 4" d� CITY/`� r r`=1�' �= d TEL. NO. ADDRESS COUNTY 1 LOCALITY �r_ LICENSE )/-j --EXPIRES (-+ NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER 1MAIL WATER CLOSET (TOILET) @ 0.50 $ I ADDRESS - f BATH TUB @ 0.501 /!I C-ITY�1�� t ! - TEL. NO. SHOWER @ 0.50.1. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 1 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS 1 LAUNDRY TUB OR TRAY @ O.50 I ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM__�Z _OUTLETS @ 0,501 — SIGNATURE OF WATER HEATER @ 0.501 PERMITTEE I SLOP SINK @ 0.501 1 INSPECTION RECORD I FLOOR SINK @ 0.501 I FLOOR DRAIN @ 0.50 I DISHWASHER @ 0.501 DRINKING FOUNTAIN @ 0.501 + I URINAL @ 0.501 Ir J J HOUSESEWER @ 0.501 I Q Z MISCELLANEOUS I / 52 ��y_i_ J 9 jj Q akL,-9.y To i LE 7 o I I 1 APPROVALS 1 DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING I1 I GAS VENT CESSPOOL @ I.00 CESSPOOL SEPTIC TANK: I SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 1 SEWER I _ PERMIT . I 1.00 GAS TEST UTILITY CO. NOTIFIED _ TOTAL FEE $ [57_ Z,, I FINAL WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 76A667A insure, or a certificate of Workers' Compensation Insurance, CE 817(REV 10%81) or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company Certified copy is hereby furnished❑ BUILDING C�FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS / S Certified,copy is filed with the county building inspec- tion department NUMBER FIXTURE OR ITEM rr FEE LOCALITY Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE SHOWER' OWNER Y D � (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars (;100)or less.) LAVATORY. ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not ern lo any person in any manner SINK CIT TEL NO so as to become subject to the rk s'Com nsation Laws DISHWASHER CONTRACTOR Date -Applicant CLOTHES WASHER ADDRESS NOTI E TO APPLICANT If, of r ma in thi C tificate of �- Exemption,'you should become subject to "the Workers' SWIMMING POOL RECEPTOR• f Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY �) TEL NO ` with comply with such provisions or this permit shall be STATE v LIC J deemed revoked WATER HEATER LICENSE NO / CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NOOCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS Com' + (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER v and Professions Code, and my license is in full force and effect 5 PER SYSTEM FINAL 7 VALIDATION CL DATE O License Number Lic Class � � V FINAL = Contractor Date BY 0 ❑ w I am exempt under Sec B&P C for this reason �� Plan check fee loop. ' PLUMBING PERMIT ISSUING FEE$' e Signature TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name j hereby affirm that I am exempt from the Contractor's License Address' Law for the following reason (Section 7031 5, Business and 3 6 9,-1 A Professions Code) City Tel No o o o, o o'5 ❑ j, as owner of the property, will do the work and the ' ' structure is not intended or offered for sale (Sectionloop. 2 o o 1,b 50 7044, Business and Professions Code) , CONSTRUCTION LENDING AGENCY tO ° ° 6 v O I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued 0+7. 1 5—83 (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 , inanc s and State laws regulating Plumbing', and hereby thou a representatives of this County to enter, upon the a ove enti ed pro rty for inspection purposes _ P - SEE REVERSE FOR EXPLANATORY LANGUAGE • ignatur of Permittee Date 1. =WOPXERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I`hereby affirm that I have a certificate of consent to self 76A667A insure, or a certificate of Workers' Compensation Insurance, CE 817(REV 10/81) or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY P lacy No } Company Certified copy is hereby.furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Cerhfied copy is filed with the county building inspec- ADDRESS f 47 tion department ♦ tr NUMBER FIXTURE OR ITEM n FEE LALITY �rn Date f Applicant it WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE SHOWER OWNER oM¢J (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this In �1 permit is issued, I shall not employ any person in any manner SINK CITY (JJ TEL NOJ 7�-7` so as to become subject to the Workers Compensation Laws DISHWASHER 4s ,�- ��qq `� r CONTRACTORapa 61, Date__!_s�II�Applicant /\tiMMA.D CLOTHES WASHER ADDRESS NOTICE TO APPLICANT If; after making this Certificate of �D� s Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITY TEL NO � LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE w LIC //�� deemed revoked WATER HEATER LICENSE NO CLASS C—1 3 6 LICENSED CONTRACTORS DECLARATION DISTRICT NO P ESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (/ (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER 15, o and Professions Code,and my license is in full force and effect 5 PER SYSTEM FINAL VALI TION License NumberLf� � v� Lic Class. V 2 D DATE �� V / ZQ i FIN / rY Contractor r Date �i _ f 2 1 9 4,5 A ❑ 1 am exempt under Sec- to 397IL B 8P C for this reason #•o o 0'0 0 5 U) Plan check fee •! 0.1 12.5 0 Z Date PLUMBING PERMIT ISSUING FEE$ ) OISO Signature 'o 0 5 0 ` - TOTAL FEE 1 1 2 5 SINGLE FAMILY Plan check applicant - 0 4,2 9—8 5' HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031 5, Business and Professions Code) City Tel No ❑ 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 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 a ave-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Int Signature o Permittee Date • t WORKERS'COMPENSATION DECLARATION 76A667A I hereby affirm that I have a,certificate of consent to self CE 817 (2-66) APPLICATION FOR PLUMBING PERMIT insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec 3800,Lab C.) COUNTY OF`LOS ANGELES T > BUILDING AND SAFETY Policy No Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING E3O ADDRESS _ L Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM • FEE ' department. � � WATER CLOSET LOCALIT Date Applicant 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 ADDRESS } by the permit is for one hundred dollars ($100) or less.) SINKCITY TEL N O', I certify that in the performance of the w k for which this DISHWASHER U 1. permit is issued, I shall no p y a y per n in any manner CONTRACTOR �� tj Y so as blect t ork s o pensation Laws. CLOTHES WASHER I 9P ADDRESS 4 0 �Date�pplican SWIMMING POOL RECEPTOR U NOTICE TO APPLICANT, I after making this ertificate of CITY TEL NO. S W 0- Exemption, LAWN SPRINKLER SYSTEM STATE LIC Cl) you should be ome subject to the Workers' Compensation provisions of the Labor Code, you must forth- LICENSE NO CLASS ��• with comply with such provisions or this permit shall be WATER HEATER DISTRICT NO PRO SSED BY/ deemed revoked. GAS SYSTEM OUTLETS a� �L LICENSED CONTRACTORS DECLARATION OUTLETS OVER 'or �v6jGr I hereby affirm that I am licensed under.provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL �Z�� ? VALIDATION ness and Professions Code, and my license is in full force and DATE effect r FINAL License umbe Lic Class BY Contra Datel" I •si I tamxempt from the licensing requirements as I am'a Plan check feelirchitect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- mess and Professions Code) TOTAL FEE 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 ;?A 7 3 7,A License Law for the following reason' (Section 7031 5, Busi- City Tel'No. #} 0,010 0 0'5 ness and Professions Code) I, as owner of-the property, am exclusively contracting 2 0 0 1 .6150 with licensed contractors to construct the project (Section 7044, Business and Professions Code). No,e o 65 0 65 CONSTRUCTION LENDING AGENCY Q 8 2 41—.8,3 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 state that the above information is correct.I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinanc s and State laws regulating Plumbing, and hereby a oriz eprese ative of this County to enter upon the a ve-. tion e 0per for mspectio purpose Signature o ermittee Date