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Home My Public Portal About4951 MCCLINTOCK AVE_Plumbing__ 76M67 (CE-817)-8-71 �� i✓-,-2--e' � APPLICATION FOR PLUMBING PERMI;'r COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING 3 ADDRESS LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM ® FEE ' ` ' OWNER ` WATER CLOSET 1.75 MAIL BATH TUB 1 75 ADDRESS Al 414-69 `VS SHOWER 1 75 CITY TEL. NO. i O LAVATORY 1 75 CONTRACTOR SINK 1 75 ADDRESS DISHWASHER 1 75 CITY TEL. NO. CLOTHES WASHER 1 75 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1 75 DISTRICT N I GROyP rj ES BY LAWN SPRINKLER SYSTEM 1 75 l WATER HEATER 1 75 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1 75 1,DtSPECT12N RE OR OUTLETS OVER .30 5 PER SYSTEM MA N Plan check fee See reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING ] f1,� City Tel. No. GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. 2- I I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSCDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED R .SIDENTIA OP TY. FINAL SIGNATURE OF PERMITTEE• PERMIT VALIDATION CK. M.O. CASN PLAN CHECK VALIDATION CK M.O. CASH ^ 613-1-3 sE? 14 5 D 4.75- 78A687-CF9817 2-66 Cp APPLICATION FOR PLUMB NG PER(�MPf COUNTY OF LOS ANGELES ZPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY ` FOR APPLICANT TO FILL IN NEARESTOSS T. NUMBER FILATURE OR ITEM EACH FEE OWNER WATER CLOSET 61.25 MAD: BATH TUB 1.25 ADDRESS SHOWER 1,25 CITY TEL. NO. LAVATORY 1,25 CONTRACTOR SINS 1.25 ADDRESS DISHWASHER 1.25 CITY TEL. NO. LAUNDRY TUB 1.25 STATE LIC LICENSE NO. CLASS CLOTHES WASHER 1.251 DISTRICT NO.. GRO z_qNr. RO WATER HEATER 1.50 � r () GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .80 c..') INSPECTION RECORD 0 W d N Z e Azle Aw APPROVAL DA-f E " INSPECTOR'S"SIGNATURE , PERMIT 5 2. 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I M THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE SCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE / -� FINAL t``"f � ��.�r71 VALIDATION JACK R.ALLEN CK. M.O. CASH SUPERVISING MECHANICAL ENG'R. o 9 6 .0 4:a JUL 14 5 0 3.5 O Nell o -' Tom'^A�l� , 76A667C (CE-81713) -973 C'_ 0I j' J' _ APPLICATION FOR PLUMBING PERMIT ,6 . ,q BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL.IN (PRINT OR TYPE) BUILDING NUMBER *FIXTURE OR ITEM @ FEE ADDRESS WATER CLOSET LOCALITY �M BATH TUB NEAREST CROSS CROSS ST. SHOWER OWNER LAVATORY MAIL ADDRESS SINK CITY TEL.NO. DISHWASHER CONTRAMIFIC ERS CLOTHES WASHER ADDRESS E. GRAND AVE. SWIMMING POOL RECEPTOR CITY TEMPLE CITY( ( L 02LO LAWN SPRINKLER SYSTEM STATE Q WATER HEATER LICENSE NO�I/() (Y CLASS G DISTRICT NO. GROUP E R SSED` oGAS SYSTEM OUTLETSI 12.N I F OUTLETS OVER L� , 5 PER SYSTEM INDUSTRIAL LLLI WASTE APPROVAL 0- INSPECTION INSPECTION RECORD Z r Plan check fee PLUMBING PERMIT ISSUING FEE $ L TOTAL FEE /7166 Plan check applicant Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel. NO. GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES• AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RML L PR P RTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE , lY6-+�' FINAL T V-77 / • PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK-. M.O. CASH BEADY FOR FINAL INSPE r .9: COUNTY OF LOS ANGELES APPLICATION FOR PERMIT neer DIVIION OFDepartment of BUILDING& SAFETY PLUMBING `1 WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTRI.qB NO. GROUP I ZONE �PERMIT � � PLUMOKaf RE I E BY READY FOR DATE ISSUED � ) FIRSTIE�TION 3 ADDRESS 11� `1 r F� BUILDING `f CITY %!�`� - TEL No.��Q • ADDRESS �a /yds c COUNTY` LICENSE -NO. EXPIRE9�.� E C' 1 LOCALITY °"� NEAREST PERMIT FEES CROSS 9T. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNERMAIL !21 {9►} 0 6�� I WATER CLOSET(TOILET) 0.50 .1 ADDRESS / BATH TUB Q 0.50 CITY TEL. No. SHOWER 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK ® 0.50 AND STATE LAWS REGULATING PLUMBING. 1 H CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY ® 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER GAS SYSTEM OUTLETS 0.60 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. BIONATURE OF OFY WATER HEATER 0.50 PERMITTE SLOP SINK @ 0.60 INSPECTION RECOR FLOOR SINK ! 0.50 FLOOR DRAIN Q 0.50 �'� � /—.a DISHWASHER � DISHWASHER ® 0.50 DRINKING FOUNTAIN 0 0.50 URINAL 0.50 .1 a HOUSE SEWER a 0.50 _Z MISCELLANEOUS lY APPROVALS D/yTE INSPECT611-5 NAME ROUGH PLUMBING ,. DAB PIPING GAS VENT CESSPOOL 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT . 1.00 DAB TEST I UTILITY CO.NOTIFIED TOTAL FEE FINAL 76A667 DBS#17 6-58 WORKERS'COMPENSATION DECLARATION 1 76A667A I hereby affirm that I have a• certificate of consent to self CE 617 (7-6e) APPLICATION FOR PLUMBING PERMIT insure,or a certificate of Workers'Compensation Insurance,or u a €CieSco g�bfSq�(Sec.3800, jjj // !! COUNTY OF LOS ANGEL G D SAFETY Policy No. Company Certified copy is hereby furnished. r i FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ADDRESS C L1 p Certified copy is fil6wit u Ing in ction NUMBER FIXTURE OR ITEM • FEE ;M artme t. LOCALITY Date �M y Appl ' WATER CLOSET G.M L L d" NEAREST If BATH TUB CROSS ST. CERTIFICATE OFION FROM WORKER ' COMPENSATION INSURANCE SHOWER r OWNER &H L (This section need•not be completed if the work involved LAVATORY MAIL r P ADDRESS by the permit is for one hundred dollars ($100) or less.) r SINK }a CITY TEL.NO. I certify that in the performance of the work for which thisDISHWASHER / U permit is issued, I shall not employ any person in any manner CONTRACTOR d`- so as to become subject to the Workers'Compensation Laws. CLOTHES WASHER ADDRESS Q Date ApplicantSWIMMING POOL RECEPTOR y 4J ND U NOTICE TO APPLICANT: If, after making this Certificate of CITY TEL.NOW Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. Compensation provisions of the Labor Code, you must forth- WATER HEATER �+ LICENSE NO. O CLASS L with comply with such provisions or this permit shall be deemed revoked. r DI T No. PROCEqjSED BY GAS SYSTEM OUTLETS LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- FINAL ness and Professions Code, and my license is in full force and DATE VALIDATON Qf effect. License Numbe oo.17 Lic.Class C e' FINAL BY �--E*•e- Contractor Date LJ/2 I m ei �architector ng requirements as I am a Plan check fee 1 en ered professional engineer PLUMBING PERMIT ISSUING FEE$ — s ing in my professnal capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE Lic.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address 4 $9 z , License Law for the following reason (Section 7031.5, Busi- City Tel.No. # 0 0 0 0 0 c ness and Professions Code): IDI, as owner of the property, am exclusively contracting 2 0 n C with licensed contractors to construct the project 0 0 (Section 7044,Business and Professions Code). o 1•C C. CONSTRUCTION LENDING AGENCY ' [l,c G—8 1 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 SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulatin Plumbing, and hereby N fives of this o ty to enter upon the ab me ed proper for ins a ton purposes. Sign ure of Permittee Date E