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Home My Public Portal About6133 MUSCATEL AVE_Plumbing__ 76 A 667—CE 817 8/68 APPLICATION FOR PLUMBING PERM COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION ADDRESS 6133 N. Puscatell JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. of BUILDING LOCALITY "_-emple City FOR APPLICANT TO FILL IN(PR NT OR TYPE) NE��S3 Duarte a!id o NUMBER FIXTURE OR ITEM EACH FEE OWNER c; F, WATER CLOSET 1.50 yl MAIL BATH TUB 1.50 ADDRESS same SHOWER 1 pan, 1.50 1 50 CITY TEL. NO. LAVATORY 1.50 CONTRACTOR Iuoward Kebler o SINK 1.50 ADDRESS 8727 t� epulveda Blvd. DISHWASHER 1.50 CITY Sepulveda TEL.NO. CLOTHES WASHER 1.50 STATE LIC LICENSE r/ LICENSE NO. tjo CLASS L 4 SWIMMING POOL RECEPTOR 1.50 DISTRICT NO GRO ZONE PRO ES BY LAWN SPRINKLER SYSTEM 2.00 �i• ) a O WATER HEATER 1.50 INDUSTRIAL v WASTE APPROVAL z GAS SYSTEM OUTLETS 1.50 _ INSPECTION RECORD 0� OUTLETS OVER 67 5 PER SYSTEM .30 a - fn Z Plan check fee 25?,'� of above. See reverse. PM VBING PERMIT ISSUING FEE S 2 00 TOTAL FEE 3150 APPROVALS DATE INSPECTOR'S SI NATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING AddressGAS PIPING GAS VENT s Cit) Tel. No. HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I 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. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, ND INTEND TO RESIDE IN,TME ABOVE DES IBED RESIDENTI PRO RTY. FINAL SIGNATURE JACK R. ALLEN, SUP RVISING CHANICAL ENG'R. OF PERMITT PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH I rn_ 2 A*' b 5,s �0i28 g a 3.50'-• . 4`t WORKERS'COMPENSATION DECLARATION ' APPLICATION FOR PLUMBING PERMIT K affirm that I have a certificate of consent to self 20-0026 DPW 6/87 'insure, or a certificate of Workers'Compensation Insurance, ,76A667A or a cert Ted copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS P❑61icy No.` Company Certified copy is hereby furnished. BUILDING 1 FOR APPLICANT TO FILL IN(PRINT OR TYPE) 40 Certified copy is filed with the county building inspec- NUMBER FIXTURE OR ITEM Q FEE ADDRESS Zj �sE Tr-! �4 on , department. �` o LOCALITY SMN �614-r.K-1K L— t Date '2, Appli4ant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTIQ FROM WORKERS' LT BATH TUB CROSS ST. �� 04,IV/ COMPENSATION INSURANCE I OWNERr (This section need not be completed If the work Involved by SHOWER 0(, �� MAIL the permit is for one hundred dollars($100)or less.) LAVATORYO ® ADDRESS 6 S I RVIXW I certify that in the performance of the work for which this permit is issued,I shall not employ any person in any manner I SINK 13CICITY CONTRACTOR�O`' v!�/ 1 A-k3 p- , TEL. NO. � `¢ so as to become subject to the Workers'Compensation Laws. DISHWASHER p w 6olO CJ-5'7L jg_ 1,�'� Date Applicant CLOTHES WASHER ADDRESS l/J° j57. 4 NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' CITY a Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM TEL. NO.'a r' � L 7 with comply with such provisions or this permit shall be STATE Q LIC. deemed revoked. WATER HEATERLICENSE NO. 53 If U CLASS �7 LICENSED CONTRACTORS DECLARATION o DISTRICT NO. PR ESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 S GAS SYSTEM OUTLETS (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect.Q I 5 PER SYSTEM FINAL VALIDATION �l�'.,Q/ } DATE d v C License Number ��/ 3��( �1d' Lic. Class�t� �� C: Contractor Q/ ,0'' 601 Late 0 BY AL Q ❑ I v I am exempt under Sec. � B.BP.C. for this reason Plan check fee Date: I PLUMBING PERMIT ISSUING FEE$ I Signature 42 TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address A'CCUO Law for the following reason (Section 7031.5, Business and -� Professions Code): City Tel. No. 37 ,Q�I ❑ I, as owner of the property, will do the work and the 1 ITEMS structure is not intended or offered for sale (Section ® ��T -1 c�� 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY MEN 120M I hereby affirm that there is a construction lending agency for AAM M the performance of the work for which this permit is issued uz,5 .100 (Sec. 3097,Civ. C.). Lender's Name Lender's Address 0 9831 1 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 inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE " a b--(Z~ ! ignature of Pe mittee Date 0% 0 rap _ _ ® o...n..rt amrws-_- ,;:z '� -� = s � ', CA't'ION�FOIi'PF.Z�.�IT 2. DEPARTMENT OF BUMDING k6'3 _ CtA' UA'TY OF. 0.4 ANGELES A= _.Q ' LU--.MBI NGWf.J.FOX.CNIQ lNaM![R J � ��••- NATURE OFINSTALLATION - a>- DISTIRIgrHo.� .,�ttfmae .--f ore? w. �y ROUfN i•flTIIR[!"`j COM/LtTf eATSR '� R 1To• RMAUT rOR 1 ��, 1fIfT IMK1CT1011 G� -- APPLICANT FILL IN HEAVILY OUTLIINyED PORTION ONLY7,ft /3 3 - ! NAtff - 1.' if..-!M f-41 "• APPR ° '�.zF +C�` b i CITT .ti TLS. NfARQT CROq fT•L-� ►t-•t-M•ai- ad LOCATION OF SEPTIC TAIM OR CESSPOOL � MAIL+•-•R�bQC�Y,•i ••=*w.nt7+np. a..ea+ _`� _�r. t DOReof 's:�.M+•Ana*: .^ s��-•?$r�!+•.: .+:. .�wNORTfO' - -• -..� __..�g_,�;,, s.•avR'•'=.w..rr°ge;`g�a+�,�ar , r �SiFi�' . ?P ,'.•,�.rl'.gtr7C�.�++,:.C^• ` 1 AY TNf 1.28AL ro"CooM o/ TMW owsawX LAf b' '` ?`r - yy..,L.. ANaWiif COMM cxwm or ,M :t1,� a. ca o' 'F°!-'•:`f'�••. .. , •C'�'''r•V� .•?�A_ �; /«i�rM '.T-isJOr • •_•_'+T.�`�tt��"-06a••?�• _ .. � THt FRO/fRIT .^[srsrk.►" � +PiLMe'D *. '°- - •• _ jar+ ��..�..�I_S_ q�jy• •t Int;i.. 1'r. .* 7•!••, ,r "'f • .. ,•bA t•M;.a.A �\R•I�Y. •i�ni�!(�s - ^• 1•r .I Mpl�s Jil r err:r }+�;�i°+�•^.-Te' :_.` ? .;%, -. .��iCORRECTONS:_�...*-r. t-a:._:aAW ,., -rte •jam '•z.'-villi DOWN ' 4.i:..v� yW+ ..�-! .7 i.�+ � �••Cr':�'49:-°•r.e:'a .•:7.Yk'Y14,�.°�!:�:.:..,,a.a -. a:., --i -DESCRIPTION OF WORK ` - , .asi • .'::'GT:�c-:• �'�,i9+.ti.a:-��•+•�.xL.,Ft'.:��,a'2: :t- •^s• /w-7! -�7Xeo;� o�.. _•-�._ -= •_j t ::'gCir�°�. Z�.t`?;ti.S.a�x��•.'�'•w,.ri...rM'r6�Ns:�o Ci••+B- �^� � rA7ORY: .►��a�� >.r•wNlt;lIAZOR�.e�>`. i�a�...�.��:•��• +► _. ..^.ti.;-;;w".� � .r... �: �L�KRC31O/fMK �wATO!sort ti7t'�a r?']t-, v:%•..r°"cs "°•sr�.,Ma,��. i.. L:l.� •, 'd•/�f -....;-.,� yWp ^ �' w•°"R fiNK : ••rwTltAr S� it.__-,, .s - , fINIC•°'03i:.+�A� '•�DRAIN-A;f •,.....d. yy.C�S ,y R.,..�." - _ -.u.d7.Cijps°c�p�. �•.aoC'- f+v�,�>�! w' ssas Y•._ ;APPROVAL3Atoe WATKR�Q.OfRT. �:• "DRINKING/OUNTAgf DAT! Y- wad�. 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