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Home My Public Portal About6427 LIVIA AVE_Plumbing__ D.S.Sr17 23M SETS 11-46 APPLICATION FOR PERMIT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WM. J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRI O. GROU ZONE PERMIT NO. ROUGH FIXTURES H COMPLETEHEATER CE68POCLSEPTIC TANK R READY FOR E VED BY DATE 188 6D FIRST INSPECTION � y,� A8 MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY Joe NAME b � 1 Q". �Y � .FQ .I n ADDRESS /(ep U I A 4 7-, - ADDRESS A � ��}p v� /�r�� (9-LOCALITY fj, F e 1-C Y m NEAREST J CITYi` d /� w G�iIL✓ TL NO. '� � CROSS ST. COUNTY`S CERT.No. - EXPIRES MK ,NAME LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL 3 /� ADDRESS ) Q NORTH O e CITY D A-I T M G A TEL.No. 1 AM THE LEGAL•POS8ESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE F QUALIFICATION! I AM PiuweeR ABOVE. THE LEGAL OWNER OF THE PROPERTY DESCRIBED 3 D OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK Q z_ BATH TUB FURNACE 17 SHOWER "ls DISHWASHER Q 1AVATORY REFRIGERATOR 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 HEATER DENTAL LAVATORY ROUGH PLUMBING i I METER GAS SODA FOUNTAIN OUTL 6A9 PIPING GAS VENT I I CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK 1 CESSPOOI SEPTIC TANK SEWER I _ $ ! UTILITY CO.NOTIFIED TOTAL FEE FINAL D.S.S:1D 25M SETS 1146 APPLICATION F0i3 PERMIT DEPARTMENT OF BUILDING AND SAFETY C" FUNTY OF LOS ANGELES Wm. J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUPI ZONE PERMITNO. ROUGH FIXTURES COMPLETE HEATER CESSPOOL SEPTIC TANK RECEIVED Y DATB ISSUED J� READY FOR FIRST INSPECTION m,g8/4 �L J AS MISCELLANEOU TAPPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB IC NAME O �r/� ADDRESS �� 1 W m ADDRESS LOCALITY NEAREST / CITY TEL.No. CROSS J .9 T. d COUNTY e� CERT.No. EXPIRES K NAME �� 4 III LOCATION OF SEPTIC TANS, OR CESSPOOL ZMAIL 3 ADDRESS NORTH O CITY �Jii� /fi D TEL.No. T'lf / I AM T E LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. Lums 1 AM THE LEGAL OWNER OATH FC TY DESCRIBED ABOVE. V� OWNER CORRECTIONS SOUTH .J DESCRIPTION OF WORD z BATH TUBFURNACE R' LHOWER 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 INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I METER GA8 SODA FOUNTAIN OUTL GAS PIPING GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOI SEPTIC TANK SEWER I I $ d UTILITY CO.NOTIFII<D I TOTAL FEE i FINAL 0.8.8,17 25M SETS 1146 APPLICATION FOR PERMIT. DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES Wm. J. FOX, CHIEF ENGINEER NATURE OV INSTALLATION DISTRI�X NO. GR P O ,P RMI O. ROUGH FIXTURES COMPLETE / 0//2, HEATER CESSPOOL I-) SEPTIC TANK REc E�jD�BY READY FOR DATK ISSUED. — ,_ `— FIRST INSPECTION AS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED,PORIONLY JOB C NAM ADDRESS 1�j qAl- �• j/ m ADDRESS LOCALITY /�I //'�I� n NEAREST A CITY TE CROSS ST. COUNTY g COUNT O. EXPIRES NAME Q -r ,{,,� LOCATION OF SEPTIC TANK, OR CESSPOOL 3 AMAIL DDRESS / y�+ dmf oS�y // ® 94 . ' NORTH a Ofe /}�' CITY __ ,'4,9 TEL.No.lf'// I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. AMBER I AM THE LEGAL OWNER OR THE PROPERTY DESCRIBED ABOVE. ._ OWNER CORRECTIONS � v i ■ n PA v SOUTH J DESCRIPTION OF WORK z BATH TUB FURNACE t � —SHOWER DISHWASHER Q LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAMQ WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I r 4j I A _ I 1A METER=;LGA8 SODA FOUNTAIN OUTL GAS PIPING GAS VENT CESSPOOL S TOTAL NUMBER OF FIXTURES ' SEPTIC TANK I I CESSPOOT SEPTICTANK `� SEWEREWIK TOTAL FEE $ `Lp UTILITY CO.NOTIFIED O� Y FINAL 7GA667 (CE-817) - 1/75 APPLICATION F R PLUMBING PERMIT PP COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO BUILDING 6427 Livia Avenue ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY Tem le Cit FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST fI CROSS ST Qom!) d[,� NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 200 OWNER Lydia E. Adelaide Heath MAIL BATH TUB 2 00 ADDRESS 6427 Livia Avenue SHOWER 200 CITY Temple City TEL NO . 287-2929 LAVATORY 200 CONTRACTOR AAA CONDITIONED AIR INC. r SINK 2 00 ADDRESS 10160 E. Valley Blvd. DISHWASHER 2 00 CITY El Monte TEL NO 579-1800 If CLOTHES WASHER 200 STATE ` LIC LICENSE NO 293529 CLASS C-20 SWIMMING POOL RECEPTOR 200 DISTRICT NO GROUP ZONE OC ED BY LAWN SPRINKLER SYSTEM 200 U- Ll' �� WATER HEATER 200 INDUSTRIAL - WASTE APPROVAL GAS SYSTEM OUTLETS 2 00 INSPECTION RECORD � OUTLETS OVER rJ i 5 PER SYSTEM .30 04 O U - W O. CA; Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ JI0 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 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED ' LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE PESCqIBED RESIDENTIAL PROPERTY. FINAL �7 Si GNATU RE - OF PERMITTEE PERMIT VALIDATION1 cK M.O. CASH PLAN CHECK VALIDATION CK M O. CASH v :� lc--I-EB 1 5 5 1) r1 . 76,667-CE817-8-58 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES 1 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISIONBUILDING • JOHN A. LAMBIE, County Engineer ADDRESS CTT D. GRIFFIN,Supt of Building LOCALITY F FOR APPLICANT TO FILL IN GNEAREST ROSS ST.NUMBER FIXTURE OR ITEM OWNER ol WATER CLOSET BATH TUB ADDRESS SHOWER CITY TEL. NO. - LAVATORY CONTRACTOR SINE ADDRESS DISHWASHER CITY TEZ NO. LAUNDRY TDB REGISTRATION NO. 7 COUNTY ❑ ATE CLOTHES WASHER DISTRICT NO. GROUP ZONE ESSED BY WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS ER rm4 OR PFIXTURE $ DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 2 00 ROUGH PLUMBING TOTAL FEE GAS PIPING /)R/9 -9'6`4 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND.STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OW OF HE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. l SIGNATURE OFPERM ITTE ` FINAL ROBERT A.WOOD. OF VALIDATION SUPERVISING MECHANICAL ENG'R CK. Id.0. CASH . ' [ 03 1 7 7� PEAR 6 5 A 3.00 ION WORKER'S I have a certificate of ctARATION 76A667 DPW 9/89 APPLICATION ATIOGCI FOR PLUMBING PERMIT 76A667A fL �! G ' I hereby affirm that I have a certificate of consent to self insure, , or a certificate of Worker's'Compensation Insurance, or a certified copy thereof(Sec 3800 Lab C) , ' - '7 /' (per-Z S�E � COUNTY OF-LOS ANGELES DEPT.OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV. Policy No 17 4`I O l Company �� / - Certified'copy is hereby furnished a BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS Certified copy is fled with the county'buddmg.inspection department - _ X411 -b ViA NUMBER FIXTURE OR ITEM Q FEE y► LOCALITY Applicantt`�`�J r Ata \�SUriQm- WATER CLOSET NEAREST r CERTIFICATE OF EXEMPTION FROM WORKERS' CROSS ST COMPENSATION INSURANCE a BATH TUB ASSESSOR - t• _ (This section need,not be completed if the work involved by the SHOWER MAP BOOK PAGE: PARCEL permit is for one hundred dollars($100)or-less.) LAVATORY OWNER AC C rF I certify that in the performance.of the work for which this permit MAIL !'� / ,�1 is issued, I shall not employ any person in any manner so as to r SINK — ADDRESS 42, / 1. 10 i\T become subject to the Workers' Compensation Laws DISWASHERCITY F TEL NO 28Z•-Z7,�B' Date Applicant CLOTHES WASHER NOTICE TO APPLICANT If, after making this Certificate of CONTRACTOR ` �QTFJ�L�AJ Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR ` provisions of the Labor Code, you must forthwith comply with such ADDRESS 1-2 l V ERA provisions or this permit shall be deemed revoked LAWN SPRINKLER SYSTEM cr LICENSED CONTRACTORS DECLARATION CITY j)a, �G TEL NO?10 Al 'z9w } I hereby affirm that I am licensed under provisions of Chapter 9 ` WATER HEATER r 13- (commencing with Section 7000) of Division 3 of the Business and STATE //� (t( /S LIC' Q Professions Code,and my license is in full force and effect _ GAS SYSTEM OUTLETS LICENSE NO '`t- CLASS 0 OUTLETS OVER DISTRICT NO PROCESSED BY IZ 5 PER SYSTEM ll� l 0 License•Number tt Lie Class FINAL V DATE /�1 i S 4 1 VAID9,tTN a Contractor `Jy� Date �'` C ✓ l / � 1 i' y El am exempt under Sec FINAL E I, °'f z • B&P C for this reason ^` , _ Date Plan check fee ® TOTAL 72 - 75 Signature PLUMBING PERMIT ISSUING FEE$ aGj Q r+HEj_t, � � TOTAL FEE ❑ Plan check applicant�•I SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's'License Law for the following reason (Section 7031 5, Business and Professions Address .� lUA AM _o s E Code) �^ /� Ci F� Tel No-16 9-G3i-8�?91 r ❑ 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 1 hereby affirm that there is a construction lending agency for the r performance of the work for which this permit is issued (Sec 3097, - ; Civ C) C Lender's Name I ` t 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�;hvc'Ainty to enter upon the above-mentionedpr y f '4poses p SEE REVERSE FOR EXPLANATORY LANGUAGE % C. ign fore of rmittee Date