The URL can be used to link to this page

Home My Public Portal About9931 LOWER AZUSA RD_Plumbing__ D B*-17 962[SM 848 APPLICATION FOR PERMT DBPARTU T OF BUILDING AND SAFETY PLUMBING T ' 3 COUNTY OF LOS ANGELESWM.J.FOX.CIIIEr ENGINEER NATURE OF INSTALLATIOND . ROUGH ri=nm COM / 71, ?" HEATER CESSPOOL SEPTIC TANK —_ RaQwvw BY READY FOR DXM ST INSPECTION A FIRO ED IHC LA U APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB NAME ADDRBSY 10 ADDRESS LOCALITY K J NEAREST 0. CITY TEL No. CROSS ST. C COUNTY CERT No EXPIRES NAME LOCATION OF SF MC TANS, OR CESSPOOL z MAIL 3 NORTH ADDRESS ` O _ CITYf--klNO. I -AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION PLUMBER 1 AM THE LEGAL OWNER OF THE PR PERTY D RIBED Aeove. OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK z ATH TUB RURNACE Q' HOW ER ---------DISHWASHER O -.LAVATORY REFRIGERATOR ITCHEN BINK WATER SOFTENER R BINK LAND TRAP LOr SINK �^^R DRAIN LS WASH TRAY URINAL APPROVA WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME -WATER HEATER DENTAL LAVATORY ROUGH PLUMBING EIER 2 nA8 DA FOUNTAIN GAS PIPING OUTL GAS VENT I4ESSPOOL TOTAL NUMBER OF FIXTURES U SEPTIC TANK CEBSPOOL-------SEPTIC TANK SEWER TOTAL FEE UTILITY CO NOTIFIED FINAL D e 6 17 taw ORIS 1"4 APPLICATION FOR PERMIT `DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING T WM.J.PDX.CHIEF ENGINEER IVXTM OF 3T ROUEN FIXTURES COMPLETE R� READY FOR p NEATER CESSPOOL SEPTIC TANK FIRST INSPECTION 3 ED MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB y NAME ADDRESS / m ADDRESS LOCALITY NEAREST CITY TEL No CROSS ST. COUNTY CERT No EXPIRES NAME LOCATION OF SEPTIC TANK, OR CEMPOOL wcDR6s8 c� 2r� NORTH O CITY TEL NO. IAN THE LEGAL POSSESSOR OF THE ABOVE LOs ANGELES COUNTY CERTIFICATE OF QUALIFICATION. rw1u101 1 AN THS LEGAL OWNER OF THE P��PERTY ESCRIBED ABOVE. , oven= CORRECTIONS SOUTH DESCRIPTION OF WORK ATH TUB RNACE O HOWER DISHWASHER VATORY REFRIGERATOR KITCHEN SINK WATERSOFTENEA R SINK aAND TRAP P SINK R LOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN `SDA 1 • MAM WATER HEATUR VRNTAL LAVATORY ROUGH PLUNDIN49 "� + • 00DA FOUNTAIN GAS PIPINGOUTL 'V GAS VENT �}� CESSPOOL. TOTAL NUMBER OF FUITURUS CPO SEPTIC TANK US._ Z .-�lsEPTICTAHK /1 SEWER S TOTAL FES UTILITY CO NOTIFIED DjIjL" mm ORTe 1-40 APPLICATION FOR PERJUT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES �u ' WM.J.PDX.CHIRP ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERIM NO. ROUGH I FUITURR8 COMPLETE _ HEATER CESSPOOL SEPTIC TANK RUCK R " PIRBT INSPECTION APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB NAMR ADDRESS B ADDR ` �� LOCALITY CITY `�t TEL NcCkk '7 NEARRBT CROSS ST. COUNTY CERT No 1130 IDWIRRB 8r4 1 NAME LOCATION OF SEPTIC TANK, OR CESSPOOL MAIL NORTH ADDRRSB CITY TEL NO. 1 AM THE LEGAL POSSESSOR OF THE. ABOVE LOS ANGELES COUNTY CRATIPICA F� T� PSL Ycm 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. ONKM CORRECTIONS SOUTH W DESCRIPTION OF WORK ATN TUB FURNACR d HOWIIR DISHWABHRR G L ------LAVATORY Rl"IGRRATOR KITCHEN SINK WATKR SOFTRNER JM,OOR SINK TRAP SINK -FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING craft MSO FOUNTAIN GAB PIPING OUTL GAS VENT CESSPOOL TOTAL NUMBER OP FIXTURES SEPTIC TANK. Pool =PTIC TANK SEWER s UTILITY CO. ED TOTAL FEE J (� O O9 6-1V 23M Gera 11-46 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �� '�� COUNTY OF LOS ANGELES WM.J. FOX.CHIEF ENGINEER NATUREOF INSTALLATION ROUGH FIXTURES COMPLETE 71 ;� f NEATER CESSPOOL SEPTIC TANK REC6 READY FOR DATE ISSUED FIRST INSPECTION Q AS MISC APPLICANT FILL IN HEAVILY OUTLINEDPORTION ONLY JOB NAME ADDRESS ":1 m ADDRESS �. LOCALITY i NEAREST CITY • CROSS ST. COUNTY CERT No. EXPIRES • 0- NAME LOCATION OF SEPTIC TANK, OR CESSPOOL 3 M RES9 NORTH O CITY TEL No I AM THE LEGAL POSSESSOR OP TYHK LOB ANGELES COUNTY CERTIFICA OP QU LIFI ION. • �PWMogt I AM THE LEGAL OWNER QF THE PROPER IB'ED ABOVE. OWN[It CORRECTIONS SOUTH J DESCRIPTION OF WORK z_ ATH TUB FURNACE HOWBR DISHWASHER O _LAVATORY REFRIGERATOR KITCHEN BINK WATER SOFTENER -FLOOR SINK SANDTRAP LOP SINK BOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPRCTOR'S HAMS WATER HEATER DENTAL LAVATORY ROUGH PLUMBING 6TBR GAS SDA FOUNTAIN GAS PIPING OUTL GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CEHSP001 REPTIC TANK = SEWER i UTILITY CO.NOTIFIED TOTAL FEE ti v A i FINAL WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT �1 I hereby affirm that r have a certificate of consent to self 20-0026 DPW 6/87 G 1 Insure. or a,cersificote of Workers'Compensation Insurance, 76AS67A of or a certified c y thereof(Sec 3800, ab•C ) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS Policy No Company ' I ❑ Certified copy is hereby furnished - ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS aBUILDINQ � Certified copy is filed with the county building inspec- tio de rtment NUMBER FIXTURE OR ITEM ® FEE LOCALITY F Dote Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WOR RS' BATH TUB CROSS ST COMPENSATION INSURANCE SHOWER OWNER (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 / permit is Issued,1 shall not employ any person in any manner SINK CITY TEL NO so as to become subject to the Workers'Compensation Laws DISHWASHER CONTRACTOR Date ATplicant CLOTHES WASHER NOTICE TO APPLICANT If, after making this Certificate of SWIMMING POOL RECEPTOR ADDRESS AS ` Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY TEL NO with comply with such provisions or this permit shall be STATE LIC deemed revoked WATER HEATER 0 LICENSE NO `7�J�✓�Q / CLASS LICENSED CONTRACTORS DECLARATION yp� BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (//J (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 FINAL/ VIDAL47 ti�'�l _l C/�s/ ION �1N�•S�'1 Lic Class (;�lO �C.f4 , License Number FINAL Contractor Date BY 130O I am exempt under Sec W B 8P C for this reason Plan check fee co Signature Gate Z PLUMBING PERMIT ISSUING FEE$ TOTAL FEE SINGLE FAMILY Plan check applicant HOME OWNER-BUILDER DECLARATION Name ACCT Ir 1 hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031 5, Business and ? 118.00Professions Code) City Tel No❑ IT I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section , TOTAL 118-Q0 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY CWCK IIS.Go I hereby affirm that there is a construction lending agency for ��I the performance of the work for which this permit is issued NAN& (Sec 3097, Civ C ) Lender's Name 00-Ml4 7/ 2/90 Lender's Address 16M 1 AM 9:39 1 certify that I have read this application and state that the 01111,above information is correct I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize reprelentatives of this County to enter upon the above-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o Pe ittee Date