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Home My Public Portal About9144 OLEMA ST_Plumbing__ f 76A667-CE817 12/59 }` APPLICATION FOR PLUMBING PERMIT COUNTY OF .LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDINGLfND�,SAFETYIVISION suILDnYG JOHN•A. MBI. . COUNTY NGINEER ADDRESS WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST -CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL RATE TUR ADDRESS SHOWER CITY TEL NO. � . LAVATORY CONTRACTOR SINS ADDRESS DISHWASHER CITY TEL. NO. CONTRACTOR' STATE ❑ LAUNDRY TUR' REGffiTRATI NO. COUNTY ❑ CLOTHES WASHER DISTRI NO. G OU ZONE ESSED H WATER HEATER I opt. GAS SYSTEM INDUSTRIAL WASTE APPROVAL p INSPECTION RECORD. O U • O F Q OR cFEE FIXTU r $ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 210c) UNDER SLAB WORK TOTAL FEE ROUGH PLUMBING GAS PIPING I 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 PLUMBING. HOT WATER HEATER I; HEREBY' CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED'AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFCALIGAS TEST J I DSII DESCRIBED RES ENTI NIA OR THAT I PROOPEHE.LEGAL WHER .OF. THE ABOVE UTILITY CO.NOTIFIED SIGNATURE y�A i \ 1 EI 1\ W OF PERMiTTE ° FINAL " \ T `� 1 1"177 By �� VALIDATIO OBERT A.WOOD.. V CC, M.'O.. UPERVISING'MECHANICAL•ENG'R .� 0.324c,21 APR 2 5 D 3.0 0 M 7SM07-CE81710-60 APPLICATION FOR PLUMBING •FERMI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER• BUILDING AND SAFETY DMSION . BDILDING /r JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS �/f+ WILLIAM A. JENSEN, SUPT OF BUILDING h 4 LOCALITY �/ FOR APPLICANT TO FILL IN NEAUST CROSS ST. Gvt- NUMBER FIXTURE OR ITEM OWNER ' WATER CLOSET • e r MAIL ' BATE TUB ADDRESS CITY +�', TEL NO. . SHOWER LAVATORY CONTRACTOR SINS ADDRESS DISHWASHER CITY TEL.NO. ❑ TTE LAUNDRY TUB REGIS�TRAATTION NO. COUNl'Y ❑_ CLOTHES WASHER DISTRICT NO, - G ;ON ROCEB BY WATER HEATER JJ� GAS SYSTEM UmWTBIAL WASTE,_APPROVAL } 1 / INSPECTION RECORD / °- O / �O ' 1 $OR1.00F3XTUR8 PER ITSM . p� $ I/ v APPROVALS DATE INSPECT.OR'S SIGNATURE UNDER SLAB WORK % ;•/r' S�� PERMIT - $ 2 00 �/�r�� r;• �,r • TOTAL FEE lil�� ROUGH PLUMBING V(J GAS.PIPING I I HEREBY ACKNOWLEDGE THAT I HAVE READ.THIS AP LICATION + AND STATE THAT THE ABOVE IS CORRECT AND'AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER I 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 1 AM THE LEGAL OWN THE ABOVE DESCRIBED RESIDENTIA ROPERTV. UTILITY CO.NOTIFIED SIGNATURE A OF PERMIT • FINAL ` IA k\ `\1s /f Y t\A lyS}/ / it N' . VALIDATION ROBERT A. Ml OD CK. M.10. CASH SUPERVISING MECHANICAL` ENG'R . 9407 MAR 9 5. 0 4.00 7sA6WM81710-M APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BjJIE.DI AND SAFETY DMSION BUILDING !' OHN A. LAMBIE, COUNTY ENGINEER ADDBESS WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY C FOR APPLICANT TO FILL IN CROSSS �- NUMBER FIXTURE OR ITEM OWNER ® 7 WATER CLOSET . MAIL BATH TUB ADDRESS SHOWER CITY TEL.NO. _ LAVATORY CONTRACTOR - - SINK ADDRESS DISHWASHER CITY TEL.NO. '. CONTRA SPATE ❑ LAUNDRY TUB REGISTHATI NO. COUNTY ❑ CLOTHES WASHER_ DISTRICT O. GROUP NE ESSED BY WATER HEATER GAS SYSTEM INDUSTRIAL . WASTE APPROVAL } INSPECTION RECORD a O U n, z $1.00 PER ITEM I / OR FIXTURE $ 1 APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK ^ f TOTAL FEE ROUGH PLUMBING GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION - AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF . CALIFORNIA OR THAT 1 AM THE LEGAL RWN^OF THE ABOVE GAS TEST DESCRIBED RESIDEN7AROPERTY.� UTILITY CO.NOTIFIED SIGNATURE rFl/ ir OF PERMFINAL l,� AN Pill VALIDATION ROBERT A.1�VOOD, I CK. M.0. CASH SUPERVISING MECHANICALJENG'R �Ifi 9 7 �hR :t 5 a 3.Q 0 76A667 (CE-817)-8-71 - APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES LI DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION p UILDING �T DDRESS OCALITY• 72_7177/k..- e FOR APPLICANT TO FILL IN (PRINT OR TYPE) EAREST ��ROSS ST. .�T NUMBER FIXTURE OR ITEM ® FEE OWNER �� WATER CLOSET 1.75 MAIL b BATH TUB 1.75 ADDRESS .- SHOWER 1.75 CITY ,� �J �/�fiEL. NO. LAVATORY 1.75 CONTRACTOR SINK 1.75 ADDRESYIF DISHWASHER 1.75 CITY TEL. N0. CLOTHES WASHER 1.75 STATE LIC LICENSE NO. CLAS SWIMMING POOL RECEPTOR 1.75 ' DISICT NO. GROU ZON PR CESSE Y LAWN SPRINKLER SYSTEM 1.75 (9VIZ WATER HEATER 1.75 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1.75 j 7 INSPECTION RECO OUTLETS OVER 30 5 PER SYSTEM u W V1 Z • s Plan check fee See reverse. PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE (y S O APPROVALS DATE INSPECTOR'S SIGNATURE Plan check,applicant UNDER SLAB WORK Name G ROUGH PLUMBING Address GAS PIPING Ci ' W Tel. No GAS VENT �'��' ��_� HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT I 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 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF. AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PR PERTY. FINAL SIGNATURE OF PERMITTEE PERMIT VALID�,ION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH V�. .SIT//!��• 6,5 N ION WORKER'S I have certificate of consent to 20-0026 DPW APPLICATION FOR PLUMBING PERMIT 11 I herebSl affirm that I have a certificate of consent to self insure, or a certificate q 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. Policy No. Company ❑ Certified copy is hereby furnished. � FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING F1 Certified copy is filed with the county building Inspection ADDRESS department. NUMBER FIXTURE OR ITEM FEE LOCALITY Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' CROSS ST. N j COMPENSATION INSURANCE BATH TUB ASSESSOR (This section need not be completed if the work Involved by the SHOWER MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or less.) OWNER I certify that in the performance of the work for which this permit LAVATORY I y� is Issued, I shall not employ any person in any manner so as to SINK ADDRESS �s �� C LJ become subject to the Workers'Compensation Laws. �� DISWASHER CITI'�N Date Applicant CLOTHES WASHER I o fes! NOTICE TO APPLICANT: If, after making this Certificate of CONTRACTOR Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR ADDRESS provisions of the Labor Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.NO. a I hereby affirm that I am licensed under provisions of Chapter 9' WATER HEATER (commencing with Section 7000)of Division 3 of the Business and GAS SYSTEM OUTLETS CEO NSE NO. CLASS Professions Code,and my license is in full force and effect. V. OUTLETS OVER DISTRICT NO. PRO SSED BY 5 PER SYSTEMi _ _ 0 License Number Lic.Class : v+ FINAL DATE IZ/7-91-3 VAL ION 41`355 CL Contractor Date FINAL 1 ITEMS EMS Z ❑ I am exempt under Sec. BY / fC� TO AL 41 815— BAP.C.for this reason I Plan check fee , CH`-CK 41.25. Date: �. ,, �ANG,. Signature PLUMBING PERMIT ISSUING FEE$ i-� IE ■ilii ❑ TOTAL FEE Plan check applicant 000111-013111 11/24/93 /9 SINGLE FAMILY7[I a°ori HOME OWNER-BUILDER DECLARATION Name 2 I hereby affirm that I am exempt from the Contractor's License Law for the following reason(Section 7031.5, Business and Professions Address Code): F1 1, �' Tel.No. I,as owner of the property,will do the work and the 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 , r information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned peoptrty for inspection pur es. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature Of ermittee Date