The URL can be used to link to this page

Home My Public Portal About9509-9513 LONGDEN AVE_Plumbing__ D.B.S.17 25M SETS 12.44 APPLICATION FOR PERMIT 4: DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING I " WM.J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRT NO. GROUP ZONE PERMIT O._.- ROUGH FIXTURES COMPLETE 5 t ,.) F A READY FOR NEATER CESSPOOL SEPTIC TANK RECEIVED:BY DATE ISSUED P�• FIRST INSPECTION GAS MISCELLANEOUS r APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLYJOB . s NAME E E Hockett ADDRESS .2105 E. Longden W _ ADDRESS 2724- East -4th St LOCALITY Temple City NEAREST A. A -CITY Los Ansre le a TEL.NoAn 24127 CROSS ST. Sunset Blvd COUNTYJune 49 CERT.No. EXPIRES W NAME T e C . -Local Councl l a1 Gir LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL - Scouts 3 ADDRESS same NORTH O CITY same TEL.No. ! AM THE LEGAL POSSESSOR OF THE ABOVE LOS 1 ANGELES COUNTY CERTIFICATE OFQUUA�L(IIFICATION. ' •-•� PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. - 3 OWNER CORRECTIONS SOUTH a DESCRIPTION OF WORK ATH TUB FURNACE C5 SHOWER DISHWASHER C 2 LAVATORY REFRIGERATOR 2 ITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP LOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE. INS BCTOR'S NAME WATER HEATER nENTALLAVATORY I AV-1, -I rj , 1,ms ROUGH PLUMBING 1 METER j GAS SODA FOUNTAIN OUTL GAS PIPING I GAS VENT I I CESSPOOL l O TOTAL NULER OF FIXTURES 50 SEPTIC TANK I e - CESSPOOLSEPTICTANK SEWER , s UTILITY CO.NOTIFIED I TOTAL-FEE I 5 50 i FINAL •� I ! � - - . 7SASS7 17 23M SETS 7=45 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING ANn SAFETY COUNTY OF IM ANGELES PLUMBING WM.J.FOX.CHIEF ENGINEER NATURE OF INSTA LATION D18TR1 X10. G--- E P EMIT O. ROUGH FIXTURESHSEPTIC�TANK COMPLETE _ /� p 1 HEATER CESSPOOL RUCK! BY READY FOR. DATE 198UED 1 g7� FIRST INSPECTION A M18CELLANEOU APPLICANTf,FILL IN HEAVILY OUTLINED PORTION ONLY C NAME p�. rr/f //' ADDRE88 10, » M ADDRESS �J:�` LOCALITY r NEAREST d CITY wCfZ fl EL:No. CROSS ST. COUNTY F LICENSE NO. EXPIRES E�' NAME LOCATION OF SEPTIC TANK, OR CW► SPOOL Z MAIL ADDRESS NORTH O CITY TEL.NO. I AM THE LEGAL POSSESSOR OF THE ABOVE LOG ANGELES COUNTY CERTIFICF3 OF QUALIFIO T ON. PLUMBER 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. 3 OWNER CORRECTIONS SOUTH' J DESCRIPTION OF WORK z_ ATH TUB FURNACE Lr ROWER DISHWASHER C -LAVATORY REFRIGERATOR *KITCHEN SINK WATER SOFTENER FLOOR SINK f°AND TRAP LOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I METER eapg E*ODA FOUNTAIN GAS PIPING I I ou.��-��`�d o I • { oaS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTlC TANK I I CE88P00lSEPTIC TANK SEWER I UTILITY•CO.NOTIFIED TOTAL. FEE �� FINAL �/I I hexWORKERS'COMPENSATION DECLARATION CS 817( ) APPLICATION FOR PLUMBING PERMIT eb' ffirro that I haeme a certificate of consent to self ce er7 x-so insure,or-a,certificate of Workers'Compensation Insurance,or 'S 1%, 'fl a certified copy thereof(Sec.3800,Lab.C.) ' COUNTY OF LOS ANGELES : ••.BUIL'D1N AND•SAFETY` Policy No. Company ,c-- 2 ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ADDRESS — CJ J ❑ Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM • FEE department. LOCALITY ` Date Applicant WATER CLOSET UD NEAREST BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNE MAIL (This section need not be completed if the work involved LAVATORY ADDRESS41V Tfff } by the permit is for one hundred dollars ($100) or less.) SINK Z ��`�' o- �r''ll CITY EL.NO. -d3$ Q I certify that in the performance of the work for which this CP- DISHWASHER •p2• od CONTRACTOR - V permit is issued, I shall not employany person in any manner /'') !! CeR so as .to become subject to th o er ' mpe tin L&ws. CLOTHES WASHER a Date _'Applican ADDRESS Gc44 SWIMMING POOL RECEPTOR UU NOTICE TO APPLICANT: If, a ter making this Certificate of CITY TEL.NO. _ Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM L/ / Compensation provisions of the Labor Code, you must forth- LICENSE NO. 7 302 .3 CLASS [�-,3fo Z with comply with such provisions or this permit shall be WATER HEATER /2 1049 deemed revoked. GAS SYSTEM OUTLETS 17, 00 DISTRICT NO. PROC SSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- FINAL � � VALID ON ness and Professions Cede, and my license is in full force and DATE ,. (� effect. 02 �-3b BY mA License Nuber ��3 7� Lic.Class Contractor/un,At44 ca1�°�ate y),L� iSV�o7 F1 am exempt from the licensing requirements as I am a Plan Check fee /'� V J licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus -112111 - iness and Professions Code). TOTAL FEE Lie.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name 3 3 1,0 A #.0 0 0 0 0 5 I hereby affirm that I am exempt from the Contractor's Address •� _ , License Law for the following reason (Section 7031.5, Busi- City Tel.No. ; \ -.13 a 0 ness and Professions Code): ❑ I, as ownef of the property, am exclusively contracting o 0 13 a'S_ with licensed contractors to construct the project (Section 7044,Business and Professions Code). I a28-785 CONSTRUCTION LENDING AGENCY 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.). 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 SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the abov Toned p ertyu' p ction purposes. c � - Sfjfdture of Permittee Date