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Home My Public Portal About6122 OAK AVE_Plumbing__ APPLICATION FOR PERMIT , DEPARTMENT OF BUILDING AND SAFETY A . COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL. IN 'DISTRICTNO.. GROUP I ZONE PERMIT NO. PLUMBER ' , , /1 d Q RECEIIVVEEDD BY READY FOR /AATTE SUED FIRST INSPECTION r ADDRESSS SsA/J l ff G: �+] CITY l�L�L�i"s� TEL. Nola !q`P�)r9,j'0 ADD EISS COUNTY // +y(} f,^, '7 IACALIT 1,a y-� ,i -�!_fa �- LICENSE NO. l3 >O` rJ1 EXPIRES �- 56 I NEAREST /6 PERMIT FEES CROSS ST. �awJ r •� NUMBER'I TYPE:OF FIXTURE'OR ITEM' FEE OWNER 21,? _eft? i�J-+;1✓.'r� .Y MA iL � �e��r� J r WATER CLOSET (TOILET.) @ 0.50 s 1 s-6 ADDRESS . '.�''�lls,'�,C,.f I �:1 / BATH TUB @ .O.50 ''� J `'�� _ CI. �dvy.��f 'rfl7A�,.�I.TEL. NO. 1 SHOWER @ 0.50 sib 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 I � APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN.BIN @ 0.50 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT t POSSESS' THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER . OF THE RESIDENTIAL.PRO ERTY D_ES_CRIBE ABOVE. GAS Sl(STEI41 L 9 OUTETS @ 0. 0 ®®�` /S SIGNATURE OFF -/i' WATER HEATER @ 'O.SO PERMITTEE !.�� SLOP SINK 0.50P INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR.DRAIN @ 0.50, i DISHWASHER @ 0.50I � /) DRINKING FOUNTAIN @ 0.50.I `7'/�- 'S 1y+.f a " 12.0 Pi -6- URINAL 6URINAL @ 0.50 ! �� • HOUSESEWER @ 0.501 re- r r• Z MISCELLANEOUS '�.'1" !_ C trlw. . r4n r.✓ it ►>x) A/ O —" N/,7 .ilk VF-r APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING ar'- a i GAS PIPING GAS VENT CESSPOOL. @ 1.00 CESSPOOL SEPTIC TANK: I SEPTIC TANK ' DRAIN ( ) PITS ( ) @ 1.:00 SEWER ' PERMIT . , 1.,00 GAS.TEST UTILITY CO. NOTIFIED TOTAL'FEE $ ��. FINAL. I .b'.ZA 76A667 oBs 77 11-50 1. APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY PLUMBING COIINTY OFF LOS LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER DISTRI NO. 13ROUP ZONE PERMIT N0. FOR APPLICANT TO FILL_ IN ®S� PLUMBER � READY FOR DATE ISSUED �lFIRST INSPECTION �� ADDRESS 77ff �.�s ' CITY Z/d � TEL N .a .�0ADDRESS .!Y. 'Ile COUNT LICENaYO. sr J° 1/1 EXPIRES Lf— LOCALITY �f ;f�• s+�.A NrAREST PERMIT FEES CRDSB ST. ,f" r. . �A 4/�"+ //�✓ ,.yam.// 1 NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER o l t � MAIL WATER CLOSET(TOILET) 0 0.50 G ADDRESS .r0. J BATH TUB 0 0.50 CITY /r ��.; TEL No. SHOWER Q 0.50 1 HER�Y ACK�N'OaWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) 0.50 APPLICok.T� N AND TATE THAT THE ABOVE 19 CORRECT AND AGREE TO CO PLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 OBSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LIC SE. R^1 AM THE -LEGAL OWNER GAS SYSTEM OUTLETS 0.50 OF THE RESIDENTIA ROP DESCRIBED ABOVE. SIGNATURE OF ��L AI 04 WATER HEATER @ 0.50 PERMITTE SLOP SINK 0 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN 0.50 DISHWASHER 0.50 DRINKING FOUNTAIN 0.50 URINAL 0.50 A HOUSE SEWER 0.50 Z MISCELLANEOUS L7 O 00 APPROVALS DATE IMBPECTOR-8 NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1:DO CESSPOOL SEPTIC TANK. SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT I 1.00 GAS TEST UTILITY CO.NOTIFIED TOTAL FEE ®O _ Ate( Q�It(fJ FINAL !— tel rZ lltlAt COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING 8c SAFETY WILLIAM J. FOX, County Engineer PLUMBING 1 FO APPLICANT TO FILL IN DISTRICTO P I ZONE . Is- ,--I &,-I 7?•4 52- �"- PLUMBER ° READY FOR RECEIVED BY FIRST INSPECTION DATE ISSUED ADDREBH at ® 140V BUILDING CITYELN v"vi— ADDRESS COUNTY 1+ B LOCALITY , LICENSE Nggr NEAREST ° PE FEES CROSS ST. NUMBER TYPE OF FIXTURC OR ITEM FEE OWNER MAIL a WATER CLOSET(TOILET) a O.'PO IS ADDRESS BATH TUB .BO CITY ✓ s TEL N SHOWER Q ONO I HE ACKNO GE THAT I HAVE READ THIS LAVATORY (WASH BASIN) O. D APPLIC N AND THAT THE ABOVE 16 CORRECT AND AGREE TO CO P WITH ALL COUNTY ORDINANCES KITCHEN SINK Q O 50 AND STATE LAWS ULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB LAUNDRY TUB OR TRAY 0 13.10 ANGELES COUNTY CE E, OR 1 AM THE LEGAL OWNER GAS SYSTEM OUTLETS a O. O ®OF THE RESIDENT/{ L OPERTY DESCRIBED ABOVE WATER HEATER � O. O �� SIGNATURE 0 1 PERMITTE SLOP SINK 0 01613 INSPECTION RECORD FLOOR BINK 0 DID FLOOR DRAIN O SO DISHWASHER qlSO DRINKING FOUNTAIN .513 URINAL .SO HOUSE SEWER 0 &SO Z MISCELLANEOUS R Ir O APPROVALS DATE INBPEOMR'B NAME ROUGH PLUMBING GAB PIPING GAB VENT CESSPOOL 1,430 CESSPOOL SEPTIC TANKe SEPTIC TANK DRAIN ( ) PIT ( ) (tD 1.00 SEWER PERMIT 1.00 GAS TEST UTILITY CO.NOTIFIED TOTAL FEE Is -2--17 FINAL �i ,e, MANY DBS#'17 10/58 W&KERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT hereby affirm that I have a certificate of consent to self 76A667A insure, or a certificate of Workers'Compensation Insurance, CE 817(REV. 10/81) or a certied copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY icy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING J t Certified copy is filed with the county building inspec- ADDRESS _1� tion department NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date + A li ant WATER CLOSET PP 4 �� NEAREST ERTIFI ATE OF EXEMPTION FROM ORKERS' BATH TUB CROSS ST. IF A COMPENSATION INSURANCE SHOWER OWNER &. (This section need not be completed If the work involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL.NO. so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTO Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of 92 Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR � Compensation provisions of the Labor Code, you must forth- CITY TEL. NO.��2 S with comply with such provisions or this permit shall. be LAWN SPRINKLER SYSTEM y , deemed revoked. WATER HEATER LICENSE NO.a& -3 CLASS LICENSED CONTRACTORS DECLARATION DISTRICT O. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS [��/ (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER c and Professions Code,and my lliiccense is in full for .ce and effect. 5 PER SYSTEM FINAL VALI TION G License Numbe��3/19 Lic. CIasS-l!!�_COAJOEB DATE IN AL Contract �/�'�E°-Date 0 �� BY4 ❑ I am exempt under Sec. H B.BP.C. for this reason z Plan check fee � te: PLUMBING PERMIT ISSUING FEE$ Signature n SINGLE FAMILY TOTAL FEE s�- Plan check applicant HOME OWNER-BUILDER DECLARATION Name 0 2 7 6 5 A I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and # 0 0 0 0 0 5 Professions Code): City Tel. No. ❑ I, as owner of the property, will do the work and the I o o 2 2 5 0 structure is not intended or offered for sale (Section 7044, Business and Professions Code). , o o 0 2 2 5 Q 7 CONSTRUCTION LENDING AGENCY 0 $2 1 -85 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 hav ad s application and state that the ► above informatio s or I. I agree to comply with all County ordinances and s regulating Plumbing, and hereby tho' f this County to enter upon the / a e-menti e y ur as SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Dat . • WORSERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I herby affirm that I have a certificate of consent to self 76A667A s, injure, or a certificate of Workers'Compensation Insurance, CE 817(REV. 10/81) ora certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY • Policy No.—Company ❑ Certified copy is hereby furnished. BUILDING . n ¢/ , f FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS f,; All r� r Certified copy is filed with the county building inspec- NUMBER FIXTURE OR ITEM tion depart enf. (� FEE LOCALITY ` ! , 0; - WATER CLOSET s�' Date—' /% Appligant '�� '�t NEAREST ERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER� �=-{mss e✓� {L .-� r �. (This section need not be completed if the work involved by SHOWER o - the permit is for one hundred dollars $100 or less. MAIL P ( ) ) LAVATORY � ADDRESS /,• I certify that in the performance of the work for which this rz r permit is issued, I shall not employ any person in any manner SINK CITY ' ��' TEL. NO. so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACiO '� j L-• ' Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: f, after making this Certificate of SWIMMING POOL RECEPTOR ADDRESS`_ Exemption, you should become subject to the Workers' CITY !- �� TEL. NO. Com ensation provisions of the Labor Code, you must forth- '�Yom` ' v��".� p p y LAWN SPRINKLER SYSTEM �! with comply with such provisions or this permit shall be STATE , c LIC. d- Z_ deemed revoked. WATER HEATER LICENSE NO. �-✓ .l ✓,� CLASS LICENSED CONTRACTORS DECLARATION DIST UQ_ P ESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS 1`!1 c �. (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL VA ATION O License Numbers � Lic. CIasse- '- °�r DATE 09 i FINAL 0 Controctof} •",C,41 `�` Date _ / - k i BY 0 ❑ ILI a exempt nder Sec. N B.BP.C. for this reason Plan check fee Q/ Date: , PLUMBING PERMIT ISSUING FEE$ Signature L 4 6 7 A TOTAL FEE (� >�Q f; 0 0 0 0 0 7 Plan check applicant v J 0 0 6 SINGLE FAMILY 0."r, G HOME OWNER-BUILDER DECLARATION Name Doo4aj �, ,� I hereby affirm that I am exempt from the Contractor's License Address d Law for the following reason (Section 7031.5, Business and Professions Code): City Tel. No. ❑ 1, as owner of the property, will do the work and the structure is not intended or offered for sale (Section Poo7044, 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 I certify that I have read this application and state that the ► above informat,;is cq(frLt. I agree to comply with all County ordinances an at aws regulating Plumbing, and hereby authorize req a ryes of this Co to-enter upon the above-men lane rope- spection purp ses --�- �. i�� o.-� SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Parrmittee D to