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HomeMy Public PortalAbout9845 LONGDEN AVE_Plumbing__ 76A667.17 84M-SETS 7-48 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY 4 t' PLUMBING i � COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DI STRICT . .G . FOR APPLICANT TO FILL IN 7 17 C . PLUMBER Y READY ORDATEISSUEDFIRST INSPECTIONADDREB9 O L 8 SEPTIC TANK SERVICECITY 990 6.MABEL MONTERSY NOPARK AT.1.8456 ADDRESS F19 COUNTY 0' LICENSE NO. EXPIRES LOCALITY I CERTIFY THAT I POSSESS THE ABOVE VALID LOB NEAREST ANGELES COUNTY LICENSE. CROSS ST. OW..N.ER t PERMIT FEE IS $1.00 FOR THE FIRST FIXTURE OR CITY "T-,EL. NO. ITEM LISTED BELOW, PLUS Sac FOR EACH ADDITIONAL 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROP- ITEM. FOR EACH SEPTIC TANK AND PIT OR DRAINFIELD ERTY DESCRIBED ABOVE. $1.00. MINIMUM FEE FOR ANY PERMIT $1.00. EACH GAS SYSTEM IS A SEPARATE ITEM. OWNER NUMBER TYPE OF 'FIXTURE OR ITEM - WATER CLOSET (TOILET) CORRECTIONS BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN SINK LAUNDRY TUB OR TRAY GAS SYSTEM OUTLETS WATER HEATER SLOP SINK J Q FLOOR SINK _Z FLOOR DRAIN O DISHWASHER Ir O DRINKING FOUNTAIN URINAL MISCELLANEOUS` APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS.PIPING GAS VENT CESSPOOL SEPTIC TANK - DRAIN ( .) PIT ( ) $ SEPTIC TANK CESSPOOL $ SEWER HOUSE SEWER $ GAS TEST �— UTILITY CO.NOTIFIED p /� TOT L FEE •. FINAL 76A667 17 25M BETS 7-48 1t APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES 1 NlILLIAM J. FOXr CHIEF ENGINEnknG ER I F13R APPLICANT Tp FI IN D STR, GRO P O P 6` -.f• -1 PLUMBER + g RECEIVED BY READY'FOR' DATE ISSUED ` FIRST INSPECTION ADORESS�I `" CITY' 1/�,, TEL.No. A COUNTY�0. .DDRESS / LICENSE NO. M EXPIRES a, LOCALITY I CERTIFY THAT I POSSESS THE ABOVE VALID LOS NCAREST ANGELES COUNTY LICENSE. CROSS ST. _ mg—A7 OWNER w V s MAIL 'PLUMBER i ADDRESS PERMIT FEE IB $1.00 FOR THE FIRST FIXTURE OR CITY TEL. No. ITEM LISTED BELOW, PLUS 600 FOR EACH ADDITIONAL I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP- ITEM. FOR EACH SEPTIC TANK AND PIT OR DRAINFIELD ERTY DESCRIBED ABOVE. $1.00. MINIMUM FEE FOR ANY PERMIT $1.00. EACH GAS SYSTEM IS A SEPARATE ITEM. OWNER NUMBER TYPE OF FIXTURE OR ITEM WATER CLOSET (TOfLET) CORRECTIONS BATH TUB ® SHOWER LAVATORY (WASH BASIN) t KITCHEN SINK LAUNDRY TUB OR TRAY GAS SYSTEM—*—OUTLETS WATER HEATER —SLOP SINK ` A a FLOOR SINK _Z FLOOR DRAIN - 19 DISHWASHER 13 Q' DRINKING FOUNTAIN URINAL MISCELLANEOUS APPROVALS- D E INSPECTOR'S NAME j ROUGH PLUMBING GAS PIPING II GAS VENT l �tJ CESSPOOL SEPTIC TANK - DRAIN ( ) PIT ( ) $ SEPTIC TANK CESSPOOL $ SEWER lei ! HOUSE SEWER $ GAS TEST 14,11 1 TOTAL FEE UTILITY CO.NOTIFIED $ � �-, FINAL 79ABB7 17 9-49' APPLICATION FOR PERMIT DEPAS- TbWNT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES . PLUMBING 1 WILLIAM J. FOX, CHIEF ENGINEER ' FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. PLUMBER `"L7'" .� pl 4 RECEi.y_ED BY READY FOR DATE ISSUED ,FIRST INSPECTION + CESSPOOL''& SEPTIC TANK SERVICE s - rp ' MONTEREY PARK.-, A t+ 9^@4 BUILDING CITY TEL. NO. ADDRESS + r d ri COUNTY LOCALITY �fAre LICENSE NO. ` EXPIRES' - - 'NEAREST, PERI1f1IT FEES CROSS ST. NUMBER '.TYPE OF FIXTURE OR ITEM FEE. OWNER }?+• l7 MAIL. WATER CLOSET (TOILET) 0.50' 16 ADDRESS BATH TUB:.. @ O.50 CITY v TEL—NO. SHOWER - @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN). @ O.SO I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK0.50 STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY'DE$CRISED AJOVE. GAS SYSTEM OUTLETS @ 0.50 I SIGNATURE OF WATER HEATER @ O.50 PERMITTER! / _ R h SLOP SINK @ 0.50 I INSPECTION RECORD - FLOOR SINK 0.50 I r _ FLOOR ditAtN 0.50 c DISHWASHER @ 0.501. DRINKING FOUNTAIN @ 0.50 I I URINAL @ 0.50 .1 HOUSE SEWER @ 0.50 a Z MISCELLANEOUS . I I • APPROVALS • DATE INSPECTOR'S NAME ..ROUGH PLUMBING GAS PIPING I- GAB VENT - CESSPOOL @ 1.00 CESSPOOL " SEPTIC TANK: I SEPTIC TANK — DRAIN,( ) PIT ( ) Q 1.001. SEWER' PERMIT t..00 GAS TEST. UTILITY CO. NOTIFIED I TOTAL'FEE I I.©Or FINAL WORKERS COMPENSATION DECLARATION ,20-0026 DPW 4/90 APPLICATION FOR PLUMBING PERMIT I hereby,affirm thQt I have a certificate of consent td self'iri�� 76A667A sure,or a certificate of Workers'CoUiptnsation Insurance,or a certified az y thereof(Sec. 3800,Lab. ) Policy No Company COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Certified copy Is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM ADDRESS dep rTm t. @ FEE LOCALITY Ddte Applicant WATER CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER - OWNER n ._ (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars(;100)or less.) LAVATORY ADDRESS , I certify that in the performance of the work for which this per- SINK CITY ` ���� mit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR 1110vold Date• Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR 'ADDRESSI �/,,�, ,�[ emption,you should become subject to the Workers'Cornpen- CITY �CA/�J sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE 2 / LIC. ^ n n ed. WATER HEATER LICENSE NO. �9( Ll.�d CLASS c._o"V LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business ' OUTLETS OVER and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION fect. HOSE BIB DATE a License Num All Lic.•Class.224O / �1 FINAL 0 Contractor ate 6 r I BY 5 O i •I am exempt under Sec. ACCT.s � B.BP.C. for this reasons �tEF H Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ 7 1TEM9 Signature - TOTAL FEE T 0Tl L 44 m 10 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant CHECK 44010 1 hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section 7031.5, Business.and CHANGE .00 Professions Code): Address F1 I, as owner of the property, will do the work and the ' City, Tei. No. �Q�� 1 � � �� structure is not intended or offered for sale(Section 7044, Business and Professions Code). 7560 1 PM 5p45 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 L'ender'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 e mention?Pprop4 for inspecti urpos s. (f 4. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee U Date