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Home My Public Portal About9665 LONGDEN AVE_Plumbing__ 76"587 17 9=4B (1) APPLICATIONS FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY : PLUMBING COUNTY OF LOS ANGEL - WILLIAM J. FOX, CHIEF ENGINEERES FOR APPLICANT TO FILL IN. DISTRF NO. GROUP' ZONE PERMIT NO. PLUMBER ANA rlOMBING CONTRACTORS RECBY READY FOR DATEISSUED FIRST INSPECTdON C:lrvey - Monterey Park, Calif. ADDRES %Thmiie - eT aA BUILDING a CITY EL. NO. ADDRESS G � Is— COUNTY :1 �/ I LICENSE No. Arg! EXPIRES. 3 d S LOCALITY // NEAREST rt/ ` tZ PERMIT FEES CR oss sr. i.,,i � NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER 4,i' �'✓ /•L.'�-�i C.-ai r'•\'J---:i•1 _.I MAIL_ WATER CLOSET(TOILET) @ 0..50 S ADDRESS ' BATH TUB _ 0.50 �� CITY - Y _4 ^_- TEL..NO. SHOWER' @ 0.50. 1 HEREBY ACKNOWLEDGE THAT' 1 HAVE READ]AND LAVATORY (WASH BASIN) 0.50 aT(J' APPLICATION AND STATE THAT THE ABOVE IS CORREC AGREE TO COMPLY WITH ALL COUNTY ORDINANCEKITCHEN SINK. @ U.50 �(� STATE LAWS REGULATING PLUMBING. I. CERTIFY THAT 1 POSSESS THE ABOVE VALILAUNDRY TUB OR TRAY @ 0.50 { ANGELES COUNTY LICENSE. OltI AM THE LEGAL OF THE RESIDENTIAL-PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS @ 0.50 I' o SIGNATURE OF .WATER HEATER Q 0.50 I O d PERMITTEE SLOP SINK 0-50 INSPECTION RECORD FLOOR SINK O.50 FLOOR DRAIN @ 0.50. DISHWASHER ® :0.50 DRINKING FOUNTAIN @ 0.50 . URINAL @ O.,SQ J HOUSE SEWER ® 0.50 z MISCELLANEOUS (� Q' 0 APPROVALS DATE INSPECTOR'S NAME ROUGH. PLUMBING 0D / 'GAS PIPING RD GAS.VENT r [] CESSPOOL @ 1.00 CESSPOOL _ SEPTIC.TANK: I SEPTIC TANK DRAIN (. ) PIT ( ) @ 1.00 I SEWER / 9 PERMIT 1.00 GAS TEST UTILITY.CO. NOTIFIED TOTAL FEE FINAL 76A667j.1 CE 817-(REV.11/78) APPLICATION FOR PLUMBING PERMIT , COUNTY OF LOS ANGELES 'BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT ORTYPE) BUILDING NUMBER FIXADDRESS FIXTURE OR ITEM @ FEE LOCALITY WATERCLOSET NEAREST BATH TUB CROSS ST. SHOWER OWNER LAVATORY MAIL ADDRESS SINK CITY TEL.NO DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL.NO. LAWN SPRINKLER SYSTEM STATE LIC. WATER HEATER LICENSE NO. CLASS GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PERSYSTEM ROUGH PLUMBING GAS PIPING 00 GAS VENT HOT WATER HEATER PLUMBING FIXTURES i 9 GAS TEST too Plan Check fee UTILITY CO.NOTIFIED PLUMBING PERMIT ISSUING FEE$ _ TOTAL FEE / �� FINAL Plan check.applicant PLAN CHECK VALIDATION Name Address City Tel.No. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE ;2 0 5 8.2 A THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION # 0 0 1 0 0 o5 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AWOR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE 2 O O 1 6 0 0 LEGAL OWNER OF,AND INTEND TO RE51DE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. / 0 0 0 1 6 0 0 H SIGNATURE ' L p (J OF PERMITTEE—�/1/. 0 Q 0 21- 0 DIS ICT NO. P CESSED BY I.-F,, 0Y INDUSTRIAL WASTE APPROVAL ►®GE 8.17(REV.6/78) s - APPLICAT:ION F PLUMBING PERMIT COUNTY OF.LOS ANGELES BUILDING AND-SAFETY FOR'APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING 'NUMBER FIXTURE OR ITEM @ FEE ADDRESS WATER CLOSET " LOCALITY NEAREST BATH TUB CROSS ST.. SHOWER OWNER LAVATORY MAIL. l ADDRESS ✓ SINK CITY / TEL.NO. DISHWASHER CONTRACTOR .01 CLOTHES WASHER 'ADDRESS SWIMMING POOL RECEPTOR CITY, Ile TEL.NO. LAWN SPRINKLER SYSTEM STATE LIC. WATER HEATER. LICENSE NO.. CLASS GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S.SIGNATURE OUTLETSOVER UNDER SLAB WORK 5 PER SYSTEM. ROUGH PLUMBING GAS PIPING 16. GAS VENT 29 HOT WATER HEATER PLUMBING FIXTURES GAS TEST- Plan ESTPlan Check fee UTILITY CO.NOTIAED' PLUMBING PERMIT ISSUING FEE$ o TOTAL FEE FINAL 11Z.-/��j"� Plan check applicant PLAN CHECK VALIDATION y Name Address ;9097 1 A City Tel.No. # 0 0 0 0 0 5 1 HEREBY ACKNOWLEDGE THAT 1.H.AVE READ THIS APPLICATION AND STATE 2 0 0 1000 THAT THEA BOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE CAWS REGULATING PLUMBING, PERMIT VALIDATION I HEREBY CERTIFY THAT I.AM PROPERLY REGISTERED AND/OR LICENSED AS 0 0 0 10.Q Q U REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE , LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL I' a25-78 PROPERTY. ' SIGNATURE OF PERMITTEE , DISTRICT NO. PRO SSED B INDUSTRIAL ' WASTE APPROVAL __ -;:7. K S'tCOMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT 12.,eretiy; firrn �pt I hale a certificate of consent to self 76A667A �iPirsure, or,o`certifioate of Workers'Compensation Insurance, CE 8.17(REV. 10/81) or a certiR'ed copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Cy / I Certified copy is filed with the county building inspec- ADDRESS -/ 6 tion department. NUMBER FIXTURE OR ITEM @ FEE ��11 LocAUTY Date Appli4ant ` WATER CLOSET C/Q NEAREST .. CERTIFICATE OF EXEMPTION.FROM WORKERS' BATH Tub CROSS ST. g ` r COMPENSATION INSURANCE. OWNER (This section need not be completed if the work Involved by SHOWER yt the permit is for one hundred dollars($100)or less.) MAIL ' LAVATORY ADDRESS 4 I certify that in the performance of the.work for which this A permit.is issued, I shall notemploy�any person in any manner SINK CITY TEL.NO. V so as to become b'ect to.the Work rs'Compensation Laws. DISHWASHER CONTRACTOR 1-1 Date. U—Z pplicant CLOTHES WASHER ADDRESS NOTICE T. A PLICANT: If, after -Ing this Certificate of SWIMMING POOL RECEPTOR Exemption, you should beco ubject to the Workers' Compensation provisions of th abor Code, you must forth- CITY s TEL.NO. N SPRINKLER SYSTEM LAW with comply w.i.th such provisions or this permit shall be STATE LIC., deemed revoked. WATER HEATERLICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION ! OO DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM ' OUTLETS 6 Q,C) (commencing with Section 7000)of Division 3 of.the Business OUTLETS OVER —16",D� � and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINA11— DA E Z VALIDATIO V License Number Lit. Class C9 FIN O Contractor Date BY -k . t .%) ❑ I am exempt under Sec. H BAP.C. for this reason - Plan check fee ► , Date:—, PLUMBING PERMIT ISSUING FEE$ Signature - 44956A . TOTAL FEE #.o 0 0 0 0 5 Plan check applicant SINGLE FAMILY A o o 4 Q 5 0 HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License -.o o 4 0.5 0 0' L'aw.for the following reason (Section 7031.5, Business and Address � jP-rrofessions Code): City Tel.No. 07.03-86 Lib I, as owner of the property,.will do.the.work and the i ` structure is not intended or offered for said (Section , 7044, Business and Professions Code,). 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 ogre e•to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the abo e-mentione property for inspection purpos s. � SEE REVERSE FOR EXPLANATORY LANGUAGE ature of erarl Date ION 2o-002 WORKER'S I have a certificate of consent to 76A6s8DPwgI89 APPLICATION FOR PLUMBING PERMIT 78A687A 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.) Policy No. Company COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspection ADDRESS i dA) 6 department. NUMBER FIXTURE OR ITEM FEE r LOCALITY Date '9- Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' CROSS ST. COMPENSATION INSURANCE BATH TUB ASSESSOR (This section need not be completed if the work Involved by the SHOWER MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or less.) OWNER I certify that In the performance of the work for which this permit LAVATORY IL is Issued, I shall not employ any person in any manner so as to SINK ADDRESS Al become subject to the Workers'Compensation Laws. �v6 DISWASHERCIT TEL.NO 7 7 7 5 a Date Applicant CLOTHES WASHER CONTRACTOR d NOTICE TO APPLICANT: If, after making this Certificate of 1 L( Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code,you must forthwith comply with such ADDRESS/,IaZAj 6AM 6- provisions provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY �� TEL.NO._gd�l '� >- CL I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER �.ATE LIC. 0 (commencing with Section 7000)of Division 3 of the Business and LICENSE NO. 0i 7 R CLASS V Professions Code,and my license is in full force and effect. GAS SYSTEM OUTLETS 5 PER SYSTEM DISTRICT NO. PROCESSED BY O License Number�d 7'p 7i� Lic.Class �O� V FINAL DATE VALIDATION W /� �J J Contractor,,d" /y 1�/�C -7� Date g�3 CO) ❑ I am exempt under Sec. BY 5 BAP.C.for this reason `•r`i' t Plan check fee H1,C1.- Signature Date: PLUMBING PERMIT ISSUING FEE$ �P , �`r '� T 41.615 9 i EMS ❑ TOTAL FEE Plan check applicant TOTAL 41.8-5 SINGLE FAMILYCHECK # a I C HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License LawCHANGE .01,for the following reason(Section 7031.5, Business and Professions Address Code): ❑ City Tel.No. I,as owner of the property,will do the work and the structure 1301313-01301 v/ r_: . is not intended or offered for sale(Section 7044, Business and Professions Code). ' 11.118 L AM 8:L i 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 ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned property or inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature aVpeemittee Date