The URL can be used to link to this page

Home My Public Portal About9431 PENTLAND ST_Plumbing__ 76AK7 IT 33M BETS T-+ APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �� ' w u ' COUNTY OF LOS ANGELES -� WILLIAM J FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO GROUP I Z13NE PERMIT s J PLUMBER READY FOR f REC EIV ;� FIRST INSPECTION 'DATE ISSUED ADDRESS 5_ �- CITY TEL No 7CD9 ADRES6 COUNTY -� LICENSE NO EXPIRESLO�ALIT 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB NEAREST ANGELES COUNTY LICENSE CROSS ST OWNER MAIL LUM SCw ADDRESS PERMIT FEE IS $1 00 FOR THE FIRST FIXTURE OR CITY TEL No ITEM LISTED BELOW, PLUS SOC FOR EACH ADDITIONAL 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROP- ITEM FOR EACH SEPTIC TANK AND PIT OR GRAINFIELD ERTY DESCRIBED ABOVE $100 MINIMUM FEE FOR ANY PERMIT $100 EACH GAS SYSTEM 19 A SEPARATE ITEM Dwwew Nl1MBCq TYPE OF FIXTURE OR ITEN WATER CLOSET (TOILET) CORRECTIONS BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN BINK LAUNDRY TUB OR TRAY GAS BYSTEMX—OUTLETB WATER HEATER SLOP BINK -I Q FLOOR SINK - Z_ FLOOR DRAIN 63 DISHWASHER a O DRINKING FOUNTAIN URINAL MISCELLANEOUS APPROVALS wr DATE gINSPECTOR 9 NAME ROUGH PLUMBING SAS PIPING _/ / OAS VENT / CESSPOOL SEPTIC TANK - DRAIN ( ) PIT ( ) S SEPTIC TANK CESSPOOL g SEWER HOUSE SEWER 9 SAB TEST q /" UTILITY CO NOTIFIED 11 I% i TOTAL FEE 11 //oJ FINAL 76A667A • • �c 'I CE 817(REV 11/78) 11 APPLICATION FOR PLUMBING 'PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN IPRINT OR TYPE) BUILDING ADDRESS NUMBER FIXTURE OR ITEM ® FEE A WATER CLOSET LOCALITY NEAREST BATH TUB CROSS ST SHOWER OWNER OraWl LAVATORY MAIL ADDRE SINK 3 CITY TEL NO • DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL NO LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER LICENSE NO CLASS GAS SYSTEM OUTLETS FWATER VALS DATE INSPECTOR S SIGNATURE OL TLETS OV ER WORK 5 PER SYSTEM BING 0 K HEATER Q IXTURES 1r 1L` GAS TEST Plan check fee UTIUTYCO NOTIFIED Z PLUMBING PERMIT ISSUING FEE b TOTAL FEE FINAL Plan check applicant PLAN CHECK VALIDATION Name Address CITY Tel No ;F 0 2 A I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES 5 AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION ft IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS 2 a '1 Z 0 0 RECUR ED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE 1 •L LEGAL OVNER OF AND INTEND TO RE51DE IN THE ABOVE DESCRIBED RESIDENTIALPROPEI• ' • iJ 001 O O SIGNATURE 01 0 O , ' —80 0 OF PERMITTEE V DISTRICT NO P rSSEID Y L� INDUSTRIAL WASTE APPROVAL �I E 817 77(R II C,E 817(REV 11/78) LS APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING 9y S� NUMBER FIXTURE OR ITEM ® FEE ADDRESS LOCALITY C_ / WATER CLOSET NEAREST / BATH IUB CROSS Si / SHOWER OWNER'/ Aa MAIL LAVATORY DDRES y 3- SINK TEL NO DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL NO LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER LICENSE NO CLASS GAS SYSTEM OUTLETS V ATE INsv <toR 551GNATUR/E 44 OUTLETS OVER UND R SLAB WOR T 5 PER SYSTEM ROUGH PLUMBING GAS PIPING O V [HOT ENT 09 ATER HEATER O ING FI%TURES EST 1Q; Mll Plan check fee YCO NOTFIEDZ PLUMBING PERMIT ISSUING FEETOTALFEE Plan check applicant PLAN CHECK VALIDATION Name Address Clry Tel No I HEREBI ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE 2 0 5 2 6 A THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION # 5 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED PND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE 2 1 9 00 LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL SIGNATURE ,/1 I (Y 0 SIGNATURE Y 0 0 OFPERMITTE S 2 8-8 0 DISTRICT NO ROCEBBED BY INDUSTRIAL WASTE APPROVAL r WORKER S COMPENSATION DECLARATION 200028 DPW 9189 ` I hereby affirm that I have a certificate of consent to sell insureBAS^ APPLICATION FOR PLUMBING PERMIT or a&n,ficate of-Worker a Compensation Insurance or a certified _ f copy thereof(Sec 3800 Lab C) COUNTY OF LOS ANGELES - DEPT OF PUBLIC WORKS DEPT OF PUBLIC WORKS DIV Policy No Company Certified copy is hereby furnished ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is bled with the county building Inspection ADDRESS department NUMBER FIXTURE OR REM ® FEE LOCALITY Dale Applicant WATER CLOSET NEAREST i CERTIFICATE OF EXEMPTION FROM WORKERSBATH TUB CROSS ST eA COMPENSATION INSURANCE - ASSESSOR '^ (Thu section need not be completed if the work Involved by the SHOWER MAP BOOK S 6 AGE PARCEL 15 permit is for one hundred dollars($700)or lets) OWNER I certify that in the performance of the work for which this permit LAVATORY is issued I shall not employ any parson In any manner so as toMAIL become subject to the Workers Compensation Laws SINK _ ADDRESS r DISWASHER CRY TEL NO Date Applicant CLOTHES WASHER CONTRACTOR NOTICE TO APPLICANT It atter making this Certificate of Exemption you should become subject to the Workers Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code you must forthwith comply with such ADDRESS provisions or this permit shall be deemed revoked LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY y TEL NO } I hereby affirm that 1 am licensed under provisions of Chapter 9 WATER HEATER d (commencing with Section 7000)of Division 3 of the Business and STATE LIC Q Professions Coda and my license is in full force and effect GAS SYSTEM OUTLETS o-t� LICENSE NO CLASS 8 OUTLETS OVER DISTRICT NOn PROCE S P SYSTEM License Number Lic Class H FINAL i VALIDATION W DATE d FINAL Z Contractor Date a- ❑ I em exempt under Sec BY B 8P C for this reason Plan check fee ' 1 Date Signature PLUMBING PERMIT ISSUING FEE$ q7 ❑ ` ( TOTAL FEE Plan chat applicant =i SINGLE FAMILY HOME OWNER BUILDER DECLARATION Name i I hereby affirm that I am exempt from the Contractors License Lew ACCT.f for the following reasonl(Section 7031 5 Business and Professions Addr 9 Coda) A—/ Gny Tel No 1�ITEI7= IrX1'I I as owner of the property will do the work and the structure 4-0 . 65 LL is not Intended or offered for sale (Section 7044 Business - TOTRL 'tQ w Oc and Professions Code) ` , _ CONSTRUCTION LENDING AGENCY - CHECK 4l1,`c I hereby affirm that there is a construction lending agency for the i CHANGE ,I!O performance of the work for which this permit is Issued (Sec 3097 - Civ C) Lender a Name v - _ OOQO-CICK11 5121 >" 13-66 J 1 AM ":1? 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 i and State laws regulating Plumbing and hereby authorize representatives of this County to enter upon the above mentioned property for Inspection purposes aa _ SEE REVERSE FOR EXPLANATORY LANGUAGE r i �ture o66 Date ' /o��Dat� ' /