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HomeMy Public PortalAbout9442 PENTLAND ST_Plumbing__ 76AryIFAIce6178) rr/%e , APPLICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION I' /, FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESILDIN [:� ry��,/� NUMBER FIXTURE OR ITEM ® FEE WATER CLOSET LOCALITY T�' �'- NEAREST BATHTUB CROSS ST SHOWER — OWNER �} /2J` IOWA) G LAVATORY MAIL 3 ADDRESS �/ ��� D SINK CITY F�rE tf/ TEL NO DISHWASHER CONTRACTOR /, CLOTHES WASHER ADDRESS 7 , �r6 /s 2- SWIMMING POOL RECEPTOR CITY 64)^ / TEL NO 13 — AWN SPRINKLER SYSTEM , PA 6Zp. ATE LJC WATER HATER 3 LICENSENO Z 03-0CLASS GAS SYSTEM OUTLETS 3 DISTRICT GROUP ZONE PROCESSED BY OUTLETSOVER C.6JJT /�`? y 5 PER SYS(EM INDUSTRIAL 6 WASTE APPROVAL O INSPECTION RECORD V 7 O Plan check fee O PLUMBING PERMIT ISSUING FEE$ TOTAL FEE Plon check oppllconl Y,5�� Name APPROVALS DATE INSPECTOR SSIGXATURE '� UNDER SLAB WORK Addres (.J C.Z!-.�a ROUGH PLUMBING Cny �Il>>�7"� Tel No 3-�.326T GAS PIPING `I J HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING HOT WATER HATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITYCO NOTIFIED SIGNATURE �� OF PERMITTEE FINAL �Z AV PLAN CHECK VALIDATION CK M O' CASH PERMIT VALIDATION cK M O CASH 368fiMAY 18 5 © 19.50AZ�6 F """' 17 "N BEfe 74S Fr APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY PLUMBING 7 i COUNTY OFF LOS LOS ANGELES 9 WN J FOX, CHIEF ENGINEER INSTALLATIONNATURE OF D fu 6 P 1 I _ a� ,4 ROUGH FIXTURES COMPLETE HEATER GHHSPOOL 911PTIO TANK RECEIVED BY READY FOR DATE 1 U® FIRST INSPECTION APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY, eae Joa NAME ADOREDY B ADDRESS LOCAL J 2 O NEAREST S C TEL No CROSS ST COUNTY LICENSE NO BXPIRH6 S K NAME LOCATION OF SEPTIC TANK, OR OOL 2 MAIL �y ADDRESS NORTH O CITY TEL NO 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOB ANGELES COUNTY C¢RTIFI E OF OU TION PLUYEDI 1 AM THE LEGAL OW ER OF THE PROPERTY DESCRIBED ABOVE OWRG CORRECTIONS SOUTH J DESCRIPTION OF WORK i F8,ATH TUB FURNACE O OWBR DIBNWASHER D VATORY REFRIGERATOR TCHEN SINK WATER SOFTENER FLOOR BINK SANDTRAP LOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE ,I�M..O.�rKT011 0 MAMi _j___WAT¢R NEATER DENTAL LAVATORY ROUGH PLUMBING 9TER_3__GAS 00DA FOUNTAIN OUTL GAS PIPING OAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOO, SEPTICTANK SEWER f Qr0 UTILITY CO NOTIFIED ✓�"l�SSW TOTAL FEE INA DEPARTMENT OF COUNTY ENGINEER PLUMBING DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES I Bu1LDIND '/ ( WILLIAM J 'FO /X. COUNTY ENGINEER ADDREss Y `�.Z z FOR APPL NT TO FILL IN LOCALITY BUILDING NEAREST ADDRESS CROSS ST / DISTRICT GROUP I 20ME PERMIT M-0^ LOCALITY 9 IV NEAREST CROSS ST qq `^^` '' •__ee RECEIVED BY R.edY for IR,pE01IYA DATE ISSUED( OWNER /,(A,W �7 KA.fLII.0 of /O^/� MAILINDUSTRIAL ADDRESS 4'y 4 a WASTE APPROVAL CITY TEL No - L INSPECTION RECORD PLUMBER I /Y 1 ADDRESS CITY TEL NO 1' ❑STAT I ICENSE NO n COUNTY J ERMIT FEES i •UMBER TYPE OF FIXTURE OR ITEM F[C Q WATER CLOSET(TOILET) 0 S S IT O BATH TUB ® 080 SHOWER ® 080 _ LAVATORY (WASH BASIN) 0 SO KITCHEN SINK a 080 LAUNDRY TUB OR TRAY ® 080 SLOP SINK 080 FLOOR SINK 080 FLOOR DRAIN 4D 080 DISHWASHER 080 DRINKING FOUNTAIN ® OSO URINAL 080 GASSYSTEM OUTLETS Op 100 WATER HEATER' @ 100 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT s I DO ROUGH PLUMBING TOTAL FEE OO GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER r TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALZol THAT 1 AM THE LEGAL OWN- ER OF THE ABOVE S ENTIA PROPERTY UTILITY CO NOTIFIED SIGNATURE I OF PERMITTEE I D T 70A067 DBS 17 Cdb 12-33 '�_ 76AO07 CE4817 a eT I ' APPLICATION FOR PLUMBING PERMI(f COUNTY OF LOS ANGELES • DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIMION 'ADD c JOHN A LAMBIE COUNTY ENGINEER ADDRESS •� - COLEMAN W JENKINS SUPT OF BUILDING LOCALITY - FOR APPLICANT TO FILL IN 'NEAREST , CROSS ST NUMBER FIXTURE OR ITEM (EACH FEE 'OWNER WATER CLOSET 51 25 MAIL BATH TUB 1 75 ADDRESS SHOWER 175 CIN TEL NO Z 3G LAVATORY 125 CONTRACTOR SINE 175 ADDRESS DISHWASHER 175 (CITY TEL NO LAUNDRY TUB 125 (STATE LIC LICENSE NO CLASS CLOTHES WASHER 1 75 DISTRICT NO GR ZO E PR WATER HEATER ISD 'fir J GAS SYSTEM OUTLETS 15a INDUSTRIAL WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM 5G INSPECTION RECORD d CD U CD F- U W d h Z APPROVALS DATE INSPECTOR S SIGNATURE PERMIT S 2 OO UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE I CAS PIPING HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AHO STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER HEREBY CERTIFY THAT 1 AM PROPERLY REGI ERE AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFONIA OR THAT AM THE LEGAL OWNER OF AND INTEND RESIDRD E IN THE ABOVE ESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED SIGNATURE OF PERMITTE FINAL ? LIDATION JACK R 'ALLEN MSD CAB. SUPERVISING MECHANICAL ENGIR 0 9 3 5� SEP28 5 D 3.50- 0 1 7MBU-CM17 Sa _ APPLICATION FOR PLUMBING PERMIT, COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BaN.DINc -f.J ]OHN A LAMBIE CountT ..r ADDRESS CA9SATT D GRIFFIN Sup't of Bwldmg LOCALITY FOR APPLICANT TO FITS IN NEAREST ` CROSS Si NUMBER FIXTURE OR ITEM / OWNER �C WATER CLOSET MAII. BATH TDB ADDRESS / CITY TEL NO J SHOWER LAVATORY CONTRACTOR SINE ADDRESS Z� DISHWASHER CITY TEL NO .5""a 3 CONTRACTORS ETA LAUNDRY 1'ITB REGISTRATION NO UU CODNTY CLOTHES WASHER DIST,R{I�I'NO GROUP Z NE ,P ESSED BY WATER HEATER J f / i GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD YL - � e 0 -1 • n OD PER ITEM OR FATURE $ I APPROVALS DATE INSPECTOR SSIGNATURE PERMIT § 2 00 UNDER SLAB WORK 7X-(.o I-' TOTAL FEE ROUGH PLUMBING GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIA PROPERRTY UTILITY CO NOTIFIED SIGNATURE OF PERM ITTE FINAL G�i�3il. ) N.. ®r VAI.ID.RTIROSERT A WOOD QK R Q (1=--1 AIe SUPERVISING MECHANICAL ENG R 56ass JAN26 5 A 6.00 n 78AES7-CE817 353 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BtTR.DRtG 9 $, Pentland cr�ORN R. LAMBIE CmV, a ADDHFSS SSATr D cB1FFRr 9uPt 01 �Iamv LOCALITY Tempbe City FOR APPLICANT TO FILL. IN NEAREST CROSS ST Volk Carruthers NUMBER FIXTURE OR ITEM OWNER 0016 & Carruthers ` WATER CLOSET BATH TUB ADDRESS "8 Cal rave SHOWER CITY cgyinalz rEr. No LAVATORY CONTRACTOR m ILg CO. ears ADDRESS ee wood Pi . Glandura DISHWASM crTY TEL NO Ed 5-12 3 CONTRACTORS STATE ❑ LAUNDRY TUB REGISTRATION NO COUNTY 1 CLOTHES WASr1ER DISTR`ICTNO GROUP ZONE I PRqtESSED BY WATER HEATER V I GAS SYSTEMINDUSTRIAL WASTE APPROVAL INSPECTION RECORD O $1 00 PER ITEM OR FIZTURE b00 APPROVALS DATE INSPECTOR S SIGNATURE PERMIT b E OO UNDER SLAB WORK TOTAL FEE 3 ROUGH PLUMBING 2x. �'��!-. 4 GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAB VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES. LICENSED AS REQUIRED BY L S ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 A HE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL P PER UTILITY CO NOTIFIED SIGNATURE OF PERMITTE FINAL ` 114 -I iI.4,r'A ®. ATION ROBERT A WOOD c[ ■ 0 OAjyB SUPERVISING MECHANICAL ENG R lA�87484hPt g 5 A 3QQ m - WORKERS'I COMPENSATION DECLARATION r6AIOAI f� Ihereby affirm that I have a certificate of consent to self" ea sir la-rd) APPLICATION FOR PLUMBING PERMIT ,ILill insure or a Farhficate of Workers'Compensation Insurance or a ceiftfted copy thereof(Sec 3800 Lab C) COUNTY OF LOS ANGELES -77, `, BUILDING AND SAFETY , Policy No Company ❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING (y- ❑ Certified co NUMBER FIXTURE OR ITEM • 'ADDRESS copy is fled with the county building inspection FEE department WATER CLOSET LOCALITY Date Applicant NEAREST (� CERTI FICATC OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE SHOWER OWNERit, i T,9�y Ey ,]j� j— (This se permit MAIL perm is not be completed ll the work Involved LAVATORYADDRESS / / i by the [I for OTIC hundred dORer6 (SICU) Oi less) SINK CITYrf / C f TEL NO 0 1 certify that to th,. performance of the work for which this DISHWASHER CONTRAC OR U permit is issued, I shall not employ any person in any manner cc �so L bb ecoma ppil to the Wor� kers' Comps atlo CLOTHES WASHER ADDRESS F- Dateto a Ap hcant r SWIMMING POOL RECEPTOR (~j 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 WATER HEATER LICENSE NO CLASS Z with comply with such provisions or this permit shall be deemed resoked GAS SYSTEM OUTLETS DISTRICT NO�/ PRO ESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER 1 hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Bust FINAL 7--�' /` p� VALIDATION ness and Professions Code, and my license is to full force and DATE r0 0 effect License cense Number Lin Class FINAL BY Contractor Date ❑ 1 am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ �Q acting in my professional capacity (Section 7051 Bus mess and Professions Code) TOTAL FEE Sv Lic or Reg No Date Plan check applicant HOME OWNER BUILDER DECLARATION Name - i 1 hereby affirm that I am exempt from the Contractor's Address 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 with hi-ensed contractors to construct the project (Section 7044 Business and Professions Code) :2 4 65 61A CONSTRUCTION LENDING AGENCY # • • • • • 5 I hereby affirm that there is a construction lending agency , for the performance of the work for which this permit is 2 • • 1' 2 5 0 issued (Sec 3097,Civ C) Lender's Name i a - • 1 2 5 0 5 Lender's Address 0_'6,'2'9—8 2 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 Stale laws regulating Plumbing and hereby authorize representatives of this County to enter upon the above mentioned property for inspection purposes — ,(6d- & -21'41 Signature of Permittee Dale L ` • 'WQRKERS COMPENSATION DECLARATION w,mA :=,APPLICA'TION FOR PLUMBING PERMIT, s-I heTel*afflrm that I Wave a l nficate 6Nconsent to self in 'p X26 DPW 4/87 I or a certificate of Workers Compeh5ation Insurance or a ' CE 817(REV 8/86) terhfied copy thereof (Sec 3810 Lab C ) - k J "4Pohcy No •Comj`ny 'i '_ _ ? a) t-•-• '`< A..COUNTY OF LOS ANGELES - t DEPT OF,PUBLIC WORKS •. - �0 Certified copy is hereby furnished' r y FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ^Certified copy is filed with the county budding inspechan ADDRESS department 5• f.�' •'� NUMBER FIXTURE OR ITEM FEE, s LOCALITY _ !TE Date `+�r • +' Applicant -. - _ ._WATER CLOSET (TOILET) + " , NEAREST Cr, s e', ^* p B.gTH TUB- . ' � CR OWNER CERTIFICATE OF'EXEMPTION FROM WORKERS 'COMPENSATION INSURANCE SHOWEROWNERsiction'need not be completed d the work involved byfthe permd is for one hundred dollars ($100)or less ) iL4VATORYF � .�ADDRESI certify that in she performance of the work for wh ch this permit IS Issued I shall not employ any person ,n any manner so.0 1eySINK , _ CIas to%e<ome subject tO the Workers CompensationiLows ' Is DISHWASHER .+ b''9 J �� CONTRAC OR ' i9.Date Appbwn QOTHES WASHERNOTICE TO APPLICANT sIf, after making this C rf,cateaf,Ez ♦ ' ^ SWIMMING POOL RECEPTOR a ADDRES$,emption youshould become subject to the Workers Compen ' r .CI cotton proneons of the Labor Code,you must forthwith comp LgWN SPRINKLER SYSTEMly,w,ih such provs,onsror Ihuperm,t shall be deemed,revok r STATE •ed i ! ` o.ax • WATER HEATER ' LICENSE NO LICENSED CONTRACTORS DECLARATION + _ - DI TRICT NO _ I hereby affirm that I'a mlicensed under provts,ons,of Chapter - GAS SYSTEM OUTLETS ' .9(commencing with Section 7000)of D,v,sioA 3 of the Business' T OUTLETS OVER ;lc5 �1 Dv :5 ` and Professions Code and my license is m full force and of - 5 PER SYSTEM FINAL �i VALIDATION ' r fecf �I . - t _ DATE License Number L,c%Class O FINAL `.r , , 0 Contractor "Date - _ BY , - 0 Fl .,I am enempt under Sec = ' r d F 1 'y Z ° ' - • o ' + W B 8P C for this reason t ' Plan check fee ' y Z Date - 'FPLUME ING PERMIT•ISSUING FEE $ Poo. , „ 1 • ° t + Signature a -r � �. ,`" TOTAL FEE SINGLE'FAMILY -T HOME OWNER BUILDER DECLARATION R, 9 Plan check oppl,cant w "-! - • 4 `'• t , ' I hereby affirm that I am exempt from the Contm ractor s License ' " Nae •Law for the following reason (Section 7031 5' Business and, t ', —. w - 0r9,1 2.y 88 Professlons,Code) 1¢ s. .)'` + Address -`f• .4 s .. v y 7- I, as ,as owner of the property will do the work and the Gty Tel No - s structure,s not intended or offered,for sale(Section 7044'(. - ° Busmess'and Professions Code) '1 ; CONSTRUCTION LENDING AGENCY, o °�'� • - ' ° I hereby' ffvm'thaf there s a construction lending agency for is ', s r a a ix; r ^" J•( } + y, r +,. e ,. • the performance of the work for which this permit ,s sued 'y a ' • ' (Sec 3097 Civ C ) r - ' ,. -,' l *., a ( 4 r Li rF, !'.f.'{� h v _ a +•�, t, / .y q'' t •_ ' Lender s Name/ s ' ' R _ ' ' • V t+ !' - x t )/Leri Address •: - ,. ':• • w ,•,t'k " r a 0 , x I'<emfy that have'read this application and state 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 C my to enter upon the above-mentioned property for ,ns tion purposes ` SEE REVERSE FOR EXPLANATORY LANGUAGEY SignoNre of Perri4iiii Date r