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Home My Public Portal About6317-6319 OAK AVE_Plumbing__ . D.s: ».asM sera ia=as APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOSANGELES PLUMBING WM.J.FOX.CHIEF ENGINEER NATURE 0 INSTALLATION D187 ,IV . GROUP O P RfMI NO. „ ROUGH. FIXTURES COMPLETE HEATER CESSPOOL I—I BEPTICTANK__ RECEIVED BY READY FOR DATE ISSUED LRIRBT.INSPECTION .� w' . • AS M18CELLAN U `T/6 APPLICANT FILL IN,�HEAYILY OUTLINED PORTION ONLY JOB '�41 E NAME ,/� ' ADDRESS • Id M ADDRESS 1` LOCALITY Cam' +'", CT 4 JNEAREST L .CITY TEL.No.. CROSS ST. Ile G "-- - COUNTY V CERT.No. EXPIRES �'. NAME C� - LOCATION OF SEPTIC TANH, OR CESSPOOL Z: MAIL Lr n 3 ADDRESS= 'r /'�/ C•._.•�.� NORTH O CITY TEL.No'. 1 AM THE LEGAL POSSESSOR' OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. i PLUMBER ik 1 AWTHE LEGAL.OWNER OF T E PROPERTY D CRIBED ABOVE. W rt 3 �o4vNSR MISSION CORRECTIONK a SOUTH - J DESCRIPTION OF WORK z ATH TUB FURNACE 19 SHOWER DISHWASHER Q LAVATORY oEFRIGERATOR KITCHEN BINK WATER SOFTENER FLOOR SINK SAND TRAP LOP SINK _ FLOOR.DRAIN rMWASH TRAY URINAL APPROVALS ATER CLOGET DRINKING FOUNTAIN _ - DATE IN9PBGTOR'B NAME ATER HEATER DENTAL LAVATORY ROUGH PLUMBING I N METER-3—AASU7'[. SODA FOUNTAIN GAB PIPING I �� (NAB VENT CESSPOOL I OTAL NUMBER�OF FIXTURES SEPTIC TANK I ESS.POOLSEFTIC'TANK SEWER UTILITY CO.NOTIFIED TOTAL FEE p 'i FINAL 76087 17 U-90 IV APPLICATION FOR PEm%aT DEf3ARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER PLUMBING FOR APPLICANT TO FILL IN [DISTR9/NO. GROUP I ZONE PERMIT NO. PLUMBER RECEIVE READY FOR ATE ISSUED FIRST INSPECTION ADDRESS Z18L1 Zaala St. NO BUILDING ADDRESS 6319-14, Qek Age CITY Culver City TEL. NO. EK 1 9 �dd LICENSE NO.COUNTY •ISI EXPIRES 6_ O- LOCALITY TgWlQ Git V Ave..ST CROREST L SS SGIOII PERIVRT FEES , NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL L% me CLOSET (TOILET) 0.50 S ADDRESS L%me above BATH TUB 40 0.50 CITY TEL. NO. SHOWER ® 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK Q 0.50 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I4 POSSESS THE ABOVE. VALID LOS LAUNDRY TUB OR TRAY GA 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY^DESCRIBED ABOVE, _ GAS SYSTEM OUTLETS 0 0.50 SIGNATURE OF WATER HEATER ® 0.50 PERMITTEE SLOP SINK Q 0.50 INSPECTION RECORD FLOOR SINK a 0.90 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN A 0.50 URINAL Q 0.50 W Q HOUSE SEWER Q 0.50 V MISCELLANEOUS -1 Viater toner IL A 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 . 1.00 GAS TEST TOTAL FEE S3. 1 O UTILITY CO. NOTIFIED FINAL D.B. iv asia.ears la?43 :J\J, PLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ,. COUNTY OF LOS ANGELESPLUMBING ' WM.J:FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT N : GRO P ZONE PERMIT ROUGH FIXTURES. COMPLETE HEATER CESSPOOL. -I SEPTIC TAPIK ` RECEI ED BY IRST_ INSPECTION OJ DY FOR DATES ISSUED AS MIBCELLANEOUB Y 6 _/� 2`°" `% Blommolmommilml BE APPLICANT FI_LL IN HEAVILY OUTLINED PORTION OONLYgy �jA�ry _ E NAME 8. Ae GORHA�Ytll�/�l i ADDRESS g -.ADDRE�ESS P®®�6�. SERVICE ' LOCALITY 2022 J 2 EMPER . NEAREST- 16 CITY. CE TE . o CROBS.ST. CERT.NO. EXPIRES Y LOCATION_OF SEPTIC T Z MAIL TANK, OR CESSPOOL' r NORTH. C ADDRESSf✓' )I 1 i . •'CITY TEL..NO:. b AM THE LEGAL POSSESSOR OF THE-ABOVE LOS ANGELES COUNTY C, . FIC TE,OF UALIF.� PWM 6R I AM THE LEGAL OWNER OF THE PROPERTY'D CRII;ED ABOVE. 3 OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORD z - BATH,TUB FURNACE HOWER DISHWASHER O, -------.LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER eLOOR SINK SAND TRAP LOP SINK: - FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKINSFOUNTAIN DATE INSPECTOR'S NAME ' WATER HEATER GENTAL:LAVATORY ROUGH PLUMBING_ METER GAff SODA FOUNTAIN OUTL GA9 PIPING I f GAS VENT CESSPOOL I TOTAL NUMBER.OF FIXTURES SEPTIC TANK _CESSPOOL` SEPTIC TANK SEWER S UTILITY CO.NCTIFIED. TOTAL FEE d .tel FINAL. C.B. 17 7SM SETS I2-43 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING WM.J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP -_ZONE PERMIT . ROUGH FIXTURES COMPLETE 2 0 f / READY FOR DATE ISSUED I E RCEVED BY HEATER CESSPOOL -I SEPTIC TANK FIRST INSPECTION A& MISCELLANEOUS commomom APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB - { E NAME ADDRESS m ADDRESS LOCALITY S D NEAREST J CITY TEL.No. CROSS ST. LC N _ COUNTY W CERT.No. EXPIRES C NAME � � � LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL ADDRESS YR NORTH O CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED pi ABOVE. /- OWNER - CORRECTIONS SOUTH J DESCRIPTION OF WORK z_ LBATH TUB FURNACE LLLSHOWER DISHWASHER O LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP GLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME _.WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I s METER-GAS SODA FOUNTAIN GAS PIPING OUTL GAS VENT I _ CESSPOOL I Lr) SEPTIC TANK I i TOTAL NUMBER OF FIXTURES 5 /` _ CESSPOOL------SEPTIC TANK SEWER S UTILITY CO.NOTIFIED TOTAL FEE FINAL I WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I lVerly 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 certified copy thereof(Sec. 3800, La ,C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. BUILDING ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS Certified copy is filed wiNUMBERth the ount uildi spec- tion department FIXTUREOR.ITEM @ FEE .a 7_ WATER CLOSET LOCALITY Date Applicant NEAREST CERTIFICATE OF EXEMPT ROM WORKERS' BATH TUB CROSS ST. COMPENSATIO SURANCEOWNER (This section need not be completed If the work Involved by SHOWER C(/ the permit is for one hundred dollars $100 or less. MAIL P ( ) LAVATORY ADDRESS p I certify that in the performance of the work for which this S! / permit is issued, I shall not employ any person in any manner SINK / CITY TEL. NO. 6-/yy4 so as to become subject to the Workers'Compensation Laws. DISHWASHER ' • CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of 44 , Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CIN TEL.N0.28�-� LAWN SPRINKLER SYSTEM fia with comply with such provisions or this permit shall be STATE LIC. n deemed revoked. WATER HEATER / LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. #PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS &T(commencing with Section 7000) of Division 3 of the Business OUTLETS OVER c & and Professions Code,and m license is in full force and effect. 5 PER SY TEM y 3 DATE �01qC V DATION License Number Lic. Class kJ FIN. 09 Contractor22f Date BY /1 ❑ au V I am exempt under Sec. i d B.&P.C. for this reason Plan check fee � Date: PLUMBING PERMIT ISSUING FEE$ SO Signature lo I TOTAL FEE ;941 2 7 A SINGLE FAMILY Plan check applicant # 000'005 HOME OWNER-BUILDER DECLARATION Name l - - 1650 o 5 O I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and o 0 0 5 v Professions Code): City Tel. No. ❑ I, as owner of the property, will do the work and the 2 2 7-8 6 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 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 repr sentative this County to enter upon the abov -menti ned prop rty r inspection purposes. �-� SEE REVERSE FOR EXPLANATORY LANGUAGE Si a ure of Permitt Date I WORKERS'COMPENSATION DECLARATION a' A APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have certificate of consent to self CR aE 81 e�7 (z-ao) insure, or a certificate of Workers'Compensation Insurance,or a certified copy ther of(Sec.3800,La C. 7 ZZ1-�r #t 71( COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING Certified co NUMBER FIXTURE OR ITEM • FEE ADDRESS tl copy is filed with the county building inspection department. LOCALITY Date_17�>D 1 u�w Applicant �� . WATER CLOSET 6� pp 1, ��•� NEAREST BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER �., s (This section need not be completed if the work involved LAVATORY MAIL ADDRESS !/�6 by the permit is for one hundred dollars ($100) or less.) SINK CITY TEL.NO. O I certify that in the performance of the work for which this i DISHWASHER % r V permit is issued, I shall not employ any person in any manner CONTRACTOR tr so as to become subject to the Workers'Compensation Laws. CLOTHES WASHER / c O ADDRESS L7 Date Applicant SWIMMING POOL RECEPTOR V LU NOTICE TO APPLICANT: If, after making this Certificate of CITY TEL.NO. 'f�Cs(�_ 1. IL Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE L g` to Compensation provisions of the Labor Code,you must forth- WATER HEATER L CENSE NO.` �l C ASS with comply with such provisions or this permit shall be deemed revoked. GAS SYSTEM OUTLETS DISTRICT NO. O ESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- FINAL VALIDATION DATE ness and Professions Code, and my license is in full force and s►t� effect. FINAL License Number- ! 2 Lic.Class C '�•��6' BY / r ContractorQ&91ALUd Date ElI am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE Q — Lic,or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address License Law for the following reason (Section 7031.5, Busi- City NSITel.No. ness and Professions Code): F1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY '23V I hereby affirm that there is a construction lending agency +i 0 0 0 0 0 for the performance of the work for which this permit is issued(Sec.3097,Civ.C.). J 0 0 C i j Lender's Name Lender's Address 0 0 " 1 G n r X I certify that I have read this application and state that the 0 r 9—8 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. ignature of Per tttee Date