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Home My Public Portal About6616 OAK AVE_Plumbing__ BA867-=174147 r r APPLICATION FOR PLUMBING PERMIT-comi WARTNM ow Coum ZKQu=z OHN A. LAMBIE,COUNTY ENGINEER CASSATT D.ORIMFIN.SUP'T OF BUILDING UKAur .'.' C . , r FO APPLiCAI'1T TO FILA. T W NUMBER FIXTURE bR•ITEhk' .�.. ' WATIM MGM 6 � 2Z i s1LT8 T03 �,• e w. Qi! , TEL NO. LATATOW - "I 1iDHlYY<s .ee n lwW car T2L NO. / 7f. / CLQr W1 - - XDISTRI'�.LAW. G NE ■RAPT FOR Ul9FRCTION %.L ] GM BMW IIIDGST8S1iL r V • WAM i5iiiiMik molur-TWIN EZC= • imov S DATE INSPECTOR'S IlIGNATURE ' ca 8 88 . ,r a UNDER SLAB WIiliK ItOPGH PLUMBING. ' �PEitY1T r • OAS PIPING ` iWAL FEE' GAIN VENT 1 HEREBY AC WLEDSd THAT L JJIAYE READ THIN APPLICATION u-01T WATER NEATER 11ND STATE TNA THE ABOVE IB O011RECT A110-AGREE TO COMPLT ' WITH ALL CQUNTY ORDINANCES,AND BTA7E LAWS REGULATING PLOM117NG FIXTURES PLUMBING. 1 HEREBY CERTIFY'THAT'L•AM PROPERLY REGISTERED AND/OR GAS TEST ' LICENSED AS REOUIRED ST LON ARGELIM COUNTY AND STATE OP CALIFORNIA OR THAT I AN THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RENIDENTIAL)!VOPERTT. j. B frolo OF P RM I7TEE r FINAL BERT A.WOOD, $LP VALIDATI VISING MECHANICAL ENwn , ' } CR. M:O. GfN I D.B.S.17 zSM SETS 12-44 APPLICATION-FOR.PERMIT ' DEPARTMENT-OF BUILDING AND SAFETY_, COUNTY OF LOS ANGELES - PLUMBI WM:J. FOX.CHIEF ENGINEER -NATURE-OF INSTALLATION ;; DISTRICT NO. GROUPONEI PERMIT NO. ROUGH FIXTURES COMPLETE. 3r f I HEATER CEBBP.00L: = —I SEPTIC TANK B11( B READY FO. • DATE ISSUED FIRST INSPECTION - G .� -�<_7-sl6 GAS'.. MIBCEI:LANEOUS APPLICANT YILY OUTLINED PORTION'ONLY- t JOB -NAME ADDRESS ld B ADDRESS 123 ®. Cloverly AV.rwo , LOCALITY ,,Tm.'iiar114aP,NuAR ST ]�•Cd r, � •4i, CITY 1 No. e. '?' CROBH BT. 'e�s+i,!�5.� 2lfiil. COUNTY = A CERT.NO. EXPIRES NAME LOCATION OF-SEPTIC TANH, OR CESS3 POOL z MAIL _ ADDRESS i( Y.Y_✓' ?/Z.,� ' NORTH O CITY TEL.No. I AM THE ANGELES COUNTY6C RTIRI�CAT6�O'R QUAL,RIICATiON. LN X �? . Y1.t�U fi]/IA/Lf/n di�V1r 1 T E LEGAL-OWNER OF THE PROPERTY,DESCRIBED ABOVE. _ .OWNER - .. CORRECTIONS SOUTH .=DESCRIPTION:`OF'WORN RATH•TUB FURNACE• "ply SHOWER DISHWASHER O VATORYZ" 'REFRIGERATOR -------KITCHEN BINK WATER SOFTENER" —FLOOR BINK BAND TRAP LWWAT P SINK 'QLOOR DRAIN H TRAY URINAL ' + APPROVALS _ ER CL OBET" DRINKING FOUNTAIN DATE iNSPECTOR•s NAtrs ER HEATER 'DENTAL LAVATORY ROUGN.PLUMBINf EROUTL i RODAFOUNTAINDAB PIPINSGAB VENTL NUMBER OF FIXTURESSEPTIC TANK POOI REPTIC TANK O SEWER I /IP 8 • UTILITY CO..NOTIFIED TOTAL FEE 1 FINAL l' .IWWA 79"867 17 9-49 ® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING � �' COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER FO AfXJ.JCANT TO FILL IN DISTRICT O. GROUP ZONE PERMIT NO. PLUMBER 9 RE IV D BY READY FOR D TE IS ED �y r� FIRST INSPECTION ADDRESS c$ /—� BUILDING CITY o/ TEL. N �J/ ADDRESS (� 6 COUNTY �,pp LOCALITY LICENS O. YS IXPIR 0 NEAREST PERMIT FEES CROSS S.T. NUMBER TYPE OF FIXTURE OR.ITEM FEE OWNER MAIL WATER CLOSET (TOILET) @ 0.50 $ ADDRESS \ BATH TUB @ 0.50 CITY TEL. NO. SHOWER @ 0.50 1 HEREB ACKNOWLE GE 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 STATE LAWS REGULATING PLUMBING. KITCHEN SINK @ 0..50 I CERTIFY THAT I' NOSS S THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENS OR 1 AM THE LEGAL OWNER OF THE RESIDENTIA P ERTY D R18 ;11E.GAS SYSTEM OUTLETS @ O.SO SIGNATURE OF � WATER HEATER @ 0.50 PERMITTE SLOP SINK @ 0.50 INSPECTION RECORD FLOOR SINK @ O.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50I DRINKING FOUNTAIN @ 0.50 URINAL @ O.50kill HOUSE SEWER @ 0.50 Z MISCELLANEOUS - (� Ll: O APPROVALS DATE INSPECTOR'S NAME ' ROUGH PLUMBING GAS PIPING JGAB VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT 1.00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE $ ® FINAL r7- ` U OA 76A667-CE#817 6-55 CS`■'�. 'V �L APPLICATION FOR PLUMBI G PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCA Y . FOR APPLICANT TO FILL IN NECRAREST o55 S NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS SHOWER 1.25 CI TEL. N /Q j0 LAVATORY 1,25 CONTRACT R SINK 1.25 ADDRESS DISHWASHER 1.25 C TEL. NO LAUNDRY TUB 1.25 STATE C LICENSE NO. CLASS CLOTHES WASHER 1.25 DISTRICT NO.. GRO P O B B WATER HEATER 1.50 .� , 42e tr7 } INDUSTRICL GAS SYSTEM OUTLETS 1'50 WASTE APPROVAL Q OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD U O F- U Lu D. Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I 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. HOT WATER HEATER _PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQ Y LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR AT THE LEGAL OWNER OF,AND INTEND TO RESIDE IN.THE OV BE RE DENTIAL PROPERTY. U.TiLITY CO.NOTIFIED SIGNATURE OF PERMI / FINAL f' AUDATION CK. M.0. CASH LAC0 9 6 2 1% JUL 17 5 D 3.50- WO+1R .—b'.COMPENS4710N DECLARATION ( APPLICATION FOR PLUMBING PERMIT a ' 20-0026 DPW 4%87 Iaffirm that l have a certificate of consent to self in- 76A667A certificate of Workers Compensation Insurance,.orla CE 817(REV.8/86) `eerfiL!ef4',sopy thereof(Sec. 3800;Lab. C.) ' "'' �• �: COUNTY OF LOS.ANGELES 4 DEPT.OF PUBLIC.WORKS Policy IVo: Company I ;ti• .. Certjfied copy is hereby furnished. BUILDING .FOR APPLICANT TO FILL IN(PRINT OR TYPE) / � � � YI/ � Certified copy is filed with the county building inspection ADDRESS () Y 4' NUMBER FIXTURE OR ITEM -`department. @� `FEE LOCALITY r Date _ Applicant I WATER.CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTION•FROM WORKERS' r BATH TUB' ROSS ST. � -COMPENSATION INSURANCE I SHOWER OWNER �QW C,2.0 y (This section need not be completed if the work involvedb _ IL the permit Is dor one hundred dollars($100)or less.) , LAVATORY :ADDRESS I certify-'that in the performance of the work for which this pe- ; mit is issued, I shall not employ any person in any manner so SINK CITY �E/y/P G/� TEL. NO. as to become subject to the Workers'Com,pensation'Laws.. :i DISHWASHER I �yn (CONTRACTOR Date h,` Applicant . dN• ". CLOTHES WASHER r�DDRESS NOTICE TO APPLICANT: If,.after making t s Certificate of E>- em tion; ou should become subject to the Workdrs'Com en- SWIMMING POOL RECEPTOR P Y I P , CI.TY TEL. NO. sation provisions of`the Labor Code,you must forthwith comp LAWN SPRINKLER SYSTEM ly with such provisions or this.permit shall be deemed revok- STATE LIC. ed' WATER HEATER l/ LICENSE NO. CLASS LICENSED-CONTRACTORS DECLARATION' DISTRICT NO. P ESSED GAS SYSTEM. OUTLETS I hereby affirm'that,l am licensed under.Provisions of Chapter , 9'(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is i.n full force and ef- 5 PER.SYSTEM :FINAL V DATION } feet. " •• DATE ` License Number Lic.'ClassT_i _ `0 FUINAL _ Contractor Date -BY O I-am exempt under Sec. j W B.BP.C. for this reason ( U) Plan check fee _ :Date: PLUMBING PERMIT ISSUING FEE$ 6 ;29665ASignature: # °,°,°,° °.5 TOTAL FEE i - SINGLE FAMILY 'I'° a 4 HOME OWNER-BUILDER DECLARATION Plan check applicant 4 8, 1 hereby affirm that I am exempt from the Contractor's License. Name C S 2 4 r 8 8- Law for the followingreason (Section 7031..5, Business.and Professions Code): address :I I,'as owner of the property, will do'the work and the, City Tel. No. structure is not intended or offered for sale(Sect'ion 7044„ I Business and Professions,Code). \ CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction'(.ending agency fart the performance of the work for-which. this;permit is.issued ,. (Sec..3097,,Civ. C.): Lender's Name i Lender's Address I certify that.I have read this appl.icatio.n and state that the) akiove information is,coirect. I agree to comply'with all County ordinances and State laws regulating Plumbing, and hereby:: I authorize .representatives of this County fo enter upon the+ above-mentioned property for inspection purposes. , SEE REVERSE FOR EXPLANATORY LANGUAGE Signal" . of.Permittee Date ,