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Home My Public Portal About10232 OLIVE ST_Plumbing__ se7-cq*8 17 10-67 ht �,�• APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER _ BUILDING AND SAFETY DIVISION SUMDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS G— COLEMAN.W. JENKINS. SUPT. OF BUILDINGLOCALITY FOR APPLICANT TO FILL IN PR NT O TYPE CROSS ARESST. NUMBER FIXTURE OR ITEM EACH FEE I WATER CLOSET 1.50 OWNER D BATH TUB TDADI 1.50 3 O� SHOWER1.50 CITY �-4� � no- LAVATORY O.LAVATORY 1.50. CONTRACTOR SINK 1.50 ADDRESS L011, Uh A AMP DISHWASHER 1.50 CITY t-A TEL. NO.' V,(, CLOTHES WASHER 1.50 STATEy. LI.0 LICENSE NO. 1? Q CLASS i,ems SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP N PROCESS�;RYLAWN SPRINKLER SYSTEM 2.00 J Gt�jV WATER HEAT .R . 1.50 INDUSTRIAL -- WASTE APPROVAL C GA3 SYS -65oINSPECTION RECORD v OUTLE W 5 PER.S STEM .30 ti Z Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 3 2 00 _ TOTAL FEE U 0. U .. APPROVALS DATE INSPECTOR'S SIGNATURE' Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City. Tel. No. 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 GAS TEST PLUMBING. _ I HEREBY THAT I AM PROPERLY REGISTERED AND/OR UT .TY O.NOTIFIED LICENSED A REOUIR BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA R THAT 1 M THE LEGAL OWNER OF,AND INTEND 70 s RESIDE IN,THECRI SIDENTIAL PROPERTY. FINAL SIGNATU JACK R. ALLEN, .SU •RVISIN CHANICAI 17N'G'F3.� OF PER PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH 4 ;t_ . t R g 89- 0-% HAT 9- 5 D 5:U Q N 76A.667A(CES17A) - 8/76. ' • i r . ' APPLICATION F PLUMB G PERMIT COUNTY OF LOS ANGELES - . 'fl DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: 7ADDRE HARVEY T. BRANDT, COUNTY ENGINEER FOR APPLICANT TO FILL IN (PRINT OR TYPE)NUMBER FIXTURE OR ITEM ® FEEWATER CLOSET O O BATH TUB ADDRESS SHOWER G CITY X TEL. NO. LAVATORY 3 Q () CONTRACTOR SINK - p 8 'ADDRESS' DISHWASHER CITY vu, TEL. N0. CLOTHES.WASHER STATE wLIC SWIMMINGPOOL RECEPTOR LICENSE NO. CLASS DISTRICT NO. GROUP ZONE �FRL�C,E`SSED BY LAWN SPRINKLER SYSTEM � Ua (��JJ.�I � 1 WATER HEATER IND US7�IAL WASTE PPROVAL / GAS SYSTEM OUTLETS �pd INSPECTION RECORD OUTLETS OVER ' O 5 PER SYSTEMad 9 �f179'•�GC�1 e-L-A-Y q't'r .'z z Plan check fee See Reverse PLUMBING PERMIT.ISSUING FEE S TOTAL FEE APPROVALS DATE INSP TOR'•S.SIGNATURE Plan Check applicant. -101, UNDER SLAB WORK �•/7�7ry� �^°�s' Name ROUGH PLUMBING 12i`9-7 .4 A6461 Address GAS PIPING City Tel. No.- GAS VENT HOT WATER HEATER I HEREBY:ACKNOWLEDGE THAT I HAV. READ THIS APPLICATION , AND STATE THAT TH.E ABOVE IS CORRECT AND AiREE, TO'COMPLY PLUMBING FIXTURES •WITH ALL. COUNTY. ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR. UTILITY. CO. NOTIFIED' LICENSED AS REOUI.RED INY LOS ANGELES COUNTY AND STATE OF .. .CALIFORNIA OR TH. A THE LEGAL OWNER.OF, AND INTEND TO RESIDE IN THE'ABO b RIBED R SID L PROPERTY. FINAL ..3�'� b SIGNATU RE OF PERM ITT PERMIT VALIDATIONcK. M.O. CASH PLAN CHECK VALIDATION CK, rn.O. CASH p v 76A607-CE81710.60 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES. DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVLSION BUILDING �a 2 3 2 O Z-1(�� JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN CROSS s. NUMBER FIXTURE OR ITEM OWNER WATER CLOSED MAIL BATH TUB ADDRESS E— SHOWER CITY TEL.NO. CONTRACTOR �r�K3 L LAVATORY SINS ADDRESS T-Zo 2 DISHWASHER CITY ��p TEL.NO. (o]BY LAUNDRY TUB BEOGISTRACTION NO.• O ZC7dr Z COUNCLOTHES WASHER DISTRICT NO. GROUP ZONE SSE WATER HEATER _5rLt t— GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD 0 U n: C a Z $1.00 PER ITEM r OR FmTURE $ r �r APPROVALS DATE INSPECTOR'S SIGNATURE •PERMIT $ 2 00 UNDER SLAB WORK f� TOTAL FEE ROUGH PLUMBING / I I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS PIPING I AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS RE ULATING PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTE AND/OR PLUMBING FIXTURES I , LICENSED A8 REQUIRED Y AN COUNTY STATE of GAS TEST I CALIFORNIA OR THAT E OWNER THE ABOVE !" DESCRIBED REStoENT1 ERTY UTILITY CO.NOTIFIED �• �/ SIGNATURE y �, � ,,•, OF PERMITTE CA- VALIDATION ROBERT A. WOOD cJ. M.0. CASH SUPERVISING MECHANICAL ENG'R A' 673fy:� JiJ 5 D 3•.00 ? WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT herpby affirm that I have a certificate of consent to self 76A667A insuri; or a certificate of Workers'Compensation Insurance, CE 817(REV. 10/81) (� f gra certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES T, `"' 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 with the county building inspec- �• � '� tion department. NUMBER FIXTURE OR ITEM @ FEE p LOCALITY PLC Ci 1`r Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. eg ALDLy I COMPENSATION INSURANCE SHOWER OWNER d (This section need not be completed If the work Involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS 1 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL. NO. so as to become subject to the orkers'Compensation Laws. DISHWASHER CONTRACTOR 1&f4 i5C k Date 1Ss 2- Applicant CLOTHES WASHER ADDRESS L490,5-f t NOTICE TO APPLICANT: If, after making this Certificate of �nC) 1 TTA Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR CITY -nipte TEL. NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM G � with comply with such provisions or this permit shall be STATE b LIC. deemed revoked. WATER HEATER LICENSE NO. � v CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. ROCESSEDbY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000)of Division 3 of the BusinessOUTLETS OVER U >- and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL +�-._ fu, DATE L— `o a VALIDATION 0 License Number —A�r 1 a L%'� Lic. Class FINAL O Contractor ate � '1�" '11 BY C-I ,.` P- ❑ I am exe pt under Sec. B.BP.C. for this reason Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ S� Signature TOTAL FEE .2a Q Plan check applicant SINGLE.FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License n c G c r; Law for the following reason (Section 7031.5, Business and Address Professions Code): City Tel. No. ❑ c o � !^ �' 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 1 _n ; 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 representatives of this County to enter upon the ove-mentioned pr erty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date