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Home My Public Portal About9720 LIVE OAK AVE_Plumbing__ -►-'7iSA 667 (CE-817)-4/72 �� APPLICATION F1R -UIVIBI G e PER 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 IPRINT OR TYPE) NEAREST CROSS ST NUMBER FIXTURE OR ITEM @ FEE OWNER WATER CLOSET 1.75 MAIL BATH TUB 1,75 ADDRESS ZoZez SHOWER 1,75 CITY TEL NO.,- =/6 71 LAVATORY 1.75 CONTRACTOR ' SINK 1.75 ADDRESS DISHWASHER 1.75 CITY TEL. NO CLOTHES WASHER 1.75 STATE LIC LICENSE NO CLASS SWIMMING POOL RECEPTOR 1,75 DIST ICT NQ -1PPP FRO ESSED V LAWN SPRINKLER SYSTEM 1.75 L(�//f1�6/ � t WATER HEATER 1.75 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD v OUTLETS OVER 30 5 PER SYSTEM CD CD LLJ W a fn Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR S SIGNATURE Plan check applicant • UNDER SLAB WORK Name ROUGH PLUMBING Address il GAS PIPING 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 IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND 70 RESIDE IN THE �DESCRES ABOVE PR ER TY. FINAL SIGNATURE OF PERMITT PERMIT VALIDATION cK o CASH PLAN CHECK VALIDATION CK M o CASH }t� 0 2 3 4F3 KAR 29 5 D 6 .1'!5 0- D.B.S-17 25M SETS 12-45 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES Wm. J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO GROUP ZONE PERMIT NO ROUGH FIXTURES COMPLETEREDY FOR _ ��• �� HEATER CESSPOOL I-I SEPTIC TANK RECEI BY FIRST IN PECTION DATE ISSUED GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION.ONLY �J NAME n NOTTWGR A X C ®� ADDRESS .0 :,, A-'f/Lf'(j /-�ldl�.✓ _ m ADDRESS _ LOCALITY J • Cloverly ° NEAREST / Y d CITYTEMPLE 4 LIN _ CROSS ST.�d �U J .Q COUNTY f • CERT.No: EXPIRES W NAME LOCATION OF SEPTIC TANK, OR CESSPOOL 2 MAIL aL 3 ADDRESS NORTH O CITY TEL No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATEd OF QUALIFICATION. PLUMBER I AMiTHE LEGAL OWNER OF THE PROPERTY DESCRIBED ASO_,VE. i OWNER CORRECTIONS SOUTH , a DESCRIPTION OF WORK ATH TUB FURNACE w SHOWER DISHWASHER C _LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER LOOR SINK SAND TRAP LOP SINK FLOOR DRAIN T WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FOUNTAIN OUTL GAS PIPING GAS VENT I II CESSPOOL I TOTAL NUMBER OF FIXTURES SEPTIC TANK CF.SSPOOI SEPTIC TANK O SEWER S I 1 / UTILITY CO.NOTIFIED TOTAL FEE RINAL DBS-17 12.54 APPLICATION FOR PLUMBING _PERMIT DBS-17 DIVISION OF BUILDING AND SAFETY Department of County Engineer C 7 2 o County of Los,Angeles BUILDINGS // cawWM. J. FOX, COUNTY ENGINEER _ /(, ,( + CASSATT D. GRIFFIN. SUPADDRESS T of 6UILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS' OWNER I - DIST�T NO. GROUP ZONE READY FOR INSPECTION MAIL ADDRESS INDUSTRIAL CI Y TEL NO WASTE APPROVAL PLUMBER 450 - •1 INSPECTION RECORD ADDRESS CITY TZ N LI ENSE NO NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) $ BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN SINK DISHWASHER I LAUNDRY TUB OR TRAY I - CLOTHES WASHER I I TOTAL NO @ 080 APPROVALS DATE INSPECTOR'S SIGNATURE GAS SYSTEM_J__OUTLETS Q 1 00 UNDER SLAB WORK WATER HE @ 1.00 ROUGH PLUMBING PERMIT S 1 00 GAS PIPING TOTAL FEE I GAS VENT 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. 1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO NOTIFIED CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL P OPERTY. ' SIGNATURE OF PERMITTEE P FINAL ski - WILLIAM J. FOX,COUNTY ENGINEER VALIDATION X10,9 0-9 r-fEB 2 5 3 By kl-ll;EPUTY Q WORKERS'COMPENSATION DECLARATION EAPPLMATT ®N FOR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self in- 20-0026 DPW 4/90 , 76A667A sure,or a certificate of Workers'Compensation Insurance,ora certified copy thereof(Sec 3800, Lab C ) Policy No Company COUNTY OF LOS'ANGELES DEPT. OF PUBLIC WORKS Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspection ADDRESS f department NUMBER FIXTURE OR ITEM @ FEE LOCALITY ��yj l/�' WATER CLOSET(TOILET) — Date Applicant NEAREST ` CERTIFICATE OF EXEMPTION FROM WORKERS' 'BATH TUB CROSS ST COMPENSATION INSURANCE OWNER SHOWER (This section need not.be completed if,the work involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work' w!i s per- SINK CITY �? TEL NO J^� mit is issued, I shall not employ any per, n ' nner so as to be ome subl cf fo the Worker ' o e n Laws DISHWASHER gam CONTRACTOR Date �r Apphcan CLOTHES WASHER,- NOTICE TO APPLICANT If, after making this Cerh��'at, of Ex- ADDRESSVol emption,you should become subject to the Worke pen- SWIMMINGPOOL RECEPTOR CITY ��T TEL N Cirsation provisions of.the Labor Code, you must fortcomp- LAWN SPRINKLER SYSTEMS ! �Jly with such provisions or this permit shall be derevok- STATE LIC �. ed I WATER HEATER LICENSE NO 7 Z2 1 CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)'of Division 3 of the Business OUTLETS OVER. and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION tett - �.�/� HOSE BIB DATE d � s� License Number Cla _ O FINAL V Contractor ate -- BY � cc O ❑ I am exempt under Sec V B&P C for this reason W Plan check fee a ® _y Date PLUMBING PERMIT ISSUING FEE$ Q Signature TOTAL FEE � SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name _t Law for the following reason (Section 7031'5, Business and ACCT a Professions Code) Address 3303 43.40 I, as owner of the property, will do the work and the City Tel No structure is not intended or offered for sale(Section 7044, 1 ITEMS Business and Professions Code) ® TOTAL 4.3 m �-O CONSTRUCTION LENDING AGENCY CECK 43.40 I hereby affirm that there is a construction lending agency for the performance of,the work for which this permit is issued CHANGE .00 (Sec-3097, Civ C ) Lender's Name CtlJtiiJ-1JW1 4/ 8/916 Lender's Address ' _ 5776 1 AM11a 15 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 a laws r at g Plumbing, and hereby authorize re esent rve of t County to enter upon the above-me rynwne 5r inspection purposes� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature 6N-PerDate