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Home My Public Portal About9471 PENTLAND ST_Plumbing__ >Bwee>A Ice B''APPLICATION FOR PLUMBING- PERMIT 1 r BUILDINGA SAFETY DIVISION FOR APPLICANT TO FILL IN PRINT OR TYPE) -BUILDING NUMBER FIXTURE OR ITEM ® FEE ADDRESS WATER CLOSET LOCALITY BATH TUB` NEAREST CROSS ST 0100e- SHOWER OWNER A LAVATORY MAIL ADDRESS C SINK CITY TEL NO s" DISHWASHER CONTRACTOR CLOTHES WASHER p ADDRESS SWIMMING POOL RECEPTOR CITY NO LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER _Z% LICENSE NO CLASS / GASSVSTEM OUTLETS DISTT NO GROUP NE P ESSED V OUTLETS AVER v` v _, 5 PER SYSTEM INDUSTRIAL d 1 WASTE APPROVAL O INSPECTION RECORD V ImO , Nd Z Plan check fee — PLUMBING PERMIT ISSUING FEE$ TOTAL FEE r� Plan check hcont Name APPROVALS DATE INSPECTOR SSIGNATURE , UN DER SLAB WORK Address ROUGH PLUMBING 7 Cay Tel NO GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GASVENT 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 I AM PROPERLY REGISTERED AHD/OR LICENSED AS PLUMBING FIXTURES ' REQUIRED BY LOS ANGELES COON"AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED SIGNATURE T ' OF PERM ITTE FINAL ' PLAN CHECK VALIDATION crc MO CASH T PERMIT VALIDATION M O CASH 0 i14'�MAY 4 5 11110.5 9EA"7 n ESM RETO T AS APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 ( WILLIAM J FOX, CHIEF ENGINEER DISTRICT NO. PF RMIT NO. FOR APPLICANT TO FILL IN I O 3� PLUMBER RECEIVEDBY 'READY FOR DATE ISSUED FIRST INSPECTION ADDRESS CI TEL No JOB ADDRESS COUNTY LI EN9E NO EXPIRES {L LOCALI I CERTIFY THAT 1 POSSESS THE ABOV LID LOB NEAREST ANGELES COUNTY LICENSES CROSBBT OWNER MAIL ADD EBB PERMIT FEE IS $1FOR THE FIRST FIXTURE OR CITY TEL No ITEM L BTED BELOW, S SOO FOR EACH ADDITIONAL 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROP- ITEM FOR EACH SEPTIC TANK AND PIT OR GRAINFIELD ERTY DESCRIBED ABOVE Si OO MINIMUM FEE FOR ANY PERMIT !$100 EACH GAS SYSTEM IS A SEPARATE ITEM OWNER NUMBER TYPE OF FIXTURE OR IYEM WATER CLOSET (TOILET) CORRECTIONS BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN BINK LAUNDRY TUB R TRAY GA H SYSTEM OUTLETB WATER HEATER SLOP BINK Q FLOOR SINK Z FLOOR DRAIN DISHWASHER O DRINKING FOUNTAIN URINAL MISCELLANEOUS APPROVALS DATE INSPECTOR 9 NAME ROUGH PLUMBING 1 OAS PIPING GAB VENT CESSPOOL SEPTI TANK - DRAIN ( ) PIT ( 1 SEPTIC TANK CESSPOOL $ SEWER HOUSE SEWER S ' GAB TEST TOTAL FEE UTILITY CO NOTIFIED FINAL I I A DO. 7"ee APPLICATION FOR PLUMBING PERMIT 1 DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles BUILDING ��jj ��)) JOHN A LAMBIE COUNTY ENGINEER ADDRESS ��/Z/e-/V CABSATTD GRIFFIN, 6UFTOF BUILDING LOCALITY TYM Cl FOR APPLICANT TO FILL. IN NEAREST CROSS ST OWNER s , PS DIST NO GROUP ZO/ I READY FOR INSPECTION MAIL ADDRESS CITY re- le e-; TEL NO INDUSTRIAL WASTE APPROVAL PLUMBER RA \ INSPECTION RECORIp 1 ADDRESS e I 1 .f lJ ^ + 1 iA� CITY U TEL NO O " I1 ^ 1`1�T- I" LICENSE NO NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1 00 S / BATH TUB @ $1 00 SHOWER @ $1 00 LAVATORY (WASH BASIN) @ $100 KITCHEN SINK $100 DISHWASHER $I 00 LAUNDRY T UBORTRAY @ $100 CLOTHES WASHER @ $100 WATER HEATER @ $I GO GAS SYSTEM @ $100 APPRQVALS ATEI INSPECTOR S SIGNATURE UNDER BLAB WORK lad PERMIT JJ.. ROUGH PLUMBING Sc. f 7 00 G OO GAS PIPING TOTAL FEE GAS VENT 1 HEREBY ACXNOWLEDGE THAT 1 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 PLUMBING FIXTURES I I) L 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 UTILITYCO NOTIFIED DESCRIBED RESIDENTIAL PROPERTY SIGNATURE OF PERMITTEE FINAL JOHN A LAMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR ' 9M5 4 -7 AUG23 3 6.00 n WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self in- 6ADPW 4/87 sure,ora certificate of Workers Compensation Insurance,Ora CE 817(REV. 8/86) certi4�7co[py�7th–e-r^eoof (Sec. 3800, Lab. CC..[) PolidXZ/Company S/Ty'1� ✓.� COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING - 7� / D Certified copy is filed with the county building inspection ADDRESS department. LL/-- NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date —� / Applicant �T�E/7 WATER CLOSET(TOILET) NEAREST � - 1 C CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER .570AI I (This section need not be completed If the work Involved by MAIL Q L the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS / I certify that in the performance of the work for which this per- SINK mit is issued, I shall not employ any person in any manner so CITY (�,`)( TEL 1401.p7_71`:?, as to become subject to the Workers Compensation Laws. � � DISHWASHER CONTRACTOR w a. Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR / emption,you should become subject to the Workers'Compen- CITY tea vow TEL. N 3s6 Cj 3 sotion provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEM ly with such provisions or this permit shall be deemed revok- STATErr UC. /) ed. WATER HEATER LICENSE NO. u/S J CLASS [7 LICENSED CONTRACTORS DECLARATION DI TRI T ROCESS ev I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER r and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL V IDA IN d feet. //�� DATE License NumberufS Lic. Class S� V �� 2..^ FINAL Q Contra Dote 5FZ BY J A OF U am exempt under Sec. a B.BP.C. for this reason Plan check fee , 2 Date: PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE SINGLE FAMILY Plan check applicant t: HOME OWNER-BUILDER DECLARATION PP 1 hereby affirm that I am exempt from the Contractor's License Nome etW ACMAT Low for the following reason (Section 7031.5, Business and Professions Code): Address /- J ��rs �1[J (� JJV7 iax(�) I, as owner of the property, will do the work and the City IQA1004A Tel. No.33 6637 1 ITF structure is not intended or offered for sale(Section 7044, t G t� Business and Professions Code). , TOTAL 28.00 CONSTRUCTION LENDING AGENCY C4CK 28.00 I hereby affirm that there is a construction lending agency for - ff >� the performance of the work for which this permit is issued .00 (Sec. 3097, Civ. C.). Lender's Name OOOD-0001 2/14/90 Lender's Address 0.942 1 AM 9'32 1 certify that I have read this application and state that the ► above information is correct. I agree to comply with all County ordincincris and State lowp regulating Plumbing, and hereby outhorizifrepresentoti of this County to enter upon the o antioned pr rty for inspection p177114 90 SEE REVERSE FOR EXPLANATORY LANGUAGE S`gnature of Permittee Date