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Home My Public Portal About10260 LIVE OAK AVE_Plumbing__ 76A667 17 25M SETS 7-46 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING WM.J. FOX. CHIEF ENGINEER NATURE OF INSTA TI N DISTRICT NO.- GROUP ZONE PERMIT . ROUGH FIXTURES COMPLETE v �� —( HEATER CESSPOOL 1—I SEPTIC TANK RECEIVEp READY FOR 1 DATE ISSUED � ` FIRST INSPECTION CELNOUB AS M1 LA APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB NAb1E /20M1_� c�£=fiEin �s'.=�� ADDRESS y IUC W I �r� _ M ADDRESS LOCALITY :E /��1•/ g JNEAREST p, CITY XEL,No. - CROSS ST. L G f/1/OD COUNTY UC7LLZ� Q_L LICENSE NO. Explicks NAME r �C LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL / ADDRESS _' D 7 /• NORTH - O —. CITY � -TEL.NO. I AM THE LEGAL 88 BOR OF TH6�ABOJJ6 LOS ANGELES COUNTY GER IFICATB OF QUAL CAT J. I AM THE LEGAL OWNER OF THE OPERTY DESCRIBED ABOVE. 3 OWNER CORRECTIONS h✓ g ` SOUTH J DESCRIPTION OF WORK z ATH TUB FURNACE O ROWER DISHWASHER O LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR78 NAMI1 WATER HEATER DENTAL LAVATORY ROUGH PLUMBING ETEI+ GAS RODA FOUNTAIN GAS PIPINVENT 1 GAS VENT /0/1 CESSPOOL 1,7- TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOL_—SSEPTIC TANK SEWER S UTILITY CO.NOTIFIED I / TOTAL FEE �0 FINAL '%__ C.B.B.17 25M BETS 7-47 APPLICATION FOR PERBUT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES wm.J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRI N GROUPI ZONE PERMITNO. ROUGH FIXTURES -I SEPTIC TANK f RECEIVED BY READY FOR D T ISSUED,. HEATER CE86POOL FIRST INSPECTION ,� y , AS MISCELLANEOUS �[.' APPLIC/ANTJ FILL IN HEAVILY OUTLINED PORTION ONLYJOB /� ` NAME J, . i I`I[ �C 1 S�qn yj ADDRESS 2kt) � JC, X 1' A /10.4,JVe g ADDRESS (n b5,k % t!Y� D/Y`U"'[ IfleN., LOCALITY A 1P eo-Tt el t A _ NEAREST 6J CITY y-/I,Y', j TEL.No. V�''► `( CROSS ST. Y t I wig ig a d COUNTY �1 ■L S D CERT.No. EXPIRES NAME J `h LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH O CITY TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS l�r ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PR?PERTY DESCRIBED ABOVE. t OWNER CORRECTIONS i SOUTH J DESCRIPTION OF WORK _Z BATH TUB FURNACE SHOWER DISHWASHER O AVATORY REFRIGE RATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEA ER DENTAL LAVATORY ROUGH PLUMBING METEGAS SODA FOUNTAIN GAS PIPING OUTL GAS VENT77 CESSPOOL I jCESSPOOL_______SEPTIC AL NUMBER OF FIXTURES S, SEPTIC TANK I TANK SEWER I S p 1 UTILITY CO.NOTIFIED I n TOTAL FEE �yJ FINAL 76A667 - CE817 5/70 APPLICATION FOR PLUMBING PER U COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION TC LDING �� JOHN A. L.AMBIE, COUNTY ENGINEER RESS (j !� COLEMAN W. JENKINS SUP T OF BUILDING CALrrY (`��' 4 FOR APPLICANT TO FILL IN (PR NT OR TYPE) REST OSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER / WATER CLOSET 1 50 KAIL / BATH TUB 150 ADDRESS / - SHOWER 1.50 CITY TL. NO. � LAVATORY 1 50 ., CONTRACTOR 4 SINK- 1 50 ADDRESS d DISHWASHER 1.50 CITY ✓ ,'141"-7 t TL. NO.��s� CLOTHES WASHER 1.50 STATE LIC LICENSE NO ,L (�� CLASS ^-'� SWIMMING POOL RECEPTOR 1 50 DISTRICT NO. GRO P ZONef E PRO S BY LAWN SPRINKLER SYSTEM 2.00 I WATER HEATER 1 50 WASTE AI ROVAL O 'GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD OUTLETS OVER 5 PER SYSTEM .30 O H Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE $ 2 00 TOTAL FEE D APPROVALS DATE INSP CTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK n Name ROUGH PLUMBING Address - GAS PIPING GAS VENT City Tel. No. HOT WATER, EATER 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST ' PLUMBING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE IV -CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,A INTEN TO / RESIDE IN,THE ABOVE DE ICRjBED RESIDENTIAL PROP Y FINAL SIGNATURE , JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R OF PERMITT PERMIT VALIDATION K• M o CASH PLAN CHECK-VALIDATION CK M o CASH I' "1 0 4 4C JUN24 5 D 6.50- .r WCIi2ICERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT 26A667 DPW 4/87 n I here'6y,,arffirm that I have a certificate of consent to self in- 76A667A tifull sur<:a certificate of Workers'Compensation Insurance,or a CE 817(REV. 8/86) certifjed copy tt�,ereof (Sec. 3800, Lab. C.) ' 1��-�"ECOUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy 1\1496&7$-Rompany F_U Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING . I vl Certified copy is filed with the county building inspection ADDRESS O (jIY l�J department.• NUMBER FIXTURE OR ITEM Ca FEE LOCALITY ( ) Date-3 / Applicantl/�'c _��fXbb 1X�1-/`/liGp � WATER CLOSET TOILET " NEAREST p-10 19 CERTIFICATE OF EXEMPTION FROM WORKERS'• BATH TUB /d CROSS ST.(J COMPENSATION INSURANCE SHOWER OWNER S (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars ($100)or less.) 3 LAVATORY O ADDRESS 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. NO. as to become subject to the Workers'.Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR oei r emption,you should become subject to the Workers'Compen- CITY TEL. NO. - sation provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEM ly with such provisions or this permit shall be deemed revok- STATE � LIC. --a ed. WATER HEATER LICENSE NO.W'GQ7 V CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. ,./ PR SSED BY I hereby affirm that-l'am licensed under provisions of Chapter GAS SYSTEM OUTLETS 1��fX 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and m license is in full force and ef- 5.PER SYSTEM r- fect. y FINADATE Li L y� VALID ION License Number �` 4C i�Lic. Class fC36O FIN z909, 1 'A Contractor4a"J9 $e Date B AO U I am exempt under Sec. B.&P.C. for this reason Flan check fee 52.5 0 � .Date: ► 0 0652.5060 PLUMBING PERMIT ISSUING FEE$ Signature -10 5C TOTAL FEE 0 3 0 2�'8 8 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section 7031.5, Business and Professions Code): Address 17 I, as owner of the property, will do the work and the City Tel. hb. structure is not intended or offered for sale(Section 70", Business and Professions Code). PooCONSTRUCTION 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.). L'ender'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. 3 J, SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date C WORkERS'COMPENSATION DECLARATION 'r .a ^20-0026.DPW 4187• �Pll,UCA Il N FOR PLUM JPlI q 17 I hererby,'affrrm that I have-a certificate,of consent to,self in- 76A667A r �' sureror a certificate of Workers'Compensation'Insurance,or a CE 817(REV- 8/86) certif(ed copy-tl ereof (Sec 3800, Lab'eC-) �r - ' t 1 ,r y t'/Q� ompany' ( -/ � � - COUNTY OF LOS ANGELES DEPT. OF PUBLIC,WORKS ` Polic No e��?- h , >. �.• Certified,copy is,hereby furnished - > r' BUILDING 3 FOR, TO FILL IN (PRINT OR TYPE) 1 Certified copy is filediwrth the county building inspection ADDRESS of Q 9 departmeritn• _ - ^ ' r. ,NUMBERFIXTURE OR ITECal FEE LOCALITY `• WATER CLOSET(TOILET) Ddte3 ' ' - Applicant`f� bbAHC,GO NEAREST'/� p'� �tfQOQ^" _ C/ BATH TUB � - CROSS ST iCERTIFICATE OF,EXEMPTION FROM WORKERS' COMPENSATION INSURANCE,' �OWNER ". SHOWER S (This;ectionyneed'not be,completed'if•t6e work involved by w c MAIL the prmit,is fo"o'ho'hundred dollais (;100)or less.) j LAVATORY ADDRESS I certify that`in the performance of the work'for,which this per- SINKCITY w TEL NO F' mit is issued, I shad riot employ any person-in any,manner so as to becom°e`subleci,to the,Workers';Gompens6tion Laws DISHWASHER • CONTRACTORieq )r�� Date Applicant%r ' e. CLOTHES.WASHER ADDRESS` NOTICE TO-APPLICANT If, after making'this•Certificate,of Ex- `- '. SWIMMING POOL-RECEPTOR' em ton, you should become suble'ct to the Workers'Compen- CITY _TEL NO p' sation provisions of ilie Labor,Code,'you must forthwith comp- d LAWN SPRINKLER,SYSTEM - ly with such provisioris or this permit sholl be deemed revok- STATE LICQ� ed . . , » , , - WATER,HEATER LICENSE NO �U ' CLASSf e/ LICENSED CONTRACTORS DECLARATION - - b DISTRICT NO- PROeISSED BY GAS SYSTEM OUTLETS.. a I hereby affirm thatal;am licensed under provisions of-Chapter - 9(commencing with Sechon 7000)of Division 3'of the Business OUTLETS OVER WWW fand e Professions Code,-and my license is'in full force"and ef- 5 PER SYSTEM FINAL DATE �r VALID 10111 ;G3G" License Number f1f ''oLG Lic:Class� 1 U Fl 2909, 'A' ac 'Contractor 177�A1///�/�V[�/�b�.S.e 'Date BO alY it/-r'�-,.W ,� j - #,o.C o O.O 5 - F I am_ exempt under Sec } no o LU' B&P C' for this,reason Plan check fee I 5 2 5 0 H ^Date 'PLUMBING PERMIT ISSUING FEE$ D a ° ° °'S 5 O Signature 0,2 `8 8 TOTAL FEE SINGLEFAMILY' -HOME OWNER-BUILDER;DECLARATION. Plan check'opphcanf:., I hereby affirm that I am exempt from the Contractor's License Name ;r » Law for the following reason (Section 7031 5,'Business and , Professions Code) Address • I, as owner of the property, will do the work and'the City Tel Nb - structure is not intended or offered for sale(Section 7044,• r e r - Business and Professions Code) CONSTRUCTION LENDING AGENCY ' _< I h'er'eby affirm that there is"a construction lending agency-for t the performance of the work`for which,this permit"is issued (Sec 3097, Civ C) r L'ender's Name S c y •; Lender's Address I.certify that•1 have,read this application and state thai'the oGbve information is correct I agree to comply with all County D ordinances and State laws regulating Plumbing, and hereby authorize representatives of-this County to enter upon the above=mentioned,property for'inspechon purposes SEE REVERSE FOR EXPLANATORY-LANGUAGE Signature of Permittee Date ' WORKERS'COMPENSATION DECLHWATIQNt, " "APPLICAMN FOP. PLUMBING PERMIT I hereby affirm that I have a certificate.,of conadnt tV self 76A667A insure, or,a certificate of Workers' Compensation,lnsuranca, ICE 817(REV 10/81) ora rtified copy thereof (Sec 3800, L C ) /�f a •.� � ��.� .COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy d 3�O ACompany ❑ Certified copy is hereby•furnished ��.•� FOR APPLICANT TO FILL IN(PRINT OR TYPE)" BUILDING O Z�v v Certified copy is filed with•the county building inspec- ADDRESS Tion department NUMBER FIXTURE OR ITEM Qa FEE , LOCALITY f' Datet ➢_7Appl,canf WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE' OWNER (This-section need not be completed if the work-involved by SHOWER the peimit is for one hundred dollars ($100)or less.) LAVATORY MAIL ADDRESS I certify that in the'performance of the work for which this permit is issued, I shall not employ any person in any manner SINK' CITY' TEL NO so as to become subject to the Workers'Compensation Laws DISHWASHER" CONTRACTOR ,1� Date Applicant CLOTHES•WASHER A6DRES1V/ NOTICE TO APPLICANT If, after making this Certificate of J!7 �S 7X)U Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions,-of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY B /�; TEL NO with comply with such provisions or this permit shall be STATE !� 'LIC / deemed revoked WATER HEATER LICENSE NO CLASS' LICENSED CONTRACTORS DECLARATION DISTRIS.T NO PROCE BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER I - >- and Professions Code,and my license is it full force and effect 5 PER SYSTEM FINAL a- /7 VALIDATION O 2/ � DAT J G License Number_ 3 .7 7—Lic Class 4-3 69 L `t U c�4 F L Contractor ET W I am exempt under Sec LU Al � V) B 8P C for this reason ' Plan check•fee W, Z Date PLUMBING PERMIT ISSUING FEE$ Signature - TOTAL FEE SINGLE FAMILY Plan check-applicant - HOME OWNER-BUILDER DECLARATION Name I hereby al';irm that I am exempt from the Contractor's License Address Law for the following reason (Section 70315, Business and Professions-Code) city Tel No ❑ I, asowi'r-r,gt 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 . '. • _ —40-7,2A I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued o.o 0 o o 5 (Sec 3097, Civ C ) - ,2 X30,50 Lender's Name 'o,o of 0,5 0 6 Lender's Address 01,29-83 1 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 authorize representatives of this County to enter upon the ab o entioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE F3 Sign-aturt of Permittee Date i i _,