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Home My Public Portal About9862 OLIVE ST_Plumbing__ WORKERS'COMPENSATION DECLARATION 76A8a7A I hereby affirm that I have ar certificate of consent to self Cg (2.80) APPLICATION FOR PLUMBING PERMIT insure,or a certificate of Workers'Compensation Insurance,or ' I D ascertiffed copy thereof(Sec.3800,Lab.C:) COUNTY OF LOS ANGELES C r BUILDING AND SAFETY policy Nd. Company • Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING d C/ 2 ADDRESS 7 0 (7 P department copy is riled with the county building inspection NUMBER FIXTURE OR ITEM • FEE l�'rL �" WATER CLOSET LOCALITY Z 0 Date Applicant NEAREST �Q p I BATH TUB CROSS ST. I 15 • W O B4 E�ili(n�7 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCESHOWER OWNER f3c��Z]-�'7't - f yCr 0Wa,1, _ (This section need not be completed if the work involved LAVATORY MAIL ADDRESS by the permit is for one hundred dollars ($100) or less.) } SINK CITY TEL.NOZ,f(,-V) C 0 I certify that in the performance of the work for which this DISHWASHERV permit is issued,I shall not employ any person in any manner ir CONTRACTOR so as to become subject to the Workers`Compensation Laws. CLOTHES WASHER +� +� ADDRESS O Date Applicant SWIMMING POOL RECEPTOR. NOTICE TO APPLICANT: If, after making this Certificate of CITY TEL.NO. W Exemption, you should become subject to the. Workers' LAWN SPRINKLER SYSTEM STATE LIC. N Compensation provisions. of the Labor Code,you must forth- LICENSE NO: CLASS with comply with such provisions or this permit shall be WATER . HEATER — deemed revoked. GAS SYSTEM OUTLETS DISTRICT NO PR EBBED BY LICENSED CONTRACTORS 6 a OUTLETS OVER 7� ,U I hereby affirm that I am licensed under provisions of Chapter 5'PER SYSTEM- 9 (commencing with Section 7000).of Division 3 of the Busi- FINAL ness and Professions Code,.and my license Is.in full force and DATE VALIDATION. effect. ' � FINAL License Number I:ic.Class- BY Contractor Date 'I am 'exempt from the licensing requirements as I.am a Plan check fee licensed architect. or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ `7 acting in my professional capacity (Section 7051., Bus- ` iness and Professions Code). TOTAL FEE ! Lic.or Reg.No. Date Plan check applicant , HOME OWNER-BUILDER DECLARATION Name l 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. I s 3 0 .3 n A ness and Professions Code): l I,' as owner of the property, am exclusively contracting a•o 0 0.!-- with. rwith. licensed contractors to construct the project (Section 7044,Business and Professions Code). I 2 a o 1,30r, CONSTRUCTION LENDING AGENCY i a. a a. 1 1. hereby affirm that.there is a construction lending agency for the performance of :the work for which this permit is I i1 2 C 33- issued(Sec.3097,Civ..C:).' l Lender's Name Lender's Address I certify that I have read this application and state that. the I above information is correct.I agree.to comply with all County I SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. Signature of Permittee Date 76A667{E#617 2-66 , 'APPLICATION FOR PLUM INC PER T 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 LOCAL FOR APPLICANT TO FILL IN NEAREST. CROSS ST.. NUMBER FIXTURE OR ITEM EACH FEE ` OWNER WATER CLOSET 31.25 MAIL BATH TUB 1.25 ADDRESS '✓Es SHOWER 1.25 t CITY TEL. NO. LAVATORY 1.2,5 {�� CONTRACTOR SINK 1.25 / ADDRESS DISHWASHER 1.25. CITY TEL. NO. LAUNDRY TUB 1.25 STATE LICENSE NO. /D d0 x/�� b LIC CLASS CLOTHES WASHER 1.25 7r_ D N P P D BY WATER HEATER 1.50 1:50 WASTE APPROVAL o GAS SYSTEM OUTLETS OUTLETS OVER 5 PER SYSTEM .30 v INSPECTION RECORD, O cv W � d z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT 5 2 00 UNDER SLAB WORK TOTAL FEE ROUGH PLUMBING d y ` GAS PIPING I HEREBY ACKNOWLEDGE THAT 't HAVE READ THIS A LIGATION GAS VENT _ le V AND STATE THAT THE ABOVE IS CORRECT AND AGREE O COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT-WATER HEATER PLUMBING. A I HEREBY CERTIFY THAT A PR RLY REGISTERED AND/OR PLUMBING FIXTURES t-T80 LICENSED AS REQUIRED BY O AN ES.COUNTY AND STATE CF GAS TEST CALIFORNIA OR THAT 1 AM T G OWNER OF AND INTEND TO �� ' RESIDE IN,THE ABOVE DESCRI RE AL PR ERTY. UTILITY CO.NOTIFIED_ •r SIGNATURE ' OF PERMITTEE FINAL /'i IMATION JACK R. ALLEN W cK J M.0. CASH SUPERVISING MECHANICAL ENG'R. 9 3 8 9%. ,]till 3.Q 5 D 725 IDEFARTIYIENT OF COUNTY ENGINEER PLUMBING DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTS OF LOS ANGELES BUILDING WILLIAM J. FOX, COUNTY ENGINEER ADDRESS FOR AP LICANT TO FILL IN LOCALITY BUILDING � � NEAREST ADDRESS CROSS ST. . � L C./�• � Y'� DISTRICT NO. GROUP ZONE PERMIT NO. LOCALITY 45SWr J4 r� 9 66 44. NEAREST n+•'�=�L'47w�t7\ CROSS ST. CC > RECEIVED BY Ready for InsLee Hon DATEISSUED OWNER MAIL yam_ INDUSTRIAL Oz. ADDRESS Jl 2:1 L= L/ WASTE APPROVAL CITY TEL.No. INSPECTION RECORD PLUMBER c/ 4j/9 / L�/J lr/✓fie` ✓ 0-0l 6- 9 —00 ADDRESS lQ CITY TEL N0. 7-7/y J�t ry�y p STATE / 40/ /1 LICENSE NO. �2 •p-COUNTY J PERMIT FEES Q z NUMBER TYPE Or rIXTURE OR ITEM FEE Ve WATER CLOSET(TOILET) @ 0.80 $ 0! 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 FLOORSINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER @ 0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 GAS SYSTEMr... ........OUTLETS @ 1.00 WATER HEATER @ 1.00 MISCELLANEOUS ,9 agg ' APPROVALS !! DATE INSPECTOR'S SIGNATURE v UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING j I TOTAL FEE °� cz GAS PIPING I v__ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT CATION AND STATE THAT THE ABOVE IS CORREC]:-AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBINM ifI ; /f PLUMBING FIXTURES 1 HEREBY CERTIFY! ,THAT 11-AV P4tviLY EGISTRED : • �_ AND/OR LICENSEDLAS;R AUI,RE'BY LOS/A•NGEL�ES�COUNTY GAS TEST AND STATE OF (OAA 1E0 NA .I Mi. HE LE AL—OWN- ER OF THE ABOVE DESCRISS fiESI EN 1 /L'�P� P RTY. UTILITY CO.NOTIFIED SIGNATURE V/ ��'�vl/ �" 1•-2 J OF PERMITTEE)....._. .........._.... -.—. . .._.7 ._z _._ i tr—• � r_.._.._ FfNAL IT _RJv/A1+..At+ 4- 76A667 76A667 DBS 17 1/5S If/ - r!N DEPARTMENT OF COUNTY ENGINEER PLUMBING 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION ' COUNTY OF LOS ANGELES BUILDING WILLIAM J. FOX, COUNTY ENGINEER ADDRESS FOR APPLICANT TO ILL IN LOCALITY C' ABUILDING 05�a DDRESS NEAREST GROSS ST. DISTRICT NO. GftbUPZONE Q PERMIT NO. LOCALITY NEAREST CROSS ST. RE C VED Y Ready fai4bpeation DATE ISSUED -,2-7 OWNER 1a- MAIL INDUSTRIAL ADDRESS WASTE APPROVAL CITY E 0. INSPECTION RECORD PLUMBER / ADDRESS CITY TEL.N0. State Contractor's License No. Q Class J L.A.County Contraoter's Registration No. Z PERMIT FEES n NUMBER TYPE OF FIXTURE OR ITEM FEE O WATER CLOSET(TOILET) 0 0.80 ; BATH TUB @ 0.80 SHOWER 0 0.80 LAVATORY(WASH BASIN) 0 0.80 KITCHEN BINK @ 0.80 LAUNDRY TUB OR TRAY @ 0.80 SLOP SINK 0 0.80 FLOOR SINK 0.80 FLOOR DRAIN 0.80 DISHWASHER 0 0.80 DRINKING FOUNTAIN Q 0.80 URINAL 0 0.80 GAS SYSTEM...-..-.—OUTLETS 01! IAO WATER HEATER 1.00 MI ELLANE UB .v APPROVALS DATE INSPECTOR'S SIGNATURE ~ d UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE 02 GAS PIPING 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 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ELES COUNTY GAS TEST AND STATE OF CALIFORNIA OR THAT 1 A E LEGAL OWN- ER OF THE ABOVE E IBED S w NT PROP TY. UTILITY CO.NOTIFIED SIGNATURE f nn OF PERMITTEE. FINAL 7r,Arr7 nxR iT B/aa 76A667 000 17 11-50 APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY PLUMBING ` COUNTY OFF LOS LOS ANGELES WILLIAM J. FOX, CHIEF EMBI14EER FOR APPLICANT TO FILL IN DIST5 T P / PLUMBER _ I = �'' f /R�f11.0 'READY FOR /BL�5 FIRST INSPECTION DATE SV�� I �! / 7 `/ ADDRESS ^9 BUILDINO� CITY o TEL.No-'4PORES9 n Okt;-L LICENSECOUNTY NO. i�/DIS EXPIRES LOCALITY / t ,I LI IiLIX.G(!/ NEAREST D 1 PERMIT FEE / CROSS ST. �� r NUMBER TYPE OF FIXTURE OR ITEM FEE DWNER te (liCiLl.l l./.{'4. / A& dAL" _ MAI L WATER CLOSET(TOILET) 0 0.50 B ADDRESS n an� BATH TUB Q 0.50 CITY r-�-.I.14jfiA, 1.t�1.4/ TEL Na. G 90 35 SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER GAS SYSTEM OUTLETS 0.50 OF THE RESIDENTI PRO RTY DESCR1 ED ABOVE. SIGNATURE E r I WATER HEATER 0.50 PERMITT SLOP SINK 0.50 INSPE1r_TI6m CORD 1 FLOOR SINK 0.50 FLOOR DRAIN 0.50 DISHWASHER 0.50 DRINKING FOUNTAIN 0.50 URINAL @ 0.50 Q HOUSE SEWER @ 0.50 Z MISCELLANEOUS L7 O APPROVALS DATE INSPECTOR-8 NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1;00 CESSPOOL SEPTIC TANK. SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT I 1.030 GAS TEST UTILITY CO.NOTIFIED .TOTAL FEE 0 FINAL - v