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Home My Public Portal About6323 SALTER AVE_Plumbing__ 76A667 OBS 17 11-50 t APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT RD . PLUMBER iR IVED BY READY FOR FIRST INSPECTION D�`±E ISSUED ADDRESS BUILDING a S CITY TEL,No. ADDRESS COUNTY LOCALITY LICENSE NO. EXPIRES NEAR a IZE PERMIT FEES 0BT.CR9B ii..A.✓14 �/ ./s%-/IJ NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER s-•--.--.�--�—•- ryMAIL sV WATER CLOSET(TOILET) 0.50 6 ADDRESS f .e—ri,�1► 7 ,�/ BATH TUB 0.50 Q CITY ' / 7- TEL No. SHOWER 0.50 Q 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) 0.50 Q APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK 0 0.50 AND STATE LAWS REGULATING PLUMBING. 13.513I CERTIFY THAT I POSSESS THE ABOVE VALID LOB LAUNDRY TUB OR TRAY ®AO ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAB SYSTEM.-T OUTLETS 0 0.50 WATER HEATER @ 0.50 0� 91GNPA RMITTE S ol -OLL6 OP BINK 0.50 l � � �nFSPECTION RECORD f" FL OR SINK 0.50 AS OUR DRAIN 0.50 �AA C''gwe;P. Md5 i 10 + DISHWASHER Q 0.60 u'7" &j=Jw xz'/w7'.�0 o G,os DRINKING FOUNTAIN @ 0.60 ! � .a/e-. URINAL @ 0.50 J Q HOUSE SEWER @ 0.50 MISCELLANEOUS 19 O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING ,/ GAS PIPING10 '/4''leJ� � ew, GAS VENT CESSPOOL @ 1;00 CESSPOOL SEPTIC TANK? SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT 1.0o GAS TEST UTILITY CO.NOTIFIED TOTAL FEE S FINAL 76A667 (CE-817)-4/72 'r- //J ='A__1 APPLICATIO OR PL BINE PERMIT COUNTY OF LOS ANGELES . 'fl DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING MAKE CHECKS PAYABLE TO: ADDRESS (i HARVEY T. BRANDT, COUNTY ENGINEER LDDRE OC A LI FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST fir- I✓ NUMBER FIXTURE OR ITEM @ FEE CROSS ST. WATER CLOSET 1,75 OWNER BATH TUB 1.75 ADDRESS -30 _:aP CTE/ SHOWER 1,75 CITY TEL. NO. LAVATORY 1.75 CONTRACTOR SINK 1.75 ADDRESS DISHWASHER 1.75 CITY TEL..N0. CLOTHES WASHER 1.75 STATE LIC' LICENSE NO. CLASS SWIMMING POOL.RECEPTOR 1.75 DISTRICT NO. GROUPVO NE OC ES D B. LAWN SPRINKLER SYSTEM 1.75 /� rJ r WATER HEATER 1.75 075 INDUST�iIAL �J_ WASTE PPROVAL GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD v OUTLETS OVER 5 PER SYSTEM 30 O " fq Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 " TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant . UNDER SLAB WORK Name Q L/J� �� ROUGH PLUMBING Address �p•s� + �L`i;' . GAS PIPING _ .� City Tei. No.�O �j GAS VENT HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING' PLUMBING. GAS TEST I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED ' LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE-IN THE ABOVE DESCRIJLEO RESIDENTIAL PROP RTY. FINAL SIGNATURE OF PERMITTEE &6we!-ok PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH 4 5 O&WO 23 5 0 6. 0 AW 76A667-CE817=8-57 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS ..1-f IOHN A. LAMBIE. COUNTY ENGINEER CASSATT D. GRIFFIN, suer of BUILDING LOCALITY �v� v FOR APPLICANT TO FILL IN NEAREST CROSS ST. C7 ,e®,--:P e NUMBER FIXTURE OR ITEM OWNERneb WATER CLOSET it .rlP,fJQ BATH TUB ADDRESSSHOWER CITY � TEL.NO. B)7-7�XI LAVATORY CONTRACTOR c�p,.r Al em �� r' l , `I a SINK ADDRESS DISHWASHER CITY TEL.NO. LAUNDRY TUB CONTRACTOR'S STATE El REGISTRATION NO. COUNTY CLOTHES WASHER DISTI`12_T VO. GROUP ZONE READY FOR INSPECTION WATER HEATER VVIftA GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD 017– Soy "S I �-) A,; r APPROVALS /j @ $1.00 PER ITEM ry DATE INSPECTOR'S SIGNATURE OR FIXTURE $ �V v UNDER SLAB WORK ROUGH PLUMBING PERMIT 5 1100 GAS PIPING TOTALFEE sl air GAS VENT I HEREBY ACKNOWLEDGE THAT 1. HAVE READ THIS APPLICATION HOT WATER HEATER Al AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ,j. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST �� b LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF - CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. � y�Ff SIGNATURE OF PERM ITTEE --+� _A d a �trG :�' FINAL Og VALIDATION ROBERT A. WOOD, SUPERVISING MECHANICAL ENG'R CK. M.O. CASH ' L&4 5 2.1 8.0 SEP 5 5 A 5.00 ION 2D6002 WOthat I have a certificate of consent to ;� 7MG6aDPW9la9 APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self Insure, 76A687A or a ceftificate of Worker's Compensation Insurance,or a certified copy thereof(Sec.3800 Lab.C.) , Policy No. Company Q6-Me _ice 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 �� XCertified copy is filed with the county building Inspection ADDRESS department., aes NUMBER FIXTURE OR ITEM ® FEE LOCALITY a Date//.)--0 Applicant r !. WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. MINJ COMPENSATION INSURANCE ASSESSOR (This section need not be completed If the work Involved by the SHOWER MAP BOOK ?j PAG PARCEL G permit is for one hundred dollars($100)or less.) LAVATORY OWNE. a S I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to SINK �, ADDRESSire 3 7,7'3p �� ^ become subject to the Workers'Compensation laws. DISWASHER CITY TEL.NO, ,_/'� Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of CONTRACTORP^TC , v 'V ) Lte% ADDRESS 9 Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM �G y LICENSED CONTRACTORS DECLARATION EL.CITY �C TNOG WATER HEATER G I hereby affirm that 1 am licensed under provisions of Chapter 9 ' STATE LIC. (commencing with Section 7000)of Division 3 of the Business and GAS SYSTEM OUTLETSLICENSE NO. W CLASS r:�P_ 0 Professions Code,and my license is in full force and effect. ,. 625 0 OUTLETS OVER DISTRICT NO. PROCESSED BY i 5 PER SYSTEM . /C License Number L Lic.Class 1 ✓-!/ .t FINAL VALIDATION t&9 Contractor L.6;tea., Date / `L DATE Z Z in, ❑ 1 am exempt under Sec. FBINAL • i'�f.•rr�u 3 BAP.C.for this reason Date Plan check fee Signature PLUMBING PERMIT ISSUING FEE$ 1 ;74757 ❑ TOTAL FEE' ., • . TOTAL Q 2 c `:"s_r. SINGLE FAMILY Plan check applicant CHECK !'712 95 HOME OWNER-BUILDER DECLARATION Name•*' "� '►, i 'i)I,- �j_1 I hereby affirm that I am exempt from the Contractor's License Law „ for the following reason (Section 7031.5, Business and Professions AddressS GC Code): F1k, w-- 4a Tel.No.Zf7�,Z i'eiy .''r�:'�_` I,as owner of the property,will do the work and the structure Is not intended or offered for sale(Section 7044, Business ® .r a 34 RI'.L4..tir i s and Professions Code). 1 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 represeritatives of this Co ty to enter upon the above-mentioned ro action SEE REVERSE FOR EXPLANATORY LANGUAGE S gnature'of Permittee / Date