HomeMy Public PortalAbout6309 OAK AVE_Plumbing__ 75AS67 DOS 17 7-51 ' APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
:;]FO'APPLICANT TO FILL IN S R�� G .
LADDREBS '.:ay* '4/&
ER • R IVE BY READY FOR DATE ISSUED
FIRST INSPECTION
A —
p BUILDING e�
CITY _9 /��' TEL EXPIRESNo. ADDRESSCOUTTY %.f
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LICENSE MEL 9/ D LOCALITY
NEAREST
PERMM FEES CROBS ST.
NUMBER TYPE OF FIXTURC OR ITEM FEE DWNE
MAIL
WATER CLOSET(TOILET) 41 0.50 !a 1 ADDRESS �•�J 1 6,/
BATH TUBC
6i4 0.5D OITY / TEL No.
SHOWER 0 0.50 1 H Y ACKNN��PpJW'I'L DGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 ABOVE CORRECT
AND AGREE TO 138PLAY W THAALLHC UNTY ORDINANCES
KITCHEN SINK 0 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LI NBE, OR 1 AM THE LEGAL OWNER
GAB SYSTEM OUTLETS 0 0.50 OF THE RES IDENTIPR P-ERT7DE RIBED�ABOV{�.
WATER HEATER 0.50 O SIGNATURE OF , � cr�� Ij
PERMITTE
SLOP BINK @ D.BD INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 13.50
DISHWASHER Q O.'50
DRINKING FOUNTAIN 411 0.50
URINAL 41 0.50 A
Q
HOUSE HEWER 41 0.50 _Z
MISCELLANEOUS
O
APPROVALS
DATE INSPECTOR-8 NAME
ROUGH PLUMBING
GAB PIPING
GAB VENT
CESSPOOL @ I.Do CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMIT 1.10310 GAS TEST
TOTAL FEE S Q UTILITY CO.NOTIFIED
FINAL
F7r 76A667-CE 817468
1�1-
APPLICATION FOR PLUMBING PERM
COUNTY OF LOS ANGELES u
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION FADDEJOHN A. LAMBIE. COUNTY ENGINEERCOLEMAN W. JENKINS. SUPT. OF BUILDING RES
FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST . QZ.n
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1.50
IL
BATH TUB 1.50 ADDRESS 3 o el IV '
SHOWER 1.50 CITY / `' / TEL. NO.
LAVATORY 1.50 CONTRACTOR` ,c-x- v #`G'AT
SINK 1.50 ADDRESS So /-4,
DISHWASHER 1.50 CITY 'AI A5,4,6 TEL. NO..Id-e 719
CLOTHES WASHER 1.50 STATELIC
LICENSE NO. ( J 4s 9' CLASS d 4
SWIMMING POOL RECEPTOR 1.50
DISTRICT NO. GROUP I ZOOVE PR SS BY
LAWN SPRINKLER SYSTEM 2.00 / / CL
WATER HEATER 1..50 iNDUSTR PBUL8
WASTEROVAL
GAS SYSTEM OUTLETS 1.50 rQ INSPECTION RECORD z
OUTLETS OVER 30 0
5 PER SYSTEM
W
Vf
z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
LN'
Tel. No. HOT WATER HEATER
REBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
NG.
REBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
ED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
RNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
IN.THE ABOVE-DESCRIBED RESIDDENTIAAL PROPERTY. FINALTURE �7/J �{ Lin iJACK R. ALLEN, SUPERVISIN HANICAL ENG-R.
ERMITTEE dddiii//! v /\G[/'I�
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
LAC0 7 49 2% DEC 3 5D 3.5
76^667 (CS-617) - 1/75 '
APPLICATION F PLUMBING PERMIT
COUNTY OF LOS ANGELES .
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION . M
BUILOINc .
'MAKE CHECKS PAYABLE TO. ADDRESS Q /
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM, @ FEE CROSS ST.
WATER CLOSET 2.00 OWNER
MAIL
BATH TLJB 2.00 ADDRESS
SHOWER 2.00' CITY TEL. NO.
LAVATORY 2.00 CONTRACT
.SINK 2.00• A_DDR ES
DISHWASHER 2,00 T
CLOTHES WASHER 2.00STATE. LIC
LICENSE CLASS•
SWIMMING'POOL RECEPTOR 2.00
DIS'[131CT NO.GROUP. ONE PRO ESS B
LAWN SPRINKLER SYSTEM 2,00
WATER HEATER 2.00, INDUSTRIAL '
WASTE APPROVAL
GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD' C
OUTLETS O R - v
5 PERISY ,30
CD
I W
IL
y
- Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ sp
TOTAL FEE
Plan check applicantAPPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS,PIPING
City Tel. No. GAS VENT
'
I HEREBY ACKNOWLEDGE THAT 'I HAVE READ THOT.APPLICATION WATERHEATER
..
AND STATE THAT THE ABOVE IS CORRECT•AND AGREE TO COMPLY PLUMBING'_F'IXTURES '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING -74
GAS TEST +
PLUMBING. ,
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR. UTILITY CO. NOTIFIED
. Li CENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ,
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, ANTI fR1` b TO
RESIDE IN THE ABOVE DESCRIBED RES IDENT IF10PER TY. FINAL ""�•�'
J
SIGNATU RE
OF PERMITTE _ -
PERMIT VALIDATIONCK. M,O: CASH
PLAN-CHECK VALIDATION CK. M.O. CASH ?�' A. lA1 7 Z ® 7.50A,-% '
3 3. gyp,�R
76A667-CE#81 7 6-65 7�L'
APPLICATION FOR ' PLUMB NG PER W- T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 49
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
NUMBER FIXTURE OR ITEM EACH FEE
l�tl�U544
WATER CLOSET =1.25 OWNER �MAIL
BATH TOB 1.25 ADDRESS .
SHOWER 1.25 CITY TEL.'NO -74.i
LAVATORY 1.25 CONTRACTOR ol
SINS 1.25 .ADDRESS
DISHWASHER 1.25 CITY TEL.NO.
STATE LIC
LAUNDRY TUB 1.25 LICENSE NO. CLASS
CLOTHES WASHER 1.25 DISTRICT NO CARO ZPME, PR BY
WATER HEATER 1.50 .67
a
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL O
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD V
H
I&A
IL
• N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ •2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
'1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS°CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS. REGULATING
PLUMBING. HOT WATERNEATER
_
1 HEREBY CERTIFY THAT I 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 RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE •4
FINAL
VAMATI
CK. M.0. CASH
LALo 4 8.5' 5 SEP 21 5D 3.25- c
° WORKER'S COMPENSATION DECLARATION , 87APw9�a9 APPLICATION FOR PLUMBING. PERMIT
hereby affirm that I have a certificate of consent to self Insure,
or a certificate of Worker's Compensation Insurance, or a certified
copy thereof(Sec.3800 Lab.C.)
COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV.
oitcy.No. Company
Certified copy is hereby furnished. BUILDING /,
FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS(}T 0 /v. fn/a4 /�f vfT
Certified copy Is filed with the county building Inspection
department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY
ate Applicant WATER dLOSETNEAREST
/� CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUBS ASSESSOR
COMPENSATION INSURANCE
This section need not be completed if the work Involved by the SHOWER MAP BOOK PAGE PARCEL
permit is for one hundred dollars($100)or less.) LAVATORY D OWNER NLST �L. r-4?,),.certify that in the performance of the work for which this permit MAIL11
s issued, I shall not employ any person in any man er so as to SINK ADDRESS /j d, �/. �v&-
ecome subject to the Workers'Compensation
'rte ��/f�/ ,p DISWASHER CITY �[3 G TEL.NO.,/-' e
ate;7- v`t Applicant C! CLOTHES WASHER CONTRACTOR
OTICE TO APPLICANT: If, after making tXis Certificate of
xemption,you should become subject to the W rkers'Compensation SWIMMING POOL RECEPTOR ADDRESS
provisions of the Labor Code,you must forthvAth comply with such
provisions or this per.'mit shall be deemed revoked. ' LAWN SPRINKLER SYSTEM
LICENSED CONTRACTORS DECLARATION WATER HEATER CITY TEL.NO. d
hereby affirm that I am licensed under provisions of Chapter 9 STATE LIC.
commencing with Section 7000)of Division 3 of the Business and GAS SYSTEM OUTLETS LICENSE NO. CLASS U
Professions Code,and my license Is in full force and effect.
OUTLETS OVER DISTRICT NO PROCESSED BY I=
5 PER SYSTEM �� Q
tcense Number Lic.Class
FINAL
DATE _ VALIDATION a
ontrector Date cc
FINAL Z
I am exempt under Sec. a 0 BY
B.&P.C.for this reason
Plan check fee bi
Date:
PLUMBING PERMIT ISSUING FEE$ ��p (f ,
Signature
❑ TOTAL FEE �� a Q
Plan check applicant
SINGLE FAMILY
HOME OWNER-BUILDER DECLARATION Name ACCT°J4
I hereby affirm that I am exempt from the Contractor's License Lawti1=�° )
for the following reason(Section 7031.5, Business and Professions Address 33076
21
Code): - 1 !TENS
' City Tel.No.
F1 I-,as owner of the property,will do the work and the structure TOTAL € 83. '0
+ is not intended or offered for sale(Section 7044, Business
and Profession's Code). , CHECK tib.20
CONSTRUCTION LENDING AGENCY CHANGE °00,
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.) 130010-13001 7 2`:94
Lender's Narrte 62201 r 1 t =LI
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
representativespf this County to enter upon the above-mentioned
propert for iction purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
G 7- - - y
Slanatu of Parmittan Data