HomeMy Public PortalAbout9449 OLIVE ST_Plumbing__ 76A667-CE4l817 2-66
APPLICATION FOR PLUMBIG PER
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
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIATURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.85 MAIL '
BATH TUB 1.85 ADDRESS
SHOWER 1.85 CITY TEL. NO.
LAVATORY 1.85 CONTRACTOR
SINS 1.85 ADDRESS
s
DISHWASHER 1.85 CITY r T O.
LAUNDRY TUB 1.85 STATE LI C
LICENSE NO. CLASS
CLOTHES WASHER 1.85 DISTRICT NO. OUP R E D
WATER HEATER 1.50 V
GAS SYSTEM OUTLETS 1.50 INDUST APPWASTEROVAL a
OUTLETS OVER S PER SYSTEM. .90 INSPECTION RECORD v
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEEGAs PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VEN. r -
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 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND To .GAS TEST
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED �..
SIGNATURE I
OF PERMITTEE 1
FINAL
IMATION JACK RALLEN
CK.
M.0. CASH SUPERVISING MECHANICAL ENGIR.
1 �A- 00,8: 9% MG 15 . , 5 D 5.0 0!- �
,BAeB� APPLICATION FOPLUMBING PERMIT 1
)SIS-17 IO-SS'
DIVISION OF BUILDING AND SAFETY
d Department of County Engineer
County Of Los Angeles BUILDING
JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN.SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER DISTRICT NO.. GROUP Z NE READY FOR INSPECTION
MAIL L I� I ` I
ADDRESS
CITY INDUSTRIAL
WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS gg
CITY 000
LICENSE NO. D�
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $.1.00 $ 1OO
BATH TUB @ •$1.00
SHOWER @ $1..00
LAVATORY (WASHBASIN) @ $1.00 sv
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @. $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @. $1.00
GAS SYSTEM @ $1'.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 r ROUGH PLUMBING i
GAS PIPING
TOTAL FEE GAS VENT
I HEREBY'ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. X
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. p,LUMBING FIXTURES
I HEREBY CERTIFY THAT I Am PROPERLY .REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED .BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNE OF THE ABOVE UTILITY CO.NOTIFIE13
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE -
OF PERMITTEE FINAL
IOHN A.L.AMBIE..CouNTY ENGINEER VALMATION ROBERT A.WOOD.CHIEF PLBG. INSPECTOR
CK. Y.O. CASH
,-�Co 9 0 1 7 Ib hUG 3 6.0 0
•
PLUMBING '
(DEPARTMENT OF COUNTY ENGINEER - .
DIVISION OF BUILDING AND SAFETY PERMIT 'APPLICATION
L`®BTNTY ®F'LOS ANGELES BUILDINGr�
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS Q C /
• • . �. pay•_ �;.FOR APPLICANT TO FILL IN LOCALITY.. �) . • C1."
UILDINQ9r' NEAREST
ADDRESS �l � CROSS ST.
DISTRICT_N0. GROUP- ZONE PERMIT NO.
LOCALITY ��l � �, - ��,•�l �,�G��%
NEAREST•
CROSS ST. 'RECEIVED BY Ready for Inspection DATE ISSUED
•1
OWNER ��. I� •fit C•'f��!� ���
MAIC J rye INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY . - �'. TEL.NO--
CSD �D INSPECTION RECORD
,PLUMBER /
ADDRESS
CITY TEL NOAQ'`�,./
99f"Vr`
❑STATE - -
LICENSE NO. dl Y I9`601iN7Y J
PERMIT FEES a
_z
Q1413FR TYPE OF FIXTURE OR ITEM FEE - O
WATER CLOSET(TOILET) 0.80 :
O
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK @'0.80
LAUNDRY TUB OR TRAY '0.80
SLOP SINK . @ 0.80 . '
FLOOR SINK
FLOOR DRAIN @ 0.80 .
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM.-._..-_.-_-OUTLETS @ -1.00
.WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
'UNDER SLAB WORK
PERMIT $ 1 . Q}o
-- ROUGH Pi.UMBING
TOTAL FEE �- GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND-AGREE HOT WATER HEATER
.TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS '
REGULATING PLUMBING. .PLUMBING FIXTURES
I HEREBY.'CERTIFY THAT i AM PROPERLY REGISTERED''
AND/OR LICENSED AS REQUIRED BY LOS-ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED ESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE.--_ -..._.._. -.-. FINAL ) e _
- -•^-^•— -- - -......_......_. - 'a �' G
16A667, DBS 17 1/68
WORKERS'COMPENSATION DECLARATION 20.0026 DPW 4/90 APPLICATION FOR PL,
I"li'ereby,`••t�ffirm that I have fUMBING PERMIT
ca certificate of consent to self in- �6A667A
sure,or a ertificate of Workers'Compensation Insurance,or a ; fl
certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES e,gel DEPT. OF PUBLIC WORKS
I �r !
Policy No. Company
❑ Certified copy is hereby furnished. 1 +
FOR APPLICANT TO FILL IN(PRINT OR TYPE) -BUILDING
❑ Certified copy is filed with the county building.inspection ADDRESS
department. NUMBER FIXTURE OR.ITEM @ FEE
LOCALITY
Ddte Applicant WATER`CLOSET(TOILET) NEAREST 'L
UB' CROSS ST.
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH T '
COMPENSATION INSURANCE SHOWER OWNER
(This section need not be completed if the work involved by MAIL
the permit Is for one hundred dollars(;100).or less.) LAVATORY ADDRESS
I certify that in the performance of the-work for which.this per- SINK
mit is issued, I shall not employ any person in any manner so CITY TEL.N �2W
as to becom subject to the Workers'Compensation.Laws. DISHWASHER
CONTRACTOR
Date �-/ Applicant CLOTHES WASHER ADDRESS ? -G •�
NOTICE TO APPLICANT:. If, after'making,this Certjficate.of Ex-
SWIMMING POOL RECEPTOR
emption,you should become subject to-the Workers'Compen.- CITY `�� TEL N
sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS C�
I.y with such provisions or this permit shall:be deemed revok- STATE / LIC. 2
ed. WATER HEATER LICENSE NO. L a CLASS
LICENSED CONTRACTORS DECLARATION DISTRICT O. PROCESSED BY
1:hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS '
9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER
and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION
fect. HOSE BIB' DATE ..�"
License Num ber 6 Lic. Class 4
FINAL V
Contractor __:_-Date_4 BMQ
❑• I am exempt under Sec. BY
O �
••��aa (a
PE 00, it
B.&P.C. for'this reason Plbn check fee ► 3.303 42 LO y
Date: PLUMBING'PERMIT ISSUING FEE �.$ i ITEMS Z
Signature � 5 ,
SINGLE FAMILY TOTAL FEE TOTAL 42 . 60
HOME OWNER-BUILDER DECLARATION Plan check applicant I CHECK 42,60
I hereby affirm that I am exempt-from the Contractor's License NameHAhIE ,(]
Law for the following reason (Section 7031.5,•Business and
Professions Code): 'Address
I, as owner of theproperty, will.do the work and the Ci Tel. No.
❑ b '� 0000-0001 '6/14/95
structure is not intended or offered for sale(Section 7044, t
Business and Professions Code). j 1 0886 1 PM � 40.
.(( £'� ,,..� q...'•'-4•'S^,� •a,war.? i.ronq•7i
CONSTRUCTION LENDING AGENCY I��,ia�•r;.<o�� .<,.._d,e.;:_,a ,�,;,,,,� ,,,•��};l�s� � .
.I hereby affirm that there is a construction lending agency.for f �w -i r,a_-�� �r�•.- .q q +
the performance of the.work for which this permit is issuedOF
(Sec. 3097, Civ. C.)., � i
at ',o OF N C-0U.1t4'JrV.
-pLf:•.�9 RpG
Lender's Name „arra
T6 PZ11%.
Lender's Address - ,
I certifythat I have read this-a ication and state that the �./ l �, TU
Above Iformation is,correct.I agree to.comply with all County , ld/ COPPER UDE. FOR VIATER PUP102
ordinances and State laws regulating Plumbing, and hereby S�� dd � !1Ar,� pn,�B�IUIT,' pq®Sp p��R 5;� i
Oil
authorize representatives of this County to enter upon the i rr, 1715 u frau MOT LESS ll
aAN
bove- lone prd rty for. inspection par oses. „�V�2 (!
; S REVERSE FOR EXPLANATORY LANGUAGE • .
Sign f re of Permittee Date
' t