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Home My Public Portal About10200 NADINE ST_Plumbing__ TOAS67 17 s as® APPLICATION FOR PE V&r DEPART'NIF.NT OF BVILDING AND SAFETY �`.U��I I� G COMM OF LOS ANGELES WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT LZE GROU PERMITNO PLUMBER E 1L ! RECEIVE FIRST INSR NS PECTION FOR AT ISSUED r ADDRESS w y� BUIL ING . /K CITY TEL NO F A JV ADDRESS !2,7j7- COUNTN O Io1PIRm LOCAL LICENSE �� ITY NEAREST PEUM FUS C88 8T 10, NYMB6R TYPE OF R6 OBITSM FES CW ER MAIL WATER mosgr TOILET 050 ADDRESS BATH TUB also CITY TEL NO MOWER 050 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY WASH BASIN) 080 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK 080 STATE LAWS REGULATING PLUMBING I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 050 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER OF THE RESID 1 PROPERTY D CRIBSD 111 GA8 SYBTE UTLETB all SIGNATURE OF 0.0WATER HEATER 050 PERMITTB SLOP SINK Ono INSPECTION RECORD FLOOR SINK 050 FLOOR DRAIN 050 DISHWASHER 050 DRINKING FOUNTAIN 050 URINAL (d! 050 ,1 HOUSE SEWER 050 Z MISCELLANEOUS tC O APPROVALS DATE INEMCTOR S NAMII ROUGH PLUMBING GA8 PIPING GAS VENT I CESSPOOL t 00CESSPOOL SEPTIC TANK SEPTIC TANK DRAIN ( ) PIT ( ) ® too SEWER PERMIT too GAS TEST UTILITY CO NOTIFIED TOTAL FEE 8 p A FINAL 6pr 7GA"7 08817 7 51 APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY PLUMBING COIINTY OFF LOS LOS ANGELES WILLIAM J FOX. CHIEF ENGINEER FOR APPLICAbq 10 FILL IN DISTRI N13 OR13UP I ZONE PERMIT NO PLUMBER R feD SY READY ran pgRE MUEO �-. rIRGT INSPECTION 6 ADDRESS + CITY TEL No ADDRABB DI COUNTY LOCALITY O EXPIRED NEAREST PERMIT FEES CROBB BT NUMBER Type or rIXTURE OR ITLM FEE OWNER MAIL �. WATER CLOSET(TOILET) 0 ago K ADDRESS BATH TUB 0 O BO CITY TEL. Na SHOWER 0 Dan 1 11a`AREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) 0 coo ASND AOM E6 TO OMPLY W TH ALLTHATHCOUNTY ORDINANCES KITCHEN BINK 0 O BO AND BTATE LAWO REGULATING PLUMBING 1 CARTIrY THAT 1 POWERS THE ABOVE VALID LOU LAUNDRY TUB OR TRAY 0 OBC ANGELES COUNTY LICENE16 OR I AM THE LEGAL OWNER OF THE REBIOENTI ROPE DABaRI D A L GAB GYBTEM nUTLETS 0 ago SIGNATURE Or WATER HEATER 0 O BO PERMIT" GLOP BINK 0 O SO INSPECTIOtg RECORD FLOOR MINK 0 Dun rLOOR DRAIN 0 ago DISHWASHER 0 also DRINKING FOUNTAIN 0 0.60 URINAL ® C.SO J 4 HOUBE NEWER 0 CSO _Z MISCELLANEOUS O O APPROVALS DATE INOPSaTUR• NAM ROUGH PLUMBING am PIPINO GAG VENT UCMPOOL ® Ina CESSPOOL NAPTIC TANKi BEPTIC TANK DRAIN ( ) PIT ( ) 0 100 MEWER li Ain. ✓ PERMIT Ica am TES' I IA J UTILITY CO NaTIr1ED TOTAL FEE QCT RINAL 7ewa67 DRB 17 7 51 APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY PLUMBING COUNTY OFF LOS LOS ANGELES WILLIAM J FOX, CHIEF ENGINEER FOR APPLICANTFILL IN OfErr;V NO OR13UP I ZONE PERF41T NO D .w 3.sr6� PLUMBER gi READY FOR /DATE ISSUED FIRST INSPECTION 40 ADOR �. w i 2 SUILDINS w CITY TEL.No ADDRESS c COUNTY LOCALITY ZAgncqAL o 1 ��p�� NEAREST PEM i FEES 1 OROM wr NUMB[R TYPE OR FIXTURi OR ITLM Fgg OWNER WATER CLOSET(TOILET) a ago Ill MAIL ADDRESS BATH TUB ® 0.50 CITY Ift TEL NO SHOWER ® O BO 1 HIjREBY ACKNOWLEDGE THAT 1 HAVE READ THIN LAVATORY (WASH BASIN) coo move Is 093RRECT ASND AGREE TO COON AND M AY STTEW THH ALLHCOUNTY ORDINANCES KITCHEN SINK 050 AND STATE LAWS REGULATING PLUMBING LAUNDRY TUB OR TRAY ® ago ANGELES COUNTY LICENSE, OR 1 AMT BOLOW GAL(OWNER OAS SYSTBw ^UTLETB e O BO OF THE RESIDENTI P PE DEBCR ABOV SIGNATURE OF WATER HEATER ! ago PERMITTE GLOP BINK O Ono E5161ECTION RECORD FLOOR BINK O O.SO FLOOR DRAIN O O SO DIBHWABHER ® O.= DRINKING FOuwrA1N Dais URINAL ® O SO J HOUSE SEWER ago __ MISCELLANEOUS O APPROVALS DATE INBP[OTBR■ NAME ROUE PLUMBING RAS PIPING GAB VENT CESSPOOL ® IOD CESSPOOL SEPTIC TANKS SEPTIC TANK DRAIN ( ) PIT ( ) 100 SEWER PERMIT 100 GAB TES TOTAL FEE * Z. I�b UTILITY Do NOTIFIED PINAL. TOA667 n S.s® APPLICATION FOR PERNIIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING ��' COUNTY OF LOS ANGELES WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRI O GROUP I ZO �E PERMIT NO 12 PWMBER RECEI EADY O DAT 18 URO FIRST INSPECTION n ADDRESS BUILDING CITY TEL NO ADDRESS f BICE SY EXPIRES LOCALITY N088E ar PERNIIT FEES \ HymeER TYPE OF FIXTURE OR ITEM FEE OWNER ORA MAIL WATER CLOSET TOILET Ono 8 ADDRESS BATH TUB coo CITY TEL NO ROWER 050 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY WASH BASIN O SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK 050 STATE LAWS REGULATING PLUMBING 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS UNDRY TUB OR TRAY O SO ANGELES COUNTY (CENSE OR I AM THE LEGAL OWNER ! OF THE RESID PROP¢�TY D!SCRIBED ABOVE. GAS SYSTEM OUTLETS @ 050 SIGNATURE OF WATER HEATER 050 PERMITTE a SLOPSINK 080 FLOOR SINK dD Ono FLOOR DRAIN 050 DISHWASHER 050 DRINKING FOUNTAIN 060 URINAL 050 .J HOUSE SEWER ® Ono Z MISCELLANEOUS G Ir O APPROVALS DATE INSPECTOR 8 NAME RRI"UGH PLUMBING PIPING VENT CESSPOOL too SPOOL J � i SEPTIC TANK TIC TANK DRAIN ( ) PIT ( ) 100WERPERMIT 1 TESTLITY CO NOTIFIEDTOTAL FEE 8 AL / Jam! �S r WORIa=RSCOMPENSATION ate of consent to DPIII►91� APPLICATION FO,R PLUMBING PERMIT 9 1 hereby affvm'that I have a certificate of consent to self Insure or a certificate of Worker s Compensation Insurance or a certified copy thereof'(ec 9800 Lab C) COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS DEPT OF PUBLIC WORKS DIV Policy No Company ❑ Certified copy is hereby furnished BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE)❑ ADDRESS Certified copy ie filed with the county building inspection department NUMBER FIXTURE OR ITEM R FEE LOCALITY Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB CROSS ST COMPENSATION INSURANCE BOOK8566 PAGE Q��D PARCELD�Z (This section need not be completed If the work involved by the SHOWER MAP permit is for one hundred dollars($100)or less) OWNER I certify that in the performance of the work for which this permit LAVATORY is issued I shall not employ any person In any manner so as to gINX MAILADDRESS 0�00 ) e become subject to the Workers Com enation ws DISWASHF3T CITY TEL NO � Date Applic-Ig CLOTHES WASHER NOTICE OAP LICANT If after making this ert I to of CONTRACTOR Exemption you should become subject to the Workers Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code you must forthwith comply with'such ADDRESS provisions or this permit shall be deemed revoked LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION WATER HEATER CITY TEL NO }� I hereby affirm that I am licensed under provisions of Chapter 9 A (commencing with Section 7000)of Division 9 of the Business and (�SYSTEM OUTLETS LICENSE NO CLASS 4V,C Professions Code and my license Is in full force and effect OUTLETS OVER DISTRICT NO PROCESSED BY 5 PER SYSTEM License Number Uc Class FINAL ATE Z+q/ VALIDATION d Contractor Date 5 CQ ❑ I am exempt under Seo y ACC T.* 1 B&P C for this reason Date Plan check fee 1411 000. 3M7 2..65 Signature PLUMBING PERMIT ISSUING FEE$ 1 ITEMS ❑ TOTAL FEE TUTAL 220.65 SINGLE FAMILY Plan check applicant t .a„� no.65 HOME OWNER BUILDER DECLARATION Named _ trTa'9�1� �(EI I hereby affirm that I am exempt from the Contractor s License Law for the following reason(Section 7091 5 Business and Professions Address 102 Lo0 Code) I as owner of the property will do the work and the structure C Tel N 3 n.'Inf1��1 4, r!C�1� E is not intended or offered for sale(Section 7044 Business �1uW58�4V 1 7-*9 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(Sac 3097 Civ C) Lenders Names a1 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 ordinances and State laws regulating Plumbing and hereby authorize representatives of this County to enter upon the above mentioned r for inspecllog purposes SEE REVERSE FOR EXPLANATORY LANGUAGE l Signature of Pea") ZElati