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Home My Public Portal About6463 LIVIA AVE_Plumbing__ 76A667-CE817-11-57 APPLICATION FOR,-PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING �. f/C �� JOHN A. LAMBIE, County, Engineer ADDRESS �/ CASSATT D. GRIFFIN, Sup t of Building LOCALITY FOR APPLICANT TO FILL IN C ossSST . t t^ NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL BATH TUB ADDRESS rp -1/w" 3 - SHOWER CITY ��, TEL. NO. LAVATORY CONTRACTO Loy,/Ps /U �i� 611arV(CC SINK ADDRESS ",0 zw/ �y DISHWASHER CITY TEL NO Z T� LAUNDRY TUB CONTRACTOR'S / /�� STATE ElNTY REGISTRATION NO. / CO CLOTHES WASHER DISTRICT GR//OU ONE ., READY FOR INSPECTION WATER HEATER y GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS $1.00 PER/ OR FIXTURE $ / DD DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 00 ROUGH PLUMBING TOTAL FEE O GAS PIPING pt!p cS `//�S� r�`�f'k�,�rc. ✓%' I HEREBY ACKNOWLEDGE THAT 1 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 OW4ER OF T ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL PROPER Y. {/ SOFPERMI7TE / FINAL ROBERTA.WOOD. ®f AIfATION SUPERVISING MECHANICAL ENG'R OCK. M.O. CASH - r3279MIA 10 5 A 3.00 Ir APPLICATION FOR PLUMBING PERMIT � COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS 6463 LIVTA ` CASSATTOHN AD. GIRRIIFFIN, Supt Engineer of Buildinq LocALITY L.A . C 0 LINTY ' FOR APPLICANT TO FILL IN C o sSST. PE R NUMBER FIXTURE OR ITEM OWNER q WATER CLOSET MAIL ADDRESS 6463 LIVIA BATH TUB sxowER cITYTEMPLE CT TEL TEL. NO. LAVATORY CONTRACTOR SINK ADDRESS DISHWASHER crrYLOS ANGELES TEL. NO. CL 5-5143 CONTLAUNDRY TUB h REGISTRATION ANO. 141356 COUNTYM it C � a CLOTHES WASHER DISTRICT NO. GROUP ZONE PR SED BY WATER HEATER GAS SYSTEM O JUT LETS WDU ASTE APPROVAL INSPECTION RECORD 2 OR FIXTURE $ I APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2' 00 UNDER SLAB WORK TOTAL FEE ROUGH PLUMBING • GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS'VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. d 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST ' I✓�/df�,� CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIALj/`PROJJP,E�RT_Y. /� UTILITY CO NOTIFIED SIGNATUREjL�y OF PERMITTE �FIIALj ,;/ ®� VALIDATION ROBERT A,- IWOODIt , CK. u.0. yR SUPERVISING MECHANICAL ENG'fi; LI;v0 7' 6 J ft�P, G 5 h 3.50- �' 76w 917113) -a/n Aft PLOC/,=,1TOON FOR PL U M B ONG PE LSM OT BUI D G AND SAFETY ISION FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM @ FEE ADDRESS WATER CLOSET LOCALITY Nt NEARES BATH TUB CROSS SHOWER OWNER LAVATORY MAIL ADDRESS SINK CITY VLTEL NO DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL NO - LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER LICENSE NO CLASS GAS SYSTEM OUTLETS DISTRICT NO UP ZONE PRESSED OUTLETS OVER G CV 5 PER SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD I-- C:) C W ras- 021 cwP� v z Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTALFEE Plan check ap (cant APPROVALS DATE NSPECTOR S SIGNATURE r Name UNDER SLAB WORK 118Z 1 Address ROUGH PLUMBING •Z$.�� (CtfQ�s l City Tel No GAS PIPING Ffi I HEREBY ACKNOWLEDGE THAT I HAV READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING - HOT WATER HEATER r I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST 'may --�`r7-yU LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITYCO NOTIFIED SIGNATURE ! rf OF PERMITTEE FINAL I - •-nor- PLAN CHECK VALIDATION M o CASH PERMIT VALIDATIO CK M o CASH 3 4 4r'-DJUL 3 5 0 76A667 DSS 17 7-51 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER L It DISTFOR APPLICANT TO FILL IN R R O PLUMBER - ,�.(� R EIVED BY READY FOR DA ISSUED FIRST INSPECTION — �k- ADDRESS b V �[ �7iw. BUIL'DINO �4 t CITY TEL Na. 3� F ADDRESS COUNTY LOCALITY 8E NO. EXPIRES NEAREST PERMIT FEES CROSS ST. aL NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER, MAIL ` WATER CLOSET(TOILET) @ 0.50 $ cam- ADDRESS BATH TUB @ 0.50 J'D CITY TEL. No. SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) 0.50 �1 APPLICATION AND STATE THAT THE ABOVE 18 CORRECT v AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK 0.5113 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THj. ABOVE VALID LOS LAUNDRY TUB OR TRAY 0.50 'ANOELEB COUNTY LICENSE, OR I AM TIDE%LEGAL OWNER GAS SYSTEM UTLETB 0.90 OF THE RESIDENT L PROPERTY D�EESCMIBEDABOVE. WATER HEATER @ 0.50 SIGNATURE OF SLOP BINK @ 0.50 $PECTION RECORD FLOOR SINK @ 0.90 FLOOR DRAIN 0.50 DISHWASHER O:SO ✓ �" "" DRINKING FOUNTAIN 0.50 Is �f7— '"—=1.�a �` K URINAL 0.50 �1�iF}"FI/ O�/ 1 PI-Z)& OV'/ J Q HOUSE SEWER ® 0.80 J �'� -r Z MISCELLANEOUS a -Z'r l!Z Lk W MA n -t APPROVALS DATE INSPECTOR-2 NAME ROUGH PLUMBING till,{ r-*'I GA4P PIPING GAS VENT 7 CESSPOOL CESSPOOL SEPTIC TANKi SEPTIC TANK DRAIN ( ) PIT ( ) 1.00 SEWER PERMIT 1.00 GAS TEST UTILITY CO.NOTIFIED TOTAL FEE r $ C- F I NAL 7GA667 DBS 17 7-5, APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER MIT NO FOR APPLICANT TO FILL IN 1 GROUP 177 S O ".}• 0 ng am Co..of ztenlpie uty RECEIV60) BY READY FOR DATE 189U 'V AVE.PLUMB Apo- FIRST INSPECTION C.. ADDRESS ®�/ ` F. BUILDING �J / CITY f {�' TEL No. ADDRESS J Cr =SE NO TV21.o✓ EXPIRE9��y LOCALITY 1 L��e�.w NEAREST PERMIT FEES � CROSB BT. NUMB[R TYPE OF FIXTURE OR ITEM FEE —OWNER Z At - MAIL J! �, p % SSL_ WATER CLOSET(TOILET) 0 13.50 � ADDRESS/C Cj i f-Ift, ,i BATH TUB @ 0.50 CITY e, ,/ TEL. No. SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. 1CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 0.50 ANGELEB COUNTY LICENSE, OR 1 AM THE -LEGAL OWNER Qf THE RESIDENTIAL PROPER D RIBED ABOVE. GAS BYBTEM OUTLETS 0.50 ®ID Tu WATER HEATER 0.90 p E SLOP BINK 0 0.50 INIsPECTION REcoRb FLOOR BINK 0 0.50 FLOOR DRAIN 0.50 DISHWASHER 0.30 DRINKING FOUNTAIN @ 0.50 URINAL 0.50 HOUSE SEWER 0.50 xi-'W-oo g,'t 'eir r5Ci-d5Q, Z MIBDELLANEOUB ,/�/�O!✓E'b TSF (GRft✓CL G2?An) �y � O /''.3 42 41"5g &Lno ! T IS Al FC F 4)-?Y. M,/✓ ifa oiZK /S h4WgYJ -APPR4aVA-hS-G/,eJT e69T.F• DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL 0 1,130 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) 0 1.00SEWER PERMIT I 1 1.00 GAS'TEST 10) UTILITY CO.NOTIFIED TOTAL FEE $ FINAL 7—,7 �� •WORKERS'COMPENSATION'DECL'ARATION • Y 'p P P p �C ya T O�N , FOR- f�p p p p�,{�(��M (G P E RA �- reb m'thai`I have a cerirficote of consent to self ih- '76-0026 DPW,4/87. 6bU �"L� �bbSl lr I!� I!—LL,l�I1F911w+ �3/ u y, �' '76A667A_ r "sulk or a certificate of Workers'Compensation Insurance,or CE 817(REV>8/86) O { certified copy thereof,(Sec•3800;Lab C ) ?olity` Ido' Company"'- z ;_ ..,'COUNTY OF LOS ANGELES, DEPT. OF PUBLIC WORKS = O Certified copy is hereby,furnished -' , FOR APPLICANT TO FILL IN(PRINT OR TYPE)` BUILDING Certified copy'is filed with•the county buildmg,mspechon ADDRESS de ariment NUMBER FIXTURE OR ITEM @„ FEE p LOCALITY WATER CLOSET(TOILET)` Date Applicant NEAREST CERTIFICATE OF EXEMPTION°FROM WORKERS" BATH TUB /) CROSS ST v COMPENSATION INSURANCE, ' ;,1- . ' - I ' v OWNER SHOWER01 (This section'neeiJ not-be completed if the wbr'VinvolJed by MAIL the permit id-for,one hundred dollars-($100)or-•less.)•t' LAVATORY U,; ADDRESS I certify,that in the performance of•tiie r for v ichtthis per mit is issued,'I`shall`not employ any p rsyJkn^m'any'manner•o '' SINK CITY, TEL as-to.-become sublect to the Workers' C trip h n La DISHWASHER ' [ ' CONTRACTOR / - Date Applica CLOTHES WASHER ADDRESS' NOTICE TO APPLICANT If; after k g.this _erhfi e of E SWIMMING'POOL RECEPTOR' RUA7t emption,yob should become suble to the Worker ompen- " CITY TEL NO sation provisions of the Labor Code, you must forthwith comp_' LAWWSPRINKLER SYSTEM ley� = WATER HEA •with such•provisions'or this•permit.shcill be deemed revok- STATE LIC k, 3TER LICENSE NO CLASS ' LICENSED'CONTRACTORS DECLARATION" N DISTRI O aSED BY I hereby affirm that_I am licensed under proJisions•of Chapter GAS SYSTEM OUTLETS 9(commencing withSectiori 7000)of Division'3 of'the Business OUTLETS OVER • - - fed Professions Code, andmy license is in full force and ef- 5,PER SYSTEM FINAL VALI TIONd ' DATE C License Number •Lic CI'ass (� - FINAL � Contractor Date t e BY- Q .0 I am exempt under Sec• B &P C for this reason _. Plan'check fee H Date PLUMBING PERMIT-ISSUING FEE$ _ _ 7 8"7.6-Al Signature - TOTAL FEE # oo o'0 0 5 ' SINGLE FAMILY,' F HOME OWNER-BUILDER'DECLARATION Plari check appliccin{ . o,0 6 q,5 0 I hereby affirm that I am exempt from the Contractor's License Name - Law for the jc,4ovving reason (Section 7031 5,'.Business and` 0 0 0 b 5 0 c=> Professio ode) .. - Address } I, as owner of'the property, will do the work and the, C ty „Tel No •�0 9.0'9`. 8 7 structure'is not'intended or offered for sale(Section 7044, o- Busmess'and-Professions Code) CONSTRUCTION LENDING AGENCY - I hereby affirm that there is a construciion lending'agency for Y the performance'of.the work for'which this permit is issued _ (Sec 3097,,Civ C ). Lender's Name + ti- Lender's Address I certify.that I have read this application and state,that the above mformation'is correct I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize epresentatrves of this County to enter upon the above= honed propert inspection pur ose SEE REVERSE FOR EXPLANATORY LANGUAGE Si ature of Pe tee . Date