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Home My Public Portal About9038 LONGDEN AVE_Plumbing__ 76A667-CE#817 10-62 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS 9038 E. Lon don JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A JENSEN, SUPT OF BUILDING ' LOCALITY Te=l P City FOR APPLICANT TO FILL IN ROSSSST. East of Rosrmead NUMBER FIXTURE OR ITEM EACH FEE OWNER T. Leine WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS 9038 E. Lon don SHOWER 1,25 CITY Temple Cit TEL. NO. A LAVATORY 1.25 CONTRACTOR rand SINK 1.25 ADDRESS 10220 E r' DISHWASHER 1.25 CITY Temple CityTEL. NO. ! ATE E�- LAUNDRY TUB 1.25 REGISTRATION NO. 211898 COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO GROUP ZONE R D BY WATER HEATER 1.50 �- GAS SYSTEM OUTLETS 1.50 1 0 INDUSTRIAL IL O WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD u raisp r 09O install stand iDe 1125 u W CL Vf z APPROVALS DATE INSPECTOR S SIGNATURE PERMIT • $ 2 00 UNDER SLAB WORK t ROUGH PLUMBING TOTAL FEE 6o GAS PIPING ��0��U'� v��✓ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION �� } j 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 IHEREBY 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,AND INTEND TO '_RESIDE IN,THE ABOVPDESCIBED RESID TI PROP Rry UTILITY CO NOTIFIED IGNATU RE OF PERMITTEE FINAL ALIDATION ROBERT A WOOD CK M O CASH SUPERVISING MECHANICAL ENG R Li�Lo 7 ,0 8 4'�2 JUL 5 J. A 6,2 5 7 A66 ' APPLICATION FOR PLUMBIRG PERMIT DBS-17 10-55 DIVISION OF BUILDING AND SAFETY - - ? Deportment of County Engineer County of Los Angeles B U 1 LD I NG r_ r JOHN A LAMBIE, COUNTY ENGINEER ADDRESS t �( CASSATT D GRIFFIN, SUP,T OF BUILDING LOCALITY T C F FOR APPLICANT TO FILL IN INEAREST CROSS ST DISTRICT NO _ GROUP_ ZONE READY FOR INSPECTION n� � 's INDUSTRIAL CITY , TEL NO, WASTE APPROVAL - PLUMBER �, f/ l ., INSPECTION RECORD I ADDRESS C /�(J• I - CITY, TEL'NO r LICENSE NO 0 NUMBER �`�� TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET)•.- '@ $1 00 BATHTUB @ $1 00 - SHOWER @ $1 00 LAVATORY (WASH BASIN) _ '@ $1 00 -. KITCHEN SINK @ $1 00 DISHWASHER @ $1 00 - LAUNDRY TUB OR TRAY _ @ $100 CLOTHES WASHER - @ $1 00 WATER HEATER �@ $1 00 , GAS SYSTEM @ $1 00 - 4 APPROVALS DATE INSPECTORS SIGNATURE rI UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 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 - - - 1HEREBY CERTIFY THAT 1 AM' PROPERLY REGISTERED AND/OR GAS TEST ' LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT .1 AM- THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED ^ DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE ' C - OF PERMITTEE Mf ¢-- FINAL - 'I JOHN A. LAMBIE.'COUNTY ENGINEER; VALIDATION ROBERT A.WOOD.'CHIEF PLSG INSPECTOR' ' . • - ,JEK. ) 6f O CASH -•- - �� 13 . x- } 0 t COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Dof County Engineer DIVISIONSION OFF BUILDING & SAFETY WILLIAM J. FOX, County Engineer DISTRICT NO (3R UP -ZONE . FOR APPLIIC/ANT TO FILL IN It , =- ^ r I - 2 +!s PLUMBER O '�/ RECEIVED BY READY (FOR DAT I LIED— FIRST INSPECTION ADDRESS ,J t� a.� BUILDING Ok I , CITY •-eEL No. �j S� ADDRESS a' ,!/ cDUN'rY LOCALITY ! \! LICENSE NO. EXPIRES NEARESTIf IT-C/'( PERMIT FEES CROSS ST. Al 1 ! NUMBER TYPE OF FIXTURE OR ITEM FEE N OWNER TT MAIL WATER CLOSET(TOILET) IW 1.41 $ V ADDRESS .t� 5'6")�1 BATH TUB @ O CITY U A4 4. Jt-��e TEL. ND.14t7 ^'3 J / SHOWER O v I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) Q .5 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY a 3.51, ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER ^' OF THE RESIDENTIAL PROPERTY DESCRIB ABOVE. OAS SYSTEM OUTLETS (w 3.511 � •/� SIGNATURE OF � WATER HEATER @ 3.5 PERMITTEE )s ) SLOP SINK @ Il,-Sb INSPECTION RECORD FLOOR SINK FLOOR DRAIN O DISHWASHER @ O DRINKING FOUNTAIN a 41 URINAL Q 40 HOUSE SEWER11,2 O. O _Z MISCELLANEOUS - z• 1 Ei n�d'�✓�'f1��0 0 '111r) v7 I) t�J5(-O tA/ !lI APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER ,,/ ^I PERMIT 1,pp GAS TEST K)qR UTILITY CO.NOTIFIED TOTAL FEE FINAL Z� 7GA667 DBS',#17 10/52 WORKERS'COMPENSATION DFCLARATI = 6= P PM(CA'noN FOR �ISl4�tlVl1BING PERNT • I-hereby affirm that have a certificate of consent' o self 20-0026 DPW 6/87 nsure, br'a certificate of Workers' Compensation Ins 'nce, 76A667A or a certified copy-thereof (Sec 3800, Lab:C') - COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy,No Company ❑ Certified copy is hereby furnished Y 1 ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING y Certified copy is filed with the county:buildmg inspec- ADDRESS �� • tion department .y NUMBER FIXTURE OR ITEM @ FEE LOCALITY I Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB / J/— CROSS-ST COMPENSATION INSURANCESHOWER WNER This section need not be completed if the work involved b MAIL tYhe permit is for one hundred dollars($100)or less.) LAVATORY �� ' ADDRESS I certify that in the performance of the work for which this �L1� C permit is issued, I shall not employ any person in any manner SINK " CITY L T NO so as to become-subject to the Workers'Compensation Laws DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT- If, after making this Certificate of Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITY' TEL NO LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC deemed revoked WATER HEATER LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter-9 1 GAS SYSTEM OUTLETS �O ' (commencing with Section 7000) of Division-3 of the Business OUTLETS OVER and Professions Code,and m license is in full force and effect 5 PER SYSTEM Y IFINALVALIDATION-License Number Lic. Class ATE U FINAL X Contractor Date s BY Q ❑ ~ I am exempt•under Sec W B 8P.)C for this reason OJ Plan check fee U) _ Date PLUMBING PERMIT ISSUING FEE$ Z Signature TOTAL FEE �� D _ Plan'check applicant SINGLE FAMILY ';P='= sa HOME OWNER-BUILDER DECLARATION Name I hereby affirm T am exempt from the Contractor's,License Address 6�1 for ollowmg reason (Section 7031 5, Business and 7 C" y de) City Tel No _ s �i of the property, will do the work and the O`TPS ,1 2 o ' structure is not intended or offered for sale (Section n��/, , jiyo:sc 7044, Business and Professions Code) • CONSTRUCTION LENDING AGENCY L•i")AIN(7L- E)�' I hereby affirm that there is a construction lending agency for , the performance of the work for which this permit is issued (Sec 3097, Civ C ) i ILI Lender's Name _i"i L rt fl l 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 u ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of•Permittee Dqfte " 76A667 17 25M SETS 7-48 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAF= COUNTY OF LOS ANGELES, PLUMBING WM. J. PDX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRI O�— GROUP ZONE —PERMIT O. ROUGH .r FIXTURESH COMPLETE � HEATER CESSPOOL SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED f FIRST INSPECTION /_ AS M1 CELLAN OU APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB E NAME ADDRESS W D ADDRESS 'LOCALITY g Ojji BAREST Q CITY t- -TEL.No. CROSS ST. COUNT LICENSE NrL EXPIRES NAME LOCA OF SEPTIC T , OR CESSPOOL ' a MAIL ADDRESS NORTH O P 1 CITY TEL.No. 1 I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATKOFFQpUALIF TION y -`? — \��PLUMBER R _irl �La1PLUMBER IAM THE LEGAL OWNER OF THE PROPERTY DESCRIBED 'ABOVE. OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK z I'll BATH TUB —FURNACE ' R' SHOWER DISHWASHER O LAVATORY' REFRIGERATOR KITCHEN SINK ,;<t WATER SOFTENER FLOOR SINK SANDTRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE IN8r[CT0R'9 NAIAR WATER HEATER DENTAL LAVATORY " ROUGH PLUMBING ---------METER—GAS aODA FOUNTAIN GAS PIPING OUTL CTAS VENT I I CESSPOOL I / TO,TAALL NUMBER OF FIXTURES SEPTIC TANK I I ,6-8•V E IC TANK / OB SEWER I I _ S w l TOTAL FEE UTILITY CO.NOTIFIED I (T'�, _ q FINAL 4