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Home My Public Portal About5041 SANTA ANITA AVE_Plumbing__ D.B.B.77 25M SETS 7-47 A•PPLIC•TION FOR PE " DEPARTMENT OF BUILIDING. AND SAFETY COUNTY OF LOS ANGELES Wu.J:FOX.CHIEF ENGINEER NATURE OF INSTALLATION GESTRE G U . J,� p EP RM o,�g ROUGH FIXTURES COMPLETE � / / / . A / :1 �! HEATER CESSPOOL I�SEPTIC YANK RECEIVEC BY BY" -READY FOR DATE ISSUED f FIRST' INSPECTION J AS MISCELLANEOUS / 1 APPLICANT F�'I�L'L,/IN HEAVILY OUTLINED PJoe6ORTION ONLYj� K ovc NAMEp�!®tT8 a D, 1� �¢}y.J�)A� —ADDRESS � P g ADDRE1183. �7� ®�� ry LOCALITY �� e- 4404r. 0. NEAREST CITY4644 Wivevre 'TEL.NO. p /6 ROSS BT. COUNTY �� EXPIRES ��y S9p CBRT.NO. NAME �R✓ 74,0A., LOCATION OF SEPTIC TANS, OR CESSPOOL3 MAILADDRESS J elc NORTH O CITY. E?0J79t TEL.NOJg2b`®lf?2 I AM THE LEGAL POSSESSOR OF THE ABOVE LOS. ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLuMe6R I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. .s 3 OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK z ATH TUB FURNACE O ROWER DISHWASHER 13 _______LAVATORY REFRIGERATOR KITCHEN.SINK WATER SOFTENER FLOOR SINK BAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'B NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I ETEAS SODA FOUNTAIN GAS PIPING I OUTL GAS VENT I scomm CESSPOOL I I TOTAL NUMBER OF FIXTURES SEPTIC TANK I I CESSPOOL SEPTIC TANK SEWER I $ UTILITY CO.NOTIFIED TOTAL FEE .� - FINAL D.B.S.17.25M SETS 12.44 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES -PLUMBING T WM.J. FOX.CHIEF ENGINEER NATURE. OF INSTALLATION DISTRICT NO. GR}�O'UP ZONE PERMIT N 73 ROUGH FIXTURES COMPLETE ��-� I J / HEATER CESSPOOL I—I SEPTIC TANK REC6IVECZ BY READY FOR• DATE SU �,,11 FIRST INSPECTION GAB MiSCELLANE0U6llmm 4'. _ ��` .-. /^ ff~G 01111110 �� fA�PP�L+IC�lA�NT{�FILL�'+IN HEAVILY OUTLINED PORTION ONLY {� _ NAME J�. /'C �G.Pd" !i" 1 AD . % �I'/ D l7 � !\• IC �_ I ADDRESS . '1 W e l.. + yr� m ' ADDRESS � � ��'.!3 c�' !r�' d -/ _LOCALITY / /�NEAREST �'�� ' L CITY. A"l-I TEL.No. // CROSS ST. O.S •&IYA.5; COUNTY ! Al EXPIRES®� CERT.No. / o m NAME LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL < NORTH F O- ADDRESS. CITY TEL.NO. 1 AM THE. JCECiAL POSSESSOR OF THE ABOVE LOS ANGEL-E8 COUNTY CERTIFICATE QUALIFICATION.' + _ _• PLUMBER 1 AM THE LEGAL OWNER OF'THE PROPERTY DESCRIBED ABOVE. 1 OWNER CORRECTIONS ' SOUTH DESCRIPTION OF WORIi ATH TUB GUR14ACE j _SHOWER DISHWASHER O' LAVATORY REFRIGERATOR KITCHEN BINK WATER SOFTENER FLOOR SINK - SAND TRAP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS ! WATER CLOSET DRINKING FOUNTAIN a DA-rE. 114SORCTOR'S NA' HEATER DENTAL LAVATORY ROUGH PLUMBING I j//1, a- METE GAS SODA FOUNTAIN I� 1' 'V OUTL GAS PIPING rr GAS VENT. - •• CESSPOOL TOTAL NUMBF ER OFIXTURES 7 SEPTIC TANK CESSPOOL SEPTIC TANK SEWER —SLOP I I 8 I UTILITY CO.NOTIFIED.I I TOTAL FEE .I FINAL l 76A667-CE817-8.57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A..LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN. SUPT OF.BUILDING LOCALITY: FOR APPLICANT TO FILL IN NEAREST. CROSS ST. NUMBER FIXTURE OR ITEM. OWNER . WATER.CLOSET, BATH TUB DDRESS APO SHOWER. CITY - TEL.NO. Ll NI LAVATORY CONTRACTOR SINK ADDRESS ' DISHWASHER : CITY TEL.NO. LAUNDRY TUB CONTRACTOR STATE El REGISTRATION NO COUNTY E3 CLOTHES WASHER D.ISTRI• T NO. G OU.P ZONE - R.EADY FOR INSPECTION WATER HEATER GAS SYSTEM INDUSTRIAL. WASTE APPROVAL. INSPECTION RECORD .�.�- Ip `�•l"..5�.•�-�]•)'�"1'q`�i�� .�Yi7 Tse' V ' I _ i APPROVALS $1.00:PERITEIV! DATE _ INSPECTOR'S'SIGNATURE / OR FIXTURE $ UNDER SLAB WORK. i .:•��. �� ,.; ROUGHPLUMBING PERMIT S 1100 GAS PIPING / r TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP ICAT.I.ON VHOT WATER.HEATER AND STATE THAT THE ABOVE IS CORRECT.AND AGREE TO COMPLY P WITH ALL COUNTY`ORDMANCES AND STATE LAWS REGULATING PLUMBING'FIXTURES PLUMBING. I HEREBY CERTIFY THAT I AM' PROPERLY REGISTERED A'N.D/OR. GAS TEST . - LICENSED AS REQUIRED BY S ANGELES COUNTY AND STATE 'OF - pp'. CALIFORNIA OR THAT A T.HE EGAL OWNER OF THE. ABOVE UTILITY CO..NOTIFIED. DESCRIKI) .REiSIDEOA P PERT , oe ,pr �- ' SIGNATURE OF PE TE FINALdo ROBERT.A. WOOD, ®e. VALIDATION SUPERVISING MECHANICAL E'NG'R• CK'. N.O. CASH M103901 -MAY 2.0 3 A 40.0-' r !.W67-CE817.8-57 l ~ COUNTY OF L08APPLICATION FOR .PLUMBING PERMIT DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS 16. 10 JOHN A. LAMBIE. COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER , FIXTURE OR ITEM WATER CLOSET; OWNER BATH TUB AD IL BATH o�"4 `h SHOWER CITY TEL.NO. ff rp7 LAVATORY CONTRACTOR SINK ADDRESS DISHWASHER CITY TEL.NO. El LAUNDRY TUB CONTRACTOR STAT£ REGISTRATION NO COUNTY '� CLOTHES WASHER -DISTRIT NO. G. OU. ZONE READY FOR INSPECTION WATER HEATER 0+1 GAS SYSTEM INDUSTRIAL 1i1►ASTE'APPROVAL INSPECTION RECORD • i�i�•�fir:�� -:testi-�� G �' s J. � APPROVALS $1.00 PER ITEM DATE. - INSPECTOR'S SIGNATURE t OR FIXTURE $ ^^ UNDER SLAB WORK r 4 ROUGH-PLUMBING ! PERMIT 5 1 .0. GAS PIPING TOTAL FEE GASVENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APP ICATION 1HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY'ORDINANCES AND STATE LAWS REGULATING' -PLUMBING FIXTURES PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR , GAS TEST aweJ LICENSED AS REQUIRED BY S ANGELES COUNTY AND STATE OF NP / CALIFORNIA OR THAT- A THE EGAL 0 ER OF THE ABOVE UTILITY CO. NOTIFIED DESCRIBcD RESIDE P PERT SIGNATU OF,PRE E TE FINAL L ROBERT A.WOOD, VALIDATION SUPERWSING MECHANICAL ENG'R • CK: M.0. CASH' 1 0 3 9.0t;' HAY 2'0 5 A * '-+ WORKERS'C%k4N5aTION DECLARATION APPUCATO N FOR PLUMBING PERMIT I hereby affirm than.iinave abertificate of consent to self 76A667A insure, or a ctartificate`bf Workers'Com ensation Insurance, CE 817(REV. 10/81) or a certified copy thereof(Sec. 3800, C.) COUNTY OF LOS.ANGELES BUILDING AND SAFETY Policy --"4 -•"4)3' Company Certified copy is hereby furnished. BUILDING -- --��-- (,� FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS J�I Certified copy is filed with the coun Uilding inspec- C ' tion department. 'NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Z z Appligan WATER CLOSET NEAREST CERTI ICATE OF EXEMPTI FROM WO RS' BATH TUB CROSS ST. COMPENSATIO NSURANCE OWNER (This section need not be completed if the work involved by SHOWER MAIL 'the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS 'I certify that in the performance of the work for which this permit is issued, I shall not'employ any person in any manner SINK CITY TEL..NO r for- so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date. Applicant CLOTHES WASHER O NOTICE TO APPLICANT: If, after making this Certificate of ADDRESS Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you'must forth- CITY TEL NO� 7iJs with comply with such. provisions or this permit shall be LAWN SPRINKLER SYSTEM STATE ��r T LIC. .� deemed revoked. WATER HEATER LICENSE NO. aJ SZ CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. OCESSED:BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS ' (commencing with Section 7000)of Division 3 of the Business OUTL OVER V }, and Professions Code,and my license is in full force and effect. 5 PER STE FINAL 5lX9 In ATION � License Number -SZD DATE oolLic. Class � FIN A n Contractor �o°� ' ate �� BY /�ll:� V ❑ / I am exempt under Sec. us U) BAP.C. for this reason Plan check fee A 3 24.5 A Date: PLUMBING PERMIT ISSUING FEE$ Sa #.0O0Oo5 Signature TOTAL FEE 3,0 J c I'' o o 3 Q 5 0 SINGLE FAMILY Plan check applicant 0 0030,505 HOME OWNER-BUILDER DECLARATION NameQ L 2-85 1 hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and Professions Code): City Tel. No. ❑ I, as owner of the property, will do the work and the structure 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 informatio is correct. I agree to comply with all County ordinances and' ate laws regulating Plumbing, and hereby authorize repr ntatives of this County to enter upon the abo a nti d property for inspection purp es. SEE REVERSE FOR EXPLANATORY LANGUAGE / d Si u o Permitte Date { 76A667=Cry#817 6-65 APPLICATION FOR UMBING PERMIT COUNTY OF LOSIANGELES Q. -+ DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN CNE S. f/ NUMBER FIYTURE OR ITEM EACH FEE. OWNER WATER CLOSET $1.25 {HAIL BATH TUB 1.25 ADDRESS SHOWER 1.25 CITY TEL.NO: LAVATORY 1.25 CONTRACTOR SINS .1.25 ADDRESS DISHWASHER 1.25 CITYS*j TEL.NO. STATE LIC LAUNDRY TUB 1.25 LICENSE NO. CLASS `-Z.. CLOTHES WASHER 1.25 DIST 1. NO. GROUP ZONE ES ED BY WATER HEATER 1.50 r d �— GAS SYSTEM OUTLETS 1.50 INDUSTRIAL: O WASTE APPROVAL OUTLETS OVER S PER SYSTEM .90 PECTIO CORD U O F- V W s D. y . Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT S 2 00 UNDER SLAB WORK ROUGH PLUMBING _rj TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT I RAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WIT X ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES _ LICENSED•AS REQUIRED 'BY LOS ANGELES.COUNTY AND STATE OF :GAS TEST CALIFORNIA OR THAT 1 AM THE LEG OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE D IBED R ENTIAL PRO RTY. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE FINAL /�LIDATION ' CK.<� M.0. GASH j .:8 0 6 Or. DEC 15 5 D 8.0 0^�