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Home My Public Portal About5760 OAK AVE_Plumbing__ D B B 17 Zg COUNTY OF LOS ANGELESASAFETY ON FOR PERIIT DEPARTMENT OFF LOS NG AND SAFETY PLUMBING wM J FOX CHIEF ENGINEER NATUREOF INSTALLATION !;2 ROUGH FIXTURES COMPLETE HEATER CESSPOOL SEPTIC TANK IVSD BY READY FOR DAI FIRST INSPECTION � 6 777 A8 M NEO B APPLICANT FIL IN EAVILY OUTLINED PORTION O Y d, NAME a/L ADDRESS • M B ADDRESSXJ �/ {,OCALITy 7 + NEAREST CITY TZL N @Ar* CROSS STST - COUNTY CERT NNAM11 04 LOCA TIO OF SEPTIC TANK, OR CESSPOOL = ADDRMAIL O ESS dt. s oalyr NORTH / _ CITY TEL N r f0 I M ATHE OF THE ABOVE LOS ANOELES COU CERTI R qU I TIO PLUMS I AM THE LEGAL OWNER of THE PROPERTY DESCRIBBD ABOVE: OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK _z ATH TUB FURNACE o (Y HOWER DISHWASHER O VATORY REFRIOBRATOR -KITCHEN SINK WATER SOFTENER R SINK - QAND TRAP -SLOP BINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET *DRINKING FOUNTAIN DATE INSPSGTOR s NAMs WATER HEATER DENTAL LAVATORY ROUGH PLUMBING 6TER •'AS - SDA FOUNTAIN OUTL OAS PIPING GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES DTIC TANK ESSPOOI SEPTIC TANK SEWER B UTILITY CO NOTIFIED TOTAL FEE FINAL - C/ 7GA667 (CE 817) 5/731 If APPLICATION FOR PLUM ING PERMIT COUNTY OF LOS ANGELES ` DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO BUILDING ADDRESS 5760 N. Oak v�- HARVEY T BRANDT COUNTY ENGINEER LOCALITY emP Y =FORAPPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST NUMBER FIXTURE OR ITEM ® FEE WATER CLOSET 1 75 OWNER L & W Home Center MAIL 11,19 E. Las Tunas Dr. BATH TUB 1 75 ADDRESS SHOWER 1 75 CIT' Sall Gabriel TEL NO 287-3,131 LAVATORY 1 75 CONTRACTOR Oren Bros. Plumbingt Inc. SINK 1 75 ADDRESS 4265 N. Baldwin DISHWASHER 1 75 CIT, El Moine TEL NW3-007 / CLOTHES WASHER 1 75STATELICENSE NO 231 741 CLIC LASS SWIMMING POOL RECEPTOR 1 75 DISTRICT NO GROUPCESSE BY LAWN SPRINKLER SYSTEM 1 75 jQtNEJ, WATERHEATER 1 75 IND(�STpIA WASTE APPROVAL GAS SYSTEM OUTLETS 1 75 1 INSPECTION RECORD V OUTLETS OVER C 5 PER SYSTEM 30 C v W d N Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR 9 SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING i ,y / Address GAS PIPING City Tel NO GAS VENT HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING GAS TEST 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND NTEND TO RESIDE IN Oat THE ABOVE DESC ED RES ENTIAL PR PER FINAL 'r e5oie� , ;i9w SIGNATU RE OF PERMITTEE PERMIT VALIDATION 0C. M o CASH PLAN CHECK VALIDATION CK M o CASH 1 4 8 JUL 22 5 D n 6 5 0 �� 76AS67 CBS 17 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING 1 COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER OTSTRICT NO. GROUP I ZONE PERMIT NO. F PPLICANT O FILL IN .� //- ' PLUMBE RECEIVED. YT READY FOR DATE' ISSUED FIRST INqpECT10N APURESS • BUILDINGO CITY TEL Na. ADDRESS w COUNT LOCALITY LICEN EXPIRES N EAR EBT PERMIT FEES cRoss BT. NUMBER TYPE OF FIXTURE OR ITEM FEE DWN ER MAIL D WATER CLOSET(TOILET) 0.50 S ADDRESSjff I;IZ2�f ' BATH TUB Q 0.50 CITY TEL No SHOWER 0.50 I HEACKNO LEOG THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) Cit 0.50 APPLICA N AND STAT AT THE ABOVE 18 CORRECT AND AGREE TO COMPLY TH ALL COUNTY ORDINANCES KITCHEN SINK Q 0.50 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT IjPOSSES8 THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTYLI NSE GAS SYSTEM OUTLETS (� 0.50 , R 1 AM THE LEGAL OWNER OF THE RESIDENTI PR D CRI ABO SIGNATURE OF WATER HEATER O.SD PERMITTE SLOP SINK 0.50 INSPECTION RECORD FLOOR SINK 0.50 FLOOR DRAIN 0.50 DISHWASHER ® 0.50 DRINKING FOUNTAIN Q 0.50 URINAL Q 0.50 J Q HOUSE SEWER 0.50 Z_ MISCELLANEOUS 0O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1:00 CESSPOOL - SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT I 1,00 GAS TEST - UTILITY CO.NOTIFIED TOTAL FEE �— r _ a. FINAL l f: WORKER`$COMPENSATION DECLARATION 2D4=DPW 9/89 APPLICATION FOR PLUMBING PERMIT lJ I hereby affirm that I have a certificate of consent to self insure 78AWA \?'t %a certifrate of Worker s Compensation insurance or a certified ?J1 G6/� copy thereof(Sec 3800 Lab C) Policy No Company COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS DEPT OF PUBLIC WORKS DIV ❑ Certified copy Is hereby furnished❑ BUILDING UIL IESS r� �Gl�/� �FOR APPLICANT TO FILL IN(PRINT OR TYPE) Certified copy is filed with the county building inspection department NUMBER FIXTURE OR ITEM ® FEE LOCALITY �PlL i�y Date Applicant WATER CLOSET CROSS SST !� 4.C•��i7.� REST CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB COMPENSATION INSURANCE ASSESSOR (This section need not be completed If the work Involved by the SHOWER MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or lose) LAVATORY OWNER Aell/�� ue//9e I certify that in the performance of the work for which this permit I MAIL is issued I shall not employ any person in any manner so as to SINK ADDRESS become subject to the Workers Compensation Laws / DISWASHER CITY TEL N v��,0 Date 1. J Applicant CLOTHES WASHER NOTIC TO APPLICANT If aft making t Is Certificate of CONTRACTOR Exemption you should become subject to the Workers Compensation SWIMMING POOL RECEPTOR ADDRESS ? provisions of the Labor Code you must forthwith comply with such c 7� provisions or this permit shall be deemed revoked LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY �� TEL No I hereby affirm that I am licensed under provisions of Chapter 9 TER _ STATE LIC (commencing with Section 7000)of Division 3 of the Business and ppg SYSTEM OUTLETS LICENSE NO ��/ CLASS (� Professions Code and my license is in full force and effect Y �f OUTLETS OVER DISTRICT NO PROCESSED BY Q License Number v / Lic Clens l0 64� 5 PER SYSTEM �..d 1 Q + U DA ATION '� UJI Contractor DateN ❑ I am exempt under Sec ( BY L TOTAL 43.40 3.40 _Z B&P C for this reason %ADY R IISPECT Date Plan check fee Signature PLUMBING PERMIT ISSUING FEE$ a Q X00 ❑ TOTAL FEE Q SINGLE FAMILY Plan check applicant 11/16195 HOME OWNER BUILDER DECLARATION Name 1 hereby affirm that I am exempt from the Contractor a License Law for the following reason(Section 7031 5 Business and Professions Address ' 1 AN11:27 Code) ❑ City Tel No I as owner of the property will do the work and the 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 the performance of the work for which this permit Is Issued(Sec 3097 Civ C) Lender s Name Lender s Address 1 certify that I have read this application and state that the above Pol. 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 property for Inspections purposes SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS COMPENSATION DECLARATION*,fzeaeeA P P L I C A T I O N FOR PLUMBING P E R M I T I hereby affirm that I have a certificate f eonseiat to self ce ei insure or a certificate of Workers Compensation Insurance or a certified copy thereof(Sec 3800 Lab C) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company. Certified copy is hereby furnished FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING i Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM • FEE ADDRESS6O D .5 department LOCALITY WATER CLOSET ,� Date Applicant NEAREST BATH TUB CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE SHOWER OWNER LL L MAI L (This section need not be completed if the work involved LAVATORY ADDRESS d by the permit is for one hundred dollars ($100) or less) SINK CITY TEL NO 0 I certify that in the performance of the work for which this DISHWASHERcc permit is issued I shall not employ any person in any manner CONTRACTOR e U so as to become subject to the Workers Compensation Laws CLOTHES WASHER ADDRESS Date Applicant LU SWIMMING POOL RECEPTOR a to CL NOTICE TO APPLICANT If after making this Certificate of CITY,/,4,- yfl0, 7 TEL NO Exemption you should become subject to the Workers LAWN SPRINKLER SYSTEM STATE LIC Z Compensation provisions of the Labor Code you must forth LICENSE N 5 42Z CLASS with comply with such provisions or this permit shall be WATER HEATER deemed revoked DISTRICT NO PRO SSED BY GAS SYSTEM OUTLETS LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that 1 am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Bust FINAL ® ��♦' VALIDATION ness and Professions Code and my license is in full force and DATE L(� effect FINAL License Number Lic Class BY Contractor Date rl I am exempt from the licensing requirements as I am a Pian check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051 Bus mess and Professions Code) TOTAL FEE Lic or Reg No Date Plan check applicant HOME OWNER BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractors Address License Law for the following reason (Section 7031 5 Bust City Tel No ;95685A ness and Professions Code) # i 5 I as owner of the property am exclusively contracting • • • • • with licensed contractors to construct the project (Section 7044 Business and Professions Code) 2,• * 2a50 CONSTRUCTION LENDING AGENCY •,• • 2 a 505 I hereby affirm that there is a construction lending agency O 1 7-82_$2 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 SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing and hereby authorize representatives of this County to enter upon the above mentioned property for inspection purposes Signature of Permittee Date