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Home My Public Portal About6415 TRELAWNEY AVE_Plumbing__ BABBTAICE B"APPLICATION FOR 'PLUMBING PERMIT v' BUILDING AND SAFETY DIVISION FOR APPLICANTTO FILL IN IPRINTORTYPEI BUILDING NUMBER FIXTUREORITEM ® FEE-l"' ADDRESS WATER CLOSET LOCALITY _ BATHTUB NEAREST CROSS ST. C. SHOWER OWNER t. / r " LAVATORY MAIL ADDRESS ' '� I / r ( Z SINK f CITY ,1�.,. i TEL.NO. DISHWASHER - CONTRACTOR II .ELOTI'IES WASHER ADDRESS s{ `SWIMMING POOL RECEPTOR L� CITY I• 1.., TEL NO;,j•;11 LAWN SPRINKLER SYSTEM , STATE �- LIC. r' WATER HEATER - LICENSE NO. CLASS L-- i 7• DISTRICT GR9UP ZONE PROCESSED BY GAS SYSTEM OUTLETS II i ! i. l b OUTLETS OVER 5 PER SYSTEM INDUSTRIAL U WASTE APPROVAL INSPECTION RECORD J LL N K 0 Plah check fee f PLUMBING PERMIT ISSUING FEE$ r TOTAL FEE Plan check applicant APPROVALS DATE INSPECTOR'S SIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING City Tel.No. GAS PIPING HEREBY ACKNOWLEDGE NAT I HAVE READ THIS APPLICATION AND STATE GASVENT •T ATTHE ABOVE 15 CORRECTAND AGREE TOCOMPLY WITH ALL COUNTY ORDINANCES •A�0 STATE LAWS REGULATING PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR LICENSED AS PLUMBING FIXTURES REOU IRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE-. GAS TEST LEGAL OWNER OF.AND INTEND TO RESWE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. .1 UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE' r•, :\�, I ' FINAL PLAN CHECK VALIIDATION CK, M.O. CASH - PERMIT VALIDATION t'CK. M . CASH .1 7E11BB/L'EBI7 IE-(n APPLICATION FOR PLUMBING PERMIT BDEPAR 1 wry GINERt aD°IIn°R� I �� E L k; WILLIAM A JENSEN, BUTT or lu1LDlNa i APPLICANT TO FHS INMir NUSIBER FIXTURE OR ITEM S WATER CLOSET �• Khm DATE TUB ADDBESR �C- CITT�� I TEL 1f0 SHOWER LAVATORY CGlReACioR L. D�WABHER CRT b "`�_ TEL �qo 8 UZ S LADNDRT TM MMITRATION NO. 3 O C) CODNTT CLOTHES WARMER ^STRICT NO GROUP ZONE1 BY WATER HEATER OAS SYSTEM INDUSTRIAL WASTE APPROVAL r fis OMPECTION RECORD a O v ae O d o 1100 PER BEET OR PIITIM s 1 APPROVALS DATE INR[CTOR a•IOMATURE PERMIT $ 11 2 00 UNDER BLAB WORK TOTAL FEE 3 ROUGH PLUMBING GAS PIPING 1 HERESY ACKHOWLEDOE THAT I NAVE READ MIR A!lLICATION AND STAT[ THAT TILE ABOVE Is COIDeCT AND AGREE W COIPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE mQULATINO rLU Ma[No HOT WATER HEATER 1 HKRmT CERTIFY T I AN rROrERLY al AMD/oR PLUMBING FIXTURES LIC[NEED Ar REOUI T LOS ANGELES ATE Or GAS TEST CALIIORNIA OR T I M THE LEGAL G S AOVS DESCRIRKO RESIDE IA Rry ti UTILITY GO CO NOTIFIED I SIGNATURE ` OF PERMfTTE FINAL VALIDATION ROBERTA WOOD M o CASH SUPERVISING MECHANICAL ENO R �bLLS LC0 7 6 3 2 JAN 3 O 5 D 3.0 0 M 7GA067-CEOSI 1 P/Ss APPLICATION FOR PLUMBING PERK IT COUNTY OF LOS ANGELES D BU g FETY I DUDR JO N A IE OUNTY NGINEIR AAl rfr h eL- WILLIAM A JENSEN SUPT OF BUILDING LOU ei FOR ANTPPLICATO FELL IN TCROUST NUMBER FIXTURE OR ITEM EACH RIE WATER CLOSET 8125 OWNER S• S L BATH STAR I75 ADDRE88 s SHOWER 175 CITY /I TEL NO 17-A 1 LAVATORY 125 CONTRACTOR c- -Sm 125 ADDRESS DISHWASHER 125 CITY TEL NO LAUNDRY TUB 125 CONTRAR'S STATE REGISTRATIONNO COUNTY B CLOTHES WASHER 125 DISTRICT NO 6R0 ZONE O ! D BY WATER HEATER 150 O 6AS BYSTESL, Q OUTLETS- 150 WASTE APPROVAL O INDUSTRIAL APPROVAL OUTLETS OVER 5 PER SYSTEM 70 DRSPECTION RECORD U w O G W d N Z APPROVALS DATE INSPECTOR E SIGNATURE PERMIT s 2 OO UNDER SLAB WORK TOTAL FEE 3 ROUGH PLUMBING GAS PIPING I AN 0HEREEI' ACKNOWLEDGE THAT I NAVE READ TNM ARRC KATION GAS VENT WITH[TAT[ THAT THE DIVA I[ GOND S ANO LAWS TO COMPLY / wITN ALL cou NTr ORDINANCES AND STAT[ uw[ R[auurlNa •LV MIING HOT WATER HEATER 1 H[RECERTIFY TIFY TNAT 1 AM PROPERLY R[GISlZ.D AND/OR PLUMBING FIXTURES LICENSED AS "QUIR{O BY LOS ANGELu COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM TN{ LEGAL OWNER OF AND INTEND TO RESIDE IN TH[ASOVE DUCRI[Eo me It IAL PERTY UTILITY CO NOTIFIED SIGNATURE OF PERMITT!! FINAL VALIDATIROBERT A WOOD CK M o CASH SUPERVISING MECHANICAL ENG R L"4 1 7 2;3 SEP24 5 0 350IN - DBO17 DEE .APPLICATION FOR PLUMBING PERMIT 1 DTVMON OF BURIDING AND SAFETY DepaiDBsat of County EnpinMe Angeles 13UILDING JOHN A LAMB E of COUNTY ENGINEER No ADDRESS J fs /'c Q w* fet" CASSATT D GRIFFIN,SUE T OF BUILDING fP.iKL A 1 LOCALITY �4 FOR APPLICANT TO FILL IN NEAREST BUILD' C OSS ST OWNER ` DISTRICT NO GROUP ZONE auDY POR INPPECTIOK MAIL ADDRESS w6el�S (/�� VNC CITY R• TEL NO INDUSTRIAL WASTE APPROVAL PLUMBER �/Gcc.�'C�-� INSPECTION RECORD ADDRESS'�Y 77y �E��- CT' "Lill "E41 TEL NO i10ENSE NO ` O NUMPMR1 TYPE OF FIXTURE OR ITEM ME WATER CLOSET (TOILET) •100 OATH TUB $t 00 SHOWER $t OO LAVATORY (WASH BASIN) 1100 KITCHEN SINK it 00 DISHWASHER $t 00 LAUNDRY TUB OR TRAY @ $t 00 CLOTHESWASHER f100 WATER HEATER $1 Do GAS SYSTEM $100 APPROVALS DATE INSPECTOR S SIGNATURE UNDER SLAB WORK PERMIT S t 00 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ TXIB APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED A9 REQUIRED BJf�S ANGEL CO AND STATE OF CALIFORNIA OR THAT I HE LEG O ER OF TXE ABOVE UTILITY CO NOTIFIED DESCRIBED HFSIOENTIA UPERTY SIGNATURE I ' OF PERM ITTEB FINAL JOHN A LAMBIE Co(711 EER ��VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR /a/ ■ G DAw Ar 9266 JUN 14 3 200 WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby,offvm that I have a certificate of consent to self 76A887A msure or a certificate of Workers Compensation Insurance, CE 817(REV 8/88) or o ceruf 1 ar 3800 L b C ) //��{{/ppjrpy�yyJ/h��y/yfJ,�($�pG COUNTY OF L08 ANGELES , DEPT OF PUBLIC WORKS Policy No `��Compony �� Certified copy is hereby furnished Certified copy Is filed with the county budl mg Irlspac- r FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ADDRESS tion rtm'eentt f NUMBER FIXTURE OR ITEM ® FEE LOCALITY Dote ✓AppltSont WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB CROSS ST COMPENSATION INSURANCE OWNER (This section need not be completed R the work Involved by SHOWER the permit Is for one hundred dollars ({100)or lou) LAVATORY A AIL ADDRESS Icertify that in the performance of the work for which this permit is Issued I shall not employ any person in any manner SINK CNV TEL NO so as to become subject to the Workers'Compensation Laws DISHWASHERI CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT If after making this Certificate of ( Ca ( Exemption, you should become subject to the Workers SWIMMING POOL RECEPTOR Compensation provisions of the labor Code, you must forth air TEL NO with comply with such provisions or this permit shall be LAWN SPRINKLER SYSTEM STATE K ai deemed revoked WATER HEATER LICENSE NO LICENSED CONTRACTORS DECLARATION DISTRICT NO PROCESSED BY I hereby offvm that I am licensed under provtuore of Chapter 9 I GAS SYSTEM Q0 OUTLETSJ161 �De (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code and my license Is In full for a ffect S PER SYSTEM FINAL VALIDATION O License Numb Ic DATE �p _ Ic e FINAL Contracts EQte /C� BY ❑ I am exempt under Sec B sP C for this reason Plan check fee 5 a z Dote PLUMBING PERMIT ISSUING FEE f A(Mar Signature TOTAL FEE ;,,fD7 39.30 Plan check applicant 1 ITEMS SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name TOTAL 39. 30 1 hereby affirm that I am exempt from the Contractors License Law for the following reason (Section 7031 S, Business and Addtests CHECK 39.30 Professions Code) Gry Tel No ❑ 1, as owner of the property, will do the work and the structure is not Intended or offered far sale (Section , 7041 Business and Professions Code) QOW-IROS 4/17/42 CONSTRUCTION LENDING AGENCY , 1 AM 10 20 I hereby affirm that there is a construction lending agency for the performance of the work fu which this permit Is issued (Sec 3097 Civ C ) Lender s Name Lender's Address I certify that I hove read this application and state that the loopabove Information Is correct I ogres to comply with all County ordinarrca and State jaws regulating Plumbing, and hereby that �presentoffves of this County to enterupon the a o pop ry for Inspection put SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee /Ds ate v t WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT a Ihereby affirm t 1 have a cerhf,cote of consent to self 7AAo67q insure, or rhftcale of WorkeA Campenso'ton Insurance CE Bp(REV ID/BI) or a ce ed copy thereof (Sec 3800, lob C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY No Company rJ Certi*COMPENMSATIURAN n shed ❑ FOR APPUC"TO FILL IN(PRINT OR TYPE) Cerhwith budding ,nspec ADDRESS lOrf LI`y'*/ 1 r hon NUMBER FIMURE OR ITEM ® FEE LOCAL Date WATER CLOSET , �`'^ NEAREST Q�A RKERS BATH TUB CRO55 57 URAN SHOVER OWNER (This section need no, be complNed H the work Imrolved by M the permit Is for one hundred dollal en(5100)or less) LAVATORY ADDRESS s ,t I certify that in the performance of the work for which this �. permit is Issued I shall not employ any Person,n any manner SINK CITY r TEL NO so as to become sublect to the Workers Compensation Laws DISHWASHER CONTRACT Date Applicant CLOTHES WASHER NOTICE TO APPLICANT If, after making this Certificate of ADDRESS 63 AGTA S� Exemption, you should become subject to the Workers SWIMMING POOL RECEPTOR �s p Compensation provisions of the Labor Code you must forth- Cm C AA/� TEL ,�0 with comply with such provisions or this permit shall be LAWN SPRINKLER SYSTEM ATE -7 LIC deemed revoked WATER HEATER LILI@ISE NO 3/0215- CLASS A LICENSED CONTRACTORS DECLARATION D ICT E BY I here off that I am licensed under GAS SYSTEM OUTLETS by provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER y and Professions Code and my license is in full face and effect 5 PER SYSTEM FINAL V DATION d License Number L,c Class DATE V FIN 09 Contractor Dote BY O ❑ V I am exempt under Sec d 8 8P C for this reason us Date Plan check fee ► _ PLUMBING PERMIT ISSUING FEE f Iqo Signature31 669 A TOTAL FEE Plan check applicant • # • • • • • 5 SINGLE FAMILY /,,� HOME OWNER BUILDER DECLARATION Name �. Pq.Wz6,s(/A CG+4TpZ �j1(J I • • 1 6 5 0 1 hereby affirm that I am exempt from the Contractor s License x-77,, Law for the following reason (Section 7031 5 Business and Address-T25 E- 14a.)X 91A./ VA!Bov • • • 1 6 5 0 cz. Profeuom Code) -y�3�8 ❑ C,ry 4 Tel No !!``ll 1, as owner of the property, will do the work and the I Q 16-8 5 structure ,s not intended or offered for sale (Section poll, 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 mformahon u correct I agree to comply with all County Id.,"nces and State laws regulatinentotives ofhisCenhoned property for inspection pure esSEE REVERSE FOR EXPLANATORY LANGUAGE o Per ee Date