HomeMy Public PortalAbout6158 MUSCATEL AVE_Plumbing__ w � �
76AS67Aitr •
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO.FILL IN(PRINT OR TYPE) BUILDING /�
NUMBER FIXTURE OR ITEM ® FEE ADDRESS
r WATER CLOSET d y LOCALITY / C ,
NEAREST '
BATH TUB CROSS ST. . r I b d
� i
SHOWER OWNER 14 o +-t
LAVATORYrk ADDRESS 10 T C7 /-IIA 5&4-fe-
SINK CITY S&-n ,�( TEL.NO. rya 3 Q
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS
(kI Al LLS fel
SWIMMING POOL RECEPTOR
CITY a 6 r j ,e ( TEL.NQ,W72a�
LAWN SPRINKLER SYSTEM STATE LIC. -
WATER HEATER LICENSE NO: CLASS
GAS SYSTEM OUTLE APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK IJ
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING V
GAS VENT
A"
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST'
Plan check fee UTILITY CO.NOTIFIED g
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL r `nfil.G P ea.'
Plan check applicant PLAN CHECK VALIDATIO
Name d/7 . F/h D t&
Address / ))-- (A.. �G
City &t)n p Tel.No...8 Q,;j.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION E-31 Q 9.A
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT'I AM THE O O O O O 5
LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. 2 0 0 16100
0
SIGNATURE I O O O , V
OF PERMITTEE
DISTRI
TAO. PfqCESSED BY 03,07-79
I
INDUSTRIAL
WASTE APPROVAL
76A607-CEB17 10-60
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUMDINGLAM SAFETY DIVISION BIIILDING
JOHN A. AMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUP'T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OAR
WATER CLOSET
MAIL
RATE TUB ADDRESS
i
CITY TEL.N
SHOWER
CO
NTRACT08 '
LAVATORY
SINS ADDRESS
DISHWASHER CITY 1*706 Ix
TE
LAUNDRY TUB REGISTRATION NO. COU TNE ❑
CLOTHES WASHER DIST NO. GROUP ZONE I P CEBSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL �.
INSPECTION RECORD
O
U
m
O
IL
4
Z
$1.OR FPEIX R I I
$ /:5-0 APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEEROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING i
PLUMBING. HOT WATER HEATER o-/0 '•^ + LJ! L�
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL�LXR OF E ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE
FINAL ft!;./,•)-(�" �✓1.,. /}
ALIDATION ROBERT A. WOOD `
CK. M.o. CASH SUPERVISING MECHANICAL ENG'R
I
HALO'S 1 1 OCT 9 5 n 3.5 ON
7a�
WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT
I hereby affirm that I have a certificate of consent to self 20-0026 DPW 6/87
insure, or a certificate of Workers'Compensation Insurance, 76AG67A II!
dr a c.rfified copy thereof Sec. 3800, La . C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS `
/• -
Policy Nq `!,T.) Company . . �s!. •f .
Certified copy is hereby furnished.
FOR Ai'PLICANT TO FILL IN(PRINT OR TYPEI BUILDING 9 f• � 1)!.i wA J,
Certified copy is filed with the count builin inspec- PDDRESS (f: �• `� ✓� �{ C'
lion department. ' NUMBER FIXTURE OR ITEM :� HE LOCALITY
'G/t' r S'� i�'-,�.y� WATER CLOSET �1; t ! }
Date Appligant %._. � ,e CROSS ST fi AJ,(/ ��l'��
CERTIFICATE OF EXEMPTION FROM WORKERS' �.- BATH TUB . e,
COMPENSATION INSURANCE
(This section need not be completed If the work Involved by SHOWER OWNER -•�,i
the permit is for one hundred dollars($100)or less.) LAVATORY7,j' ADDRESS
I certify that In the performance of the work for which this
permit is issued,I shall not employ any person in any manner SINK CITY
TEL.N��
s
so as to become subject to the Workers'Compensation Laws. DISHWASHER
CONTRACTOR/, � 4/-
e
Date ADDRESS
Applicant CLOTHES WASHER
NOTICE TO APPLICANT: If, after making this Certificate of
Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR CITY
Compensation provisions of the Labor Code, you must forth- ?.
with comply with such provisions or this permit shall be LAWN SPRINKLER SYSTEM TEL. NSTATE ))
deemed revoked. WATER HEATER LICENSE NO. G.� / LIC.
LICENSED CONTRACTORS DECLARATION DISTRICT NO. Y PROCESSED BY
I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS r CT o.
(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER
and Professions Code,and my license is in full force and effect. 15 PER SYSTEM FINAL
-, VALIDATION u
License Number rX"71 Lic. Class DATE
/<: FINAL .�• a, !
Contractor" `'����'% Date BY 11 ice, Cy
I am exempt under Sec. _
B.BP.C. for this reason Z3 it
Plan check fee �%; ,� C c
Date: t ITEV •
PLUMBING PERMIT ISSUING FEE$ 1
Signature_ % TOTAL FEE ` , 3 L►.L�.i_ 1701,¢ r�
Plan check applicant ,0. 170.2`t
SINGLE FAMILY ��' r ` �,� .
0.
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 Addressw,
Professions Code): City Tel. No�4 - r Ile ►J � -z �_L•W b/ 1/sa
❑ I, as owner of the property, will do the work and the j�U L "j"���go 1414
structure is not intended or offered for sale (Section
7044, Business and Professions Code). 10.
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 1010
ordinances and State laws regulating Plumbing, and hereby
authorize rp��sonte i es of this County to enter upon 'he
aboveperty for inspection purposes
r
_ SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature, Permittee Date
MINE ■
o e • _ • n J
Pigs
' DEPARTMENT OF ffiUILD '�APrp;0balION;Zr'OIi P
` COUNTY OF INC! AND 8AFSTY Blum: �
je{ WM. .1. F'OX. CNI INSQ ,•• ''< f r.C���''.0••11ir', BIN
NATURE OF-PiousINSTALLATION
�,• `R Y � INSrTALLACTONIOIN QIDTRIT N0. ROUP aZONR PtRMIT N0.f za-3yr�
ar?
_ c=
::. NffAT[R Cnrrooe;. 's• ■fO�T1I.•*A RECEIVED ■Y.1. •READY roR•. 'DATE""WOO v4
A IK x�4. rIR■TIN.rscTloN
i APPLICANT F LL IN IIRAVILY OG'TLINED PORTION ONLY
Q• 'ACOUNODRt■■ •G
Aftan IPA=
'� CITY TY move
Ir, .a".r!$;+v.:�;�d s,_l�r. �'" e 1i' ' r•
r• 1 crwT No,
Rs['S• t','�{''y N' i°' s y it
. i+OCdTTON•OF . • � �kANe : ,�• � ��•
�v• SEPTIC;T&NX OR CE3$POOL r•'�
••P MgwTM y. ;r ADDRn■'a..ra�ac..n:.arr•.-c• -w C� - _
+f - • .�' yI :F, `' 'AORO CTMplej LIMAL 10■■nsom O►•THE A■ObE-LA
N
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Y' NTY C1aTT1I7 TE O all
•t' �• � r,•=+• y/�.b' Rr.T•13.i�•i"• 'iWYwt✓ •l
A■oIfAN THE LefLtL'OWNER Oi TMC pnopEKTY DEummeo g
� � •'r•:''!x s:../:�y•yam,p�/�r�� 7�}Qewwrw
' se• ice.1' Y. -'+a.CORRECTIONS
' SOUTH ,.i:.i� •�•-%:. ..i.•."Z •:•;: .. •' L �~
DESCRIPTI
.� ON OF WORE - �s.;� ' .�`• '�:s •�>"-:�:•,-1�;.. •
TN Tu■ ��rRNACE t'`; a &;';C :r,}r''rr.v.yw •.
sNOWEK DISHWAIINq ••'L. �+:;;5"t. l;4:�'1�:' f ;,. 6, [�- s •�" .
------"R10CRA7011 �r:` s'.►. l'1!uiF.�::..,i!�'°i%y'' •` �.
�.".ncHEN ■INK �WATER EOFTOte■? h!:vr..•�•t$:e3,'•Pli1� '"' '.%!°': ..,
ut' �"•"R NINK _'�•�-•�.�.:e'C 971i.P r CI• .•is_L`r•_�,.�v¢ .y �<cy:t^A.y4: S• iey r' �,. ... _ �, .
'Lor SINK. .. == 'OOR DMIN kr7sS. ;s+ llh<<'ii2. i'�y:y.:£kF•�diiA,yt_ .4„✓"Gir!•Y •y" P+ ii'•'
-WASH TnAY �•�.vRINAL tr '=i•: I:sirigq+l r fi 9:�►PPROYALS:z:V y:MF.r •r:wI.n .°
I' .• ..WAM CLOSET .: POUMAI 1 ,
nNINKINa N •• a .t•
SF. .. t �: .:..y f� .INnsefoll w RAM
"w r,s r,+r.
° er�..RfTAL LAYATORT •AOIION rLDN■fNa:+ +4` rf'." "Iva({5+: �:C7yi^ ..h �,'
• e'iTBK�•�.OA■, SODA ..s:•��
! :OL•lt �bflitfAlN�' Q/1■ PI�fNt! �'��'�`.�:� ��i:.�y:���! ti- +r'r.M '•?' ;ra.
,j �� ..7!•�f:'..+ 'OA■'VENT '�f�:•s'R'i• � :o r •?" a •N. 4 '�;:3 ,.
-�. .. ;�.�. •, 4r Cox,•_;,;y! �'• ,
'.
• L-TOTAL, G RlS
NUM■ OR II7ITU Y ;•,4�" •" •t
, � ._ ,' •.• ,'•i :`.:''.. .�•'• 'SErTjfl7'A .rr• ..��.• �• i6:'1}�y1.•" '::'t a�+`'�h.,• i' .: .1
�. •+.Fye:,•.:t�. x• �•
y•• hePOOt, eRPT10.TANK' s�•' '.� .'Q'. .SEINHT' r•`w-,!yt.•i7s�: t:f!°+ y,f'�:'CIZ:::'':� '-;;';:a< :.
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`�lI'�LICATIOB .' R`
�ILND •: r ,•; P87i3iI1:`�
'COUNTY OF L03
SAF�TY '� � T B
X.
ANQEL$8,:i zr •;i+ n.-� a i
:1J N [N 1 [ P�V"" :•"•. a:�.� N•G
I• ,�: .•116•
NATURE OF INSTALLATIONr.::.•'u; ,�DI>1T!lICT NO.•• aRouP z s rats RROUGH
1
rLUMRINO FJETURdREADY
t':
NL\TtR C[ft ttTC R '"' •/'A J��' fIRK INtttClfON PATSIttUl W,v.
HxVUv_
APPLICANT FILL IN•HEAVILY OUTLINED PORTIO?( ONLY ;: r
_ NAM! •. '• _`.4.^:�,faC; LY a,• :'h: ti.IS
•.^ S ADDRltp •'•K':�k'ri1t. a ..r.At.. •ab•if'•. ;; I
erry
CCU TV _
:#• c[RT• N yr
R ��' O4 'NAME
Lu %770N.QFSEPTIC T.'!.*fTi.OR CE88
POOLIMAI16tsi' -
.60001f
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r •-++tirr•r Z�, .COYNTY..CJ�TJFI L
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7.
"•R••oRRECTIONS
�v pig
@OUT" `. .�
/ DESCRIPTION OF WORK, .•;'., ;: •; - _
�"AT" TW -----4"RNACX ;•' . •is
—�tHOWt11 yr•� a' A.��>i. .:1�� r .
r OIiNWl1XNIR ��. •�. :r °t'y'�'� .�'•. y.,•i
•�VATORY �ae.�.atFR10t11AYOR�rr+« ' ,.
'KITCHEN mimic., � –WAT= XOFM,=.,¢ �• y,;.7j!"•'yti;.r: ^+ ",,•r ' }• ..
DINX I .r�...AAN6 YRlIR;J , j! _ y ti•�:.=}.a:...v +'. }••
/
Lop IINI 'e: �e7•""� pllAlN i �� srr?+`Ja 'E':.=" _1&}�:.:•'r��••.� r.i.1r•�.nl:
WAGH TR,AY,.. - �''�`+�; '� • i ' ":;• APPROVALS •-;;.
WATER CLOeIT'' i`�INIJNO'/OYNTAIN ,• •r rr
•a •.. ,- •. •�..!y,.:r. '- DATE-.4•..i Or/!t'J:TO�Y
�WAY[R M((����ll11T��EAS _ ..�,DlN1Ai.LAV•A`T'ORY:� •OIfOH�rLUMtINO' ''t%`>�'R+x'��, a..+i',�y"�
�LMETER.iL04e �•. J;� 1
au n_ -•�"�•ODA'FOUNTAIN r:a
aA!!(!1(101• >'
• ... '• _�. . .;*�r:er�;i�sJ•x,: •.aAe' •.,., ;.F•:; .ILr=:ti,;5�.t• ;;;,..:�wr"
W ¢'
.. •...�� CdtrO01:�:Sil.i�� ,�:aa,:gy,�•a� •J,.> .�.
TDTAL'NYMIER OF'FIETURd' A '+ �`'Y .•. ?*��.,;�
' dt'' .'CT y,.••,'titi• a•.:�yti t •L�Y`ir'il•�a�"�.1' ''1'.`i :a�i:•:!� ••la, �, I 1
•: •. .,I': .•:7.',';i:�:: ys ` - M 'L.iiY Vii[�O'!!T! ��; 4; r�. r•, ' Yn 11
TOTAL'IF6E .%�`;;..:"c :.:L:,'
•V Ii ,�
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