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Home My Public Portal About6218 MUSCATEL AVE_Plumbing__ 7646711...B17B)-11/76 .APPLICAT'ION FOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION 1 _ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM @ FEE ADDRESS 621,,n8,,N. Muscatel. WATER CLOSET LOCALITY 4& —Ga1q'161'el NEAREST BATHTUB' CROSS ST:. /0--)' SHOWER OWNER John Flood- LAVATORY MAIL ADDRESS 6.218 Muscatel SINK .-San Gabriel TEL.NO 2,87'69 80 '. DISHWASHER CONTRACTOR & Air Cond. Bryant Heat. CLOTHES WASHER ' - ngDREss 1350 E. Las Tunas Dr SWIMMING POOL RECEPTOR - clivi San Gabriel TEL.No: 286-1141. LAWN SPRINKLER SYSTEM STE ' LICENSE NO. 221751. CLASS C 2 0 WATER HEATER 1 GAS SYSTEM OUTLETS 3 UU FIN6DUSTRIAL O. GROUP Z NE �PRSED BY ,FY T OUTLETS OVER 5 PER SYSTEM L t INSPECTIONRECORD ag Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE. ;I 1 Plan check applicant !.I• APPROVALS DATE INSPECTOR'S SIGNATURE Name U(I DER SLAB WORK Address UGH PLUMBING -City Tel.No. G,s PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE. GAS VENT THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES , AND STATE LAWS"REGULATING PLUMBING. HQ.T WATER HEATER I HEREBY CERTIFY THAT'I AM PROPERLY REGISTERED AND/OR LICENSED AS .' PLOMBING FIXTURES REQUIRED BY LOS AN COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE G,S TEST 1 - LEGAL OWNER OF•AN INT ND TO RESIDE IN THE ABOkE D IBED RESIDENTIAL PROPERTY. i U.LITY CO.NOTIFIED, SIGNATURE OF PERM TTT _ r •. FIhi4L PLAN CHECK VALIDATION CK., o CASH it PERMIT VALIDATION CK. / M.O. CASH off•' . I' 74 1 DEC; :1-*-4 a 1_15 C) At�..3 ®s 76A667 (CB-617) - 1/75 APPLICATION i (OR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILD NG ADDRESS .� o ` <__ HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY ,l P rwyr. FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST CROSS ST. NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 2.00 __7 OWNER MAIL BATH TUB 2.00 ADDRESS SHOWER 2.00 CI o Qfk TEL. 140,�M dJV LAVATORY 2.00 _j 1-)L.) CONTRACTOR SINK 2.00 7 U ADDRESS ��II ✓ DISHWASHER 2.00 CITY TEL. NO. 1 CLOTHES WASHER 2.00 g i) STATE I LIC LICENSE N CLASS SWIMMING POOL RECEPTOR 2.00 DISTRICT NO.GROUP ZONE P OCESS D B LAWN SPRINKLER SYSTEM 2.00 ~ r✓S , WATER HEATER 2.00 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 2.00 ✓ INSPECTION RECORD OUTLETS OVER C 5 PER SYSTEM .30 Cdv CD C~0 CLW Cn Plan Check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 00 TOTAL FEE t APPROVALS DATE INSPECTOR'S SIGNATURE Plan Check applicant UNDER SLAB WORK Name J012tiv D ROUGH PLUMBING Address GAS PIPING ! Cit CLjQ2,jgt Tel. No GAS VENT 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 PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LI CEN 9EDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNEROF, A INTEND TO of"- RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL R TY •.1 FINAL /` `:•'c _ SIGNATU RE 0. OF PERMITTEE60��- ; PERMIT VALIDATION . ` M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH 76A667-CES17 6-60 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ) / JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS &-7 WILLIAM A. JENSEN, SUPT OF BUILDING 1 r LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM / OWNER WATER CLOSET MAIL ADDRESS BATH TUB SHOWER CITY TEL NO. LAVATORY CONTRACTOR i /' SINK ADDRESS S S C{�y l y4 GG:A DISHWASHER CITY P -11 r64i'I TEL. go. f -7 3 CONTRACTOR'SC._3 3 3 �7/(U' STATE LAUNDRY TUB REGISTRATION NO. COUNTY Ll f CLOTHES WASHER DISTRICT NO. GROUP Z NF, P ESSED BY f WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD N a O U O H U W w $1.00 PER ITEM OR FIXTURE $ �� `' APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE 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 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 OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE �� '' � FINAL � �. VALIDATION ROBERT A. WOOD, M.G CASH SUPERVISING MECHANICAL ENG'R r A lr WORKERS'COMPENSATION DECLARATION a APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 76A667A —y— /� d.SG�L$�i:7�'3 C?d.1r insure, or a certificate of Workers'Compensation Insurance, ,I CE 817(REV. 10/81) / ora certified 3%thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy AfiPricy No. Company 1 Certified copy is hereby furnished. ❑ I FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING �7— lion Certified co y is filed with th county building inspec- ADDRESS �r�iG► tion d fear ent. I NUMBER FIXTURE OR ITEM @ FEE J LOCALITY r Date � Appli4ant WATER CLOSET NEAREST ERT ICA E OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER. (This section need not be completed If the work Involved by the permit is for one hundred dollars($100)or less.) LAVATORY MAIL ADDRESS Af-J'Lg dF I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL.NO. � so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTORS , �,r�G Date Applicant I CLOTHES WASHER F NOTICE TO APPLICANT: If, after making this Certificate of ADDRESS Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR CITYC�1CQ>;.�►� TEL.NO. �yr� Compensation provisions of the Labor Code, you must forth- I LAWN SPRINKLER SYSTEM ( with comply with such provisions or this permit shall be STATE LIC. deemed revoked. i WATER HEATER LICENSE NO.,3/t) CLASS SS 5/9 C-- LICENSED CONTRACTORS DECLARATION I DISTRICT NO. PPCESSED I,}Y I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS S—. 01/— i (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code,and m license is in-full force and effect. I 5 PER SYSTEM a. Y FINAL y� VALIDATION � License Numbe�16�t S Lic. ClassS�4 C_3 �6Lr ��r- �� DATE f"� V f i I FINAL OC Contractor 5r._SW �lU`yR''RL Dote 8 BY ElI am exempt under Sec. '7/13 UI �% 2 W / 13 ILD N B.&P.C. for this reason ' I Plan check fee z Date: PLUMBING PERMIT ISSUING FEE$ Q -0 Signature . TOTAL FEE ,3(� S d 1 1 �L,�• A SINGLE FAMILY Plan check applicant c o 0 0 0 HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and o L r. Professions Code): City Tel. No. ❑ I, as owner.of the property, will do the work and the I' ; 1 1 —_` !I structure is not intended or offered for sale (Section i , 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 Nome Lender's Address I•certify that I have read this application and state that the i ► above information is correct. I,agree to comply with all County orditnces nd State laws regulating Plumbing%andd eby out r presentatives of this County to ethe ab vm nt oned pr pe inspection purpoSEE REVERSE FOR EXPLANATORY LANGUAGE ImitteeD