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Home My Public Portal About10419 LOWER AZUSA RD_Plumbing__ • APPLICATION �p1 I K/•�_ D��$, ® pp �pR►�//�g pry_�� (g/��'pp�gq��Il�� p�g�p�q DBS 17 • A �9 LICATI O F®•0 9 .11 Lli• IIID I!®L.I p V G. 1i- E RMI T DBS 17 10.55 DIVISION OF BUILDING AND SAFETY Department-of County Engineer - County of Los-Angeles BUILDING JOHN A. LAMBIE, COUNTY ENGINEER' ADDRESS v 1' CASSATT D.,GRIFFIN,SUPT OF BUILDING LOCALITY ea•L 'Wfv FOR APPLICANT TO FILL IN NEAREST. /. f, CROSS ST. -r, �. ,6,1' OWNER � •y •'t.ti' DISTRICT NO. GROUP READY Z NE I READY FOR INSPECTION MAIL ►� ADDRESS ' INDUSTRIAL CITY :TEL. NO_7 WASTE.APPROVAL PLUMBER „ = iINSPECTION RECORD ADDRESS }j� 4•/ii(/ - _ CITY i'i)f TEL. NO. LICENSE NO. f ir7 er •--. i ✓r ,I�'my NUMBER TYPE OF FIXTURE OR ITEM FEE �i> AlwL (�/IiJ WATER CLOSET (TOILET) ,@ $1.00 - " BATH TUB @ .$1.00 1/�� t�g / / /• SHOWER @ $1.00' LAVATORY (WASH BASIN) @ $U.00 KITCHEN SINK @ $1.0 ��'''' 0 DISHWASHER @ $1.00 ' T.P7.7M, t Xle,.L., LAUNDRY TUB OR TRAY @ $.11.00 CLOTHES WASHER - WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 " APPROVALS DATrE! INSPECTOR'S SIGNATURE ' UNDER SLAB WORK f' J �jljyvC�r.'vY PERMIT $ 7 OO ROUGH PLUMBING z'L' GAS PIPING ------------------ i TOTAL FEE GAS VENT I HEREBYACKNOWLEDGE THAT I HAVE,READ THIS APPLICATION HOT.WATER HEATER �l AND STATE THAT THE ABOVE IS CORRECT'AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES - I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST f® 9 P �-«--,..,•.�1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL 0VyNER. OF, THE ABOVE UTILITY CO.NOTIFIED .,.dw. ;",f r,•�,'C ,.-,,�F � DESCRIBED RESIDENTIA,LrjPROPE SIGNATURE ,�'" �'✓NV / OF PERMITTEE FINAL JOHN A. LLAMBIE, COUNTY ENGINEERALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR . ., O M.0., CASH ... : 0 50 .2 8 DEC 11 8:00 a. 76A667-CC,,S17-8-57 - `°f APPLICATION FOR PLUMBING PERMIT COUNTY.OF LOS ANGELES, . '{ DEPARTMENT OF COUNTY: ENGINEER. "' "wwww BUILDING BUILDING AND,SAFETY. DIVISION ADDRESS, °. JOHN A. .LAMBIE: COUNTY'ENGINEER' CASSATT D. GRIFFIN, SUPT OF BUIt.oING n- LOCALITY !%[�1 l 't FOR APPLICANT TO FILL IN -NEAREST __7V.CROSS ST. NUMBER - ,)FIXTURE OR ITEM' _ - ,..OWNER, - b WATER CLOSET. MAIL `/ G ADDRESS ry O � /✓. l .4e �L BATH TUB' S SHOWER CITY' *,' /f( 'TEL.-NO. V LAVATORY CONTRACTOR SINK .YADDRESS. DISHWASHER CITY ,TEL.,NO. ,y LAUNDRY TUB. CONTRACTOR'S STATE. ❑ REGISTRATION NO. COUNTY ❑ CLOTHES WASHER .: DISTRICT NO., GROUP' 70NE READY FOR INSPECTION. WATER HEATER r 'A GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD ��sr?,ct,df...-;a3_.8- .� Ji''�1�,}.°a�-�'?-t`�6✓..P.�` ��✓`t•3+ APPROVALS . �y Q� $I:OO PER ITEM DATE' INSPECTOR'S SIGNATURE' - G OR FIXTURE $ �L• [GAS R SLAB WORK ry H`PLUMBING' - PERMIT $ 1100 IPING - TOTALFEE ENT, I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIATERrHEATER - - AND STATE THAT,THE ABOVE IS.CORRECT AND AGREE TO•COMP WITH ALL COUNTY ORDINANCES AND STATE_LAWS .REGULATI ..'PLUMBING FIXTURES.. PLUMBING. ; - - - , 1 HEREBY 'CERTIFY THAT 1 AM PROPERLY REGISTERED;,AND/ TEST - LICENSED AS,REQUIRED BY,LOS ANGELES-COUNTY AND STATE. CALIFORNIA OR THAT I AM THE•LEG 0 �NER.:OF THE ABOITY CO. NOTd DIED' DESCRIBED.RESIDE-NTIAL PROPER- - -SIGNATUREPPERMITTE FINAL VALIDATION _ ROBERT A. WOOD, 9 ' , V NG'R SUPER ISINGMECHAN.ICAL E CK. M.0. CASH - ,� 83 � ; .JAN.'30 ' ` 3. A 0.0tq 76A667-CE617-11-57 -APPLICATION FOR :PLUMBING PERMIT COUNTY OF LOS ANGELES i' 1 DEPARTMENT,OF COUNTY ENGINEER` BUILDING AND SAFETY DIVISION BUILDING JOHN'A. LAMBIE,.County, Engineer ADDRESS Z;vS CASSATT D. GRIFFIN, Supt of Buildfag LOCALITY �.P FOR APPLICANT TO FILL IN NEAREST i/� L �x CROSS ST. TT NUMBER FIXTURE OR ITEM" - � k/ A 7 � l OWNER ... WATER CLOSET " � / ,' I/- MAIL BATH TUB ADDRESS j 0 /� 0 �(/- ty� A UaJ4 SHOWER CITY jerp/ALS l / TEL. NO.a LAVATORY CONTRACTOR SINB ADDRESS DISHWASHER CITY TEL. NO. CONTRACTOR'S - STATE ❑ LAUNDRY TUB REGISTRATION NO. COUNTY ❑ CLOTHES WASHERDISTRICT NO: GROUP ZONE READY FOR INSPECTION WATER HEATER GAS,SYSTE INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS @ $1.00-PER ITEM I / DATE INSPECTOR'S SIGNATURE OR FIXTURE $ UNDER SLAB WORK PERMIT. $ 1100 ROUGH PLUMBING -TOTAL FEE GAS PIPING. I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION GAS VENT - AND STATE THAT.THE ABOVE IS CORRECT AND.AGREE TO COMPLY ` HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND,STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 1,HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR- GAS TEST - LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND-STATE OF 'CALIFORNIA OR THAT. I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE � _��B � �"i FINALi7 /N OFPERMITTE ROBERTA:WOOD. f ®F. VALIDATION SUPERVISING MECHANICAL ENG'R CK. N.O. CASH s49 .63m SEP 18 5 R . 2.O 0 L, WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT IT I tewby affiNn that I have a certificate of consent to self 76A667A insure, o:%,o certificate of Workers' Compensation Insurance, CE 817(REV. 10/81) u or a certified copy thereof (Sec. 3800, Lab. C. COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company _..... Certified copy is hereby furnished. O BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) t ADDRESS Certified copy file with t ty buildi i sp - tion departmf NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date is t WATER CLOSET NEAREST �( CERTIFI AT/E" IF EXEM FRO O ERS' BATH TUB CROSS ST. /� 4 6��COENSATI I SU CE OWNER �SHOWER(This section need be co leted if the work involved by MAIL / may' the permit is for o e hundred dollars($100)or less.) / LAVATORY '� ADDRESS /�O • I- I certify that in t performance of the work for whi his �� ) ^ C permit is issued, t s not em oy y person in ner SINK CITY AJ L. NO. 7 . so as to become�su to y�/ rs' amp ns ati aws. DISHWASHER r' 9 / CONTRACTOR Date A ica CLOTHES WASHER P ADDRESS `�� Ae—00 ) NOTICE O P CANT: makd' this rtif' to of Exemption, o should co e y� ect to the orkers' SWIMMING POOL RECEPTOR Compensa' n provisions # the LaH r Code, you must forth- LAWN SPRINKLER SYSTEM CITY , �� TEL. NO.�f - � �1V with comply with such provisions or this permit shall be STATE' LIC. deemed revoked. WATER HEATER LICENSE NO. J CLASS LICENSED CONTRACTORS DECLARATION DISTRI(IT,NO. )PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER up and Professions Code and my licens i in full force d effect. 5 PER SYSTEM FINAL VALIDATI DATE —� License Number Lic. lass FIN 0 Contractor ' Dat BY U. e 0 I am a mpt under Sec. 0 U B.BP.C. for this reason ® W r . Plan check fee a Dat PLUMBING PERMIT ISSUING FEE$ / Z U Signature TOTAL FEE 1-41 9 r SIN/LEAMILY Plan check applicant HOME OWNER-BUILDER DECLARATION Name hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Busineyss and 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). ;259 1,3A CONSTRUCTION LENDING AGENCY # 0 o o 0 0 5 1 hereby offirm that there is a construction lending agency for the performance of the work for which this permit is issued :I 0 - 34,5 0 (Sec. 3097, Civ. C.). o - a3450.5 Lender's Name 1, 1 1 -8 6 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 repr,`e'sentatives of this County to enter upon the above-merpforied property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee 'Date