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Home My Public Portal About9856 OLIVE ST_Plumbing__ GA 67 10-99� B156117 APPLICATION FOR PLUMBING PERMIT ,1 i DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles BUILDING c y JOHN A.LAMBIE. COUNTY ENGINEER ADDRESS Sr / 1 ✓ CASSATT D,GRIFFIN,SuP•T OF BUILDING LOCALITY AA FOR APPLICANT TO FILL IN I NEAREST CROSS ST. �.. OWNER // C ` DISTRICT NO. GRpup ZONE READY FOR INSPECTION MAIL l9 L/B/A I ADDRESS CITY Z .CL Cl EL.NO. T L.' INDUSTRIAL I - WASTE APPROVAL PLUMBER INSPECTION RECORD ADDRESS CITY TEL.NO. LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 5 BATH TUB @ $1.00 SHOWER @ '51.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00 DISHWASHER @ S1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 O U GAS SYSTEM @ $1.00 DO APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 ,00 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT , 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER '•t . AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES i PLUMBING. 1 HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED.BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT ! AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED. DESCRIBED RESIDENTIA PROPERTY. SIGNATURE �I OF PERMITTEE " FINAL �/uw• - r. OHN A.LAMBIE.COUNTY ENGINEER VALIDATION ROBERT A.WOOD.CHIEF PLBG. INSPECTOR . C8. N..O. CASH �, p1 9 2 9 aw 17 3 3'.0 0 � 78A887-CIM17-8-58 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTBIENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BU SupC j r ING JOHN A. LANBIE. County es CASSATT D.GRWM. t of 8taldtag LOCALITY FOR APPLICANT TO FILL IN NEAREST_' CROSS.ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL, RATS TUB ADDRESS . SHOWER CTS TEL.NO. LAVATORY CONTRA1CTOR SINK ADDRESS DISHWASHER CITY3) LAUNDRY TUB CONTEACT R'S S A ❑ REGR�TBATiON'NO. O 4,f fP COUNTY . CLOTHES WASHER 'DISTRICT NO. GROUP ZONE P CESS BY WATER HEATER GAS MMM- INDUSTRIAL. lo WASTE APPROVAL y INSPECTION RECORD 0-, "q l7 / 1 Rio � APPROVALS OR FAL ORE DATE INSPECTOR'S SIGNATURE UNDERXI.AB WORK �- PERMIT $ 7-100 ROUGH.PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL PLUMBING. COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES 'CL-S 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 OWN R OF TH BOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. SGNATURE OF PERMITTE ROBERT A.WOOD. ®P ALIDATION SUPERVISING MECHANICAL ENG'R �. n.0. .CASH - LACQ 6 8 6 4° PIAY 22 5 A 6.0.0 ` ��• DEPARTMENT OF COUNTY ENGINEER PLUMBING. 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION ' COUNTY OF LOS ANGELES BUILDING WILLIAM :t. FOX, COUNTY ENGINEER ;.ADDRESS 2 ty, FOR APPLICANT TO FILL IN LOCALITY BUILDING NEAREST �p+ �y_� ADDRESS � O I.1�/�. 17CROSS S . A•G, DISTRICT NO. GROUPZONE ,PERMIT NO. LOCALITY 7e-t,& � C tT1d c �� 0 I 02 CROSS ST. B IA I� ZSW ) It` JA, I/ RECEIVED BY Ready for IneOeatlon DATE ISSUED OWNER 0 C) -,Z._ t MAIL �+ /� INDUSTRIAL r ADDRESS �W br VIC S WASTE APPROVAL CITY TC_hK!2 t,-P- C l TEL.NO. W' a a 13 S INSPECTION RECORD PLUMBER N`e_ (7' Iii 11 AIA L._ A, - 6 QI {� •-.. ADDRESS A,,)* (7� CITY f L \\ p�,� I fed TEL.NO. Ar d :L d ❑STATE cab 1.•.( 114 LICENSE N0. 1']COUNTY J PERMIT FEES y� z JUMSER TYPE OF FIXTURE OR ITEM FEE g r-� 7 ('J WATER CLOSET(TOILET) @ 0.80i 1 "I v— el N a9 BATH TUB 0.60 SHOWER a 0.80 � v - LAVATORY(WASH BASIN) @ 0.80 - Q 1 a , KITCHEN SINK @ 0.80 l LAUNDRY TUB OR TRAY 0.80 SLOP SINK 0.80 FLOORSINK 0.80 FLOOR DRAIN Q 0.80 DISHWASHER DRINKING FOUNTAIN df 0.80 URINAL @ 0.80 /1 GAS SYSTEM..._......._OUTLETS @ 1.00 WATER HEATER Q 1.00 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK I PERMIT $ 1 00 ROUGH PLUMBING Z of p(�¢.[.. _ TOTAL FEE G7 GAS PIPING �t��« cD.k. 4, I 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 Isr-� �/� I 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED o AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ER OF THE ABOVE,IDESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED 1 SOF PERMNATU ITTEE.. / .._..�.--•-.�_. ..c.... ....,./_�, � FINAL l �`�d�`•+E+I TJ�h-��J -�As •.r--- "- Ic i ..._.._... -....._.... TOA667 DBS 17 ab 12-53 ' •, .,WORKERS'COMPENSATION DECLARATION At-lf"�0CA70ON FOR I!"LU(`�I��[1`ClG EC�lI�F10T Z6A667 DPW 4/87 tf-6f Il l ilk IIV11 l!� ll� I hereby;•affirm that I have a certificate of consent to self in- 76A667A sure,or a certificate of Workers'Compensation Insurance,or aC 817(REV.8/86 certified co th�jereof(Sec. 8 Lab COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. ` TS / Compan Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE). BUILDING Certifi copy is filed with the c ty buildin ection ADDRESS -kl depa ent. NUMBER FIXTURE OR ITEM (d FEE LOCALITY WATER CLOSET(TOILET) Date Applicant NEAREST CERTIFICATE.OF EXEMPTION FROM WORKE BATH TUB CROSS ST. ' COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this per- SINK -1 mit is issued, I shall not employ any person in any manner so CITY ' TEL. NO. as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRALTO Date Applicant CLOTHES WASHER ADDRESS/ NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- �✓ TEL. NO,- sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEM ly with such provisions or this permit shall be deemed revok- STATE 054--7 LIC. ed. WATER HEATER LICENSE NO d"-7/ 7,( / CLASS LICENSED CONTRACTORS DECLARATION RICT� PROCESSED BY I hereby affirm.that I a.m.licensed under provisions of Chapter GAS SYSTEM OUTLETS b C) 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER fed Professions Code-,�and �jmy license is in full force and ef- 5 PER SYSTEM FINAL �� VALID DATION rJ�/ l o DATE O CL License N er Lic. Class r• :r s ,.V Contr Date B 3' :'_ L os F ❑ T 7! F'= C) I am empt under Sec. LU CL B.&P.C. for this reason0 D Y.A,�` T 16 a CS Plan check fee �•�' Date: �-eft=�'� �'I PLUMBING PERMIT ISSUING FEE$ �[� S � Signature TOTAL FEE Q � SINGLE FAMILY Plan check applicant HOME OWNER-BUILDER DECLARATION +4j�t;{�I�f'j('j )� •: f'tir•�.C, 1 hereby affirm that I am exempt from the Contractor's License Name j f •,. Law for the following reason (Section 7031.5, Business and �•_� �, pm Professions Code): Address I, as owner of the property, will do the work and the City Tel. No. structure is not intended or offered for sale(Section 7044, Business and Professions Code). D CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for I 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 i ances and State laws regulating Plumbing, and hereby uth pr tatives of this County to enter upon the ti a roperty for inspectionpurp es. I SEE REVERSE FOR EXPLANATORY LANGUAGE i nature of Perm' a Date i