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Home My Public Portal About6118 MUSCATEL AVE_Plumbing__ M657-CEB17 8-59 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FNEARIEST •2ldr��e- IOHN A. LAMBIE, County eor CASSATT D. GRIFFIN. Sup t of uildiag LOCALITY FOR APPLICANT TO FILL IN NUMBER FIXTURE OR ITEM OWNER yf/CLG y WATER CLOSET rr c �A /- RAM TUB ADDRES��Sww'' �C/�D A/' l ru aea�L e- CITY Ila . TEL NO. SHOWER LAVATORY CONTRACTOR SINK ADDRESS DISHWASHER CITY_Se.,C&v ]]pitm. NO. CO 'SSTATE LAUNDRY TUB EGISTAACTION NO. /0 %J S� COUNTY ❑ CLOTHES WASHER 13TRI'T NO. GROUP N P CESSED BY WATER HEATER /,Ca�7 GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD 0 ITEM O FIXXTFIXTURE $ I /N6I 0 APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK 1-1 TOTAL FEE . ROUGH PLUMBING GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 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 PLUMBING. HOT WATER HEATER 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 THA I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENT PROPERTY. UTILITY CO.NOTIFIED SIGNATUREOF PERMITTE �� / �� L t FINAL ®p VAMATIO ROBERT A.WOOD, CIE. M.0. cnsR SUPERVISING MECHANICAL ENG'R 3.0d v 7817 -56 APPLICATION FOR PLUMBING PERMIT ,1 CE e1�e_BUILDING AND SAFETY DIVISION Department of County Engineer County of Los Angeles BUILDING JOHN A.LAMBIE,COUNTY ENGINEER ADDRESS CASSATT D.GRIFFIN,SUPT OF BUILDING / c ` —• LOCALITY FOR APPLICANT TO FILL IN I NEAREST I CROSS ST. ' OWNER c IJ DISTRICT NO. GROUP ///JZ'{O�N�E READY FOR INSPECTION MAIL .".i1- ADDRESS .� " INDUSTRIAL CITY TEL.NO. WASTE APPROVAL t PLUMBER A �-- ti ti INSPECTION RECORD AD MEBB I b`_ 6-?C !.5'7 2wDF F,t d p6Q /rtes'�� TEL.N74 / ,9? R F d V r O my e- 4. ,. LICENSE NO.,.— NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $t.00 $ BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ GAS SYSTEM @ $1.00 I. -. - APPROVALS DATE INSPECTORS SIGNATURE UNDER SLAB WORK PERMIT $ 1 .00 ROUGH PLUMBING GAS PIPING TOTAL FEE .-7- T� GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESP ENIIAL PFPRERTYef SA IGNTURE OF PERMITTE I FINAL , ROBERT A.WOOD, JOHN A. LAM�F(COUNTY ENG4ER VALIDATION SUPERVISING MECHANICAL.ENG'R CR. M.O. CARR WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self in- 76A66�A PW 4/90 sure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec:3800, Lab. C.) Policy No. Company COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Certified copy is hereby fur fished. Q ��®®� FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ADDRESS (�(/ . ,fJa Certified copy is fi th �nty building inspection depart .e NUMBER FIXTURE OR ITEM @ FEE LOCALITY WATER CLOSET(TOILET) Dater pplicant [ (s � ® NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' 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 per- SINK CITY TEL.NO. mit is issued, I shall not employ any person in any manner so !! as to beco a subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date KLICANT- Applicant CLOTHES WASHERADDRESS j�Q NOTICE O Af, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- CITYTEL. NO.�7jZ�� % sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE LIC. 10„Cl J, ed. WATER HEATE LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION / O DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYS M OUTLETS l� - p C � 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER 1:1,00 and Professions Code, and license is in full force and ef- 5 PER SYSTEM FINAL Y VALIDATION fect. ! � �/ �E�.�go HOSE BIB DATE O•- ()-�, License Number (7 r Lic. Class �--f �i� �p FINAL V Contractor / kLV_A1y� -te BYVfo ACCT°v F1 I am exempt under Sec. t 3303 43°�C 0 B.BP.C. for this reasonPlan check fee 1 ITEMS a Date: PLUMBING PERMIT ISSUING FEE$ TOTAL 43-4113 z Signature O4'3°4.0 TOTAL FEE �� D C�EC�� SINGLE FAMILY CHANGE .00 HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section 7031.5, Business and 0[Mg_0001 10/26/95 Professions Code): Address I, as owner of the property, will do the work and the City Tei. No. 303 1 Af111�23 structure is not intended or offered for sale(Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY 1-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 ordinances and State laws regulating Plumbing, and hereby authorize representative of this County to enter ypon the above-mentioned Drop for inspection purposes �- c 'r SEE REVERSE FOR EXPLANATORY LANGUAGE Signatures Permittee ate WORKER'S COMPENSATION DECLARATION 20-0026 DPW 9/89 APPLICATION FOR PLUMBING PERMIT 78A887 I hereby affirm that I have a certificate.of consent to self Insure, 7OA667A or a certificate of Worker's Compensation Insurance,or a certified copy thereof(Sec.3800 Lab.C.) Policy No. Company COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. ❑ Certified copy is hereby furnished. ADDRESS �`�� NG V �7�� /t�� ii❑ i FOR APPLICANT TO FILL IN(PRINT OR TYPE) 4-0— Certified copy is filed with the county building inspection department. NUMBER FIXTURE OR ITEM G FEE LOCALITY Date Applicant 2 WATER CLOSET 309LV NEAREST " CERTIFICATE OF EXEMPTION FROM WORKERS' ` BATH TUB CROSS ST. A Lp I ry-✓� COMPENSATION INSURANCE ASSESSOR ft (This section need not be completed if the work Involved by the 2 I SHOWER MAP BOOK PAGE PARCEL OWNER permit Is for one hundred dollars($100)or less.) I certify that in the performance of the work for which this permit I LAVATORY Z O . �. is issued, I shall not employ any person In any manner so as toI SINK MAIL �( O become subject to the Workers'Compensation Laws. ADDRESS !' T� f!DISWASHER CITY ��-P.f2 TEL.NO. Date U Z b �Applicant � •- J `NCLOTHES WASHER NOTICE TO APPLICANT: If, after making this Ce ificate of CONTRACTOR i ,6q 60%,t-7, Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code,you must forthwith comply with such ADDRESS /3>-o v ce, pt-. + provisfons or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM �y LICENSED CONTRACTORS DECLARATION CITY 47 I-OOV17 OX-16-. TEL.NO. ?�'�'� d I hereby affirm that I am licensed under provisions of Chapter 9 � WATER HEATER .f�h b� (commencing with Section 7000)of Division 3 of the Business and STATEGAS SYSTEM OUTLETS LICENSE NO.�/ /j �t/ CLASS 0 Professions Code,and my license is in full force and effect. S OUTLETS OVER DISTRICT NO. EBBED BY O 5 PER SYSTEM License Number J dr" Lic.Class FINAL V kh J i 7 DATE ,s V�► I TION Contractor. Date 41 (f� El ..iir FINAL r)1 +. a 3 I am exempt under Sec. BY BAP.C.for this reason 37,03 103 a Date: Plan check fee 01. 1 T 1 EMS Signature PLUMBING PERMIT ISSUING FEE$ p TOTAL -65 e 45 r-1 TOTAL FEE I(9 �"� r:nE K 1.:-,5.=r 5 SINGLE FAMILY Plan check applicant CHANGE .[I f HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Law for the following reason(Section 7031.5, Business and Professions Address I,ji X30-01301 2 is`'4 Code): ❑ I,as owner of the property,will do the work and the structure City Tel.No. 3356 1 AN 9:j_ is not intended or offered for sale(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.) 4 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 ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned Property for i s ection ll r oses.[J SEE REVERSE FOR EXPLANATORY LANGUAGE 2.t, A� a �d Signature of Permittee Date WORKERS'COMPENSATION DECLARATION 81 ^ i APPLICATION FOR PLUMBING PERMIT I hereby afifirm a'that I have certificate. of consent to self C13 aE erg(z-eo insu e,of a certificate of Workers'Compensation Insurance,of a cified copy thereof(Sec.3800,Lab 7C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy NoCompany Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ADDRESS 0///,/ FEE • ! lJ Certified copy is filed with t ounty building inspection NUMBER FIXTURE OR ITEM i ` %s/ e WATER CLOSET LOCALITY ,bateApplicant NEAREST BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNE MAIL (This section need not be completed if the work involved LAVATORY AD D R ES by the permit is for one hundred dollars ($100) or less.) SINK CITY TEL.NO. Q I certify that in theperformance of the work for which this DISHWASHER V CONTRACTOR permit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. CLOTHES WASHER i O ADDRESS` �3 0 Date Applicant SWIMMING POOL RECEPTOR y� V NOTICE TO APPLICANT: If, after making this Certificate of CITY -IC.�o xti TEL.NO �� N Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE . /.,/� /p Compensation provisions of the Labor Code,you must forth- WATER HEATER LICENSE NSE NO.��l 7 CLASS ` �� z with comply with such provisions or this permit shall be deemed revoked. GAS SYSTEM OUTLETS DISTRICT NO. PRO ESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER SIJ(I I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- / r- FINAL � � VALIDATION ness and Professions Code, and my license is in full force and DATE effect. FINAL l License Num �� Lic.Class By BY Contractor&i:/ Date 6-�6�O/ eol+�I I am exempt from the licensing requirements as I am a Plan check fee 11 JJ licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE �Q 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 L9 0 C 7 " License Law for the following reason (Section 7031:5, Busi- City Tel.No. ness and Professions Code): El I, as owner of the property, am exclusively contracting 2 0 0 O C with licensed contractors to construct the project (Section 7044,Business and Professions Code). 0 0 0 1 C r v CONSTRUCTION LENDING AGENCY 0 626-81 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 regulating Plumbing, and hereby authorize'representatives of this County to enter upon the ab -mentioned pr art for inspection purposes, f G Signature of Per nittee R Date