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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 4 - 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