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Home My Public Portal About5134 MCCLINTOCK AVE_Plumbing__ J. 76A667-CE#817 5-65 !�-1 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING AND AFETY �� JOHN A LAM ES COUNTY DIVISION ADDRESS 0 1 ,37 w; c j"-I COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST NUMBER FIXTURE OR ITEM EACH FEE OWNER C!Q H�� WATER CLOSET $1.25 MAIL BATS TUB 1.25 ADDRESSJ ) SHOWER 1.25 CITY-Tpk3F+ Cr l TQI TEL. NO." ;sG-? LAVATORY 1.25 CONTRACTOR "P,AC F)C X 'L snis 125 ADDREss i OqZ�O G Q D DISHWASHER 1.25 TEL. NO.STATE LIC LAUNDRY TUB 1:25 LICENSE NO. 'ZI )Q9g CLASS 51R'f4E:o CLOTHES WASHER 1.25 DTTT ICS GR P B WATER HEATER 1.50 0 !�J) F7 I GAS SYSTEM OUTLETS 150 INDUSTRIAL D- WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM AD INSPECTION RECORD U O H V W AL N Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2jThr UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLIGAS VENT AND STATE.THAT THE ABOVE 16 CORRECT AND AGREE T' C WITH ALL COUNTY ORDINANCES AND "STATE LAWS REG EHOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AlPLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES 'COUNTY AND BTAGAS TEST, CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTE.RESIDE IN,THE ABOVE DESCRIBED REST ENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEEFINAL AIMATION CK. M.O. CASH LACo.1 3 16ZE APR 15 5 D 330- 4 7li"6W OBS 17 7-57 _APPLICATION FOR PERMIT 151WARTMENT OFNG AND SAFETY COUNTY OFF LOS LOS ANGELES ' WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1 DISTRICT NO. 1.ZONE _'MMIT No. FOR APPLICANT TO FILL IN G ROUP A-1 - s(.,v PLUMBER _ Iit19-w . n CE ED,FY READY FOR DATE ISSUED /� FIRST INSPECTION ADDRESS %_5Pd °4 il/1.P J BUILDING OITY �sy ,/�,a k"( sI'I ice! TEL No. ADDRESS m 'I d"- /. COUNTY ` LOCALITY UP-ENSE NO. EXPIRES NEAREST CROSS ST /J PERMIT FEES NUMBER TYPE OF FIXTURE OR ITEM FEE OWNERMAIL v A( ,XY_ �4...lfE/�/►�YI WATER CLOSET(TOILET) 0 0.50 111 ADDRESS BATH TUB 0.50 CITY TEL No. SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) 0.50 APPLICATION AND SPATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN BINK 0.50 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER GAB SYSTEM OUTLETS 0 0.50 OF THE REBIDENTIPROPERTY D C IBED ROVE. or WATER HEATER @ 0.5ATURE RMITTE = .}M fi0 SIGNPE /� SLOP SINK 0.50 INSPECTION RECORD �.. FLOOR BINK 0.90 FLOOR DRAIN ®. 0.50 DISHWASHER O.'SO DRINKING FOUNTAIN 0.50 URINAL' Q 0.50 J HOUSE SEWER 0.50 _Z MIBCELLANEOUB m O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING BAB PIPING GAS VENT CESSPOOL 1.00 CESSPOOL SEPTIC TANKS SEPTIC TANK / DRAIN ( ) PIT ( ) 1.00 SEWER �� ••G�^� G-rr'S�- PERMIT . . . . . . GAS TEST UTILITY CO.NOTIFIED TOTAL FEE ls' 2�4wj,INAL / f 78A:887-CE#817 5/69 APPLICATION FOR PLUMBING .PERM COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER _ BUILDING AND SAFETY DMSION nan �ss , L.CL F?�1.TG'LIC JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY ,G FOR APPLICANT TO FILL IN C Gss S. ' L 71 NUMBER FIXTURE OR ITEM EACH FEE I • OWNER WATER CLOSET $1.25 ¢ BATH TUB 1.25 ADDRESS SHOWER 1.25 CITY TEL. NO. LAVATORY 1.25 CONTRACTOR 4 h v ` SINS 1.25. ADDRESS G lJ DISHWASHER 1.25• CITY L � TEL.NO.jpt rY EGNSTRAO ` STATE LAUNDRY TUB 1.25 REGISTRATION NO. COUNTY p CLOTHES WASHER 1.25 'DISTRICT NO. GRyO-�UPZONE P OCESSE BY WATER HEATER 1.50 jy )� 1 R•-/ Y STRIIL GAS SYSTEM OUTLETS 1.50 WASINDT E APPROVAL 0 OUTLETS OVER 5 PER SYSTEM .30 IIiSPECTION RECORD V • w a _ N Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT N 2 00 UNDER SLAB WORK l� ROUGH PLUMBING TOTAL FEE o •�� GAS PIPING_ 1 HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY LCALIFORNIA COUNTY ORDINANCES AND- STATE LAWS FIEGULATIN6 HOT WATER HEATER .. Y CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES _ AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST IO- �— A OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO THE ABOVE DESCRIBED RESIDENTIAL PRO RTY. UTILITY CO.NOTIFIED REMITTEE FINAL lo-tq_a- ATION ROBERT A.WOOD CK. M.0. CASH SUPERVISING MECHANICAL,ENG'R .. 3;6. 4 3;3 SEP 11 5 D . 3.50- a , 75A557 DDS 17 11-50 T e, APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY PLUMBING ' COIINTY OFF LOS LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER -DISTRICTROUP ZONE PERMIT Nu. FOR APPLICANT TO FILL IN � / o-3 PLUMBER VALLEY BOULEVARD PLUMBING CO. RECEIVED BY READY FOR DATE.�SSUED _ FIRST INSPECTION APDREBB 83CO EAST VALLEY BLVD. BUILDING d r CITY ROSEMEAD TEL No. AT. 2.2719 ADDRESS .S�/�� COUNTY 93M 6-30- LOCALITY LICENSE NO. EXPIRES N rAREST PERMIT FEES ORoss sr. NUMBER TYPE OF FIXTURE OR ITEM FEE 13W a ` MAIL WATER OLOBET(TOILET) 0.50 0 ADDRESS BATHTUB Q 0.50 CITY TEL No. SHOWER @ 0.50 1 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 PLUMBINp. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE-LEGAL 01AIHER GAB SYSTEM---Z—OUTLETS 0 0.50 - OF THE RESIDENTIAL PROPERTY DEBCRIqFD ABU or WATER HEATER 0 0.50 _ BIGNATURE PERMITTE �LlL SLOP SINK @ 0.50 INSPECTION RECORD FLOOR BINK @ 13.50 -= FLOOR DRAIN 0.50 .ri DISHWASHER 0.50.1' r DRINKING FOUNTAIN Q 0.50 'tea URINAL 0.50 HOUSE SEWER O.SO '+ Z MISCELLANEOUS e`c O APPROVALS ATE INSPECTOR'S NAME ROUGH PLUMBING jR10 GAB PIPING GAS VENT CESSPOOL` Q 1;00 PSEPTIC POOL SEPTIC TANK: TANK DRAIN ( ) PIT ( ) 0 1.00 R } PERMIT I 1.00 TEST F UTILITY CO.NOTIFIED TOTAL FEE tf;0, FINAL WORKERS'COMPENSATION DECLARATION 76AG67A ) ,I hereby affirm that I have a7 certil;icate of consent to self CR 617(z-66)4 APPLICATION FOR PLUMBING PERMIT insure,or a certificate of W&kers'Compensation ikurance,or '-7-- a certified copy thereof(Sec.3800,Lab.C.) COUNTY OF LOS ANGELES 7'C BUILDING AND SAFETY PolicyA=49 Nompany�e_Ftlmkszanm ® Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING Ceftffied co• y I ADDRESS 5134 McClintoCk py is filed with the count building inspection NUMBER FIXTURE OR ITEM ® FEE department. WATER CLOSET LOCALITY •t Date Applicant NEAREST 1 BATH TUB CROSS ST. Grand Ave. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION I.N.SURANCE SHOWER OWNER w- & Mrs- H(mrakimian (This section need not be completed if the work involved 2 LAVATORY ADDRESS 5134 McClintpck CL by the permit is for one hundred dollars ($100) or less.) SINKCITY TEL.N 0 21 1 City I certify that in the performance of the work for which this DISHWASHER = permit is issued, I shall not employ any person in any manner CONTRACTORBaCCaro 0 so as to become subject to the Workers'Compensation Laws. 1 CLOTHES WASHER F" Date Applicant ADDRESS 9 Brea Canon Road 6 w SWIMMING POOL RECEPTOR eL NOTICE TO APPLICANT: If, after making this Certificate of CITY alnUt TEL.N .714 5981890 9) 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. CLASS $ with comply with such provisions or this permit shall be deemed revoked. GAS SYSTEM 1 OUTLETS DISTRICT NO. PR B ESSEiD Y LICENSED CONTRACTORS DECLARATION OUTLETS OVER r 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 �o! � VALIDATION effect. vv License Number 425570 Lic.Class RFINAL BY 3 FI Contracto Date 8-27-84 Ell am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ d J d acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE Lic.or Reg.No. Date Plan check applicant 3 A HOME OWNER-BUILDER DECLARATION NameBaccaro t i tion Co 00005 709 Brea I hereby affirm that I am exempt from the Contractor's Address Canyon Road 6 ;. o o /1 .0 License Law for the following reason (Section 7031.5, Busi- City Tel.No. 714 598-189 " �I r T ness and Professions Code): i I, as owner of the property, am exclusively contracting O with licensed contractors to construct the project (Section 7044,Business 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.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 ordi nces and State laws regulating Plumbing, and hereby aut o 'ze representatives of this County to enter upon the abo a ent• nedoperty for inspection purposes. Signature of Permittee Date