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Home My Public Portal About6251 PRIMROSE AVE_Plumbing__ 7eAG ' " U"80 'a APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS.ANGELES �L U M m I N G 1 WILLIAM J. FOX. CHIEF ENGINEER • . FOR APPLICANT TO FILL IN' DISTRIC�T,NO. GROUP ZONEPERMIT NO. , INC. . I ( -7--:�7ys )--jr PLUMBERRECEIVED BY READY FOR' DATE-ISSUED p.�] pV�� FIRST INSPECTION 7'to _67 ADDRESS ALHAMBRA, CALIFORNIA BUILDING CITY TEL. NO. ADDRESS COUNTY LOCALITY LICENSE NO. EXPIRES 6-3n—sp NEAREST PERMIT FEES CROSS ST. TEMPLE CITY BLVD.. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MEEKER LAID CO. MAIL 3612 E. LEVE OAK Ave. WATER CLOSET (TOILET) @ 0.50 $ rj0 ADDRESS BATH TUB @ 0.50 50 CITY kRCA011A, CALIFe TEL. NO. SHOWER @ 0.50 50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50so APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO, COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK ® 0.50 STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 snANGE CO LIC SE. OR 1 M THE LEGAL OWNER OF AL OPERPLPOCRIBED OVE. GAS SYSTEM—OUTLETS @ 0.50 S WATER HEATER @ 0.50PERMITT SLOP SINK @ 0.50' INSPECTION RECORD FLOOR SINKa O.SO FLOOR DRAIN @ 0.50 ti• DISHWASHER @ O.SO DRINKING FOUNTAIN @ 0.501 URINAL @ 0.501 J HOUSESEWER @ 0.501 Q Z MISCELLANEOUS A7 z- 1 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING 'i,A !e�" GAS PIPING ' ,1 GAS VENT CESSPOOL @ 1.001 CESSPOOL SEPTIC TANK: , SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER �+ PERMIT . 1.00 GAS TEST TOTAL FEE• I g I 5 00 J/ UTILITY CO. NOTIFIED ��JI I FINAL t�:-1 ION irm thatR'have a certificate of consent to ,AG678DPW 9/89 APPLICATION F®® PLUMBING PERMIT 1 hereby affirm that I have a certificate of consent to self insure, X0/'1 1� Il �J ® f+ or a certl0cate of Worker's Compensation Insurance, or a certified popy thereof(Sec.3800 Lab.C.) , I " Policy No. Company COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. � _. •� ❑ Certified copy is hereby.furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ❑ ADDRESS Certified copy Is filed with the county building Inspection department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date ApplicantWATER CLOSET �S NEAREST / CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' / BATH TUB ASSESSOR COMPENSATION INSURANCE (This section need not be completed If the work Involved by the SHOWER MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or less.) / LAVATORY / OWNER �' / I certify that in the performance of the work for which this permit a� r Is Issued, I shall not employ any person in an manner so as to MAIL f � 0 y SINK ADDRES become subject to the Workers'Compensation Laws. ' / DISWASHER CI � TEL.NO.3/J Date Appl n CLOTHES WASHER CONTRACTOR `✓� NOTICE TOAPPLICANT: er making this Certif' of 0,01 Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR ADDRESS provisions of the Labor Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. . LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.NO. > I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER CL STTE LIC. (commencing with Section 7000)of Division 3 of the Business and GAS SYSTEM OUTLETS CENSE NO. CLASS Q Professions Code,and my license is in full force and effect. OUTLETS OVER DISTRICT NO. PROCESSED BY )Z 5 PER SYSTEM �b C License Number Lic.Class FINAL p� LIDATION a i DATE [ Contractor Date r.. Ui AL _.5 r n ❑• I am exempt under Sec. BY w.:f -. B.&P.C.for this reason Plan check fee ® j j V Date: : r Signature PLUMBING PERMIT ISSUING FEE$ �` S ;i_L(Y[;_ 132=9�_ --= ❑ TOTAL FEEr'•i; 1 �3 SINGLE FAMILY Plan check applicant iy srwy1j HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031.5, Business and Professions Address c 1s /L Code): UU —ULI4 4 ,A,Z City Tel.No. y I,as owner of the property,will do the work and the structure 42 �)� a � 9=sem° Is not intended or offered for sale(Section 7044, Business 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.) 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 laws regulating Plumbing, and hereby authorize representatives of this County to enter u on the above-mentioned �rt rInspection purpose j�Z01 SEE REVERSE FOR EXPLANATORY LANGUAGE i Signature of Permittee Dat ION WORKER'S I have a certificate of consent to 276BAAS67A DPW Slag APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self insure, yr.a certificatg,of Wo`rker's Compensation Insurance, or a certified coq,,thereof(Sec.3800 Lab.C. (i(,lj � 7 (/2 � `�� COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS ' PEPT.OF PUBLIC WORKS DIV,- P01414A Co pany ❑�ertlfied copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING �S � 0 Certified copy Is filed•with the county building inspection ADDRESS J department. �1 �n NUMBER FIXTURE OR ITEM ® FEE Te Date � /v-�� A licarit 06 A/� A I/t LOCALITY • PP WATER CLOSET NEAREST •+ , (/ CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the work involved by the SHOWER MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or less.) LAVATORY OWNER (/ I certify that in the performance of the work for which this permit _ � / is Issued, I shall not employ any person In any manner so as to SINK ADDRESS S ,�/ Y//(f�rU`� become subject to the Workers'Compensation Laws. DISWASHER CITY TEL.NO. 7G/ Date Applicant NOTICE TO APPLICANT: If, after making this Certificate of CLOTHES WASHER CONTRACTOR Q`( A Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR ADDRESS / /V provisions of the Labor Code,you must forthwith comply with such .v 0t provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM n� / LICENSED CONTRACTORS DECLARATION CITY �!�N EL.NO.� _ [)V a I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER 'Q (commencing with Section 7000)of Division 3 of the Business and GAS SYSTEM OUTLETS LICENSE NO. LIC. C�� V Professions Code,and my license Is in full force and effect. OUTLETS OVER DISTRICT NO. PROCESSED BY Q //�� 7 i-- /- 5 PER SYSTEM ` r O License Number cA�33 i Lic.Class L2 a U FINAL VALIDATION W �1 DATE ' lill Contractor Bate 3v Z' IL ❑ I am exempt under Sec. FINAL Z BY BAP.C.for this reason Vit:;:t a PIL;tn check fee Date: �' ;t-I( 119.771 Si nature PLUMBING PERMIT ISSUING FEE$ _ g 1 } I�E',.IS ❑ TOTAL FEE Q _ ' Plan check applicant !.5 jI1 � 9- 3Ls SINGLE FAMILY r CHECK L J i Lill HOMEOWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Law r).ajS'F� E for the following reason(Section 7031.5, Business and Professions_ .Address , �'' Code): City Tel.No. El1,as owner of the property,will do the work and the structure �s-:'O_; is not intended or offered for sale(Section 7044, Business and Professions Code). ® 3393 AM -M;,+ 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.) 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 laws regulating Plumbing, and hereby authorize repres t tives of this County to enter upon the above-mentioned pro I�rinspectior SEE REVERSE FOR EXPLANATORY LANGUAGE SignatDate