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HomeMy Public PortalAbout9574-9592 LOWER AZUSA RD_Plumbing__ 76AS67 17 W48® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING ����' � � 1COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANTS ILL IN DISTRICT NO.' GROUP I ZONE PERMIT NCO. PLUMBER REC MUD BY READY FOR DATE ISSUED A FIRST INSPECTION ADDRESS V Cr� I� ' ADDRESS2/36 f O CITYBUILDING /V TEL. NO. e COUNTY S 0 LOCALITY 1610EMBE NO. EXPIRES NEARESTl PE DW FEES CROSS ST. /p NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER t Hf S Lo MAIL C/1 9l� WATER CLOSET TOILET 0.80 ADDRESS/ BATH TUB ® 0'80 CITY / L NO. SHOWER 0750 1 HEREBY ACKNOWLEDGE THAT 1 HAI/it READ THIS LAVATORY WASH B%161N O.SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK 0.80 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TR O S ANGELES COUNTY LICENSE, O AM THE LEGAL OWNER OF THE RESIDENTIAL PROP CRIBED ABOVE. GA8 SYSTE UTLBTS O.SO SIGNATURE OF , WATER HEATER 050 PERMITTB SLOP SINK @ 050 INSPECTION RECORD FLOOR BINK do 050 FLOOR DRAIN a 050 ♦t DISHWASHER ® 050 , DRINKING FOUNTAIN 0.50 s URINAL 0.150 f HOUSESEWER 030 Z MISCELLANEOUS O APPROVALS DATE INSPECTOR•B NAME ROUGH PLUMBING / J GAS PIPING GAS VENT CESSPOOL (� 100 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) 1 00 SEWER PERMIT 1.00 GAS TEST _ UTILITY CO. NOTIFIED TOTAL FEE S�t �y FINAL 76A687 n 8-49® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING ����' COUNTY OF LOS ANGELES WILLIAM J FOX. CHIEF ENGINEER FOR APPLICANT, ILL IN DISTRICT NO 13ROUPI ZONE PERMIT NO (3-z 7/ 1 UMBER R7CEMED,BY READY FOR DATE ISSUED A /� FIRST INSPECTION ) 13 ADDRESS 3 v (0 / /v_ ' ADDRESS f O weinil CITYL TEL NO t s IC.UNT N EXPIRES � .l D LOCALITY 4 NEAREST PERM FEES -Ross ST NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) 050' s ADDRESS BATH TUB 050 CITY / I ® EL NO SHOWER 050 1 HEREBY ACKNOWLEDGE THAT I HAI/it READ THIS LAVATORY WASH BASIN O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK O 50 STATE LAWS REGULATING PLUMBING i CERTIFY THAT I POSSESS THE ABOVE VALID f 08 LAUNDRY TUB OR TR (03 030 ANGELES COUNTY LICENSE, O AM THE LEGAL OWNER OF THE RESIDENTIAL PROPS CRIBED ABOVE. GAS SYSTEM OUTLETS ((f O 50 SIGNATURE OF , WATER HEATER 050 PERMITT6 SLOP SINK 052 INSPECTION RECORD FLAOR SINK @ 050 FLOOR DRAIN @ 050 DISHWASHER DOD �" !J '' d •"�t0� �fs DRINKING FOUNTAIN 050 9 "' JQ-r- URINAL 050 ,J HOUSESEWER @ 050 Z MISCELLANEOUS 3 a O APPROVALS DATE INSPECTOR 8 NAME ROUGH PLUMBING / GAS PIPING GAS VENT CESSPOOL 100 CESSPOOL SEPTIC TANK SEPTIC TANK DRAIN ( ) PIT ( ) @ 100 SEWER PERMIT too GAS TEST _ UTILITY CO NOTIFIED TOTAL FEE S FINAL Y D B.Br17 asM BETE 1146 APPLICATION FOR PE T DEPARTMENT,,OF BUIIMING AND SA WY EF EN "� t COUNTY OF LOS ANGELESpLU�1A�ING WM.J.FOX.CHIGINEER — - • NATURE OF INSTAL"-TIONDISTRICT =RKMADY NE PROUGH FIXTURES COM HEATER CESSPOOL SEPTIC TANK R EIY BY DATE ISSUED AS MIBCELLAN UB /,0' APPLICANT ML IN HEAVILYL UTLINED PORTION OYLY NAME JOB E ADDR Y B A BBB LOCALITY s jA�A� # NEAREST 110 C CITYTEL N CROSS ST COUNTY 6�? ESP R CERT NO J 7 NAME 000m LOCATION OF SEPTIC TANS, OR ESSPOOL � Z MAIL / NORTH C ADDRESS CITY TEL 1 AM THE LEGALESS OF TH B LO ANGELES COUNTY CERTIP T fr A N. Im q PLUMBER I AM THE LEGAL ER OF THE PROPERTY DESCRIBED ABOVE. OWNER CORRECTIONS SOUTH J DESCRIPTION F WORK _ 4 �_ ����JJ t z r BATH TUB FURNACE PWZ* L C411Z / 0 IC MOWER DISHWASHER Q LAVATORY REFRIGERATOR KITCHEN BINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INBPECTOR'O NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING ETERZ—AAS I. SADA FOUNTAIN TGAS PIPING I GAS VENT IS CESSPOOL i TOTAL NUMBER OF FIXTURES 0© SEPTIC TANK CESSPOOL SEPTIC TANK SEWER S TOTAL FEE 0 v UTILITY CO NOTIFIED FINAL D 9 s 17 25M errs U-47 APPLICATION FOR PERMIT -DEPARTMENT OF BUILDING AND SAFETY �� ' 7 ` COUNTY OF LOS ANGELES i WM J. FOX.CHIEF ENGINEER VIP , �' ATURE OF INSTALLATION . GROUP I ZONE PERMIT ROUGH` FIXTURES COMPLETE )= HEATER ' CESSPOOL -I SEPTIC TANK READY FOR R BY FIRST INSPECTION �um :� FAMISCELLANEOUSAPPLICANT FILL IN HEAVILY O EDPORTIONjo NAME ADDRESSADDR S LOCALITY NEAREST OT �� CROSS C T No� TV OUNTY CERT No EXPIRES p� LOCATION OF SEPTIC TANS, OR CESSPOOL = MAIL NORTH C ADD R (O /63, C TEL.No �7 IAN THE LEGAL POSSESSOR OF THE AN E LOS ANGELES COUNTY CERTIFI q ICATI N. PLUMBER 1__J�J ` t THE LEGAL 6R OF THE PROPERTY D68CRIBED L'�- ABOVE. 0, o oWNSR CORRECTIONS SOUTH J DESCRIPTION OF WORK z ATH TUB FURNACE O R' ROWER DISHWASHER Q -LAVATORY L, REFRIGERATOR -KITCHEN SINK WATER SOFTENER -JrLOOR SINK ND TRAP LOP SINK -FLOOR DRAIN WASH TRAY —/—URINAL L APPROVALS WATER CLOSET I- PRINKING FOUNTAIN DATE INSPECTOR'S NAUR WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FOUNTAIN OUTL GAS PIPING I GAB VENT SIEMENS CESSPOOL r TOTAL NUMBER OF FIXTURES SEPTIC TANK _�CSP� OOP SEPTIC TANK / O SEWER i TOTAL FEE � 5©' UTILITY CO NOTIFIED FINAL DAA.I%SSM RETE 1-mw `DEPARTMENT OF BUILDING AND SAFWY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES PLUN�IG 8 WM.J.FOX.CHIRP ENGINEER A O O p PERMIT ROUGH FIXTURES COMPLETE HEATER Ll ZLLANEOUB CESSPOOL on-TIC TANK "R DY POR RECEIVED BY PiRST INSPECTION DATE j Him APPLICANT FILL IN HEAVILY OUTLINE O�D /PORTI ONLY JOB NAME I M E ADDRESS O(,' = *0� 14 NADDRESS NEAREST 6 CITY TEL No CROSS BY COUNTY CERT No112�L(ajmEXPIRES � �' NAME ' LOCATION OF SEPTIC TANH, OR CESSP L z MAIL NORTH C ADDRESS CITY P^k TEL No. 1 AM THE LEIW L SS O OF THE ABOVE LOS ANGELES COUNTY CB i QUALIFICATION. PLUMBER I AM THE LEGAL OWN P THE PROPERTY DESCRIBED ABOV B. OWNER CORRECTIONS Qfr T 'e SOUTH DESCRIPTION OF WORK ATH TUB °URNACE 0 d' HOWER DISHWASHER p -LAVATORY to�-- REFRIGERATOR KITCHEN SINK WATER SOFTENER Jq=R SINK NOTRAP ALOP BINK FLOOR DRAIN WABH TRAY r URINAL L'000'o APPROVALS WATER mcerrK ��D/ RINKING POU AIN ,p DATE INSPECTOR'S NAME WATER NEATER DENTAL LAVATORY ROUGH PLUMBING !' "'Y� ✓ o/fes ETES ONT�L. - SODA FOUNTAIN GAB PIPING GAB VENT CESSPOOI TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOL------SEPTIC TANK 5 SEWER S UTILITY CO.NOTIFIED TOTAL FEB FINAL WORKERS'COMPENSATION DECLARATION reweaA I hereby affirm that I have a certificate of consent to self CK 917 12-80) APPLICATION FOR PLUMBING PERMIT insure,or a certificate of WorkerslCompAnsation Insuran e,or a cgjti a cop re ( 0,La ��/ COUNTY OF LOS ANGELES( BUILDING AND SAFETY Poli y No Com any C ifled copy is hereb furnished �j FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDINGQ� +� ADDRESS (i Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM • FEE department LOCALITY Date Applicant WATER CLOSET NEAREST (� CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST` COMPENSATION INSURANCE SHOWER OWNER N i RY MAIL LAVATORY (1 his section need not be completed iP the work Involved LAD D R ESS 3�S >_by the permit is for one hundred dollars ($100) or less) SINK CITY J TEL NO d I certify that in the performance of the work for which this DISHWASHER CONTRACTOR V permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws CLOTHES WASHER b� 0 ADDRESS 7d 1 O Date Applicant SWIMMING POOL RECEPTOR 4=1 �"'�1 NOTICE - NOTICE TO APPLICANT If, after making this Certificate of CITY ��a TEL NO �� Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC Compensation provisions of the Labor Code, you must forth- WATER HEATER LICENSE NO LLA with comply with such provisions or this permit shall be deemed revoked GAS SYSTEM OUTLETS DI STR T NO O ES SE BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER T o I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi FINAL DA4 VALI ness and Professions Code,and my license is in full force and DATE 4 ��6` (�� effect /ns License Number Lie Class r,Z7 BY AL 11 Contractor[."to te ElI am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus mass and Professions Code) TOTAL FEE Lie or Reg No Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address License Law for the following reason (Section 7031 5, Busi City Tel No R4 3 a 9 R ness and Professions Code) I, as owner of the property, am exclusively contracting # e e e e e `5 with licensed contractors to construct the project 2 e e a O O (Section 7044,Business and Professions Code) CONSTRUCTION LENDING AGENCY e e e 1 a 0 0 I hereby affirm that there is a construction lending agency 03, 13-81 3 3_8 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 SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above mention e opert fo inspection urposes — 3 ignature of Permittee Date