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Home My Public Portal About6258 PRIMROSE AVE_Plumbing__ 78A687 DBS•I7 8•S9 APPLICATION ..FOR :PLUMBING PERMIT1 . DIVISION OF-BUMDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING F WM.J. FOX, COUNTY ENGINEER ADDRESS GASB D.GR)FFIN,SUPT OF BUILDING ; XPA LOCALITY p` t APPLIC T TO FILL IN ` NEAREST yy CROSS ST. AJir_�e- AV��_ OWNER .fr!6 'y ��9�I %1��- DISTRICT NO. GROUP ZONE READY FDR INSPECTION MAIL aa �// ADDRESS b <I/I�.C7ST I{f ., 1 �� ' CITY �rL,�ll� 'It INDUSTRIAL / ��a I TEL.NO.L L„l 3—S2,f0�3. _WASTE APPROVAL _PLUMBER s >' f" ' INSPECTION RECORD ADDRESS CITY TEL.NO. LICENSE NO. , NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN SINK A ,F-7'.Igr1Y DISHWASHER LAUNDRY TUB OR TRAY Y CLOTHES WASHER 1 zr' arc „ A - T1'f� TOTAL NO. @ 0.60. APPROVALS DATE INSPECTORS SIGNATURE. GAS-SYSTEM OUTLETS @ 1.00 UNDER SLAB WORK ® 100 WATER HEATER ROUGH PLUMBING. PERMIT S. 1 00 GAS PIPING —2 » TOT EE I a GAS VENT I HEREBY ACKNOWLEDGE T 1 HA E READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOV IS COR A D AGREE TO COMPLY WITH ALL COUNTY ORDIN CES A STA LAWS REGULATING PLUMBING FIXTURES PLUMBING. 1 HEREBY CERTIFY T T I P OPER REGISTER D AND/OR •GAS TEST LICENSED AS REQUIRE BY S AN ES 'OUNTY AN STATE,OF UTILITI!CO.NOTIFIED CALIFORNIA OR THAT TH GA NER OF HE ABOVE DESCRIBED RESIDENT PROPE Y. SIGNATURE OFFINAL `1)v �/Lw ZUX17�iRlLL• WILLIAM J. FOX.COUNTY ENGINEER VALIDATION R.A.WOOD.CHIEF PLBG.INSPECTOR . 5 •AC0.7 5 4 CIL n SEP 6. 3 3.4. 0 1� ✓ -J 76A567. APPLICATION FOR ,PL.lJi�01BI -PERMIT . qe5-17.9.95 DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles BL)ILDING �s y WM.J. FOX, COUNTY ENGINEER ADDRESS .1Fs !b. CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY ! e` OR-APPLICANT TO FILL IN CROSS sr. ,1 C- 'r. - OWNER C'-9414&b p. /C ��/ ,1= ! �/�i/ DISTRICT NO. GROUP fZQ�{�1 EJ READY FOR INSPECTION MAIL _ADDRESS -+ I✓J a7 k�L •I .�G."'/ INDUSTRIAL CITY � 7(�J,� /+r/7i/� TEL.NO. Z! -r'&y.l7•�Z. WASTE APPROVAL PLUMBER INSPECTION RECORD ADDRESS CITY TEL.NC. LICENSE NO. _ NUMBER TYPE OF FIXTURE OR ITEM - FEE , WATER CLOSET (TOILET) BATH TUB SHOWER _ ` LAVATORY.(WASH BASIN) ` �'� l 9'a F,,- •C1 KITCHEN SINK /J T /r!V ,F"rs� DISHWASHER - LAUNDRY'TUB OR TRAY CLOTHES WASHER TOTAL NO. (0 0.80 APPROVALS DATE INSPECTOR'S SIGNATURE GAS SYSTEM-1—OUTLETS' ® 1.00 ♦:• WATER HEATER 1.00 UNDER,SLAB WORK ROUGH PLUMBING PERMIT $ I 1 00. GAS PIPING TOTAL FEE O GAS VENT I HEREBY-ACKNOWLEDGE T HAV D THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOV IS C RR A AGREE TO COMPLY WITH ALL COUNTY ORDI NCES AN STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. 1 HEREBY CERTIFY_ T T I P OPERLY REGISTERED AND/OR GASTEST LICENSED AS. REQUIRE BY S AN S- OUNTY A STATE. OF CALIFORNIA.OR THAT I THE OWNER- THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENT PROPERT . SIGNATURE ! + OF PERMITTEE FINAL WILLIAM J.FOX,COUNTY ENGINEER VALIDATION R.A.WOOD.CHIEF PLBG.INSPECTOR- ;C6 9 0 2 Z P OCT 17 3 2.0 0 � 7BA667 (CE-817)-4/72 C APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT.OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO. BUILDING ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM FEE WATER CLOSET 1,75 OWNER , MAIL BATH TUB 1.75 .ADDRESS SHOWER 1.75 CITY TEL. NO. LAVATORY 1.75 CONTRACTOR �r 'L'��f �` SINK 1.75 5 ADDRESS / DISHWASHER 1.75 l sj C-ITY Lf �- TEL. N0 � s / CLOTHES WASHER 1.75 l �S STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.75 DISTRICT NO. GP Z E O ESSED BY LAWN SPRINKLER SYSTEM 1.75 Y WATER HEATER 1..75 '1 �j INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1.75. f v 1`� INSPECTION RECORD OUTLETS OVER Ct: 5 PER SYSTEM 30 // A p [� W Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE 'S APPROVALS D TE INS.PECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE. THAT THE ABOVE IS CORRECT AND AGREE T0.•COMPLY PLUMBING FIXTURESAll WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING }l PLUMBING. GAS.TEST , / I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED, If A LICENSED AS REOUIREDIVY LOS.,ANGELES COUNTY A STATE OF CALIFORNIA. OR THAT I THE GAL OWNER OF, D INTEND TO RESIDE IN THE.ABOVE DE RIB. RESIOEIAL PRO FI NAL SIGNATURE OF PERMITTEE PERMIT VALIDATIO CK. M.O. CASH PLAN CHECK V/ Cy ATION CK. M.O. CASH J 35.22` 5D 1175- V sNMIEr " S'So ® aAWT APSILMiLTION POR PE DUP n�AB � NUUMMG AMPLUMBING 1 Ooum OF LOS ANGEM WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DIST NO. GROUP ZONK PKRMRNQ. 67370- q WINTERBOTTOM BROS. INC. M F1.UMBSR REC IVSD BY READY FOR DATE MUM 1 WESTMINSTER AVE. FIRSTINNPECTION _ ADDRESS BUILDING CRY TSL. ADDS KNSpolsomee Ales, COUNTY 1 10 LOCALITY gMwr PEDW FSS �CRROSS ST. v NUNNO! Tvm OR PIRTUM ON ITEM •FEE 1 OWNER Y WATER CTAS TOI O.NO S ADDRKSN 3612 C O L IN OAK A I BATH TUN 0.8 C TY SHOWERa 0.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIN d LAVATORY WASH BARI 0.00 APPLICATION AND STATE THAT THE ABOVE IN CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK 0.00 STATE LAWS REGULATING PLUMBING. 1 CERi1FYT POSSESSE ABOVE VALID LOS + LAUNDRY TUB R TRAY 0.1110 ORG I NSE. AY TNS OWNER OAS SYSTIOL-1-OUTLLTS O.512 MdRA WATER HEATER 0.00 PERM SLOP SINK 0.00 MIPECT=REOM FIAOR SINK 0.110 FLOOR DRAIN 0.80 DINHWAIIIHER 0.00 DRINKING FOUNTAIN 0.80 ��► �" �] s URINAL 0.00 .J HOUNK NKWER 0.00 MISCKLLANEDUS O O y i7Ti pR viiia DATE INSP[CION'� HAIR ROUGH PLUMBING -T b GAS PIPING GAS VENT CESSPOOL 1.00 CESSPOOL SKPTIC TANKI SKPTIC TANK DRAIN ( ) PIT ( ) O 1.00 SKWKR PERMIT . 1.00 GAS TEST TOTAL REE N UTILITY CO. NOTIFIED ryo FINAL WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate.of consent to self 7GA667A insure, or a certificate of Workers'Compensation Insurance, Cl 817(REV. 10/81) or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES �r BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. I FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING r_1ADDRESS Certified copy is filed with the county building inspecf2 Z - tion department. NUMBER FIXTURE OR ITEM ® FEE LOCALITY Date Appligant I WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE OWNER (This section need not be completed if the work Involved by SHOWER the permit Is for one hundred dollars($100)or less.) I LAVATORY MAI ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person In any manner SINK CITY TEL.NO. so as to become subject to the Workers' ompensation Laws. DISHWASHER CONTRACTOR Dateica t CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, a ter making this Certificate of Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- C Y TEL. NS9 1�k LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STA LIC. deemed revoked. WATER HEATER LICENSE No-. 23.2L CLASS C 2-4)LICENSED CONTRACTORS DECLARATION DISTRICT NO. P ESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS U f/ (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER d y, and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINALDATE L'� VALIDATION License Number esce/ � ��/ZLic. Class ` 4P FINAL ' ` 2° f� R•! nol Date "' 7 I BY (� � am exempt under Sec. B.BP.C. for this reason /D• W) Plan check fee ► Date: PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE Plan check applicant ' ?697 A SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name if 0 0 0 0 I hereby affirm that I am exempt from.the Contractor's License gcldress cf o 6 C Law for the following reason (Section 7031.5, Business and Professions Code): City Tel. No. r, , 1 6 r ❑ I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section , V! 1 3—F,4 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 N1111.above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize epresentatives of this County to enter upon the bove- ntion rop rty f inspe tion purposes. 7./ 1 SEE REVERSE FOR EXPLANATORY LANGUAGE Si a ure oTFermittee Date.