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Home My Public Portal About9812 LIVE OAK AVE_Plumbing__ 76A667 (CE-817) - 1/78 APPLICATION FOR 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 TYPE) NEAREST CROSS ST NUMBER FIXTURE OR ITEM @ FEE 2.00 OWNERQ� WATER CLOSET g MAIL BATH TUB 200 ADDRESS ze SHOWER 200 3 a� CITY` - EL. NO LAVATORY 2 00 CONTRACTOR SINK 200 ADDRESS DISHWASHER 2 00 CITY 7 EL. N0.02d% L CLOTHES WASHER 200 STATE LIC LICENSE NO ? CLASS SWIMMING POOL RECEPTOR 200 DISTRICT NO.IGROUP1 NE OC ED BY LAWN SPRINKLER SYSTEM 2 00 �Q / WATER HEATER 2 00 INDUSTRIAL WASTE APPROVAL r GAS SYSTEM OUTLETS 200 INSPECTION RECORD OUTLETS OVER 30 V 5 PER SYSTEM. O U W a H 1 Plan check fee See Reverse _. PLUMBING PERMIT ISSUING FEE $ TOTAL FEE , -APPROVALS DATE INSPECTOR 9 SIGNATURE Plan check applicant 3 UNDER SLAB WORK Name ROUGH PLUMBING Z3'7/� Address 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 ATO 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 REQUIRE BY LOS NGELES COUNTY AND STATE OF _ CALIFORNIA OR THAT A THE LEGAL OWNER OF, ND INTEND TO RESIDE IN THE ABOVE DES RIB /REBID IAL PROP Y, FINAL SIGNATURE OF PERMITTE PERMIT VALIDATION, cil o. CASH PLAN CHECK&LIDATION CK M 0. CASH 6s 5c'- 1 3.5 (DA Ja 76 A 6�7 - CE 817 7-69 e APPLICATION FOR PLUMBING RERM9 COUNTY OF LOS ANGELES DEPARTMENT OFD COUNTY ENGINEER BUILDING � BUILDING AND SAFETY DIVISION � ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS. SUPT OF BUILDING LOCALITY �L ,FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST ,) CROSS ST. !/jJ NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1 50 IL D - BATH TUB 1.50 ADZDRESS SHOWER 1,50 CITY �� TEL NO. LAVATORY 1.50 CONTRACTOR SINK 1.50 ADDRESS DISHWASHER 1.50 CITY//e �tl' TEL. NO.2 -j . O CLOTHES WASHER 1' STATE ��L LIC LICENSE NO T CLASS SWIMMING POOL RECEPTOR 1 50 - DISTRICT r GROUP ZONE PR ESS BY LAWN SPRINKLER SYSTEM 2.00 ) ov WATER HEATER 1 50 INDUSTRIAL d WASTE APPROVAL GAS SYSTEM OUTLETS INSPECTION RECORD OUTLETS OVER 5 PER SYSTEM 30 0 - V c 4. N Plan check fee 25% of above. See reverse PLUMBING PERMIT ISSUING FEE 8 1 '-3100 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER'SLAB WORK ' Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT 1 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED - LICENSED AS REI D BY LOS ANGELES COUNTY AND STATE OF _ CALIFORNIA OR T T AM E LEGAL OWNER OF,AND TEND TO RESIDE IN,THE AB VE EC I ED REB/ NTIAL PRO PE FINAL SIGNATURE _ .TACK R. ALLEN, SUP OF PERMITTERV 51 ME ANICAL EN G'R E - PERMIT VALIDATION CK M O CASH PLAN CH E ALIDATION CK M O CASH i lino -1 8 3 8 ;JAIv 4 5 D 6.50- CQ reneer rr -ag APPLICATION•FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY L COUNTY OF LOS ANGELES , WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. PLUMBERFONTANA PLUMBING CONTRACTOR RECEIVED BY READY FOR DATE ISSUED 344 W. Garvey Monterey I'drk, Calif FIRST INSPECTION 61� id [ADDRESS antic 2.4654 - CUmberland 3-1040 BUILDING I ADDS J CITY TEL NO ESS COUNTY �f /J / //' ) f LICENSE NO /j l✓/ EXPIRES(� '_y-/ Y LOCALITY NEAREST PERMIT FEES cRoss sT NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER FRAIL WATER CLOSET (TOILET) @ O sols ADDRESS IBATH TUB @ O Sol I CITY TEL NO SHOWER @ O Sol I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS ` I LAVATORY (WASH BASIN) n O 50 I I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND { AGREE TO COMPLY WITH, ALL COUNTY ORDINANCES AND IKITCHEN SINK @ o SOI F_ STATE LAWS REGULATING PLUMBING 1 CERTIFY THAT 1 SESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ Q 50 ANGELES COUNTY LIC F S OR 1 M THE LEGAL OWNER I OF THE RESIDENTI RIBED ABOVE. f 'GAS SYSTE OUTLETS @ O 50 SIGNATURE OF WATER HEATER @ Q 50 I PERMITTE SLOP SINK @ Q 501 I INSPECTION RECORD FLOOR SINK @ O 50 1 1 FLOOR DRAIN @ O SOI / DISHWASHER @ O SOI /h r MT), `re `T DRINKING FOUNTAIN @ O 501 4 I URINAL @ O 501 1 -J HOUSE SEWER @ O 50 I z MISCELLANEOUS I II 1 o I II 11 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING O� GAS VENT I CESSPOOL @ t 00 CESSPOOL _I SEPTIC TANK SEPTIC TANK DRAIN ( ) PIT ( ) @ t 00 I SEWER PERMIT t 00 GAS TEST 1 $ UTILITY CO NOTIFIED TOTAL FEE IIL_�j� FINAL I WORKERS'COMPENSATION DECLARATION APPUCA 11 P®l1Cl FOR PLUMBING FERM8T .?I Hereby affirm that I have a certificate of consent to self 76A667A ` insurcc, or a certificate of Workers' Compensation Insurance, CE 817(REV 10/81) u ` or rtified�copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY I� Po No /d Company S'V meati Nr ❑ .Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING / r� c ,} Certified copy is filed with the county building inspec- ADDRESS )� Igo,(/e (f ti departme(xryt C, NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date O_ii Applicant 91, WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE OWNER AA 12, (?6 N 2 (This section need not be completed if the work involved by SHOWER the permit is for one hundred dollars $100 or less. MAIL P ( J J LAVATORY ADDRESS I certify that in the performance of the,work for which this permit is issued,-I shall not employ any person in any manner SINK CITY TEL NO so as to become subject to the Workers'Compensation Laws DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT If, after making this'Certificate of SWIMMING POOL RECEPTOR �� Exemption, you should become subject to The Workers' CITY TEL NO / Compensation provisions-of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC deemed revoked WATER HEATER LICENSE NO Q 7 CLASS l� p LICENSED CONTRACTORS DECLARATION DISTRICT NO P OCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is in full force and effect 5 PER SYSTEM FINAL VALID TION 11 License Number 0 Lic ClassC- pff�fDATE-� f1 a r rtx, 7 FINA U Contractor �oNtio eZ Date ^�—� / BY I am exempt under SecT 0 B 8P C for this reasonJ ) U Plan check feeD i! LLJ Date PLUMBING PERMIT ISSUING FEE$ z Signature I to TOTAL FEE S Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name TO a 5 A I hereby affirm that I am-exempt from the Contractor's License 5', Law for the following reason (Section 7031.5, Business and Address #^to 0 0 0 0 Professions Code) City Tel No I yo o 650 ❑ 1, as owner of the property, will do the work and the structureis not intended or offered for sale (Section D o'o,0 1� b 5 O v 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY j? I hereby affirm that there is a construction lending agency for 0'0'o 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 jaws regulating Plumbing, and hereby out representatives of this County to enter upon the ab -mentioned prop o inspection purposes y—��`� � SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee J Date WORKERS'COMPENSATION DECLARATION CE:87p APPLICATION F®R PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self ce e17 (z-so) � insure, or a certificate of Workers'Compensation'Insurance,or U a certified copy thereof(Sec 3800,Lab C.) COUNTY OF LOS ANGELES 71 BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ADDRESS ❑ Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM O FEE ,r ed 1 department LOCALITY WATER CLOSET f Date Applicant NEAREST �e t d� BATH TUB CROSS ST 1 fJ� W C 701— CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved LAVATORY MAIL ADDRESS o- by the permit is for one hundred dollars ($100) or less.) SINK f O CITYTEL NU I certify that in the performance of the work•for which this DISHWASHER CONTRACTOR permit is issued, I shall not employ any person in any manner C O so as to become subject to the Workers' Compensation Laws CLOTHES WASHER ADDRESS / U Date Applicant qRZ1IR 470 SWIMMING POOL RECEPTOR 6 W_ NOTICE TO APPLICANT If, after making this Certificate of CITY C TEL NO 7-0 Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STAT LIC- Z Compensation provisions of the Labor Code, you must forth- LICENSE NO CLASS T with comply with such provisions or this permit shall be WATER HEATER deemed revoked DISTRICT NO PR CESSED B GAS SYSTEM OUTLETS LICENSED CONTRACTORS DECLARATION OUTLETS OVER SAO d I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL VALIDATION ness and Professions Code, and my license is-in full force and DATE effect' FINAL License Number Lw Class BY Contractor Date I am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ Q acting in my professional capacity (Section 7051, Bus- iness 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 License Law-for the following reason (Section 7031 5, Busi- City Tel No *s and Professions Code)- as owner of the property, am exclusively contracting 3 8 Q,0 A with licensed contractors to construct the project (Section 7044, Business and Professions Code) # o:000o5 CONSTRUCTION LENDING AGENCY Z�� 2 4 5 O I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is ° o 2 U,5 0 5 issued(Sec 3097,Civ C) Lender's Name 0 4,3 0—82 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 ordinances and State laws regulating Plumbing, and hereby autho epresentatives of this County to enter upon-the zg;awmAurpi, Signature of Permittee Date