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Home My Public Portal About9302 SPARKLETT ST_Plumbing__ 'EAE"' DBB17 f1-M APPLICATION FOR PERIM DEPARTMENT OFNG AND SAFETY PLUMBING COUNTY LOS ANGELES WILLIAM J..OF LOS FOX, aNl[►tNDIM[[II FOR APPLICANT TO FILL IN PLUMB[ ja RECEIVED BY FIY rOR RREAINBP[O710N DAT[ IBBUED ADDR[[R) y SUILDIND CITY T[L No COUNTY MD. EMEB LICOMICv11 - Cf LOCALITY 1, NFAR[BT PERIM PEES OROBB(B(J�T NUMBER .>TIti or rIXTUBE on mm ►E[ NAIL I WATER CLOSET(TOILET) ! 050 B ADDRESS BATH TUB ! OBC CITY TEL N SHOWER ! 660 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BARIN) ! 050 APPLICATION AND BTATE THAT THE ABOVE IB CORRECT ANDAOR[[ TO COMPLY WITH ALL COUNTY ORDINANCER KITCHEN BINK ! O BO AND STAT[ LAMB REGULATING PLUMBING I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY ! 050 ANCEL[R COUNTY LID[NBE. OR I AM THE LEGAL OWNER OAS BYSTEMOUTLRS ! O 60 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE SIGNATURE OF WATER HEATER ! 050 PERMITTEE SLOP BINK ! DBD INSPECTION RECORD FLOOR BINK ! O BO FLOOR GRAIN ! G.BO DISHWASHER ! o Bo DRINKING FOUNTAIN ! aeo yIyI URINAL ! O.SO FF HOUR[ SEWER ! O SO (] MISCELLAN[OUB '4 L 0 APPROVALS DATE BNP[Q1OPB NAME ROUGH PLUMBING GAB PIPING GAB VENT CESSPOOL ! 1 GO CESSPOOL SEPTIC TANKI SEPTIC TANK DRAIN ( ) PIT ( ) ! 1.00BEWER PERMIT I.GG a" TEST • TOTAL FEE UTILITY CO NOTIFIED rINAL B !�/ 'a 76A68710E4171- 5/73 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING (� MAKE CHECKS PAYABLE TOADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TY PEI NEAREST p NUMBER FIXTURE OR ITEM ® FEE CROSS ST VC_.TC OWNER WATER WATER CLOSET 1 75 Jr MAIL <� BATH TUB 1 75 ADDRESS p1 s SHOWER 1 75 CITY TEL NO a LAVATORY 1 75 CONTRACTOR A / SINK 1 75 ADDRESS 1D9ao Gewld DISHWASHER 1 75 CITY alff Lo/ ' TEL NO a go 70 CLOTHES WASHER 1 75 STATEY// O O LIC LICENSE NO CX / (J D CLASS SWIMMING POOL RECEPTOR 1 75 DIS `T NO GR(�}1 - P , CESS BY LAWN SPRINKLER SYSTEM 1 75 CO —/�. l WATER HEATER 1 75 / �yASTE APAPROVAL ,L GAS SYSTEM OUTLETS 1 75 ION RE ORD U OUTLETS OVER CE: 5 PER SYSTEM 30 I I p U W Ll N_ Plan check fee So. RBren• PLUMBING PERMIT ISSUING FEE S 3 00 TOTAL FEE 7�" APPROVALS DATE INSPECTOR s eIGHATORI Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel NO GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THI5 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 LI CENSEO AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENT AL PROPERTY FINAL SIGNATURE OP PERMITTEE PERMIT VALIDATION cX M 0 CASH PLAN CHECK VALI ATION CK M o CASH n 4pe lxtjo C�T/0� 7 7 7i" FEB 13 o /^Ji'/J 4.7 5 e� J 7GA607 •c EvaT7 9/65 ` ` APPLICATION FOR PLUM ING PERMW COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER R ss° BUIING AN SAFETY �IVLSION �, O� JO A LA AN COUNTY NOINEER WILLIAM A JENSEN BUR T OF BUILDING LOCALITY _ FOR APPLICANT TO FML IN Wsh f NUMBER FIXTURE OR ITCH EACH FEE OWNER WATER CLOSET ti 15 mmV RATA rus 115 ADDRESS +O SHOWER 113 CR —� T / . 0. TEL NO LAVATORY 125 CONTRACTOR BDIE 115 ADDRESS DISHWASHER 115 CITT TEL NO LAUNDRY TDR 115 CONTRACTOR STATE 8 REGISTRATION NO COUNTY CLOTHES WASHER 115 DISTRICT NO O Z Rp Y WATER NEATER 150 0 GAB SYSTEM OUTLETS i so WASTE APPROVAL 0 OUTLETS OVER 5 PER SYSTEM AD INSPECTION RECORD lJ O L) 4214 OAS 0,W,4w D z APPROVALS DATE M$PtROR t SIGNATURE PERMIT S p OO UNDER BLAB WORK /�\ ROUGH PLUMBING L TOTAL REE GAS PIPING I X[R[(T ACRMOWLLOG( THAT 1 RZ HEAD GRZ TO _MION AND CTAT[ TXM TXl AODY[ It CORKER AND AOR[L TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCE[ AND STAT[ LAWS REGULATING HOT WATER HEATER PLUMBING I H ERESY CtRTIFY THAT I AM PROPERLY REGIR MQ AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OR _GAS TEST 4LIPORNIA OR THAT I AM THE "GAL OWNER OR AM IMT[NO TO RESIDE ro THE ABOv[ O[SCRI D Rgm[NTI RGPt UTILITY CO NOTIFIED SIGNATURE OF PERMITTE FINAL / ILIDATION ROBERT A WOOD CK �/ N o CABX SUPERVISING MECHANICAL ENG R t _ — LtIo6 8 8 5—� DEC 16 5 D 3.50ri - • WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT •I he., affirm that I hove a certificate of consent to self 76AWA se' irtsure` pr a certificate of Workers Compensation Insurance CE 817(REV 10/81) or a certified copy thereof (Sec 3800 Lob C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company Pol Certified copy Is hereby furnished ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BURIMNG Certified copy is filed with the county budding Illapec- ADDRESS jV Z J � Rk (t• ST tion department NUMBER FIXTURE OR ITEM ® FEE LocnLlry Dote Appligont WATER CLOSET NEAREST ?1;10 � CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB CROSS ST Fs V ImUO COMPENSATION INSURANCE (This sedlon need not bar completed R the work Involved by SHOWER QQ OWNER the permit Is for one hundred dollars(5100)or leu) I LAVATORY MAIL S�1 I certify that in the performance of the work for which this O ADDRESS permit is issued, I shall not employ any person In any manner SINK CITY C� TEL NO so as to become subject to the Wor n'Compe ti Laws DISHWASHER CONTRACTOR Dote phcan �m CLOTHES WASHER ADDRESS TO APPLICANT If, oft r making this Certificate of SWIMMING FOOL RECEPTOR Exemption you should bec a sublect to the Workers CITY TEL NO Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE UC deemed revoked WATER HEATER LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER d and Professions Code,and my license Is In full force and effect 5 PER SYSTEM UFFIINAL /AT VALID TION V ATE `ULicense Number c Classap FIN O Contractor Date BY �j ❑ W I am exempt under Sec 6 N B 8P C for this reason 2 Plan check fee Date PLUMBING PERMIT ISSUING FEES Q 9 2 8 Q 8 A Signature TOTAL FEE # e e e e e 5 Plan check applicant ( e e 2 Q 5 0 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name e e * 2a5 0 its I hereby affirm that I am exempt from the Connoctor's License Address a28-85 Law for the following reason (Section 7031 5 Business and 1Profeessions Code) City Tel No ro L`! I as owner of the property will do the work and the structure is not intended or offered for sole (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 Gv C ) Lender s Name Lender's Address I certify that I have read this application and stole 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 upon the a e mentioned�pert)Pr inspection purposes p O -;l. - p, � SEE REVERSE FOR EXPLANATORY LANGUAGE C—/7'urC nature of Permittee Date