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Home My Public Portal About6155 OAK AVE_Plumbing__ 1 \ 76A6�7��CE#B17 5-61• APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARMIENNT OF COUNTY ENGINM BUII.DII�iG AND SAFETY DIVISION Bun;" JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS 61 N. Oak WILLIAM A..JENSEN, SUP'T OF BUILDING LOCALITY Temple Cit FOR APPLICANT TO FILL IN i os y, G ballt NUMBER FIXTURE OR ITEM OWNER Le WATER CLOSET �i MAII.. , BATH TUB ADDRESS• CITY TEL NO. SHOWER a� LAVATORY �� COR�CTOREarl(Pat}Standle Inc. r snm i�f ADDREN Box 408 DISHWASHER CITY El Monte TEL.No. GI. 4-1559 LAUNDRY Tun REGISTRATION NO. 149236 COVN r CLOTHES WASHER DISTRICT NO GROUPJONE CESSED BY WATER HEATER f 3 --.ft4 GAS SYSTEM INDUSTRIAL V WASTE APPROVAL IIIiSPECTION RECORD O tJ!� 0. • ,�/,��a'��_-tel �f�'��:�f�� •.�,� Z. _6-'ire'lv,�z- S 51.00 PER 1T81K OR FErrm 'Q ARIJ v► S AT INSPEC , ' Bigfijlfuree PERMIT $ 2 00 UNDER SIG WORK TOTAL FEE J ig v ROUGH PLUMBING 2. •I HEREBY ACKNOWLEDGE THAT'I HAVE READ,THIS APPLICATION GAS'PIPING AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL BOUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER / 1 I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES / /�: LICENSED AS REQUIRED BY LOS,ANGELES COUNTY AND STATE OF GAS TEST �� ( 7� f/ ,`-� .Q CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE D _ ESCRIBED RESIDE PR ERTY UTILITY'CO.NOTIFIED II x - f SII 11 SIGNATURE rI Q I aI1II OF PERMI eo FINAL. VALIDATION ROBERT A.WOOD EK. M.o, CASH SUPERVISING MECHANICAL ENG'R -• :�,?.e 4 3 " MW 1 5 5 0 15.0 0 78A887A(C E817A) - 8/78 !3.[.,W•C.-4 APPLICATION FOR P MB1NG PERMIT �{ COUNTY OF LOS ANGELES LJ DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDING ADDRESS HARVEY T. BRANDY, COUNTY ENGINEER LOCALITY rj1qRle+ CitCalif. 9t710 FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM @ FEE OWNER James Graham WATER CLOSET MAIL BATH TUB ADDRESS SHOWER cITMTem le Qity. Ca. TEL. No.280-8894 LAVATORY CONTRACTOR Jnhnliy6 n Plumbing Sq SINK ADDRESS 3�as Tunas Dr DISHWASHER CITY TEL. NO. CLOTHES WASHER STATE IC TATE LICENSE NO.27 6H7 CLASS C36 SWIMMING POOL RECEPTOR DISTRICT NO. G UP NE CESS BY LAWN SPRINKLER SYSTEM 6. G � 1 00 WATER HEATER INDUSTpIAL i nnWASTE APPROVAL GAS SYSTEM OUTLETS INSPECTION RECORD OUTLETS OVER 5 PER SYSTEM OC l- id id W N z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL FEE in APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name JOhnn 's Plumbirm Service ROUGH PLUMBING Address 9125 E. Las Tunas Dr., GAS PIPING City Tel. No. GAS VENT HOT WATER HEATER 1 HEREBY ACKNOWLEDGE AT 1 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 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO .y RESIDE IN THE ABOVE ZIBEO RESIDENTIAL PROPERTY. FINAL SIGNATU RE OF PERMITTEE :) I� PERMIT VALIDATION= O CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH %. /� W7 M V' zo CHH a 76A667A -;4/77 : ��;1� 'PLICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM ® FEE ADDRESS WATER CLOSET LOCALITY L NEAREST BATH TUB CROSS ST. d e SHOWER OWNER LAVATORY MAIL ADDRESS SINK CITY TEL.NO. DISHWASHER CONTRACTOR Z)AJ_•�.�G' u.�6 .p Cep CLOTHES WASHER ADDRESS _Si I 2 li. Ll.) P- SWIMMING POOL RECEPTOR y� CITY / l O N 20 V ,(� TEL.NO. + * `J LAWN SPRINKLER SYSTEM WATER HEATER STATE CENSE NO. S LIC. SS `^ GAS SYSTEM OUTLETS DISTRICT NO. ZONE ROC ED BY �`• o `3 I -L-" PER SYSTTEM �+ INDUSTRIAL R tS e 2 S WASTE APPROVAL C INSPECTION RECORD A) 5 0�- a tr z Plan check fee PLUMBING PERMIT ISSUING FEE$ -71 1 TOTALFEE j Plan check applicant Name -APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel.No. GAS 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. HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REQUIRED'BY LOS ANGEL LINTY AND STATE OF CALIFORNIA OR THAT I AM THE. GAS TEST LEGAL OWNER OF.AND TEN• TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED V r SIGNATURE CF MITT- FINAL � r PLAN CHECK VALIDATION M.O. CASH MIT VALIDATION cK. M.O. CASH i4 9 Si 6 JUL 28 5 D 1 3.0 0,&t8 u,) ►v -7 - S Z7 WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT i-herebyl'bffirm that I have a certificate of consent to self 20-0026 DPW 6/87 insure, or a certificate of Workers'Compensation Insurance, 76A667A or g:ertifled copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES I DEPT.OF PUBLIC WORKS Policy No. Company Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building Inspec- ADDRESS tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY C r Date Appllqant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. tiw COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work Involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS I certify that In the performance of the work for which this permit is Issued, I shall not employ any person in any manner SINK CITY TEL. NO. so as to become subject to the Workers'Compensation Laws. DISHWASHERl� CONTRACTOR J Date , applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR s G Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY en,so' ` TEL. NO. s with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. s�W CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. ROCESS BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER �J and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL V LIDA ON nom. License Number. 5 5Lic. Class DATE 1 CO • �� FINA a Contractor So rS Date C BY, O ❑ 1 am exempt under Sec. J off-' p� lam/ a B.6'P.C, for this reason Plan check fee r4• ® r G Dat PLUMBING PERMIT ISSUING FEE$ Q 1 Signature TOTAL FEE 5 Plan check applicant SINGLE FAMILY ; 5 HOME OWNER-BUILDER DECLARATION Name°� I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Address Professions Code): City Tel. No. `} 07 °' l El1, as owner of the property; will do the work and the I 1 ITEMS strudture is not,intended or offered for sale '(Section ® DOTAL 20 o 51) 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY CHECK 20.50 1 hereby affirm that there is a construction lending agency for CHANGE °�CI the performance of the work for which this permit'is issued (Sec. 3097, Civ. C.). t� Lender's Name 0000-0001 4/ 2/90 Lender's Address 918.46 1 phi 8:26 I certify that I have read this application and state that the above information is correct. I agree to comply with all County 11111110. ordinances and State laws regulating Plumbing, and hereby authorize representatives of this ounty to enter upon the above-. oned'property for' pection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE �9d Signature of Per ee Date