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Home My Public Portal About8922 LONGDEN AVE_Plumbing__ 76A667 APPLICATION ION FOR PLUMBING PERMIT . Des-1712'DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles WM. J. FOX, COUNTY ENGINEER BUIL'D1NG _ADDRESS CASSATT D. GRIFFIN, SUPT OF BUILDING moo -• LOCALITY . L-�C✓�41 FOR APPLICANT TO FILL IN NEAREST 4 re /� �� CROSS ST. [ADDRESS WNER DISTRI T NO. GROUP ZONE READY FOR INSPECTION I A.A�t "�` 'Jr' INDUSTRIAL ITY VR.N.. EL. NO. b� `-� WASTE APPROVAL LUMBER INSPECTION RECORD ADDRESS CITY TEL. NO. ' LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) $ BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN SINK DISHWASHER LAUNDRY TUB OR TRAY CLOTHES WASHER TOTAL NO. Ce 0.80 APPROVALS /�...� DATE INSPESTOR'S SIGNATURE GAS SYSTEM OUTLETS @1.00i (/ N {l V UNDER SLAB WORK WATER HEATER Q 1.00 ROUGH PLUMBING PERMIT s 1 I 00 GAS PIPING TOTAL FEE ® GAS VENT I 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. ' 1 HEREBY 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 II �AMq/AF(TARH.E LEGAL OVOER OF THE ABOVE SIGNATURE DESCRIBED RESIDENTIAL P11/`'""v TY. (V SIGNATURE `—�/ OF PERMITTEE E FINAL WILLIAM J. FOX, COUNTY ENGINEER VALIDATION 1776r, Va2l 3 5.4 ® BY •. .DEPUTY O DBS-17 3.55 ■tl APPLICATION FO 1 ;J LU.V.!moi IG PE ■ ■YVY IY DBS-17 7 DIVISION OF BUILDING AND SAFETY 1 Department of County Engineer County of Los Angeles WM.J. FOX, COUNTY ENGINEER BUILDING of ADDRESS � ��'U M'^'��:,1�,;Y,,..• �'� CASSATT D. GRIFFIN, SUPT OF BUILDING p pp �! LOCALITY �� h I�Lj CA I t� FOR APPLICANT TO FILL IN NEAR CROSSsr. OWNER �'yL !Fik DISTRICT NO. GROUP ZONE READY FOR INSPECTION MAILr —ADDRESS 1 SS �/~i�i �n �-�T Z��,.�r`�`� �(iW�4 .� INDUSTRIAL CITY I-��'�.� �f"7E[-�0. �+ / � h WASTE APPROVAL PLUMBER INSPECTION RECORD ADDRESS CITY TEL. NO. ' LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) BATH TUB SHOWER LAVATORY (WASHBASIN) KITCHEN SINK DISHWASHER LAUNDRY TUB OR TRAY CLOTHES WASHER ' TOTAL NO. @ 0.80 APPROVALS LC' J ' DATE INSPECTOR'S SIGNATURE S SYSTEM OUTLETS @ 1.00 UNDER SLAB WORK WATER HEATER @ 1.00 PERMIT. $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE Ik4'G GAS VENT I HEREBY ACI(NOWLEDGE 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. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED DESCRIBED RESIDENTIAL PROPERTY, n SIGNATURE OF PERMITTEE ` FINAL WILLIAM J.FOX,COUNTY ENGINEER VALIDATION R.A.WOOD,CHIEF PLBG. INSPECTOR &5435- JUL 3 2.00 v ® D.B.S.17 25M SETS 10-47 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING Wm. J. FOX.CHIEF ENGINEER NATURE OF INSTA TION DISTRICT NO. GouP O t P `No. ROUGH FIXTURES COMPLETE 57 NEATER CESSPOOL I-�SEPTIC TANK R Et ED BY READY FOR '"'DAT ISSUED FIRST INSPECTION A9 MISCELLANEO APPLICANT FILL IN HEAVILY TLINED PORTION ONLYJOB . NAME / ADDRESS �� 4 Q t-) 'a IY 1 V W III ADDRESS LOCALITY�� 2 _ O N HARE8T J CITY TEL.No. C 09 ST. CERT.TNo. EXPIRES Eti NAME LOCATION OF SEPTIC TANK, OR CESSPOOL hal MAIL 3 ADDRESS NORTH O CITY I h •EL.No 1 AM THE LEGAL POGSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. OWNER CORRECTION-yS, I SOUTH J DESCRIPTION OF WORD _z BATH TUB FURNACE 9 SHOWER DISHWASHER 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 I -METER.-GAS SODA FOUNTAIN "._*PUTL GA9 PIPING I _ - GAS VENT CE66POOL TOTAL NUMBER OF FIXTURES SEPTIC TANK I i CESSPOO EPTIC TANK SEWER I I UTILITY CO.NOTIFIED i TOTAL FEE FINAL WORKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm 'that I have a certificate of consent to self 20-0026 DPW 6/87 insure,'or a certificate of Worker's' Compensation Insurance, 76A667.A or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No& Comfan 19Certifiedcopy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspec ADDRESS tion department. ///I NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date f D— r 0 Applicant C 3 WATER CLOSET / NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS'/ �— BATH TUB �d CROSS ST. COMPENSATION INSURANCE OWNER / (This section need not be completed if the work Involved by SHOWER s the permit is for one hundred dollars ($100)or less.) LAVATORY MAIL 3 � ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY �� TEL. NO. / 3 so as to become subject to the Workers'Compensation Laws, DISHWASHER J .0 CONTRACTOR Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of ADDRESS Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR CITY TEL. NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM STATE with comply with such provisions or this permit shall be LICEN u LIC. deemed revoked. WATER HEATER LICENSE NO. r 7 �-� CLASS LICENSED CONTRACTORS DECLARATION ! DISTRICT NO. P SED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM 3 OUTLETS `� 1 (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER G`C7 j/ and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL p � A, VALIDATION License Number Lic. Class Q '"j� � /� DATE 2_ v o' C�. FINAL ContractorLJV Date BY 0° ❑ I am exempt under Sec. B.&P.C. for this reason Plan check fee ® N1 Date: Z' Signature PLUMBING PERMIT ISSUING FEE$ /13 TOTAL FEE ,3 SINGLE FAMILY Plan check applicant r " HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and L�•`07 137.50 Professions Code): City Tel. No. t ❑ I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section , TOTAL . 1 37 „ 5,0 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY t H E t V +37 r I hereby affirm that there is a construction lending agency for CHANGE ,0 E the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). i i g t,)I,)l_Il i 0ll(J 1 10.1.105F'' I Lender's Name 3, 35 1 AM11o3_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 of this County to enter upon the above-me fhned property for spection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee V Date WOQKfRS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 20-0026 DPW 6/87 insure, or a certificate of Workers''Compensation Insurance, 76A667A or a certified copy thereof (Sec. 3800, Lob. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No/ Co�panyr�+l�1r Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING YZ 1d Certified copy is filed with the cou ty building inspec- ADDRESS �J/�Z �{ �L —r tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY WATER CLOSET Date d—� o Applican 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 the permit Is for one hundred dollars($100)or less.) LAVATORY . MAIL Sa ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL. NO. G-2 so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant / CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY TEL. NO. with comply with such provisions or this permit shall be STATE // / 2�� LIC. deemed revoked. WATER HEATER LICENSE NOCLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO, C PROCESSED BY �r I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER 6 and Professions Code,and my license is in full force and effect. J0 5 PER SYSTEM FINAL VALIDATION r/SS DATE ®. 0-1 License Number 37� � Lic. Class � 2 Ca, ��/� _ J� FINAL Contractor ` "'� S ate �/ / BY ❑ 000 0' I am exempt under Sec. B.&P.C. for this reasonOen Plan check fee ► Dote: PLUMBING PERMIT ISSUING FEE$ 13 Signature TOTAL FEE Plan check applicant `a SINGLE FAMILY IJ t s HOME OWNER-BUILDER DECLARATION Name °$ I hereby affirm that I am exempt from the Contractor's License + ;1'• �}f Law for the following ( Address reason Section 7031.5, Business and Professions Code): City Tel. No. 's"` j °'§ ❑ I, as owner of the property, will do the work and the i i 1� � structure is not intended or offered for sale (Section ,` ITL .o 7044, Business and Professions Code). 50 CONSTRUCTION LENDING AGENCY HELii -. ° l� _r` 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued CHANGE °(-ill (Sec. 3097, Civ. C.). Lender's Name 0000'130131 1 10/15/90 Lender's Address 3337 113 i 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- t' edroperty for in 'ection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date WORKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have••a certificate of consent to self 20-0026 DPW 6/87 insure, or a certificate of Workers' Compensation Insurance, 76A667A or a certified copy thereof (Sec. 3800, La . C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS Policy No��Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING F1 Qq�Z Certified copy is filed with the county building inspec- ADDRESS O 7 tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Appligant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS'/—/--"/-> BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER (This section need not be completed If the work Involved by 16 SHOWER 7 the permit is for one hundred dollars ($100)or less.) LAVATORY MAIL 49 ADDRESS 1 certify that in the performance of the work for which this �-J�p permit is issued, I shall not employ any person in any manner SINK 7 CITY /�I C S�/U TEL. NO.�� 2 3 so as to become subject to the Workers'Compensation Laws. DISHWASHER ///`"��ffff CCCCSSSS//��u --7 CONTRACTOR Date Applicant CLOTHES WASHER / ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY TEL. NO. with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATERLICENSE NO. � CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PR CESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. t 5 PER SYSTEM FINAL VALIDATION License Number a Lic. Class 7 �l S �� DATEA. ? g 0. �! FINAL Contracto ate BY ❑ I am exempt under Sec. Ld! B.BP.C. for this reason Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ � Signature TOTAL FEE SINGLE FAMILY z Plan check applicant _ HOME OWNER-BUILDER DECLARATION Name AC.C.i,Q I hereby affirm that I am exempt from the Contractor's License -- Address s 07 +; 50 Law for the following reason (Section 7031.5, Business and :i•S r' �.�� o�_ Professions Code): City Tel. No. i ITEMS- ❑ I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section §l" - �3 �'' m --s 7044, Business and Professions Code). , CHECK 137.50 CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for CHANGE .00 the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name U013Cl-CI091, 10/15/90 l ^•3 mac flip=tet Lender's Address _+ 1 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-mensned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE _ �p-s•_yG Signature of Permi eeL,�7 Date