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Home My Public Portal About10671 LORA ST_Plumbing__ D.D..6.17 25MSETS 122.44 - APPLICATION FOR gyRAITDE AR=ENA OF BUILDING AND SAFETY COUNTY OF TOS ANGELES . �� • Wm.J. FOX.CHIEF-ENGINEER BIN NATURE. OF-INSTALLATION- DISTRICT No. GROUP ZONE -PERiNIT N0. ROUGH FIXTURES US COMPLE're HEATER CESSPOOL SEPTIC TANK RECEldED BY READY FOR DATE ISSUED � FIRST INSPECTIONInn GAS MISCELLANEO `Y ' _APPLICANT FILL IN HEAVILY OUTLINEID PORTION ONLY JOB a NAM l(/r"` t.6O,� ' ADDRESS �.G 10d j}� g ADDRESS 4-J ' w LOCALITY 1/� e/ NEAREST /7 d CITY ,r,/L ,e L„G-y.`R , TEL.No / � �►r�.Ia.- CROSS ST. COU TY CERT.No. EXPIRES' @� NAME LOCATION OF SEPTIC TANK, OR CESSPOOL,' 3 MAIL ADDRESS NORTH O CITY TEL.NO: I AM THE LEGAL POSSESSOR OF THE ABOVE LOS I ANGELES COUNTY CERTIFFIICATE F QUALIFICATION. i � PI.uMDeR I AM THE•LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. $ OWNER - CORRECTIONS SOUTH DESCRIPTI®N ®F-WORK x ATH TUB FURNACE 0 SHOWER DISHWASHER 1_AVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER _YLOOR OINK BAND TRAP SLOP BINK FLOOR DRAIN WASH TRAY tIRiNAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPRCTOR•u NANZ WATER HEATER DENTAL LAVATORY' ROUGH PLUMBING METER" GAS SODA FOUNTAIN OUTL 6A8 PIPING GAS VENT CESSPOOL TOTAL NUMBER OF FSXTURES SEPTIC TANK / CESBPOO� SEPTIC TANK f SEWER (�d UTILITY CO.NOTIFIED / TOTAL FEE I / =i FINAL D.B.t7 2-41 28M APPLICATION FOR PERMIT EPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH C5 f� A 1 PLUMBING FIXTURES COMPLETE HEATER CESSPOOL SEPTIC TANK RECEIV Y READY FOR DATE 1.�j7�, D/ .GAS. MISCELLANEOUS IV FIRS{T�Io, T � 1 APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY �-,z, JOB K NAME ADDRESS W [0 ADDRESSi LOCALITY NEART J CITY m TEL.N CR088�8T. COUNTY CERT.No. .5—4g g EXPIRES "Zkvc! < W NAME LOCATION OF SEPT TANK, OR CESSP®®L 3 AMAIL DDRESS NORTH 0 CITY TEL.No. I AM THE LEGAL POSSESSOR. OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE��OtyF QU LIFICATION. � �./ese...._.�.a PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED W ABOVE. W 3 � OWNER i CORRECTION§- - a'r='t rR-��1�1�a.j'• %' • SOUTH J DESCRIPTION OF WORK x ATH TUB FURNACE d SHOWER DISHWASHER LAVATORY SEFRIGERATOR ITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP 01 OP SINK FLOOR DRAIN 29 WASH TRAY URINAL APPROVALS:: WATER CLOSET ^RINKING FOUNTAIN DATE' INSPECTORS NAME —WATER HEATER DENTAL LAVATORYROUGH PLUMBING —�k, ETER-4LGAS SODA FOUNTAIN GAS PIPING � cc OU TL GAS VENT CESSPOOL --_TOTAL NUMBER OF FIXTURES SEPTIC TANK —CESSPOOL---------SEPTIC TANK SEWER E UTILITY CO. NOTIFIED TOTAL FEE I 6 FINAL rS :Z � ? 76A667•0HS 17 11-50 - - APPLICATION FOR PERMIT DEPARTMENT OF-BUILDING AND SAFETY;; `—` COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER PLUM""ING DISTRI DUP O. FOR APPLICANT TO FILL IN _ _ 5_,2$��- . PLUMBER _ _ _ READY FOR n e _.._ e_ A. .e RECEIV D BY DATE ISSUED - C�iIt;S1 O•y05';7 - 1L.J e�an e.e vee o. ,+� F/y� _ FIRST INSPECTION ADDRESS ?"i' QA.a !rs �!;Ii @cY'6Juuuv.ry �aauUtlD BUILDING / CITY TEL.No. ADDRESS COUNTY LOCALITY LI ENSE NO. EXPIRES NEAREST 01 PERMIT .EES' CROSS ST. FF- OWNER Ile Z . NUMBER TYPE OF FIXTURE OR ITEM FEE - , MAIL WATER CLOSET(TOILET) 0:50 III ADDRESS BATH TUB 49 0.50 CITY EL. No. SHOWER 0.50 1 HEREB CKNOWLE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) 0.50 APPLICATION AND BT HAT THE AB VE CORRECT AND AGREE TO COMP ITH ALL CO RDINANCES - KITCHEN SINK 49 0.50 AND STATE LAWS R TING PLU F CERTIFY'THAT POSSES OVE VALID LOS LAUNDRY TUB=OR TRAY 0 0.50- ANGELEB COUNTY EN . HE LEGAL OWNER OF THE RESIDENT D CRIBED ABOVE. GAS SYSTEM OUTLETS 0 0.50 BIGNATUR WATER HEATER 0 0.50 PE SLOP SINK 0 0.50 - I®� 'CORD i FLOOR SINK 0 0..50 FLOOR DRAIN 0 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN 0. 0.50 �a oe d 50 ' URINAL Q O.SO e�eJa cz - � �AaEJ�4' HOUSE SEWER @ 0.513 J3 �� Z MISCELLANEOUS APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING -GAS PIPING GAS VENT CESSPOOL 1.00 \ CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER ` PERMIT 1,00 GAS TEST TOTAL FEE UTILITY CO.NOTIFIED 011 e:® FINAL C�if..�r►C/�� D.B. 17 25M BETS.12-43. ••* ,ry AND APPLICATION,FOR OR.P�Ii@dF8A1L DEP g1,�;AO ' B�JOF TJ�/�JDINAITA�ry2'1*��Llpi „y. vvM.J.FOX.CHIEF ENGINEER PLUMBING NATURE OF INSTALLATION 81MI Ic_ N GROUP o E P 6tMlT NO. ROUGH FIXTURES COMPLETE READY FOR. HEATER.. •CESSPOOL Pf BEPTIC TANK _s RECEIVED�Y FIRST INSPECTION h DATE ISSUED . A8• MISCELLANEOUS APPLICANT FILM. IN HEAVILY OUTLINED PORTION ONLY NAME A-1 CESSpOZPL C0NpA v_%rJob C ADDRESS 1 Id 5 est �a� as: do LOCALITY ADDRE68 d31I0£d118 NEAREST O �. ClltY ' _ TEL.No.S�f�-y&, /.L_ CROes.ST: COUNTY ^ CERT.No.. Q EXPIRES Ate, •IC NAME LOCAT7®N OF'SEPTIC TAN�j ®Ij CESSPOOL:; A MAIL. NORTH ; $O ADDRESS e CITY TEL.No. 1 AM THE LEGAL PO88E88OR OF THE ABOVE LOS ANGELES-COUNTY CERTIFI. TE OF QUALIFICATION. PLUMeeR I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBE® i ABOVE. 3 _ owNrn CORRECTIONS SOUTH .I DESCRIPTION OF WORK z ATH TUB FURNACE HOWER DISHWASHER 13 —LAVATORY REFRIGERATOR KITCHEN SINK WATER'SOFTENER FLOOR BINK SAND TRAP SLOW BINK Y'^^R DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET ^RINKING'FOUNTAIN DATB' iNSPeeroR98 wnMe WATER HEATER DENTAL LAVATORY ROUGH'PLUMBING 6TEP SAS SODA FOUNTAIN GAS PIPING I I OUTL GAS VENT I A a immmmmiE CESSPOOL I' Al-- 14 TOTAL NUMBER OF FIXTURES SEPTIC TANK tTOaTrALL. ESSP0O SEPTIC TANK ( � SEWERUTILITY'CO.NOTIFIED:FEE FINAL "o' �iA_ n WORKERS'COMPENSATION DECLARATION' APPLICATION FOR PLUMBING PERMIT. •I.het .affirm thdt I have a.certificate of consent to self 76A6b7A I . .IrisU'r or a certificate ef'Workers'Compensation Insurance, CE 817-(REV. 10/81) , or a certified copy thereof(Sec: 3800, Lab. C.) " COUNTY OF.LOS ANGELES ��' ! BUILDING AND SAFETY Policy Na. Company ) Certified copy is'h.ereby furnished: ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDINGr� %` t Certified cops�y is,filed with the county build'ind inspec- ADDRESS /0'(1 / ' 40 ��7 NUMBER FIXTURE OR ITEM' FEE tion department. � LOCALITY , � CJ�•� i 'Date Applicant WATER CLOSET x rn G L NEAREST i CERTIFICATE OF EXEMPTION FROM WORKERS'• BATH TUB ` CROSS ST. C1 QF' COMPENSATION INSURANCE OWNER-' (This section need not.be completed if-the work Involved by_ SHOWER MAIL S'• �O the permit is for one hundred dollars(;100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this //// permit is'issued, I shall not employ any person in any manner CITY 12 L TEL,NO.�7 7_6 qp so as to become subject to the Workers'Compensation Laws.• DISHWASHER / ' �i(/ CONTRACTOR Date /O a J ppl.icant / �t " CLOTHES WAS !` NOTICE TO APPLICANT: If, ,after making this Certificate of ADDRESS Exemption, you should become •subject td the Workers' SWIMMING POOL RECEPTOR ,• Compensation provisions of the Labor Code, you must forth- CITY TFL:NO. with' -com I with such rovislons 'or this ermit shall be LAWN SPRINKLER SYSTEM • -comply P P STATE (• LIC. deemed revoked. ' , , ' • • . WATER HEATER " LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. P CESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS Q (commencing with'Section 7000.),of Division 3 of the Business OUTLETS OVER and Professions Code,and'my license is in full force and effect. 5 PER SYSTEM. } V FINAL .�� ALIDATIONIL DATE V License Number Lic. Class Contractor Date i• FI `O I am•,exempT under Sec. W B.BP.C. for this reason ' EPIOnchqck fee • ► , ? Date: PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE Plan check applicant j. SINGLE FAMILY HOME OWNER-BUILDER DECLARATION' Name I hereby affirm that I am exempt from the Contractor's License Address Low for the following reason (Section 7031.5; Business and Professions Code): City Tel..No. JZ 0 , A, as owner of the property, will do'the work and the structure is not intended or offered for sale (Section , o 70'44, Business and Professions Code). I,i I CONSTRUCTION LENDING AGENCY "1 j .-?!� 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 I + ob - entioned propert for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE ; � /'oma ..' '., , � i • , , i, Sig atur o Permittee Date 4'ti !