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HomeMy Public PortalAbout6146 MUSCATEL AVE_Plumbing__ 7UB67_CE817-B-58 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION $�LDING � e � _JOHN A. LAMRIE, Counter Engineer ADD88S3 ws cCAASSSATT D.GRIFFIN.Supt of uReRag LOCALITY h m ' FOR APPLICANT TO FILL IN NEAREST 'NUMBER FIXTURE OR ITEM CROSS ST. WATER CLOSET OWNER MAIL RATS TUB ADDRESS em SHOWER CITY TEL.NO. JONTRACTOR . LAVATORY I SIIdS ADDRESS i (. I DISHWASHER CITY TEL NO. I LAUNDRY TUB CO C 'S TATS BSGISTRATION NO. — COUNTY 0- I CLOTHES WASHER DISTRICT NO. GRO I ZONAjaROCESSED BY WATER HEATER I 01 AS SYSTEM I�DUSTRIAL WASTE APPROVAL ' INSPECTION RECORD I APPROVALS OR°PER r= F1xTfJs S DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT S 2 CC ROUGH PLUMBING TOTAL FEE _r- ® GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES J I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I A4.M GAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIA PRO SIGNATURE FINAL OFPERMITTE 3.7S�10 '?, i ROBERT A.WOOD. OF VALIDATION SUPERVISING MECHANICAL ENG'R CK. m.0. 'F CASH I v i- . I I . 1. KERS'COMPENSATION DECLARATION APPLICATION FOR ALIMBING PERMIT I hereby affirm that I have acertificate of consent to self 20-0026 DPW 6/87 insure, or a certificate of Workers'Compensation Insurance, 76A667A or a certified�o�f(Sec..3800, Lab. C ) (f!/ COUNTY OF LOQ ANGELES DEPT. OF PUBLIC WORKS Policy Company ���`�"-`� Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING I"M Certified copy is filed with the county building inspec- ADDRESS 1tiondepartment. I NUMBER FIXTURE OR ITEM (d FEE ✓ LOCALITY Date WATER CLOSET Appli4ant NEAREST CERTIFICATE OF EXEMPTION FR M WORKERS' , BATHTUB ;CROSS ST. COMPESHOWER NSATION INSURANCE OWNER (This section need not be completed If the work involved by the permit is for one hundred dollars $100 or less. �41AIL p ( ) � LAVATORY ADDRESS - // I certify that in the performance of the work for.which this I permit is issued,I shall not employ any person in any manner SINKCITY TEL.N so as to become subject to the Workers'Compensation Laws. DISHWASHER. I CONTRACTOR I R-,fwd/ Z—//r Date Applicant CLOTHES WASHER ' DDRESS NOTICE TO APPLICANT: If, after making this Certific6te of i IA Exemption, you should become subject to the- Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code ;you must forth-. i LAWN SPRINKLER SYSTEM CITY' TEL. NO. a�cJ with comply with such provisions or this permit shall be i STATE �/ LIC. deemed revoked. II WATER HEATER LICENSE NO. .� i r CLASS' G3. LICENSED CONTRACTORS DECLARATION I I DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS , f/ �� (commencing with Section 7000)of Division 3 of the Business , OUTLETS OVER i d'� v and Professions Code,and my license is in full force and effect: 15 PER SYSTEM, FINAL�J /���/ 'DATE / i _ VALIDATION C License.Number 7 Lic.Class 4A_' i ' C t .rFINi4L ,� Contractor Date a BY a C ❑ I am exempt under Sec. I i r ti B.aP.C. for this reason Plan.check fee tGA Date: PLUMBING PERMIT.ISSUING FEE$ Signature TOTAL FEE �p O { Plan check applicant _ SINGLE FAMILY HOME OWNER-BUILDER DECLARATION r e I hereby offirm.that I am exempt from the Contractor's License I - � ressLaw for the following reason(Section 7031.5, Business and � ;Professions Code): Tel. No. ``t'7 QU.d I, as owner of the property, will do the work and the •I k s �•TEi=' strudture is not intended or offered for sale,(Section ® T 0 f AE 20 .50- 7044, Business and Professions Code). ' CONSTRUCTION tENDING AGENCY r:('ECK 20.5-D I hereby affirm thai there is a construction lending agency for , t. the performance of theCIAN .work for which this permit it ' CE °) 13 (Sec. 3097, Civ. C.). Lender's Nametilti600_c fi Mfr jig j -,_- 's ?:•1i•;L Lender's Address HI '` t f'ir•.^, I certify that I have read this application and state that.,The 'above information is-correct. I agree to comply with.all County j� ordinances and State laws regulating Plumbing, and hereby ' authorize.representatives of this County to enter upon the I� �,Dgon? -mentioned'pro erty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE re of Permittee Da '1 ' • i V p ' DEP.t1'�/�tt ttil' -.; '�,. 1' 'y. i{�,+�••Itct•d �.:•r. ,��.7•V p:,r_ •4 fi\ AR'I'dIF.(Y'I' OF IiUILDIN(I AND �YpAPPLICATIO "FOR 6 , f COUNTY OF LOS ANGELES ' ,• `•3''` 3JY i.- TNI[ •:H+: r.+�h�f..�ww�PL ra .. 4, NATURE OF INSTALLATION a 016TRICT NQ. oRQ1,Ip ZQN19 RRG11T N0. eowrL[T! TiR Cn/rooL R/Cily/ RCADT roll wri Y D /lAIO LANK t/V Mr /1 IN/t+/CTIoN = : . APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY s it NAM! f q JOM .• �(. y lidoilADDR!!f' V �'0 :••• f + . x P7 +� �1 .a•e.oev..•v.:aaws. COYN = 4!L No. .ori. /IiOlks 27. mp"Ir.Fee .00ATION'OF,REP77 � NAM C TANK,OR CESSPOOL MAIL ,r: N011TIt �yf,; Cfl7 •;a •.iv.ti wt.Vii';: ..:rTR .E NO. •t•AM TUC U. i; _ e ANOp.[•.COyNTY.GZMTl �t pp r'TNt ICATI ,. r: tAN TNR LiOAL....i ..,fie: f+/wesw z. 8 �� AITOY! +._ti_a•; OWNlIC •� Mtp�1Tr pttlCll% 'yy •' GYM, �' „'��+.i.�;+ `•�r4'+1 ,� � 1 „ etrlcsfl _ Com' r 1, CORRECTIONS SOUTH—_"__""`� DESCRIPTION OF WORK d : r ^HOWI51 ®DISHWA/NZR 1C "YATORY - ^tI RIO[RATOR o '• s +: ITCNQt /INK —WATER 0`{,�..HplSP - • :. /INK - -AHD TRA! 1 -Lor/INK INA/H TRAY U•11NAL' 'n :+• .;- ,a .s.,i,A�i ©r1r1lLD ®r�•'«.�..r. _ ;. Y h' WATER CLOsirr ^RINK1NtB•�Ola•NTAht ,4. .•e .. .• • x„ ,�'• • ' WATCH NEATER .-oDCITA6 LAVATORY1 ,• •�yAT! aw w'o wA {} �: ` erre ROq ^ PLtIMlM4 %i.a}:oti7'."•f .J : S ' ODA yTAB — SM. ? L, YA ►ONNTA` :? •A/ RNo �..;i�,: .�}re?.+'. %�+•• 'r r �..� CL TOTAL NUMD[R.OR rIKTYR[/ ti• CSWpOtX ,- •�• y �• ^' .• orma•TANK i;' ICR/eroOL •s7"'IG TANK• "s'• '/[W[!t ' ' a • �� '7�OTAL•'FEE.�. .i/.'.,' 1lTILI'iTCO:'N077T1[D � .. ��. .w�i e•. • 11WAC r+ r.•.'9.:''?�`:'•^F �� _ + TI t '•�,: ..... __ - .rte,. - r-.-„+..v. -asr. „ a tnesuu+ _ Np GI ' •e O _ 4 Y w,o a I ��-� •� �Oa • O a O o e ■ G ^ o • p DEPARTMENT • 'e`,,AY+•'�• •':�nT �..Y:J;�.1'•• ',: f.:I+ij�:''.ra �41��.I•,.w'S.NI' I.• •..11 .4tiA_• COUNTY OF H.OS S�' 't,.. �$ :sA ' ffJ,\V�:Y •s•�':u `'�AZP L: gp�1.�jT '.i�. SAY• Y tt •�;�; ._. .. ?. i NATURE OF INSTAILLA77ON b®�1 .�s•Roup qp /� .•rip ROUGH ' L•O•MIP.I .�'`'s •..T, •�.' i6 ,�i���•RL} .o PLUMBING RT3fR@B y r RBCa1VCD BY •114 RawDtl POR ' Ht;A came aaPTIC TAAQIt '' A-.:��� 1 rIRCT IN®P6CTIA/f DA a UBO:n.. v� ••�;•S: a.... 'si. .1 7 i/w�• Alo PLIC .L IN HEAVILY OUTLINED PO ON ONLY I NAMR st JO® IW. -ADD ® g �r g LOCAL [ u i CCAD U TV .�/ 'CPOB@ @! '', !�• `'• s ani 4.. CART N 0 ®iPIR@Q r•^ w.. U CATION•OF SEPTI C TANS, OR CESSPOOL awlL . �• . . •NORTH r�. ih, �'...«'.�'• 2 0 AM 2110 LUGAI. 'POBB!<BB �Or 4 • pM •r<: dllda`a.sb la,U{INfY TIM Is gL QRft ' 1+ "•-y�, 4 ,r .fig. y BAY4 ' ABOVE T1fa B86AL aR OP TH¢hlOPtRTY paaGRl �., .I45. COIIIi cnoNB J R MOUTH }; ' UI •' DESCRIPTION OF WORK O1 R - e f'• —BATH TUG aURNACa _ —. j=• • HfiWAR ^iIiHWABH6R - �'► / ' AVATORtl �aPR10tRATOR ® . ''�• fTCH[H BINK —WATER BORTSNaR •a•+ 'PLOOR BINK' - ®AND TRAP LOP BINK ------'LOOM DRAIN WABH TRAY . ...URINAL, ' ,AI'd'R0p p ■ 9 �tlVATSfi CL013aY oDRINKINtO FOUNTAIN ..• DATE - eAo i Pr Na WATMR HQATQR~: _ �• w AL' �t 4 ®..eDEafTAL LAVATORY ROUGH PLUNDIN®`} �• ' 'rw a rsm OUT6 � m'ODA ®OUNTJUp,• .+ 7 OAB PIPING rv .t,• a.. . :1•. AD �;. _�` _ • 'y w.•r� =A3'VL"�Y r°.h! ep•,• ,,:X:,y !'•. :.i.:0.3f!!r Ro ir CuspOOL M& :i,• `i •TOTAL HUMB&M DR P IXTURLW ''ter • ,4 .ty. . BXPTIC TANK •.+}' " D 1 g TAN -TOTAL"FEE r� �•"NGTIPt6D i •r n F+�,r•. �. _ _ FINAL' •~".�'dv." "! -%�'w:{ ' VAg f •.wiw.� day 5'4•. :fiVi � •ass ._ '.' __- ... _ �•n..o.— �___._�___- -