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Home My Public Portal About9661 LONGDEN AVE_Plumbing__ c r 78A887-CE#8Ta 12-84 � APPLICATION . FOR PLUMBIN PERMIT bEPACpUNTY OF LOS ANGELES (p RTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDINGADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUP-T OF BUILDING, LOCALITY FOR APPLICANT TO FILL IN CROSS 8T, NUMBER FIXTURE OR ITEM EACH FEE OWNER a- WATER CLOSET $1.25 BATH TUB 1.25 s DDRESS SHOWER 1.25 a CITY , J`�� ' TEL. NO. LAVATORY 1.25 5 O CONTRACTOR 1"o.4 I U SINK 1.25 a f ADDRESS�� 41 ,Q Es'C��VT DISHWASHER 1.25 a,s CTlY 460�_Al_ O,��} TEL. NO.�/J�-�7 LAUNDRY TUB 1.25 CONTRACTOR'S Ss/ STATE �/ REGISTRATION NO. COUNTY CLOTHES WASHER 1.25 / S -DISTRICT NO. r.ROY_!!_l ZONE P SED BY WATER HEATER 1.50 Q GAS SYSTEM OUTLETS 1.50 $'O INDUSTRIAL v `J. WASTE APPROVAL p. OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD_ v ca r � r+ APPROVALS DATE f FINSPECTOR'S SIGNATURE UNDER SLAB WORK .rte:'e`' i PERMIT S 2 00 ROUGH PLUMBING Z I •,��; TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT _ }� AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. - 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES t`� " l�✓✓ v LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL O ,,OF,AND INTE GAS TEST RESIDE IN,THE ABOVE DESG D E�lwl PERTY. UTILITY CO.NOTIFIED -pp SIGNATURE ! Y '.s•A OF PERMITTEE FINAL LIDATION ROBERTYA.WOOD CK. M.0. CASH SUPERVISING MECHANICAL ENG'R LnCo 4 6 1 1 v' AUG 1 3 5 D 16.25- -T 6.25Ncl c- -'_ rr '- •. •- L --- . - :1`' --_ ��/C�/'•a/f raj / DEPARTMENT OF COUNTY ENGINEER PLUMBING DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES gU1LDINGGG` ++, WILLIAM J. FOX. COUNTY EN13INEER ADDRESS `p /FOR APPLICANT-TO FILL IN LOCALITY NEARESTBUILDING ADDRESS `7 g,-,.//f11� CROSS ST. DISTRICT NO. GROUP I ZONE PERMIT NO. LOCALITY �-�_�Q� � � � � A � //'�7 NEAREST /� �J4►9sG CROSS ST. RECEIVED BY Ready for Inspectlon DATE ISSUED OWNER JD'' / ✓t �ae1Ep. ;I "),9 MAIL4 n INDUSTRIAL ADDRESS a nn,U (��JL �� a WASTE APPROVAL CITY yJ ( �vL�L,TE .No. INSPECTION RECORD PLUMBER ADDRESS CITY TEL.N0. []STATE LICENSE NO. [Ly000NTY J PERMIT FEES a z VUMDER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET(TOILET) @ 0.80 $ O BATH TUB 0.80 SHOWER @ 0.80 LAVATORY(WASH BASIN) @ 0.80 KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY @ 0.80 o SLOP SINK @ 0.80 FLOOR SINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER @ 0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 0" GAS SYSTEM..—.6i OUTLETS @ IAO 013 WATER HEATER @ 1.00 0�,1 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE 3 WO GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES ISTERED AND/OR LICESD CERTIFY S REQUIRED BY AM PROPERLY ANGELES COUNTY GAS TEST r—11663 AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED 10 SIGNATURE « OF PERMITTEE._ _......_.•_••.._.?V.---_ ----- FINAL L Gr!» 76AG67 DBS 17 1/63 mew w 11-m 0 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING, WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL. IN DISTRICT NO. GROUP ZONE PERMIT NO. e'Q PLUMBER .I `��y - j� '; RECEIVED BY READY FOR DATE ISSUED � �p� f �` y FIRST INSPECTION ADDRESS r�' c.= I Y .?•-.GS .j�/t ilJ-R It.�. J. BUILDING CITY , G ibi �')fl._li `Y`I TEL. NO. ADDRESS COUNTY LOCALITY LICENSE NO.. EXPIRES � A -11A NEAREST PERMIT FEES CROSS ST.. NUMBER. TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) ® 0.5o s . . ADDRESS BATH TUB @ 0.50.1- CITY TEL. NO. SHOWER Q O.SO I 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ o.SO-.1 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 0 6.501 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER OF THE RESIDENTIA PROP TY ESCRIBED ABOVE. GAS SYSTEM OUTLETS ® 0.601' SIGNATURE OF WATER HEATER0.50 I P.ERMITTE - I/ /1.-� L•! SLOP SINK @ 0.501INSPECTION RECORD� FLOOR SINK @ 0.50 FLOOR DRAIN ® 0.50 DISHWASHER @ 0.501 DRINKING FOUNTAIN @ 0.501 URINAL @ 0.501 J HOUSESEWER db 0..50 . Z MISCELLANEOUS 11 1 APPROVALS 1 DATE INSPECTOR'S NAME 1 ROUGH PLUMBING GAS PIPING GAS VENT } CESSPOOL Q 1.00 I CESSPOOL —2Z't(� i,j , SEPTIC TANK: 1 SEPTIC TANK DRAIN ( ) PIT ( ) @ i.o6 SEWER PERMIT . 1,00 GAS TEST TOTAL FEE yy l &o .UTILITY CO. NOTIFIED 16 FINAL 4 `,�) `�(J 7sw6e7A Ice 81713) '4/71 " APPLICATION FOR PLUMBING PERMIT le BUILDING AND SAFETY DIVISION FOR APPLI.CANTTO FILL IN(PRINT OR TYPE) BUILDING / NUMBER FIXTURE OR ITEM ®, FEE ADDRESS 6 P A I-.A—.. WATER CLOSET LOCALITY r NEAREST BATHTUB CROSS ST. SHOWER OWNER x dC LAVATORY MAIL ADDRESS SINK- 3 QQ CITY TEL.NO.V 4r 3 DISHWASHER-- CONTRACTOR 1 CLOTHES WASHER .. ADDRESS 4,^Q( SWIMMING POOL RECEPTOR LAWN SPRINKLER SYSTEM CITY vp Yr►- 112 C, TEL NO. STATE LIC. WATER HEATER LICENSE NO. 1 CLASS GAS SYSTEM ' OUTLETS DISTRICT OOtg Gjt� ZON P ESSED BY fR OUTLETS OVER /W p. 5 PER SYSTEM INDUSTRIAL c� WASTE APPROVAL Q INSPECTION RECORD CD W CL N Z .tea Plan check fee PLUMBING PERMIT ISSUING FEE$ '700 TOTAL-FEE 3 D Plan check applicant Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel.No. GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE .GAS VENT THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. 'HOT WATER HEATER I HEREBY CERTIFY THAT.1 AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE. SCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE _ CF PERMITTEE ell? FINAL PLAN CHECK VALIDATIQN CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH �� 2.48tii4AY 3 S D � 1 3.0 0 An 75A66710E-8.17)-4/72 1� APPLICATION&DFXILUJ�iM ING P 1T COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ' p MAKE CHECKS PAYABLE TO. ADDRESS BUILDING / L 3 HARVEY T. BRANDT, COUNTY :ENGINEER LOCALITY FOR APPLICANT TO.FILL IN (PRINT OR TYPE) NEAREST CROSS ST. . NUMBER, FIXTURE OR ITEM FEE WATER CLOSET 1.,75 OWNER h 1 Ca. MAIL BATH TUB 1.75 ADDRESS SHOWER- ._ __ 1,.75 CITY TEL. NO.O.V3 4119 LAVATORY 1.75 C O NTRAC TOR SINK 1.75 ADDRESS/ DISHWASHER 1.75 CI TEL. NO. CLOTHES WASHER 1.75 STATE / LIC LICENSE NO.. ( CLASS SWIMMING POOL RECEPTOR 1.75. DISTR �O GROUP J� PROC. SED BY LAWN'SPRINKLER.SYSTEM 1.75 WATER HEATER 1.75 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1.75C INSPECTION RECORD v OUTLETS OVER cc 5 PER SYSTEM ..30 F LLN O. Cn Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00• TOTAL FEE —=APPROVALS_ :DATE INSPEC.TOR'S SIGNATURE Plan check..appl.icant -UNDER SLAB WORK Name ROUGH PLUMBING Address ) jp0 S PIPING City Tel. No. VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ TII15 APPL AND: STATE THAT THE ABOVE IS CORRECT AND .AGREE TO MBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS' REG -PLUMBING. S TESTI HEREBY CERTIFY THAT I AM PROPERLY REGISTERED LITY CO. NOTIFIED LICENSED AS RECUIRED 'BY LOS ANGELES' COUNTY AND STCALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INVPRESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. AL SIGNATU'R.E Sr , OF PERMITTEE C� PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH I 1% 2 7 5 473 AUG 16 5 .A 4.75 Q WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 764667A insure, or a certificate of Workers'Compensation Insurance, ICE 817(REV. 10/81) or a certified copy thereof(Sec. 38 b. C . COU OF LQS NGELES rte_ BUILDING AN AFETY Policy No. Com,pan / •-:ZZZ �'L. /�.��' .�� ❑ Certified copy is hereby furnished. 1 _ BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS �D/G el Cert d cop i2,01ii;ant ed with the c my building inspec- I _ tion epart NUMBER FIXTURE OR ITEM (� FEE LOCALITY �/�. WATER CLOSET /L // , Date �. t I NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. .n�,�!�,�,,//l?�+�",^��;;� COMPENSATION INSURANCE SHOWER OWNER (This section need-not be completed if the work Involved by MAIL �•/�may/ the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS 1 certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner SINK CITY TEL.NQS so as to become subject to the Workers'Compensation Laws. DISHWASHER /� CONTRACTOR /7e/ Date Applicant CLOTHES WASHER Q.�v J� NOTICE TO APPLICANT: If, after making this Certificate of ADDRESS ALL CLJSF _ Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR y �� CITY L � TEL.NO. /� Compensation provisions of the Labor Code, you must forth LAWN SPRINKLER SYSTEM / 7 V with comply with such provisions or this permit shall be STATE �j LIC. / deemed revoked. WATER HEATER LICENSE NO. % �J CLASS LICENSED CONTRACTORS DECLARATION„ DISTRICT NO. P CESSED$y I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETSry (commencing with Section 7000) of'Division 3 of the.Business O.UTLETSOVER d and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL. '�j 'VALIDATION 0 DATE ,> r License-Num Or Lic. Class �% 09 FINAL Contractor r D'te BYLM _ ❑ /a1�' I am un er•Sec. � B.AP.C. for this reason ► Plan check.fee Date: PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE Plan check applicant SINGLE FAMILY is �,O P HOME OWNER-BUILDER DECLARATION , Name I hereby affirm that I am exempt from the Contractor's License +"o Low for.-the following reason (Section 7031.5, Business and ns Code): city Professioy Tel. No. ° 1650 ❑ I,-as owner of the property, will do the work and the r ° 1:6 5 0 structure is not intended or offered for sale (Section 7044, Business and Professions Code). 0_k: Q 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 j above information is correct..I agree to comply with all County ordinances and State laws reguloting Plumbing, and hereby Guth rize representatives of this County to enter upon the I j o e- tinned ropert for inspection rpos SEE'REVERSE FOR EXPLANATORY LANGUAGE I Signatu a of Permittee- Date I I WORKERS'COMPENSATION DECLARATION . APPLICATION FOR PLUMBING PERMIT I hereby Affirm that II have a certificate of cot to self 7�iA667A �/%`��9""'� I insure, or a certificate of Workers'Compen:ofion Insurance, CE 817(REV..10/81) or a certified copy thereof Sec. 3800 Lob. C.) Ij t COUNTY OF LOS ANGELE BUILDING AND SAFETY Policy N pony Certified copy isli reby furnished. BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS Certified copy is fi.l d with the county building inspec- NUMBER FIXTURE OR ITEM tion department. ) � @ FEE LOCALITY Date WATER WATER CLOSET NEAREST ilk CERTIFICATE OF EXEMPTION FROM WORKERS' , BATH TUB CROSS ST: COMPEN$i4TION INSURANCE a,; OWNER (This section need not be completed if the work involved by SHOWER the perm)t is'for one hundred dollars'(S100)or less!) LAVATORY SIL / 'ADDRESS I certify that in the performance of'the work for which.this I permit is issued;I shall not'employ'ariy person in anymanner SINK CITY'' TEL.NO. so as.to become subject to the Workers'Compensation.Laws. DISHWASHER CONT.RACTO ,/- Y' Date. Applicant CLOTHES.W.ASHER' ADDRESS O NOTICE TO APPLICANT- If, after making this Certificate of r SWIMMING POOL RECEPTOR Exemption, ,you should become subject to the Workers' : Compensation provisions of the Labor Code, you must forth- CI. TEL.NO. a LAWN SPRINKLER SYSTEM with comply with such provisions or .this. permit shall be STATE LIC. n. deemed°revoked. WATER.HEATER INCENSE NO.. CLASS.. LICENSED CONTRACTORS.DECLARATION. i DISTRICT NO. ESSED•BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS ` (commencing with Section. 7000)of Division 3 of the Business OUTLETS OVER (/Q and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL �1 DATAo VAI ATION License Number / Lic. Class � O t?! Contracto! r�1 v'opJ�m0 B N V ❑ YLim I am exempt under Sec. Q `G s tf.(� 414,�7 q IAL B.BP.C. for this reason rJ ` Plan check fee # 0 0 0 0 0 5 Date: D ( 0 o 1 b 5 PLUMBING P-ERMIT ISSUING FEE$ Signature 0, TOTAL FEE 10512 Plan check applicant '.0 a o 1 &5 0 5 SINGLE FAMILY HOME OWNER-BUILDER.DECLARATION Name 3. 1 hereby affirm that I am exempt from the Contractor's License U 03-86 Law for the following reason (Section 7031.5, Business and. Address Professions.Code): City Tel. No. ❑ I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section , 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for i 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 statel 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-m oned pr rty f i pection purpose SEE REVERSE FOR EXPLANATORY LANGUAGE i Stgnaf a of Permittee 'DatO.