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Home My Public Portal About9842 OLIVE ST_Plumbing__ - - �-f/� 78A887-C:E#81:7 5/63 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER - :Besu BUILDING AND_SAFETY DIVISION G UUILDINILDIN JOHN A.LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY O FOR APPLICANT TO FILL IN =NEAREST OSS T e: T. NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET .$1.25 OWNER MAIL _ BATH TUR 1.25 ADDRESS SHOWER 1.25 CITY C' TEL. NO. t CONTRACTOR diQ. . . LAVATORY 1.25. Z ) r SINK 1.25 DISHWASHER 1.25 CITY `oTEL.NO. 'CONTRACTOR'S . STATE REGISTRATION NO.. O®� COUNTY LAUNDRY TUB 1.25 ❑ CLOTHES WASHER 1.25 DIST ICT N7 I Gr ZO E P D avOl WATER HEATER 1:50 S� } 1,50 INDUSTRIAL. n. GAS'SYSTEM OUTLETS WASTE APPROVAL O OUTLETS'OVER 5 PER SYSTEM .90 INS CTION RECORD y V ,/jig r Z APPROVAL _ -A'Tt v INSP - S-u URE' PERMIT 5 2 00 . UNDER SLAB 140 K— � 05 q ROUGH PLUMBING TOTAL FEE GAS PIPING LE� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ'THIS APPLICA ION AND STATE THAT THE ABOVE 19 -CORRECT AND AGREE TO COMPLY' GAS VENT _ WITH ALL COUNTY ORDINANCES AND STATE LAWS IIEGULATING 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 GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL:OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL P OPERTY. UTILITY CO.NOTIFIED. SIGNATURE OF PERMI FINAL Ali OcKAUDATION ROBERT A.WOOD m:0. CASH 'SUPERVISING MECHANICAL ENG'R [A02 3 8•a9% NOV . 8 5 D 1 3.75- Q ' ' WORKERS'COMPENSATION DECLARATION 76AG67A I hereby affirm that I have acertificate`of consent to self ee e17 (R-eo) APPLICATION PPLICATION FO® PLUMBING PERMIT insure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec:3800,Lab.C:) -COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company t Certified copy is hereby furnished. FOR APPLICANT,TO FILL IN (PRINT OR TYPE.) BUILDING ADDRESS 4% Certified copy is filed with the county building inspection, NUMBER FIXTURE OR ITEM C FEE department. ` WATER CLOSET LOCALITY &7Date Applicant - NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATHTUB CROSS ST. COMPENSATION INSURANCE . • SHOWER �� OWNER (This section need not be completed if the work involved LAVATORY MAIL by the permit is for one hundred'dollars ($100) or less.) 1 ADDRESS G CSL I� O SINK CITY �� ' TEL.NO: s� (� I certify that in the,performance of the work for which this DISHWASHER permit is issued, I shall not employ any person in any manner CONTRACTOR O so as to become subject to the Workers.'Compensation Laws. CLOTHES WASHER ADDRESS Date Applicant SWIMMING POOL RECEPTOR "' NOTICE TO APPLICANT: If,.after making this Certificate of _, 'CITYMAL Jae g,22TEL.NO y 0. Exemption, you. should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. Compensation provisions of the Labor Code, you must forth- WATER HEATER LICENSE NO. CLASS j�9 with'comply with such provisions or this permit shall be deemed(•evoked. GAS SYSTEM OUTLETS DISTRICT NO. P CESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER I.hereby affirm that I,am licensed under provisions of Chapter 5 PE Ft SYSTEM 9 .(commencing with Section 7000)of Division 3 of the Busl- FINAL VALIDATION ,ness and Professions Code,and my license is in full force and DATE "rid effect. License Number Lie.Class C FINAL BY Contractor Date — I exempt from the licensing requirements as I am a Plan check fee 1 nsed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- ,� iness and Professions Code). TOTAL FEE ti Lie.or Reg.No. DateJ Plan check applicant. HOME OWNER-BUILDER DECLARATION t� Name I hereby affirm that I am exempt from the Contractor's ' Address License Law for the following reason (Section.7031.5, Busi- City Tel.No. 9 5 5 5 5 R ne.ss and Professions Code): ' • f I, as owner of the property, am. exclusively contracting ¢¢r'o O O•O O � with licensed contractors to construct the project 3 0 5 (Section 7044,Business and Professions Code). i 01 O o 30,E C CONSTRUCTION LENDING AGENCY !' I hereby affirm that there is a construction lending agency t �; 1 3-8 2 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 +. SEE REV.E.RSE FOIL EXPLANATORY LANGUAGE ordinances and State laws regulating. Plumbing, and hereby authorize representatives of this County to enter, upon the abo tinned pr ty for inspection purposes. s.atpre of P mi ee Date WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMING PERMIT ,I I hereby affirm that I have a certificate of consent to self 76A667A I� 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. C p ny I� Certified copy is her f�irni ❑ tJJ FOR APPLI NT T FILL IN(PRI OR TYPE) BUILDING Certified copy is fil 'h t ounty building inspec- ADDRESS tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITYjL ®� L.f qF Date A liganT WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER O L (This section need not be completed If the work involved by MAIL the pormit is for one hundred dollars($100)or loss.) LAVATORY ADDRESS �✓ I certify that in the performance of the work for which this / permit is issued, I shall not employ any person in any manner SINK CITY c. TEL.NO, so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS G NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensatio0 provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY TEL.Ny- � with comply with such provisions or this permit shall be STATE LICLA. /, deemed revoked. WATER HEATER LICENSE NO. C .?� LICENSED CONTRACTORS DECLARATION DISTRICT NO. ESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER 1 ��0 > and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL VALI3gv4-000005 1194 3 A ct /J v License Numb d Lic. Glasse 0 0 0 0 0 5 FIN Contractor ��l Date BY/ I o 0 1 &50 y ❑ I am exempt under Sec. 0 0 0 ' N 1L B.&P.C. for this reason Plan check fee 1 0 2 4—$� .Dat Signature PLUMBING PERMIT ISSUING FEE$ Q 1)JS73 TOTAL FEE S j Plan check applicant SINGLE FAMILY 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): City 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 r dEs i Tli}ho�d�, Is A -a. JI i rma Iwith 4 b on s correct' I gree orco ply wi h all County ordinances and State laws regulating Plumb.ing, and hereby authorize representatives of this County to enter upon the above a ioned prpperty for inspection purposes. ! 06 SEE REVERSE FOR EXPLANATORY LANGUAGE I Si nature of Permittee Date I / i