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Home My Public Portal About9405 PENTLAND ST_Plumbing__ °A°°° A DeanPPLICATION FOR ,PLUMBING PERMIT a ee DIVISION OF BUDDING AND SAFETY -0 /4 � DepcalmEnt of County lagineer County of Los Angeles I BUILDING /1 l w �,, /J♦ ' WM J FOX COUNTY ENGINEER FAODRESS CASSATT D GRIFFIN SUF T OF BUILDING FOR APPLICAN{ TO FDL IN t LOCALITY I NEAREST CROSSST Gf.GI`.G6A�i, OWNER MAIL I ISTRICT ORUP O NYE �y` FOR INSPECTION DDRESSS , DT RIAL CITY TEL NT O7 WASTE APPROVAL PLUMBER V - IINSPECTON RECORD 1 ADDRESS CITY TEL NO ( LICENSE NO NUMBER TYKE OF FIXTURE OR T°M IEE 1; WATER'CLOSET (TOILET) S BATH TUB SHOWER LAVATORY (WASHBASIN) KITCHEN SINK DISHWASHER + LAUNDRY TUB OR TRAY CLOTHES WASHER �. e f TOTAL NO APPROVALS GDATE INSPECTOR SSIGNATURE AS SYSTEM—OUTLETS p 1 00 WATER HEATER r Q 1 00 UNDER SLAB WORK I A � , PERMIT 1 00 RO UGH PLUMBING - � S , t _ 06 GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Z— `WITH ALL COUNTY ORDINANCES ANDI STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING I I 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 UTILITY CO NOTIFIED DESCRIBED RESIDENTTII.AyL° PRCRERTY SIGNATURE OF PERM ITTEE air r� �� - FINAL WILLIAM J FOX COUNTY ENGINEER ' VALIDATION S R A WOOD CHIEF PLBG INSPECTOR � adi3 in 13 3 400 _.�^ _ .$Y_ � . '..}.x.�_._ f S - ..- .r:rt ... i.�i`r� ..n. -] > �� _•.i1tP'4r!. �T�.._ '.r.R �.`�.1a�i'3 7EAEM17 IT 25M BEER T+e APPLICATION FOR PERMIT DgARTMENT OF BUILDING AND SAFETY PLUMBING 1 III COUNTY OF LOS ANGELES WILLIAM J FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO UPI E r vv � 7 PLUMBERREADY FOR RECEIVED BY DATE ISSUED FIR OT INSP ECTION ADDRESS �Y CITYTEL No JO9 �7 If) L� ADDRESS O� `.! COUNTY -41 OUNTY LICFNSE ND EXPIRES G LOCAL 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB NEAREST ANGELES COUNTY LICENSE CROSSST OWNER ff_ MAIL PL RFR ADDRESS PERMIT FEE 19 $1 IfFOR THE FIRST FIXTURE ORS CITY / TEL NO ITEM LISTED BELOW, PLUS SOC FOR EACH ADDITIONAL I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP- ITEM FOR EACH SEPTIC TANK AND PIT OR GRAINFIELD ERTY DESCRIBED ABOVE $1 OO MINIMUM FEE FOR ANY PERMIT $100 EACH DAB SYSTEM IS A SEPARATE ITEM OWNER NUMBER TYPE OF FIXTURE OR ITEM WATER CLOSET (TOILET) CORRECTIONS BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN BINK LAUNDRY TUB OR TRAY GAS SYGTEM,3�_DUTLETS WATER HEATER SLOP SINK Q FLOOR SINK I Z FLOOR DRAIN L7 DISHWASHER O DRINKING FOUNTAIN URINAL MISCELLANEOUS APPROVALS yy DATE INRPECTOR R NAME ROUGH PLUMBING T iJ ' GAS PIPING OAS VENT CESSPOOL SEPTIC TANK - DRAIN ( ) PIT 1 1 $ SEPTIC TANK CESSPOOL $ SEWER HOUSE SEWER $ GAS TEST TOTAL FEE $ UTILITY CO NOTIFIED v FINAL 1 /6A 667 C W 17 8 57 COUNTY GFLOS APP�LICATION FOR PLUMBING PERMITANGEL 1 DEPARTMENT OF COUNTY ENGINEER FNF.AREST DING N BUILDING AND SAFETY DIVISION RESS 7 .G JOHN A LAMBIE COUNTY ENGINEER CASSATT D GRIFFIN SUP T OF BUILDING ALITY FOR APPLICANT TO FILL IN SS ST NUMBER FIXTURE OR ITEM C7 NEA WATER CLOSE[ LBATH TUB RESS SHOWER C TEL NO LAVATORY CONTRACTOR i SING: ADDRESS DISHWASHER CITY D TEL NO LAUNDRY TUB CONT ACTORSATE REGISTRATION NO COUNTY CLOTHES WASHER DISTRICT NO GROUP ONE � R irvsPECTIox WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS @ $1 00 PER ITEM / 1 DATE INSPECTOR S SIGNATURE OR FIXTURE UNDER SLAB WORK ROUGH PLUMBING PERMIT S 00 GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIA PROPERTY M SIGNATURE - OFPERMITTE FINAL �• ROBERT A wood &VALIDATION SUPERVISING MECHANICAL ENG R CK/ M 0 CASH LACop064 -� JUL24 5 A � 300 / DEC TION WORKERS that cI have ATION cafe of once APPLICATION FOR PLUMBING PERMIT , I hereby affirm that I have a certificate of consent to self 7ygbyq u insure ar a certncca to of Workers Compe hon Insurance E 817(REV 10/81) or a certified copy thereof (Sec 3800 Lo ) COUNTY OF LOS ANGELES / r C 1 BUILDING SAFETY Policy No Company t Certified copy is hereby furnished s Certified copy is filed with the county builds g in pec FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS hon department NUMBER FIXTURE OR ITEM ® FEE LOCALITY —�S WATER CLOSET Date AppIISa NEAREST CERTIFICATE OF EXEMPTIO FROM WORKERS BATH TUB CROSS ST COMPENSATION INSURANCE OWNER (This section need not be completed d the work involved by SHOWER the permit is for one hundred dollars (5188)or lees ) LAVATORY MAIL 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 TEL NO so as to become subject to the Workers Compensation Laws DISHWASHER CONTRALTO 41c 5 fic Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT If after making this Certificate of SWIMMING POOL RECEPTOR Exemption you should become subject to the Workers Compensation provisions of the Labor Code you must forth- LAWN SPRINKLER SYSTEM CITY TEL NO v ;V,* with comply with such provisions or this permit shall be STATE - LIC deemed revoked WATER HEATER LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO 4 PROCESSED B 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 and Professions Code and y license is in full force and effeci 5 PER SYSTEM DATE VALIDATION V FINAL GQ G Q JJ i License Numb 371 /O Li< Classes 3 ,s �7 09 FINAL O Contractor to �O�J BY I am exempt un er Sec to olle Ver d N B 8P C far this reason _ �e Plan check fee �' Data PLUMBING PERMIT ISSUING F�,E " i• /O Signature - i } (! iO AL FF��v' {J 1 Pion check applicant isseIf'� SINGLE FAMILY HOME OWNER BUILDER DECLARATION Nome I I hereby affirm that I am exempt from the Contractor s License �Q 6 a l A Law for the following reason (Section 7031 5 Business and Address Professions Cade) city Tel No # •'••• • • 5 I 0, sstructure as owner of the property will do the work and that•• • ) 650 5 0structure is not intended or offered for sole (Section , 7044 Business and Professions Code) • • • ) 6 5 O` CONSTRUCTION LENDING AGENCY 0323-83 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 ) Lenders Name Lender s Address I certify that I have read this application and state that the i poll. Information is correct I agree to comply with all County ordinances and State la regulating Plumbing, and hereby authorize representati es f this County to enter upon the above-me onad pr art for Inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Sign ure of ermittee Date a 6 WORKERS COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby off um that I have a certificate �f consent to self 7eA667A " insure or a certificate of Workers Compensation Insurance, CE 817(REV 10/81) ' or a certified copy thereof (Sec 3800 LabC ) r(�' Poli No cRCf�q?_Company tx \ZVII� COUNTY OF LOS ANGELES BUILDING AND SAFETY ""Certified copy is hereby furnished❑ BUILDING FOR APPLICANT i0 FILL IN(PRINT OR TYPE) Certified copy is filed with the county building inspec ADDRESS coon department—�- /+� \ _ NUMBER FIXTURE OR ITEM FEE _ LU Date n—, APPIiSant ��--xF�-�� WATER CLOSET NEAREST 1 CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB CROSS ST COMPENSATION INSURANCE OWNER s (This section nand not be completed If the work Involved by SHOWER k ,.AAAIL the permit is for one hundred dollars ($100)or lass ) , LAVATORY ADDRESS I certify that in the performance of the work for which this r--� permit is issued 1 shall not employ any person in any manner SINK Cl TEL NO _ so as to became subject to the Workers Compensation Laws DISHWASHER ' CS cS6 CONTRACTORDate Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT If after making this Certificate of SWIMMING POOL RECEPTOR ` Exemption you should become subject to the Workers C1 C TEL NO Compensation provisions of the Labor Coda you must forth LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE xx LIC deemed revoked WATER HEATER LICENSE NO � CLASS LICENSED CONTRACTORS DECLARATION DISTRICT SSED 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 O L and Professions Code and pmy�hCc�ensa is in full force and(effect 5 PER SYSTEM FFIINAL ry ATE ' �_ VALIDATION V License Number Z��p,�TLic Classy L G. , FIN Contractor Date BY AL ❑ I am exempt under Sec d N Z B BPC for this reason Plan check fee , Date PLUMBING PERMIT ISSUING FEE b Signature TOTAL FEE Plan check applicant s SINGLE FAMILY HOME OWNER BUILDER DECLARATION Name lqxiv I hereby off um that I am exempt from the Contractor s License Law for the following reason (Section 7031 5, Business and Address f 4 4 6 7 A Professions Code) City Tel No # • e • • • 5 ❑ I, as owner of the property, will do the work and the ' structure Is not intended or offered for sale (Section , 2 • • 2$5 O 7044 Business and Professions Code) CONSTRUCTION LENDING AGENCY •r• - 21R506 I hereby affirm that there is a construction lending agency for 1 the performance of the work for which this permit is issued Q 1 21-83 (Sec 3097 Civ C ) ^ Lender s Name— Lender ame Lender s Address I certrfy that I hove read this application and slate that the ► above information is correct I agree to comply with all County ordinances and State jaws regulating Plumbing and hereby authorize representatives of this County to enter upon the above m boned roperty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 8-�'2r83 Signature of ermittee Date