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Home My Public Portal About9479 OLEMA ST_Plumbing__ 76A667 17 0.49® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES 0 1 U WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL 1N DISTRICT NO. GROUP JANE . PERMIT NO. PLUMBERRECBIVE )f READ FOR DATE ISSUED �j� FIRST INSPECTION ADDRESS %a� 9rfi�%� �J CITY l 1 'TEL. NO. �. Q y ADDRESS � n COUNTY � �� LOCALITY 1ChA LICENSE NO.L` Q_P - EXPIRES NEAREST bV f� PELT FEES CROSS 3T. ,6 NUMBER TYPE OF FIXTURE OR ITEM FEE I OWNER .a WATER CLOSET (TOILET) 0.50• E Aa RE@@S��S K/!" ohR� Mr.S'^IS1tJ .Yi�R BATH TUB ® 0.50 CITY L/f3 1' N olfill, .'TEL. NO. SHOWER 0.50 1 HEREBY ACKNOWIIEDGE• 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 ® 0.50 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL,$$ DCRIBED ABOVE. GAS SYSTEM OUTLETS ® 0.50 SIGNATURE OF WATER HEATER 0.50 PERMITTfi, ! SLOP SINK 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN 0.50 DISHWASHER @ .0.50 DRINKING FOUNTAIN @ O.50 URINAL @ 0.50 ;J HOUSE SEWER @ 0.50 z MISCELLANEOUS O APPROVALS . DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS.VENT CESSPOOL ® 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER / 1 PERMIT . 1.00 GAS TEST UTILITY CO. NOTIFIED L FEE TOTAL I S (Ga FINAL. FINAL 76A667 17 11-49 APPLICATION FOR PERMIT ' DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES I. 1 WILLIAM J. FOX, CHIEF ENGINEER D15T�NO. GROUP ZONE PERMIT . FC APPLICANT TO FILL IN / 17/� PLUMBER f//6-0 RECEIVED BY R DY FOR hDATE ISSUED FIRST INSPECTION t ADDRESS •AUILDING CITYJ®a TEL.N ADDRESS (Q COUNTY LICENSE N13-5 EXPIRES LOCALITY, NEAREST PERMIT FEES DROSS ST. e NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER s WATER CLOSET(TOILET) @ 0.50 S ADDRESS r ® VJ BATH TUB @ 0.50 CITY TEL No. SHOWER @ 0.50 a-0 • I .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 KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF GA5 SYSTEM OUTLETS @' 0.50 THE RESID L PROPERTY DE CRIBE A OVE. �a SIGNATURE O WATER HEATER @ 0.50 <Y PERMITTEE SLOP SINK @ D.sO INSPECTION RECORD FLOOR SINK @ 0.50 - FLOOR DRAIN @ 0.5011 DISHWASHER @ 0.501 DRINKING FOUNTAIN @ 0.501 URINAL @ 0.50 J Q HdUSE SEWER @ 0.50 Z MISCELLANEOUS O APPROVALS DATE INSPECTOR'S NAME 1 I ROUGH PLUMBING GAS PIPING 1 1 GAS VENT CESSPOOL E@1.013q CESSPOOL SEPTIC TANK: SEPTIC TANKDRAIN ( ) •PIT ( ) @ 1.00SEWER PERMITI 1.00 GAS TEST UTILITY CO.NOTIFIED TOTAL FEE Gfl FINAL ?.BAm 17 s-Z49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS-ANGELES ..' WILLIAM J. F.OX, CHIEF` ENGINEER POR'APPLICANT TO,FILL IN DI T CT NO. GROUP'. ZONE PE T'N PLUMBS CEIVED BY READY FOR DATE ISSU D ' FIRST INSPECTION � 11-4V ADDRESS / BUILDING CITYT ADDRESS /) ✓j/ COUNTY LOCALITY_ . LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS ST-. A/� J)� NUMBER TYPE OF FIXTURE OR ITEM FEE .WNER �/ink, .l wl MAIL WATER CLOSET (TOILET).. ® 0:50 SADDRESS, i4m. rQ BATHTUB @ 0.501 CITY EL. NO. SHOWER @ 0.501 1 HEREBYACKNOWLEDG THAT I HAVE READ .THIS APPLICATION AND STATE TH T THE.ABOVE IS CORRECT AND' LAVATORY. (WASH BASIN), @ 0.50 I AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK. @ 0.50 STATE LAWS REGULATING PLUMBING. 1. CERTIFY THAT I POSSESS THE .ABOVE VALID LOS LAUNDRY TUB OR TRAY @ '0.50 ANGELES COUNTY—LICENSE. OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PR PH TY ESCRIBS 'ABOVE. GAS SYSTEM OUTLETS @ 0.50 - SIGNATURE OF WATER HEATER @ 0.50 . PERM ITTE SLOP SINK INSPECTION RE RD FLOOR SINK @ 0.50 'FLOOR DRAIN @ 0.501 DISHWASHER @ .0..50 DRINKING FOUNTAIN @'0.50 URINAL @ .0.50 J. I HOUSESEWER @ 0:50 Q ` Z MISCELLANEOUS I (? O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING ' .GAS. PIPING GAS VENT I CESSPOOL. 1.00 I CESSPOOL.. SEPTIC TANK: SEPTIC TANK (. DRAIN '(. ) PIT ( ) @ 7.00 d SEWER PERMIT . 1, GAS'TEST ( _ • ILITY CO. NOTIFIED _ TOTAL. FEB FINAL �' WORKERS'COMPENSATION DECLARATION APPUCA LI 00N FOR P LUARBING PERMIT I hereby affirm that I hove 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, Lab. C.) COUNTY OF LOS ANGELES / BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. BUILDING r_1FOR APPLICANT TO FILL IN(PRINT OR TYPE) Certified copy is filed with the county building inspec- ADDRESS Fir tion department. NUMBER FIXTURE OR ITEM (off FEE LOCALITY DateAppligant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. 8A,� COMPENSATION INSURANCE OWNER SS�� Al B fCa (This section need not be completed if the work Involved by SHOWER tho permit Is for one hundred dollars($100)or less.) LAVATORY ,_� MAIL I certify that in the performance of the work for which this ADDRE permit is issued, I shall not employ any person in any manner SINK CITY TEL. NO. so as to become subject to the W kers'Compensation Laws. DISHWASHER /// CONTRACTOR Date /r pplicant. CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after aking this Certificate of SWIMMING POOL RECEPTOR Exemption, you should becom subject to the Workers' CITY TEL. NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. deemed revoked. 4WATER HEATER. LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION L DISTRICT NO. AROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS . O� (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER 0.and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL VALIDATION V DATE ' License Number Lic. Class G @L FINALn O Contractor Date BY ❑ t. I am exempt under Sec. B.BP.C. for this reason D Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ v Signature 40 TOTAL FEE S� SINGLE FAMILY Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and Professions Code): Cityt?e Tel. No. I, as owner of the property, will do the work and the i 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 au.thorize representatives of this County to enter upon the above-mentioned property for inspection purposes: SSE REVERSE FOR EXPLANATORY LANGUAGE 021 l/ i nature of Permittee Date