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Home My Public Portal About5924 RENO AVE_Plumbing__ 76A667 DOB 17 7_57 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY i COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER O. GROUP FOR APDIRIPLICANT,TO FILL IN I �® O r l r7l PLUMBER-A¢j��: yrL �_ �KV' '��rj ��i�i�' READY FOR DATE ISSUED '� Y . R EIVED BY FIRST INSPECTION 'S ADDRESS OE/u'�d ��►f�+>n ems, BUILDING �8 CITY �� (�/.� TEL No. /4e�si fd ��f A�3 ADDRESS ``� / f 3/ �ti� COUNTY E N0. rf a EXPIRES lr\ G-�� c�' 1 LOCALITY NEAREST V PERMIT FEES f / I CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE I OWNER MAIL WATER CLOSET(TOILET) @ 0.50 $ ADDRESS / BATH TUB 0 0.50 I CITY TEL No. SHOWER ® 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 i AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER ^UTLET9 ® O.BO OF THE RESIDENT'I}�/►)L�PROPERTY DES/CCR`IBED ABOI/dVE. GA9 SYSTEM ` WATER HEATER 0.50 'SIGNATURE RMIT7 EF !� `+- SLOP SINK @ 13.50 INSPECTION RECORD FLOOR BINK Q 0.50 FLOOR DRAIN 13.59 + DISHWASHER Q 13.''50 DRINKING FOUNTAIN Q 0.50 URINAL Q 0.50 Q HOUSE SEWER 13.50 _Z MISCELLANEOUS R It _ - O APPROVALS DATE INBPEOTOR-8 NAMM ROUGH PLUMBING Z<L IR GAIN PIPING GAB VENT CESSPOOL Q 1.00 CESSPOOL SEPTIC TANKi I SEPTIC TANK DRAIN ( ) PIT ( ) 7.00 I SEWER PERMIT . . . . . . ; BAS TEST TOTAL FEE UTILITY CO.NOTIFIED FINAL WORK fR'S COMPENSATION DECLARATION i60026 PW 9189 "I'hdfeby affirm that I have a certi(icategf consent to self Insure, APPLICATION FOR PLUMBING PERMIT or a.certi leate of Worker's Compensation Insurance,or a certified copathereof(Sec.3800 Lab.C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT:OF PUBLIC WORKS DIV'. Policy No. Company I ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ❑ Certified copy is filed with the county building inspection ADDRESS l department. NUMBER FIXTURE OR ITEM ® FEE - - LOCALITY Date Applicant WATER CLOSET D NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' CROSS ST. COMPENSATION INSURANCE BATH TUB ASSESSOR (This section need not be completed If the work involved by the SHOWER MAP BOOK PAGE PARCEL permit is for one hundred dollars($700)or less.) d OWNER I certify that in.the performance of the work for which this permit LAVATORY Is Issued, I shall not employ.any pars n any man o as to MAIL become subject to a Workers' mp on La SINK ADDRESS 6q011 XlAe4gV19 /] r 000 DISWASHER CITY TEL.NO. Date 6 Applicant CLOTHES WASHER CONTRACTOR NOTIC TO PLICANT: If, after king this Certiflc a of Exempts n,yo 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 TEL.NO. I hereby affirm that I am licensed under provisions of Chapter 9• WATER HEATER d (commencing with Section 7000)of Division 3 of the Business and STATE LIC. V Professions Code,and my license is in full force-and effect. GAS SYSTEM OUTLETS LICENSE NO.. CLASS OUTLETS OVER $TRIQ ROCES BY' 5 PER SYSTEM UU Q License•Number Lic.Class t U FINAL � —�� VALIDATION W Contractor Date r/1/r1 ❑ I am exempt undeFSec. gywl /�!y B.&P.C.for this.reason Plan check fee pop , Signature PLUMBING PERMIT ISSUING FEE$ ❑ TOTAL FEE ^ SINGLE FAMILY Plan check applicant 5 HOME OWNER-BUILDER DECLARATION Name. a I hereby affirm that I am exempt from the Contractor's License Law for the following reason(Section 7031.5, Business and Professions Address07 35.E Code): Ell] City Tel.No. 1•ITEMS I-" ;as owner of the property,will do the work and the structure is not Intended or offered for.sale(Section 7044, Business TOTAL ,5 m 50 and Professions Code). , CHECK 35.50 CONSTRUCTION LENDING AGENCY �•�;�,f1AN` �y I hereby affirm that there is a construction lending agency for the CHANGE .130 l 30 performance of the work for which this permit is issued(Sec.3097, Civ.C.) Lender's Name OWN= 7/23/90 19810 1 AM 7:24 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'd State laws regulating .Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned property,for Inspection purposes., SEE REVERSE FOR EXPLANATORY LANGUAGE WORKERS'COMPENSATION DECLARATIONI 1 1111111lii. APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate o1 consent to self 76A667A insure, or a certificate,of Workers'Compensation Insurance,,'. CE 817(REV. 10/81) or a certified copy,thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company I ' Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING / IJ Certified copy is filed with the county building inspec- ADDRESS tion department. NUMBER FIXTURE OR ITEM ® FEE /J , LOCALITY Date Appll4cmt WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' I BATH 7UB CROSS ST.. COMPENSATION INSURANCE OWNERW,5 ` '� (.This section need not be.completed if the work Involved by l SHOWER �✓ O the permit is for-one hundred dollars $100 or less. MAIL P ( ) ) I LAVATORY ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ an erson in any manner, SINK CITY TEL.NO so as fob come subject to the Wor Co. e sation Laws. I DISHWASHER rev CONTRACTOR Op Date pplicant CLOTHES WASHER w.� ADDRESS NOTICE T A LICANT: If, after making this Certificate of i VJ Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR CITY TEL. NO. Compensation provisions of the Labor Code, you must forth-,I LAWN SPRINKLER SYSTEM with. comply with such provisions or this permit shall be s STATE Z>1 LIC. deemed revoked. WATER HEATER LICENSE,NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 n GAS SYSTEM OUTLETS (commencing with Section.7000) of Division S of the Business OUTLETS:OVER and Professions Code,and•m I"icense is in.full-force and effect. it S.-PER SYSTEM' y FINAL ��" � S -94 VALIDATION U License Number Lic. Class `) Contractor Dote 'BY El „ LU I am exempt under Sec. IL,I H B',&P.C. for this reason ► z Plan check fee Date: PLUMBI.N.G PERMIT ISSUING FEE$ ' .Signature ;� i TOTAL FEEy� 6.A Plan check applicant UJ ;. 0,0 0 0 0 SINGLE FAMILY HOMEOWNER-BUILDER DECLARATION I Name 1.hereby affirm that.I am exempt from the Contractor's License I Address Law for the following,reason (Section 7031;5, Business and Professions Code): City Tel. No. 3 4,F❑ I, as owner of the property, will do the work and the o 0 0 b C C structure is not intended or offered for sale (Section i 7044, Business and.Professions Code): . C17—F3 CONSTROCTION 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 j ordinances d State laws regulating Plumbing, and hereby 1 authorize rese ti.ves of this County to enter upon the above- ion . z� operty for-inspection purp ses. 1 I SEE REVERSE FOR EXPLANATORY LANGUAGE I01 _7 I ignature of Permittee Dq6e