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Home My Public Portal About9168 WEDGEWOOD ST_Plumbing__ D XRT 1'P OF BUILDING AND SAFEff APPLICATION FOR P�141't COUNTY OF LOS ANGEM PLUMBING 1 WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DI rRCT NO. MUP I ZONE PERMrr NO. PLUMBER FONTANA PLUMBING CONTRACTOR RECEIVED BY READY FOR DATEI sus ADDRESS 844 W. toarvey - Monterey Park, 1 all FIRST INSPECTION ING CITY ATlandc 2.4664 - Cymbarland 3.104 ADR UL L1C1 N Y O - 1 LOCALITY NEAREST PEDOT I= CROW NT. NUNNEN TTFR OF FIRTUNK M ITEM REE OWNER MAIL ATER CLOSET TOILET a 0.80 a ADDRESS 'JIIATN TUB O.SO CITY TEL NO. SHOWER a 0.00 A 1 HEREBY ACKNOWLEDGE THAT' I HAVE READ THIS .LAVATORY WASH BASIN 0.30 APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND n'ITCIiEN BINK 0.80 STATE LAWN REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY O.SO ANGELES COUNTY LICKNEK, OR I AM THE LEGAL OWNER OF THE RESIDENTIALPR� CEO ABOVE. GAB NVNTE UTLETS O.80 SIGNATURE OF WATER HEATER 0.80 PERMITTK SLOP KINK 0.50 ! /SAT— FLOOR BINK 0.00 FLOOR DRAIN 0.110 018FIWANHER 0.00 `'L ~N _lip s • DRINKING FOUNTAIN 0.00 ' Tom-` URINAL A 0.50 1 HOUSK BKWER 0.50 Z N18CKLLAHMUG S E APPWVjW ATE INSPO OO• MK ROUGH PLUMBINGXpAir000tl GAS PIPING GAB VENT CySPOOL 1.00 CEBSPOOL SEPTIC TANKS SEPTIC TANK DRAIN ( ) PIT ( ) . 1.00 SEWER PERMIT . r.00 o1►s TENT TOTAL FEE J Y f J) UTI • ./ Imo' FINALLITY CO. NOTIFIED -� 7. �'7 76 A 6.67—CE 817 8/68 ) _ ,�(� � ( , APPLICATION FOR P,LUMBI G PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIMION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 16:5 A ADAArILL4z COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY 4 FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET 1.50 OWNER MAIL BATH TUB 1:50 ADD SHOWER 1.50 CiTf,16 OU W TEL. LAVATORY 1.50 CONTRACTOR o 10-11-1 SINK 1.50 ADDRESS DISHWASHER 1.50 IOUCnkbca TEL. N — .2 CLOTHES WASHER 1.50 STATE LIC LICENSE N CLAS SWIMMING POOL RECEPTOR 1.50 :Q DI'STRICT NO. GROUP ZONE I PROCESSED BY LAWN SPRINKLER SYSTEM 2.00 �QS �.l CD U s. WATER HEATER 1.50 WDUSTRIASTEPPROVAL O s GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD OUTLETS OVER 30 Co 5 PER SYSTEM f Plan check fee 25.% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No. 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 1 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IGAS TEST PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED LICENSEO AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THF L GAL O ER F,AND INTEND TO RESIDE IN.THE ABOVE ESCRIB R IDEN 1 L P OPERTY. FINAL / -G' SIGNATURE .TACK R. ALLEN, SUPERVISING MECHANICAL ENG'R. OF PERMITTEE PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATI N CK. M.O. CASH E PIP-0 9 :: 00%0*, uL-110 5 D 7W87-CE817 II-57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY.EGNEER _ ° . �.: BUILDING AND SAFETY DON BUILDING _JOHN A.LAMHIE. County Ear ADDRESS W TT D.'GRIFFIN.Sup t of tag LOCALITY FOR APPLICANT TO FILL IN NEAREST CI i NUMBER FIXTURE OR ITEM CROSS ST. EN WATER CLOSET OWNER RATS TUB AADDDRESS ':3 ( — RHOWRR CITY TEL.NO. LAVATORY CONTRACTOR MANTEft C6, ' SINS ADDRESS DISHWASHER CITY , TIM.NO. 6 V LAUNDRY TUB CONTRACTOR'S STATE IR REGISTRATION NO. 6 COUNTY CLOTHES WASHERDISTRICG'1 GROUP Y FOR INSPEC716N WATER HEATER n\ GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS f�f @ $1.00 PER TPEM I bb DATE INSPECTOR'S SIGNATURE ( OR FDCTITRE $ UNDER.SLAB WORK PERMIT $ 00 ROUGH PLUMBING TOTAL FEE qj&0 ' GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION `' GAS VENT AND 'STATE THAT THE ABOVE IS CORRECT.AND AGREE TO COMPLYHOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIOR _ GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _ CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE l v OFPERMITTIEE— FINAL —I, ROBERTA.WOOD. ° VALIDATION SUPERVISING MECHANICAL ENG'R CK. N.O. CASH LACO 7 1 1 3 8 DEC 2 5 A 9.0 0 z WORKERS'COMPENSATION DECLARATIONI;CZ i ) APPLICATION FOR PLUMBING P E R M.I T I herebya'affirm that I have certificate of consent to self ,cEGt erg z-eo insure,or a certificate of Workers'Compensation Insurance,or i' a certified copy thereof(Sec.3800,Lab. ) I I! COUNTY OF LOS ANGELES � BUILDING AND SAFETY Policy No. Company C1 I V '— P� (v t Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING / (� Certifie co y is filed with the county building inspection NUMBER FIXTURE OR ITEM ® FEE ADDRESS 6 UJ depar�'Ingr�tt.JpJ {�/� LOCALITY Date M1 2Applicant ' 1 ' WATER CLOSET NEAREST BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER ' OWNER } (This section need not be completed if thework involved LAVATORY MAILADDRESS `p d by the permit is for one hundred dollars ($100) or less.) SINK CITY: L.NO. I certify that in the performance of the.work,for which this DISHWASHER permit is issued, I shall not employ any person in any manner CONTRACTOR 0 so as to become subject to the Workers'Compensation Laws. CLOTHES WASHER ADDRESS ('�26 Date Applicant SWIMMING POOL RECEPTOR a y NOTICE TO APPLICANT: If, after making this Certificate of CITY TEL.NO.(ly2 J0JC) U lExemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEMZ STATE ePE1V*_, LIC. Compensation provisions of the Labor Code,you must forth- LICENSE NO. CLASS �2a-S with comply with such provisions or this permit shall be WATER HEATER00 deemed revoked. GAS SYSTEM OUTLETS DISTRICT NO. PR CESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER .Q I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- FINAL ��+ �- VALIDATION ness and Professions Code,and my license is in full force and DATE C. i ' effect. FINAL v LicenseNumber 08 Lic.Class BY Contractor—pa—3' — Date sI , ElI am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer g p g PLUMBING PERMIT ISSUING FEE$ � , acting in my professional capacity (Section 7051, Bus- �0 iness and Professions Code). TOTAL FEE Lic,or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address License Law for the following reason (Section 7031.5, Busi- City Tel.No. ness and Professions Code): 2 5 7.3.5 A. I, as owner of the property, am exclusively contracting with licensed contractors to construct the project I o o o -o o 5 (Section 7044,Business and Professions Code). CONSTRUCTION LENDING AGENCY q w 2Oe1250 I hereby affirm that there is a construction lending agency FOR �{y pp� p 95 0 0 0 1 2 5 0= for the performance of the work for which this permit is v� 8t1�Lafl � {� �� issued(Sec.3097,Civ.C.). 08, 1 9-82 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 SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby ti authorize representatives of this County to enter upon the above-mentioned property for inspection purpose�. ; X71 Z zZ nature of Permittee Date ;