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Home My Public Portal About6243 MUSCATEL AVE_Plumbing__ 76A687-CE#617 10-82 F9199 APPLICATION FOR 'PLUMBING PERMITv COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION 47NEAREST 6243 N muscats JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING Y FOR APPLICANT TO FILL IN 77 ghriel CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER Nino Ramoano WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS Same SHOWER 1.25 CITY TEL. NO. LAVATORY 1.25 CONTRACTOR General Installation Co. SINK 1.25 ADDRESS 6558 West Blvd. DISHWASHER 1.25 CITY Los Angeles TEL. NO. FL 3-2541 STATE LAUNDRY TUB 1.25 CONTRACTOR'S C-36 151839 787 COUNTY REGISTRATION NO. CLOTHES WASHER 1.25 DISTRICT NO. GROUP NE PRO BY 1 WATER HEATER 1.50 1 0 5 "' ; GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WAS APPROVAL o OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD V O U W d N Z Ready for inspectionnow APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT S 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE 3 50 GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I 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 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,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RETIA ROP Y. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE FINAL ALIDATION ROBERT A.WOOD CK: M.0. CASH SUPERVISING MECHANICAL ENG'R C. . II11'Iv I WORKERS'COMPIrNSATION DECLARATION 6A66APPLICATION FOR -PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self in- 76 DPW 4/87 •6A667A sur0;aar,p Artificare of Workers'Compensation Insurance,or a CE 817(REV.8/86) -cerfified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS o Policy NCompany " Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING c Certified copy is filed with the county building inspection ADDRESS department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY WATER CLOSET(TOILET) Date Applicant NEAREST CERTIFICATE OF EXEMPTION FROM.WORKERS' BATH TUB i CROSS ST. COMPENSATION INSURANCESHOWER I OWNER ` (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS 'Fr. OLS I certify that in the performance of the work for which this per- SINK mit is issued, I shall not employ any person in any manner so CITY TEL. N as to become subject to the Workers'Compensation Laws. DISHWASHER' CONTRACTOR r Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of Ex- ADDRESS SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- CITY TEL. NO. sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEM ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions'of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business .OUTLETS OVER d Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION a fect. 'DATE �— I � O License Number Lic. Class U FINALcc Contractor Date BY O I I am exempt under Sec. I W tIL B.&P.C. for this reason Plan check fee "?J , Z Date: PLUMBING PERMIT ISSUING FEE$ . v' Signature TOTAL SEE 6() ' SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name Mi Law for the following reason (Section 7031.5, Business and i!"f-' Professions Code): Address `s`'U(°7 "�A.Y jt�ic til I, as owner of the property, will do the work ands the City Tel. No. 30( _ _ structure 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 !,;HECK 2s},='(� the performance of the work for which this permit is issued r• f (Sec. 3097, Civ. C.). I "_1L1 Lender's Name I• a-t/ Len is Address E ••-s-s a •z a:e; • v��: s fyf f �'�� I.. I rt fy that I h e ad this application and state that the , a ov informati 1 orrect. I agree to comply with all County o di antes and to laws regulating Plumbing, and hereby a t rize repr a atives of this County to enter upon the a e-mentio d roperty for inspection purpWD.te . ss ySEE REVERSE FOR EXPLANATORY LANGUAGE Si ature•of rmittee . ye `ygRKERS'COMPENSATION DECL4RATION. APPLIC/'9VON FOR PLUMBING PERMIT t FI'breby affirm that I have a certificat'b of consent to self 20-0026 DPW 6/87 �j insure, or,a certificate of Workers'Compensation Insurance, 76A667A or a certified copy thereof(Sec. 3800, lab. C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS Policy No. Company Certified copy is hereby furnished.❑ BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS n VW+✓lJ✓�P Certified copy is filed with the county building inspec- tion department. NUMBER FIXTURE OR ITEM �d +— FEE LOCALITY � � Q� r Date Appligant WATER CLOSET U 15' NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' . BATH TUB q- r� CROSS ST. COMPENSATION INSURANCE SHOWER - OWNER (This soction noed not bo complotod if tho work Involvod by tho permit Is for ono hundrod dollars($100)or loos.) r LAVATORY MAIL �r ADDRESS 5 0 I certify that in the performance of the work for which this Q " �jn� permit is issued, I shall not employ an rter+iw. ner SINK �; �sr '' CITY A—�� TEL. NO.L7�`t,7hD y so as to become subject to the rs' mpe tion L S. DISHWASHER CONTRACTOR Date A L.0F - pplicant CLOTHES WASHER ADDRESS NOTICE APP CANT: If, a r m this ica of Exemption, you should bee er, u the Wo ers' SWIMMING POOL RECEPTOR Compensation provisions of the La or Code, yo forth- LAWN SPRINKLER SYSTEM CITY TEL. NO. with comply with such provisions ort ' ermit shall be STATE IC. deemed revoked. / WATER HEATER LICENSE NO. LASS LICENSED CONTRACTORS DECLARATION ISSTRI �. ; PRPCESSEQfBY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL > DATE —LY - C License Number Lic. Class FINAL Contractor Date BY ❑ I am exempt under Sec. B8J B.BP.C. for this reason Plan check fee U3 Date: PLUMBING PERMIT ISSUING FEE$ M Signature TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name �� L�. �, ILAA.l I hereby affirm that I am exempt from the Contractor's License v Law for the following reason (Section 7031.5, Business and Address - Professions Code): City G Tel. No. Lt I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section TOTAL 4:3 a 00 7044, Business and Professions Code). _ CONSTRUCTION LENDING AGENCY -.s'(.�t_>'' 4='t')'' I hereby affirm that there is o 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 04,101 1 Art !`3— I certify that I have read this application and state that the above information is correct. I agree to comply with all County ordinances anS.Sk*e-t tin Plumbing, and hereby outhorize.;"pre$a ryes o is Couroty to enter upon the 7!5i� nion ��es SEE REVERSE FOR EXPLANATORY LANGUAGE Signature -PeTMifee Date o• A "1 rule _...,4.v EI'A MrEAI'T•OF DUII.DIN x-' ,''":' G AND $,1�' $ ��r•APruCATION R_o"u•a=H x ' FOA-rERMT., OF IO3 A:aGEI.E$ J COIr 12M. J- cxlrF +xccR 3� I tAAT � ��®F 7;tiSTAICATION oisT:-FNO. GROUP +';'�•* •,� r �a. RYHo1N®• FI><TUpBe ti :s4:�,' +► ' 20N6 PigT '_ AAs �w ._ eC7'TIOTAxK i r' NletLtLANCDUe' ''' :a: Rtr��,iar�. RCAOY .r.OR� . . %D.A�T!R fu7DA y � � AV MAST APA k. . =A$PIICANTFHSAYAY .. O TI'LINED,PORTION ONLY' ERZ¢ NA 6 dO1R •CITY it! —__�'•"`I �. ^e�,•'��.-� COUNTY Hp, `� NPAR@RY a .:a., '!• •_ cCRT '/ CR _ .. ; ._ _y i.::,w°•i''r� ef.+y LOCATION OF SEPTIC T Y _ s v ��! r•"• tSOr�_ ` AA'I�OR CESSPpOj, .wDo A I \ •• ` �• •'�,��-• ~� .. '.4., / CRP.r...-�.:.:,'�:, ... •yes r_..- A Aft THE LEGAL i' =;w.f•:.' .. '` 1 PSt� '•AN®•QiD COYNTY cCATFIfiTG OP OF Af�Otr! LO{ a.. PLUNaM �, _. . . ••e • I AM AOOYIL TIM LEGAL OWNCR OR Hit•/•ROrCR7 7M ^ . `= mu 77 OR , . ... .. r- .. , . SOUTHr ••Y.�s:•.r`r..�a•. i ,'•s: DESCRIPTION OF WORK ':�e - ,ra.Tw�R.aw• •BATH�TOD '.�".r, ..v..^ ..:,. �. HOW7Si, _.�Y.. i• '•R°lACC:�. ; ..•-.: `a , .+•O' • �9YATORY •^_'.. ., -' ,. a:. .-s_;e9 A'•e Rux.aCRATOR�.t +3:_c iT':i :��.1.•.�� f QLI; N _ 7...:. D T1Ar FSI . .NK DRAIN�'L ;.�•+.__'.pg<�.A: r Pe i'• P •T CLO>t_Tr.: `�^' !r ..=T _.':,APPROVALS ,,'!�•-a�s� ' '""WATER .:_ �;D...r •. K1N0•FOYNT tvi...... ,•rL`•ti,r �WATalO�..w. "a .:' t y �. w+� DATE *•p 'f + w- ENTAL LAVA r•-_Y,� , a•• vCCTO�V' rr A�C- •_�.. �C1t. Q ....... ROMAN INO • to OyAS ODA FOC! .•.ar. •_ - PWMIO _•w•t F :.w9•?s� , �L�e.: •; TL ,+:t:�;;..: NTAIR::• 6A9 Allklsa•n.:, r ..,y _ ..r.,7`� •.d• : r•w•_y,:.. ..a•r!",�iy,,; GAS V�*!:.•_.s4.•+•��r}:•;•n' i!�r :a .. . w • :• ;T •r.. .... �. .}ir•,i�t Mi tr..• _ .�. C.wMY. O OTAL NUMBER OR - Oe9frOC�-• + •F•+:1:T:V.!.+• .�•� .. p V17[TClRQO r s`•-„r• :. _ ��•:: •r:"ccafroo �g etrTlc_Yy ;,. r. _�'. .tib:— y— 'rT. .' •s _...:' ••,r.,:. erne TANK i 9X*Cm•a`:.�,..i�•f^-:t•y..:: _, '�' .._ w;:�} w9� : .TOT roti c. •.r• t :4F VTJtilt1P�.'C."._"_ sa.,.,.._ ti• :'�'F+ :7�'t :�.y,sy�• �lL'F $ 1 a•;rl:t'.�a" y a..4'MS ::s- �R NOTIFIED• •.1:�%; :4;.- ;r •a, _�._ •�t��?4 rr•,.d•��+_..' �ry` _:..'kSQ�3ra�r � rr•• ..• t6?' •C�� .moo.. FINA '��;: �?.��-•'N l_.r.. 1,. Y - '-'Y- � -�1-.��L. x ti a j:�-. ..4 'r v r f". r .a•L 7�,J 4i--4r r. -r .?"'t �i i in:r 4`y'S`."_i 1 r .: - '-'f/'- Y k� ; - ur A ec. i ,r _ �rr�y� 1 ix i rl r-+•- k- 4�:r.-� -b� .-•----..--"�.r� t r rY r �-- S...r r lir �.r`'t L,- .'' �7r`b•- /E A. +rL1 v j"k�K �' ��-� �:. 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