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Home My Public Portal About4964 LOMA AVE_Plumbing__ 7 -CE81719-60t' J APPLICATION, FOR PLUMBD,NG PERMIT COUNTY`OF LOS ANGELES' ". DEPARTMENT OF COUNTY ENTNEER B nDING AND SAFETY DIVISION BUILDING s, r JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS �J ,l �-o/C WILLIAM A. JENSEN, SUPT OF BUILDING _ LOCALITY / , FOR APPLICANT TO FILL IN CROSS ST. O f NUMBER FIXTURE OR ITEM' OWNER13/ 7� WATER CLOSET, �L - n ! BATH TUB ADDRESS CITY TEL NO. SHOWER CONTRACTOR Alert Plumbing, & Heat'ing LAVATORY sixR ADDRESS13933 So, Crenshaw DISHWASHER crrYI�a,wthorne TEL. NO. OS 9 3691 x LAUNDRY TUB REGISTRATICONTRACTON NO.193617 C' 3TE X1 6 COUNTYY ❑ - CLOTHES WASHER a DISTRICT NO. GR N E J PRJW BY WATER HEATER r O GAS SYSTEM INDUSTRIAL WASTE APPROVAL i, } INSPECTION RECORD // D_ - ° J $1.00 PER ITEM OR FIXTURE APPRO ASS ,� /ATE INSPECT_O 'S H�I�G/N_A_TURE PERMIT 2100 UNDER SLAB WOR 1 ; Z, 4 _Ll TOTAL FEE ROUGH PLUMBING y I ' ° GAS PIPING ! WI l/ 1 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 PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR , PLUMBING FIXTURES CE LINSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER,OF THE ABOVE �y DESCRIBED RESIDENTIAL OPE UTILITY CO NOTIFIED r (/ SIGNATURE OF PERMITTE Aoc i FINAL 0 /—VALIDATION ROBERT A. WOOD CK. _M.O. CASH SUPERVISING MECHANICAL FEIG'R n 7 e 1 : OCT 16 5 D 1 '. .1,_` 3 r 16A607-CE817 10-60 APPLDCATION FOR' PLUMBING PERMDT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY L== NEER 77 77-71, BUILDING AND SAFETY DN BUILDING JOHN A. LAMBIE. COUNTY ER ADDRESS .41 v WILLIAM A. JENSEN, SUPT OF G w t- LOCALITYG FOR APPLICANT TO FILL IN CROSS NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAII. BATH TUB ADDRESS CITY TEL NO. sxowER CONTRACTOR Alert- Plumbing & Heatin LAVATORY SINS ADDRESS 13933 So: Crenshaw DISHWASHERCITY Hawthorne TEL. NO.OS 9 3691 CONTRACTOR'S STATE 18 LAUNDRY TUB REGISTRATION NO.193617 V 36 COUNTY a - c CLOTHES WASHES DISTRICT NO. GROUP ZONE PR C,ESSED,BY/ WATER HEATERrJ GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD a O � U . IL a N $1.00 PER ITEM mj OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE Ci PERMIT $ 2 00 UNDER SLAB WORK TOTAL FEE Uv ROUGH PLUMBING W14- GAS PIPING - 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 1 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ' PLUMBING. HOT WATER HEATER 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE GAS TEST DESCRIBED RESIDENTIAL PROP UTILITY CO NOTIFIED SIGNATURE OF PERMf EE FINALYO � �X ALIDATION ROBERT A. WOOD M.0. CASH SUPERVISING MECHANICAL ENG'R fl'S'13 8 9 NOV 2 2 - .5 D. 4�.0 0 "76A667-CE817 12/59 TEMPLE CHTY APPLICATION FOR PLUMBING PERMIT � COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND -SAFETY IVISION BUILD INGm JOHN A. L MBI COUNTY ENGINEER ADDRESS C/Y� WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY % FOR APPLICANT TO FILL IN- NEAREST , CROSS ST. NUMBER FIXTURE OR ITEM OWNER - WATER CLOSET MAIL BATH TUB ADDRESS CITYTEL. NO. T 7 CJ SHOWER LAVATORY CONTRACT SINK ADDRESS f--- /U NO-4 , DISHWASHER CITY TEL. NO.!� ' X77-0 C7 CONTRACTOR STATE ❑ LAUNDRY TUB REGISTRATIO NO. COUNTY ❑ CLOTHES WASHER 9;5TRIIC�}T NO. I GR I ZONEO 7BY WATER HEATER J V GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD f U W a In $1.00 PER ITEM fOR FIXTURE $ / / ev APPROVALS DATE INSPECTOR'S SIGNATURE -H PERMIT $ 2 00 UNDER SLAB WORK TOTAL.FEE ROUGH PLUMBING GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE i DESCRIBED RESIDENTIA . ERTY. UTILITY CO.NOTIFIED SIGNATURE P/7 /// �-1��/' i7 OF PERMITT FINAL ®r VALIDAT!�p ROBERT A. WOOD, SUPERVISI,NG MECHANICAL ENG'R ::� be5 ? 93 � DEC 6 5 0 3.0fl M • j •V)/ORKERS' COMPENSATION DECLARATION APPHICAMN FOR PLUMBUG PERMT thereby ffirm that I have a certificate of consent to self 20-0026 DPW 6/87 n insure, or a certificate of Workers' Compensation Insurance, 76A667A 37 g0, or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS 7 LS/ � � ''Certified copy is hereby furnished ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING � j Certified copy is filed with the county building inspec- ADDRESS 6 tion department NUMBER FIXTURE OR ITEM (� FEE LOCALITY Date — WATER CLOSET h � �� Appli4anT NEAREST CROSS ST CERTIFICATE OF EXEMPTI FROM WORKERS' BATH TUB COMPENSATION INSURANCE '� SHOWER' OWNER (This section need not be completed if the work Involved by MAIL �^ the permit is for one hundred dollars ($100)or less.) Z LAVATORY ADDRESS ErP 7 'I certify that in the performance of the work for which this SINK CITY / TEL NO permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER NOTICE TO APPLICANT. If, after making this' Certificate of ADDRESS ��S-21 S Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR 7 / Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY Z TEL NO � � g' g with comply with such provisions or this permit shall be STATE �� 9 LIC \ deemed revoked. WATER HEATER LICENSE NO w� C7 CLASS JL31 , LICENSED CONTRACTORS DECLARATION DISTRICT NO OCESSED BY GAS SYSTEM OUTLETS 0 j hereby affirm that I am licensed under provisions of Chapter 9 G G, Q (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER ` and Professions Code,and my license is in full force and effect' 5 PER SYSTEM M �� DATE L �� A bALIDATI v( License Numbe Lic Class U, yam,� FIN Contractor �"��lc/�ate O ❑ F–. I am exempt under Sec W B&P C for this reason a Plan check fee N Z Date PLUMBING PERMIT ISSUING FEE$ Signature - , TOTAL FEE 117(o k5y Plan check applicant c ' SINGLE FAMILY +.r HOME OWNER-BUILDER DECLARATION Name 1744ToV I hereby affirm that I am exempt from the Contractor's License Address � L �('� Law for the following reason (Section 7031 5, Business and 33 70eJV Professions Code) City Tel No❑ 1 ITEMS 1, as owner of the property, will do the work and the structure is not intended or offered for sale (Section TOTAL . 76 c 50 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY �+` t 76.50 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued t CK46E e 00 (Sec 3097, Civ C ) Lender's Name 00 _0001 8/24/89 Lender's Address 5272 1 AM So-19 j 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 above-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE r of ermittee Date WORKERS'COMPENSATION DECLARATION APPLICATION TION FO LUMBING PERMIT I hereb affirm that I have a certificate of consent to self in- 20-0026 DPW 4/90 B� 6`� 9� �e B� • Y' .. 76A667A - sure,or a certificdte of Workers'Compensation Insurance,or'a certified copy thereof Sec 3800, Lab C•): _ - • Policy No ld Company e 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 - department NUMBER FIXTURE OR ITEM - @ FEE / � - LOCALITY Date v Applicant 4 — dA/ yv� WATER CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTION FROM.WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE SHOWER - OWNER (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS AV,44 j&-)1-1 1�- I certify that in the performance of the work for which this per- SINK mit is issued, I shall not employ any person in any manner so CITY `. tie �t4, 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- ') � 3d S emption,you should become subject to the Workers'Compen- SWIMMING POOL RECEPTOR CITY I G TEL NO _ sation provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEMS I ly with such provisions or this permit shall be deemed revok- STATE LIC ed I . . WATER HEATER LICENSE NO 3u CLASS `"7 LICENSED CONTRACTORS DECLARATION DISTRICT NO PROCESSED BY I hereby affirm that I am licensed,under provisions of Chapter GAS SYSTEM OUTLETS O - 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 r VALIDATION fect �) HOSE BIB DATE S License Number b Lic Class O FINAL U Contractor _—r " �b�Dat BY O ❑ I am exempt under Sec V $ B QCT. &P C for this reason a ® a Plan check fee � . . _ - to Date PLUMBING PERMIT ISSUING FEE$ Q �`� 4s.4om Signature1 ITEMS TOTAL FEE SINGLE FAMILY D TOTAL m HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name M. CK 43.40 Law for the following reaso'n,(Section 7031 5, Business and CHANGE o�� Professions Code) Address j, as owner of the property, will do the work and the City Tel No structure is not intended or offered for sale(Section 7044, WOO-000 1 5/ 6/96 Business and Professions Code) oil. 6rK) CONSTRUCTION LENDING AGENCY I hereby affirm thdt there is a construction lending agency for , the performance of�the work for which this permit is issued (Sec 3097, Civ C ) Lender's Name Lender's Address y 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 entioned pr rty for inspection purposes a SEE REVERSE FOR EXPLANATORY LANGUAGE Signatu 0 Perm a Da e