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Home My Public Portal About9315 PENTLAND ST_Plumbing__ 4 "..710 EE APPLICATION FOR PLUMBING PERMIT 1 DIVISION OF BUILDING AND SAFETY Department of County Engineer Couatp of Los AngelesBUILDING C 3— - JOHN A LAMBIE COUNTY ENGINEER ADDRESS CASSATT D GRIFFIN,SUP TOF BUILDING LOCALITY • y(' FOR APPLICANT TO FILL IN NEAREST CROSS ST K C w 17 OWNER /MDISTR,I(CT NO GROUP Z BBAor Foe INSPECTION E59 �F / ✓ I QO CITY IT TEL NO 1W _ INDUSTRIAL E:a WASTEAPPROVAL PLUMBER INSPECTION RECORD ADDRESS CITY TEL NO LICENSE NO NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $100 $ BATH TUB Q $1 00 SHOWER @ $1 00 LAVATORY (WASH BASIN) 9 $100 KITCHEN SINK Q $100 DISHWASHER @ $1 00 LAUNDRY TUB OR TRAY Q $100 CLOTHES WASHER ® $1 00 WATER HEATER Q $1 00 GAS SYSTEM @ $I 00 APPROVALS DATE INSPECTOR S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING pLUMBING,PI%TURES 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITYCO NOTIFIED DESCRIBED RESIDENTIAL PROPERTY f SIGNATURE OF PERMITTEE FINAL JOHN A LAMBIE COUNTY ENGINEER ATION ROBERT A WOOD CHIEF PLBG INSPECTOR Ce E • CASK 3597N FEB29 3 300 m 76`A fil67=CE BIJ B/88 � / " a APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPAII MII OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING sa JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST NUMBER FI%TURF OR ITEM EACH FEE CROSS ST OWNER WATER CLOSET 150 KAIL OATH TUB 1 50 ADDRESS SHOWER 150 C NO LAVATORY • 1 50 CONTRACTOR IF1 SINK 150 ADDRESS D O A DISHWASHER 150 NO CLOTHES WASHER 150 STATE LIC LICENSE N CLASS SWIMMING POOL RECEPTOR 1 50 DIOTRI GTN GTI Z F G 6BSD I AWN SPRINKLER SYSTEM 2 00 I ` 9 J WATER HEATER 1 50 INDUSTRAL ' 2 WASTE APPROVAL o U GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD w r OUTLETS OVER n_ 5 PER SYSTEM 30 Z Plan check le, tri' of above See reYer�e PLUNIRINC PFNMI P ISSTIIN( F LI' 8 2 00 1OI AL PFE APPROVALS DATEINSPECTORS SIGNATURE Plan check appliCin[ UNDER SLAB WORK Name ROUGH PLUMBING Alldrr,SS GAS PIPING GAS VENT v CIL) Tel No HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A"LICATION AND STATE THAT THE A V[ 1[ Co wwecT AND AGUE[ TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLU MSIN6 1 HERESY CERTIFY THAT I AM rSOPERLY REGISTERED AND,OR UTILITY CO NOTIFIED CENSE LID AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN[ F AND INTEND TO RESIDE IN THE ABOVE OESCRIE[p�EEIDENTIA ROr[RrY FINAL SIGNATURE JACK R ALLEN, SUPERVISING.ME HANICAL ENG R OF PERMITTEE PERMIT VALIDATION CK M O CASH PLAN CHECK VALIDATION CK M o CASH �P> 3 J 7r RFK 5D 76AW-CE817-8 S8 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION AU&IWN _ f ])OFDi A LAMHIE Comte CJ438ATT D GH1FPRi 8vP a of BwId1uQ LOCALTIY FOR APPLICANT TO FILL IN i1EAR= CEDES ST NUMBER FIXTURE OR ITEM OWNER WATER CLOSET ADiII. BATA TDB ADDSEB9 SHOWER D TEL reo L LAVATORY CONTRACTOR ' am ADDRESS DISHWASHER _ TEL NO LAUNDRY TUBCONTRA SS STATE REGISTRATION NO COUNTY CLOTHESWA4� DISTRICT NO UP ZONE SSED BY WATER HEATER b GAS SYSTEM INDUSTRIAL WASTE APPROVAL D L r' iSPECT[ON RECORD APPROVALS ® 31 OR DOPER URE L! ' DATE INSPECTOR S SIGNATURE UNDER SLAB WORK _ PERMIT S 2 00 ROUGH PLUMBING 4/ - 1 Ud5 TOTALFEE GASPIPING 1 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 COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES 1 HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED AND/OR 6A9 TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AN THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIOENTIA PROPER SIGNATURE OF PERMITTE FINAL Sero OTV I�.�-r ROBERTA WOOD ®r VALIDATION SUPERVISING MECHANICAL ENG R Y O CISN 8 TM T JU 5 A 3.G 0 � ` —�QRKERS COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I he cby a him that I have a certificate of consent to self ybp,y67q I ,or a certificate of Workers Compensation Insurance CE 817(REV 10/81) Wror a certified copy thereof (Sec3800 L/a�b�C�)�/{� COUNTY OF LOS ANGELES BUILDING AND SAFETY ' 1"t`TO++air-+ 62_Company€i MLca.L/ Ce copy is hereby furnished BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS Certified copy is filed with the county'buildmg mspeo- G�ho�n c/le qP.�iTmm�.Im NUMBER FIXTURE OR ITEM ® FEE LOCALITY Dale�' Appliga WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB CROSS ST ' COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by MA the permit is for one hundred dollars ($100) or less ) IL LAVATORY+ ADDRESS I certify that in the performorice of the work for which this permit is issued I shall not employ any person in any manner SINK CIT! TEL NO so as to become subjectrto the Workers'Compensohon Laws e-OnVyDISHWASHER - CONTRACTOR Data Applicant CLOTHESWASHER ADDRESS NOTICE TO APPLICANT If after making this Certificate of 2-02-2 Exemplion you should become subject to the Workers SWIMMING FOOL RECEPTOR Compensation provisions of the Labor Code CITU TEL NOZ" p p you must b- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STA ELIC deemed revoked WATER HEATER LICENSE NO IV � _46 CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO OCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER t Y and Professions Code,and my license is in full force and effect 5 PER SYSTEM VA ATION O j �ZV License Number'43 .(� Z 7� Lic Class� DAA B � pp FIN 0 C roctor Date tj W ^ � I am exempt under Sec O� B 8P C for this reason Plan check fee ;125Q4A 3- 111110. Date PLUMBING PERMIT ISSUING FEE$ # e e e • 5 Signature TOTAL FEE ti e e 3 Q 5 0 Plan check applicant • e e 3 Q 5 Q SINGLE FAMILY t c' HOME OWNER BUILDER DECLARATION , Name .+ o7.22-85 I hereby affirm that I am exempt from the Contractor s License gddres Low for the following reason (Section 7031 5 Business and j Professions Code) le 17 LS" Gty Tal N 3 I as owner of the property will do the work and the structure is not intended or offered for sale (Section 7044 ,Busmess 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 Ir 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 ' ordinances and State la regulating Plumbing and hereby authanze repres ntab of this County to enter upon the ' o -;,1 d pro a inspection purposes ^r�� SEE REVERSE FOR EXPLANATORY LANGUAGE c C7 ignature o Permittee Date WORKERS'COMPENSATION DECLARATION rexanA I hereby affirm that I have a certificate of consent to self CE .Ir (1-80) APPLICATION FOR PLUMBING PERMIT insure or a certificate of Workers'Compensation Insurance or ,ry I d cop thereof( c 380 /`ji/o // / / ZR COUNTY OF LOS ANlLES BUILDING AND SAFETY 44WrrcccYN `��L_ ,fipany n Certified copy t5 hereby furnished LICANT TO FILL IN (PRINT OR TYPE) BUILDINGCertified copy tt filed with th unt bui tFIXTURE OR ITEM • FEEADDRESSate4g�r e Applic ER CLOSET 3 LOCALINEARETYH TUB 3 CROSS ST 10 /y • CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE SHOWER OWNER _ (no section Heed not be Completed if the work involved LAVATORY MAIL B by the permit is for one hundred dADDRES onus ($100) or less) Y SINK CITY TEL NI �/fl�ff O I' I certify that In the performance of the work for which this DISHWASHER CONTRACTOR U permit a issued I shall not employ any person in any manner CC so as to become subject to the Workers' Compensation Laws I CLOTHES WASHER ADDRESS t7 Date Applicant U SWIMMING POOL RECEPTOR NOTICE TO APPLICANT If after making this Certificate of CITY G' O _ tyj Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM d STATE L 7 N Compensation with such of the Labor Code you must forth WATER HEATER 3 LICENSE NO ASS Z with comply with such provisions or this permit shell be deemed revoked GAS SYSTEM OUTLETS DISTRICT NO CTNO PR ESSED V LICENSED CONTRACTORS DECLARATION OUTLETS OVER .V I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 19 (commencing with Section d my is Division 3 ll the Bun FINAL G� _$7� VALIDATION effect and Profess ons Code end my license is m full force and DATE �..7 (J effect G License Number Lie Class 7 FINAL p By C0mrflWA&"0Z2 ,(* Date \_n I am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051 Bus iness and Professions Code) TOTAL FEE Lin or Reg No Date Plan check applicant HOME OWNER BUILDER DECLARATION Name � I hereby affirm that I am exempt from the Contractors Address aB License Law for the following reason (Section 7031 5 Busi- City Tel ( No ( ness and Professions Code) 1, as owner of the property am exclusively contracting Y1 9 Q 9 A with licensed contractors to construct the project (Section 7044, Business and Professions Code) _ # •f• • • • 5 CONSTRUCTION LENDING AGENCY 2 • - 2500 I hereby affirm that there Is a construction lending agency 2 O O cS5 for the performance of the work for which this permit is issued (Sec 3097 Co, C) Lenders Name Ill 09- 81 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 REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing and hereby authorise representatives of his Coon[y to enter upon the above honed op rt o)psp�ctonn urposes - %nom L� �""' ignature o Permittee Date