HomeMy Public PortalAbout9440 LEMON AVE_Plumbing__ 76A667
CE e17 B-59 `- APPLICAION FOR PLUMBING 9 ERGYlo6T 1
BUILDING AND SAFETY DIVISION
Department of County Engineer
County of Los Angeles BUILDING
JOHN A. L.AMBIE,COUNTY ENGINEER ADDRESS
CASS'ATT D.GRIFFIN,SUP'T OF BUILDING
LOCALITY
FOR APPLICANT TO ILL IN NEAREST,
CROSS ST.
OWNER DISTRICT NO. GROUP ZONE I READY FOR INSPECTION
MAIL
ADDR
INDUSTRIAL
CITY T . NO. WASTE APPROVAL
PLUMBER . f INSPECTION RECORD
ADDRESS
CITY ny3 Z— TEL. NO. O/
LICENSE NO. if 16 S-3 1 pmol /J C(�
NUMBER TYPE OF FIXTURE OR ITEM FEE J /� ?e(�-7 � ' y� 4A17,1- e,[OJ--3
WATER CLOSET (TOILET) @ $1.00 i-�
BATH TUB @ $1.00
SHOWER @ $1.00 Q
LAVATORY (WASH BASIN) @ $1.00 DO M-7 111 ' MRV ®��7A�/
KITCHEN SINK @ $1.00 �• 0 `'�,,`�`� ,��� �yn��`,«-/�"�,�/fin"�`r/�
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1:00
CLOTHES WASHER @ $1.00
WATERHEATER @ $1.00 ,-Tw�J��`���J
I GAS SYSTEM @ $1.00 D(J AM17-e-,p. .lel-111r� /Ydit /WO)
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK�p, o--
$ PERMIT $ 1 00 ROUGH PLUMBING —7
TOTAL FEE
GAS PIPING
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. - PLUMBING FIX/TURES p�r
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST r-IAL
LICENSED AS REQUIRED BY LOS ANGELES CO NTY AND STATE OF y /y
CALIFORNIA OR THAT I AM THE LEGAL O ER OF THE ABOVE UTILITY CO.NOTIFIED - /I'(r'f T(f�C 6h1710
DESCRIBED RESIDENTIAL OP
SIGNATURE
OF PERMITTEE FINAL
ROBERTA.WOOD,
JOHN A. LAMBIE.COUNTY ENGINEER VALIDATION SUPERVISING MECHANICAL ENG'R
T CK N.0. CASH
v 3 0 2 7 CU7 3 1 6.0'0 0
7GA667 -CE0817 10-62
APPLICATION FOR PLUMBING PERMIT
COUNTY -OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING h
JOHN-A. LAMBIE, COUNTY ENGINEER ADDRESS /V
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 14
MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS/Q d
DISHWASHER 1.25 CITY TEL. NO3� ,2,:L90
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO. Q COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. `OUPyZONE PROCESSED BY
WATER HEATER 1.50
1.50 INDUSTRIAL d
GAS SYSTEM OUTLETS WASTE APPROVAL 0
O TS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
,� OC
0
V
W
CL
z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE !J�/C
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP 'CATION GAS VENT �✓ '/4. �� �•
AND STATE THAT THE ABOVE IS CORRECT AND AGREE T COMPLY r
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED.AS I REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO ./
RESIDE IN,T ROVE DESCRIBED RESIDENTIAL PRqPERTY. UTILITY�CO. NNbTIFIED
S I G N AT R
OF PE / • ►tUJ I A�&
FINAL
IIDATION ROBERT A.WOOD v
cK M O CASH SUPERVISING MECHANICAL ENG'R
`
L�Lo,2 AUG 6 5. D 4.75
78A887-CE#817 9/83 ��
APPLICATION FOR PLUMBING PERMIT u
COUNTY OF LOS ANGELES u
DEPARTMENT OF COUNTY ENG;7;CRTOSSST.
BUILDING AND SAFETY. DMS
JOHN A. LAMBIE. COUNTY ENGIN44
WILLIAM A. JENSEN, SUPT OF BUILDINTemple ` t Cit
FOR APPLICANT TO FILL IN
NUMBER FIXTURE OR ITEM EACH
OWNER
WATER CLOSET $1. MAIL
BATH TUB 1.25 ADDRESS Same
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS 5871 Fire tone Blvd:
DISHWASHER 1.25 CITY So. Gate TEL. NO. S p 32210
REGISTRATION ON NO. 19017 9 C-5 3w STATE ❑
LAUNDRY TUB 1.25 COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO GROUg7 ..;Z77
PRY
WATER HEATER 1.50 (//') {JX 4�(/, q
1.50 INDUSTRIAL (L
--GASSYSTEM OUTLETS WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
O
F-
U
W
a
Z
APPROVALS DATES INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK .� C,%✓� j ��i �%�
ROUGH PLUMBING
TOTAL FEE 4100
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I 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 REGIS RED AND�OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNT ND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER NO INTEND TO GAS TEST
RESIDE IN,THE ABOVE DESCRID RESIDENTI P RTY. UTILITY CO NOTIFIED
SIGNATURE `
OF PERMITTEE n //
FINAL C+�
A
LIDATION ROBERT A4WOOD
M O. CASH SUPERVISING MECHANICAL ENG'R
LA_ IN
0 6 3 3- JUM 2 9 5 0 4.0'0
' 76A667 (CE-817)-4/72
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM @ FEE CROSS ST.
WATER CLOSET
1.75 OWNER / L 4f]
MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1,75 CITY TEL. N0.
LAVATORY 1.75 CONTRACT
SINK 1.75 ADDRESS
DISHWASHER 1.75 T
CLOTHES WASHER 1.75 *ATE LIC
LICENS 0. 1 ;e'," CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRI T NO, GROUP ZONE F ESSED BY r
LAWN SPRINKLER SYSTEM 1.75 D 1
WATER HEATER 1.75 INDUSTRIAL J
WASTE APPROVAL d.
O
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM .30 ,> e S'T'b' q /AJ p
V!
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS QATE IN PECTOR ,NATURE
Plan check applicant
UNDER SLAB WORK
Name ROUGH PLUMBING 77775
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
PLUMBING. GAS TEST
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 I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPE 7Y. FINAL
51 GNATU RE
OF PERMIT T r
PERMIT VALI ION 00. CASH
PLAN CHECK VALIDATION CK. M.O. CASH ,
..r
E 336973 SEP 5 D 6 .50414
16A667((Crm-817) 1/75
APPLICATIO �FPLLU NKING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO- ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR YPE) NEAREST r+'
CROSS ST C� r
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 2 0
ADDRESS L !�-Q
BATH TUB 2 O ' �O
SHOWER A 2 0 CIN r TEL. NO.
LAVATORY O 2 p CONTRACTOR />���/ � l,/�f/✓r°
SINK �� 2 ADDRESS �Cel �i
DISHWASHEPO,6 2 0 0 CITYJTEL NO '3
� STATE
CLOTHES WASHERd2 0 LICENSE NO � / CILASseg—
SWIMMING POOL RECEPTOR 2 p
DISTRICT NO GROUPNE R SSED BY
LAWN SPRINKLER SYSTEM 2 p G 7 �,
WATER HEATER 2 0 D INDUSTRIAL
} WASTE APPROVAL
GAS SYSTEM -'2-- OUTLETS 210 INSPECTION RECORD 0
OUTLETS OVER U
90
5 PER SYSTEM
CD
U
W
a
V3
Z
n
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVALS DATE INSPECTOR $ SIGNATURE
Plan check applicant UNDER SLAB WORK
Name r rLE 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 LOAM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRI D RESIDENTIAL PROPERTY, FINAL
SIGNATU RE ,
OF PERMITTEE
PERMIT VALIDATION CK. M, CASH
PLAN CHECK VALIDATION CK M.0 CASH `
91
_P 30 5 u 1 E.5 0 ,&9b
VPVORK((ZS" 'JSATION DECLARATION APPLICATION FOR PLUA� RING PERMIT
I hereby affirm that _a certificate of consent to self 76A667A
insure, or a certificate c orkers' Compensation Insurance, CE 817(REV 10/81)
or a certified copy thereof (Sec.,3800, Lab C ) COUNTY OF LOS ANGELES !r BUILDING AND SAFETY
P❑oIIcyANa�Companyu"Rp-tC IFtC
Cert'fied copy 's hereby furnished
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING AA
t
Certified copy is filed with the county building inspec- ADDRESS L
tion department. NUMBER FIXTURE OR ITEM Q FEE LOCALITY
1_34 Date ��r WATER CLOSET NEAREST
Applicant � ��
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST
COMPENSATION INSURANCE OWNER
(This section need not be completed if the work involved by SHOWER
the permit is for one hundred dollars $100 or less. MAIL
P ( � � LAVATORY ADDRESS q�{
I certify that in the performance of the work for which this
permit is issued, I shall not employ any person in any manner SINK CITY T" / TEL NO17
-5�Z
so as to become subject to the Worker's Compensation Laws. DISHWASHER t G�
CONTRACTOR-?
(G 1.
Date Applicant CLOTHES WASHER ADDRESS
NOTICE TO APPLICANT. If, after making this Certificate of 6-4o - L►�L-D
Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR
Compensation provisions of the,Labor Code, you must forth- CITY TEL NO ^,5�,)
LAWN SPRINKLER SYSTEM
with comply with such provisions or this permit shall be STATE LIC-
deemed revoked WATER HEATER LICENSE NO. CLASS
LICENSED CONTRACTORS DECLARATION O� DISTRICT NO P ESSEf2 BY
I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS
(commencing with Section 7000) of Division 3 of the Business OUTLETS OVER J �U
and Professions Co e,and m license full force and effect. 5 PER SYSTEM CL
VALIDATION d
Y FINAL O
DATE U
License Number Lic. Class
FIad
NAL 0
Contracto�F c_ Dat BY - O
❑ U
I am exempt under Sec
B.BP.0 for this reason ® ' of
Plan check fee 1 Z
Date' PLUMBING PERMIT ISSUING FEE$
Signature ! ¢3 7 3.0 A
TOTAL FEE
SINGLE FAMILY
Plan check applicant #•010'0 0 a 5HOME OWNER-BUILDER DECLARATION Name 2 Ab•0 3 0 5 0
I hereby affirm that I am exempt from the Contractor's License _
Law for the following reason (Section 7031.5, Business andAddress r .0 0 0 3 0,50 ca
Professions Code)- City Tel No $•'2 3- 4
❑ I, as owner of the property, will do the work and the
structure is not intended or offeredfor sale (Sectron O l �
7044, Business and Professions Code) 9 3
5o�'r,pR f� �C ii '
CONSTRUCTION'LENDING AGENCY
I hereby affirm that th&e is a construction lending agency for
the performance-of the work for which this permit is issued
(Sec 3097, Civ C )
Lerider's Name
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-mentioned property for inspection purposes
SEE REVERSE FOR,EXPLANATORY LANGUAGE
nature of Perm' e ! Dale
, WORKER'S COMPENSATION DECLARATION 76A667A 6DPW9.69 APPLICATION FOR PLUMBING PERMIT
76A66 '
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)
COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS DEPT. OF PUBLIC WORKS DIV.
Policy No. Company � '• - ,
❑. Certified copy is hereby furnished. BUILDING
❑ - FOR APPLICANT TO FILL IN(PRINT OR TYPE) � ADDRESS 7�0 Lam/
Certified copy is filed with the county building inspection
department. NUMBER FIXTURE OR ITEM p FEE LOCALITY
Date- Applicant WATER CLOSET L NEAREST '
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST
��
COMPENSATION INSURANCE p _ MAP BOOK y PAGE�J PARCEL 3
SSSOR
(This section need not be,completed if the work Involved by the 1 SHOWER �/
permit is for one hundred dollars($100)or less.) OWNER
I certify that in the performance of the work for which this permit LAVATORY d�
MAIL
is issued, I shall not employ any per"n
in any manner so as to SINK ADDRESS =L
become subject to the Workers' Comp ation Laws. — `-
DISWASHER CI TEL NO f
Date Applicant CLOTHES WASHER CONTRACTOR.
NOTICE O APPLICANT If, after i g this Certificate of `
Exemption,you should become subfect o the Workers'Compensation SWIMMING POOL RECEPTOR O
provisions of the Labor Code, you must forthwith comply with such ADDRESS
provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM
LICENSED CONTRACTORS DECLARATION CITY TEL.NO / _•/ d
I hereby affirm that I am licensed under provisions of Chapter 9 STATE /
6
WATER HEATER Gv
(commencing with Section 7000) of,Division 3 of the Business-and GAS SYSTEM OUTLETS �-D LICENSE NO. !11_1_1 CLASS LIC O
Professions Code,and my license is in full force and effect.
OUTLETS OVER DISTRICT NO PROCESSED BY 1=
5 PER SYSTEM �/ O
License Number Lic Class V
FINAL _2 VALIDATION w
z DATE d
Contractor Date ✓ !n
❑ FINAL Z
I am exempt under Sec. BY
BAP.C.for this reason
Date:
Plan check fee '
PLUMBING PERMIT ISSUING FEE$ s_ 5 5
Signature //
F-1p� ,
TOTAL FEE (p ACrvTv:l it a
SINGLE FAMILY
Plan check applicant 3307 145.65
HOME OWNER-BUILDER DECLARATION Name1 ITEMS
hereby affirm that I am exempt from the Contractor's License Law
for the following reason (Section 7031 5, Business and Professions Address
Code). TOTAL ��"—8 - 65
City Tel No. �• t, e e r
y�
I,as owner of the property,will do the work and the structure CHECK
14•. �
is not intended or offered for sale (Section 7044, Business �r1A�VE oCh(
and Professions Code). - r1
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for the 0000-00131 2/ 9/91
performance of the work for which this permit is issued (Sec. 3097, -•
Civ C> 61CffJ 1 AM 10'.20,
Lender's Name
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-mentioned _
property for inspection purposes.
SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of Permittee Date