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Home My Public Portal About5024 MCCLINTOCK AVE_Plumbing__ APPLICATION FORPERMIT -DEPARTMENT OF BUILDING AND SAFETY -. .` �. COUNTY OF LOS ANGELES PLUMBING -WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. FADDRE444 LUMBE 'W. Ci9.Tyey Mansem—U-ark-, ' RECEIVED BY READY FOR DATE ISSUED FONUNA PLUMBING CONTRA1 FIRST INSPECTION 7 r� BUILDING CITY ATlantic 2-4654 - TEC,LHnberlancl 3-104") ADDRESS COUNTY. LOCALITY_ •L �l ,sf-:L.;` _ •�•-._ _ LICENSE NO. /7 .• '-EXPIRES-4/ / NEAREST PERMIT FEES cROss.ST: RI•F f ,�,Jj�I Ap .. NUMBERTYPE OF FIXTURE OR ITEM_ FEE OWNER 4ie.6�a k-a A it,i"'fyll� %'�P - a.:CT9• MAIL WATER WATER CLOSET (TOILET) Q 0.50 .s _ p• ADDRESS BATH TUB Q 0.50 CITY TEL. NO. SHOWER. Q O..SO 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY.(WASH BASIN). Q 0.50 I � APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK Q0.50 4!1 STATE LAWS REGULATING PLUMBING. 1. .CERTIFY THAT I POSSESS THE ABOVE VALID LCS LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LICEN Ogg I AM THE LEGAL OWNER OF THE.RESIDENTIAL. 1fIDESCRIBED'ABOVE. GAS SYSTEM�OUTLETS Q 0.50 SIGNATURE OF WATER HEATER Q 0.50 PERMITTEUr SLOP SINK Q 0.50 INSPECTION RECORD FLOOR SINK .Q 0.50 FLOOR DRAIN Q 0.50 DISHWASHER Q 0.501 DRINKING FOUNTAIN Q 0.50 URINAL Q 0.50 HOUSESEWER Q .0.501 a' Z MISCELLANEOUS U� APPROVALS DATE INSPECTOR'S NAME 1 ROUGH PLUMBING GAS PIPING GAS VENT �` (.CESSPOOL Q 1.00 CESSPOOL SEPTIC TANK. SEPTIC TANK DRAIN ( ) .PIT ( ) Q 1.00 SEWER PERMIT . 1.00 GAS TEST FINAL TOTAL 'FEE E / _ UTILITY CO. NOTIFIED I�0 `.i 76A667 (CE-817)- 5/73 '/!" • V�� v��, �f APPLICATION FOR PLUMBING PERMIT / COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: ADIDRESS610 1Ar�vcl'� HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY C A-waLL5. Cs FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST.19.C,3AJ0 � " V6 /� C4.W7ChG' sfV NUMBER FIXTURE OR ITEM @ FEE . WATER CLOSET 1;75 OWNER . MAI L BATH TUB 1.75 ADDRESS S"d' / 7 a jqf 1 SHOWER 1,75 CITY �/� T TEL. NO --g/aha 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 DTRIC O. GR ZONE:.�•PROCESSED BY LAWN SPRINKLER SYSTEM 1.75 ds r/J/ //(/y --••• / WATER HEATER 1.75 INDUSTRIAL -r WASTE APPROVAL p GAS SYSTEM OUTLETS 1.75INSPEC•1'ION RECORD v OUTLETS OVER O 5 PER SYSTEM •30 p • r C..7 • W d N Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE S 3 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan ch applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City I. N0. GAS VENT HOT WATER HEATER 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE T04COMP.LY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE 'LAWS REGULATING PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY_REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM E LEGAL OWNER OF, AN INTEND TO RESIDE IN THE ABOVE DES I ED RESIDENTIAL PROPE FINAL L SIGNATURE OF PERMITTEE g- PERMIT VALIDATION CK. M. CASH PLAN CHECK VALIDATION CK. M.O. CASH t43�sEP 3 5 0 4.7 5 g 70Ase7 17 a-so APPLICATION' FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES . `� WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DIST RICTIV0. GROUP ZONE PERMIT NO 6.9 � .2 PLUMBER E`dJ{�rh ( RECEIVED BY READY FOR DATE ISSUED 4 / 1 1(� FIRST INSPECTION D /� y-•/ ADRESS �-� cJJ�� {�/� 7L_71 BUILDING CITY 1a7 (ay 2r}OFa{'!�l,�' '/r�`p�� TEL. NC.,L;"7 . .d ADDRESS - _ COUNTY �Y LOCALITY f� LICENSE NO. EXPIRES F' NEAREST PERMIT FEESCROSS ST. - p w9 Ai e',,2..--o NUMBER TYPE OF FIXTURE OR ITEM FEE I OWNER X-e. v�,'1/' /�y,�•�� WATER CLOSET (TOILET) @ 0.50 8 MAIL ADDRESS t I BATH TUB 0.50 CITY 1 TEL. NO. '�_. SHOWER ® 0.50. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) Q 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL .COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS Q O.50 SIGNATURE OF / j( t�R�A WATER HEATER @ 0.50 PERMITTEE c' 1� t 12 SLOPSINK @ 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN Q 0.50 DISHWASHER @ 0.50I DRINKING FOUNTAIN .@ 0.50 I URINAL Q O.SO J HOUSE SEWER @ 0.50. .5 0 Q Z MISCELLANEOUS (3 Q. O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.00 jG z) CESSPOOL SEPTIC TANK: SEPTIC TANK 1�Ia DRAIN ( ).PIT ( ) _ (t7 1.00 SEWER PERMIT . 1.00 GAS TEST TOTAL FEE I ;�l$ UTILITY CO. NOTIFIED S FINAL WORKER'SCOMPEN$ATIONDECLARATION zaoozSDPW.e,es ' APPLICATION FOR PLUMBING PERMIT +r• 7f1A657A ,1 hereby�ff(rm that 1 have a certificate of consent to self Insure, . or a certificate of Worker's Compensation Insurance, or a certified copy thereoflSec.3800 Lab.C.) 1. l COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Policy No. Company _ i Certified copy is hereby furnished. UILDING FOR APPLICANT TO'FILL IN(PRINT OR TYPE) [CR S (� aim ❑' Certified copy is filed with the county building Inspection department. NUMBER FIXTURE OR ITEM FEE Ylee- ' Date Applicant WATER CLOSET T CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB ST:COMPENSATION INSURANCE ASSESOR T (This section need not be completed if the work Involved by the SHOWER MAP BOOK ��] PAGE 005— PARCEL�� permit Is for one hundred dollars($100)or less.) OWNER � f�l Pr kdy. 06-1- G&-V I certify that.in the performance of the work for which this permit LAVATORY Is issued, I shall not employ any person in any manner so as to' SINK ADDRESS `— become subject to the Workers'Compensation Laws. DISWASHER rCITY TEL.NO. Date Applicant CLOTHES WASHER CONTRA NOTICE TO APPLICANT: If, after making this Certificate of Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR ADDRESS provisions of the Labor Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION W TER CITY I hereby affirm that I am licensed under provisions of Chapter 8 STATE LIC. o .(commencing with Section 7000)of Division 3 of the Business and W&IftEM UTLETS E NO. CLASS V Professions Code,and my license is in full force and.effect. DISTRICT NO. P OCESSED BY OUTLETS OVER Q '5 PER SYSTEM License Number Lic.Class off - . FINAL Q VAL RATION DATE „ 2 — 6 ]r3�S? V' � Contractor Date zU EL ❑ I.am exempt under Sec. r FBINAL 1 ITEMS Z B.&P.C:for this'reason ' d V TOTALm 20 Date: Plan check.fee alo O , :HECK 88..2111 PLUMBING PERMIT ISSUING FEE$ Signature CHANGE ■00 ❑ TOTAL FEE , O SINGLE FAMILY Plan check applicant -� . HOME OWNER-BUILDER DECLARATION Name(! (r,t (�5 I hereby affirm that I am exempt from the Contractor's License Law A� 2474 1 AM 9.2 13 ' for the following reason(Section 7031.5, Business and Professions Addresss.J..� /Y thLe,1"V%J0q(4v4- Code): . City Tel.No. 40MI I,as owner of the property,will do the work and the structure [, is not Intended or offered for sale(Section 7044, Business (yVQ� 376 -.),7 4191 and Professions Code). , CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec. 3087, _ Civ.C.) Lender's Name jY)`et0 � ""//" S 8a rJ- Lender's Address °""� �t I certify that I have read this applica Ion 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 ter upon the above-mentioned pr1ty for inspec on pur o as. SEE REVERSE FOR EXPLANATORY LANGUAGE r - IclaAl Signature of Permittee Date