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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