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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 CD JF Z-9 a W d cn Z All 'go, _ PZ 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