HomeMy Public PortalAbout9842 WENDON ST_Plumbing__ BA667-CE81.7 12/59
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES.
DEPARTIVMNT OF COUNTY..`ENGBMLF77F77
BiTILDII CSA ,SAFETY SIGN
JOHN I COUNTY NGINEERADDRESS MkALD ef 41
WILLIAM A.JENSEN,Sur-T of BUILDING
FOR MUM=TO FILL IN CR ST. � G �.
d
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET
ADDSESS
SATS TUB
CITY TEL.NO..
SHOWER p *-,ft/
LAVATORY CONTRACTO d,1' t I ,c/ �,��/cgo�;--
SIlYB ADDRE$S���d Z V'V 1 rc / l V
DISSWASIM CITY AL f I<o TEL NO.Wz- tc?6
STAT
E ❑CONTRACTOR'S CLAUNDRY TUB REGMMTION NO. Z. UNTY
p
CLOTHES WASIM DISTRICT O. GROUP NE ES BY
WATER HEATii@ / 7" 1 Q�
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
O
V
O
w
0 $1.00 PIE ITEM I -
/ OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $' 2 00 UNDER SCAB WORK
TOTAL FEE OUCH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT' AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTEREDAND/ PLUMBING FIXTURES
LICENSED AS REQUIRED BY LO$ ANGELES COUNTY AND STAT F GAS TEST
CALIFORNIA OR THAT I E 1 OWNER .OF THE
DESCRIBED RESIDENTIAL OP TY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERU ITTEIr
FINAL O
Dr ALIDATION ROBERT'A.WOOD,
OK. E.0. CON SUPERVISING MECHANICAL ENG'R
Mo567820 IM 209 5 D 5.00 '
-76A667-17 26M BETS 7;48 APPLICATION FOR PERMIT -
-DEPARTMENT OF BUILDING AND SAFETY I
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER-
-ZONE PERMIT N13.
FOR APPLICANT TO FILL IN D GRO
UP
PLUMBER RECEIVED BY READY FOR DATE ISSUED
C88SPOOL @ SEPTIC TANK 9OM03 FIRST INSPECTION 1
ADDRESS e'�"
CITY TEL.No. JOB.
"
ADDRESS.
COUNTY
LICENSE •N O. EXPIRES
LOCALITY
I CERTIFY THAT I POSSESS THE ABOVE VALID LO NEAREST
ANGELES COUNTY LICENSE. CROSS BT..
® 'OWNER
&MAI L
PLUMBER ADDRESS
PERMIT FEE IS $1.00 FOR. THE FIRST I)CTU.RE OR CITY TEL No.
ITEM LISTED BELOWp PLUS 50o FOR EAC .ADDITIONAL 1.AM THE.LEGAL OWNER OF THE RESIDENTIAL PROP-
ITEM. .FOR EACH SEPTIC TANK AND PIT OR GRAINFIELD ERTY DESCRIBED ABOVE.
$1.00. MINIMUM FEE FOR ANY .PERMIT $.1.00. EACH
GAS SYSTEM IS A SEPARATE ITEM.
OWNER
NUMBER TYPE OF FIXTURE OR ITEM
WATER CLOSET (TOILET) CORRECTIONS
BATH TUB -
SHOWER
LAVATORY (WASH BASIN)
KITCHEN-SINK
LAUNDRY TUB OR.TRAY = -
GAB SYSTEM OUTLETS
WATER HEATER
SLOP SINK J
a
FLOOR SINK Z_
FLOOR DRAIN _O
DISHWASHER
- O
DRINKING FOUNTAIN
URINAL
MISCELLANEOUS
APPROVALS
" - DATE INBPECTORis NAME
-
ROUGH PLUMBING
- GAS PIPING..
GAS VENT
CESSPOOL
WaVlw `h,4
SEPTIC TANK.-.DRAIN ( •)`PIT ( ) $ SEPTIC.TANK
CESSPOOL $ NEWER
'HOUSE SEWER ID _. GAS TEST
TOTAL FEE $ UTILITY CO:NOTIFIED
FINAL
76A887 17 8-49(D APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT N.O. GRPUPI
/ZONE PERMIT NO.
FADD_RES. ,�
a-1 -s,R,./ 1 RECEIVED BY READY FOR DATE ISSUED
.^� FIRST INSPECTION
/7 )- ZL BUILDING � 3 � .�
CITY v /I/1/LCOUNTY �i} TEL. NO. �/f ADDRESS --� ✓ `--��'
LICENSE NO. rY / '/ (O ,-1J LOCALITY
EXPIRES �3 6
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ 0.50 S S� 1 ADDRESS
�,rrYY x
BATH TUB @ O.50 C� CITY�.��e^u�4) Citi TEL. and .e/J O 0
7 SHOWER 0 0.50 v I HEREBYVACKNOWLEDGE THAT I HAVE READ THIS
' "LAVATORY .WASH..BASIN)- @ 0.50 b.b APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND
AGREE TO COMPLY- WITH -ALL COUNTY--ORDINANCES AND-_
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING. //��
I CERTIFY THA POSSESS THE ABOV` v LID LOS
O• LAUNDRY TUB OR TRAY 0.50 S� ANGELES COON LIC NSE,,-O 1, AM THE LEGXL OWNER
OF THE RESIDE I FRCP �DESCRIBEO Ot/E
GAS SYSTE UTLfiTS @ 0.50 .{�6 4 ��
SIGNATURE O r
E WATER HEATER @ 0.50PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50.
FLOOR DRAIN @ 0.50 y3 y
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
-URINAL @ 0.50 J
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS
�IC�r:�s' .J•l lam.)- -�JC,'J__a . �J V 0
APPROVALS' = - -- -
DATE INSPECTOR'S NAME
ROUGHPLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT. ( ) @ 1.00 ! SEWER
PERMIT . 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE � /
J FINAL /
a �lI WORKERS'COMPENSATION DECLARATION APFLICA LI �ON FOR PLUMBING PERMIT
I he4eby affirm that I have a certificate of consent to self 20-0026 DPW 6/87 I
insure,,or a certificate of Workers'Compensation Insurance,I76AS67A
or a certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES IDEPT.OF PUBLIC WORKS
W ay-.79702-0. ompany Fremont
Certified copy is hereby furnished. 4 BUILDING
= FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS 9842 Weridon Ave.
Certified copy is filed with the county building inspec- ,
tion department. - NUMBER FIXTURE OR ITEM � FEE y .
LOCALITY
Date 4-16-92 A ant AAA rc-,nA Ai I WATER CLOSET' I Tem le Cit
ppli 4 r BATHTUB j CROSS ST. Goldenwest
CERTIFICATE OF EXEMPTION FROM WORKERS'
COMPENSATION INSURANCE OWNER
SHOWER Freitag
(This section need not be completed If the work involved by I MAIL
the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS 9842 Wendon Ave.
I certify that in the performance of the work for which this �;
permit is issued,I shall not employ any person in any manner' SINK CITY Temple City- TEL-N'443-9411
so as to become subject to the Workers'Compensation Laws. DISHWASHER
I CONTRACTOR ,AAA Conditioned Air
Date Applicant CLOTHES WASHER i•
NOTICE TO APPLICANT: If, after making this Certificate of �' ADDRESS 10160 Valle Blvd-,
,
Exem tionyou should' become subject to the Workers' SWIMMING POOL RECEPTOR
Exemption, Y subject Monte �L "O. 579-1800
Compensation with
of the Labor Code, you must forth- i LAWN SPRINKLER SYSTEM '
with comply with such provisions or this permit shall be h STATE LIC.
deemed revoked. i WATER HEATER LICENSE NO. 293529 CLASS C2 0
LICENSED CONTRACTORS DECLARATION I DISTRICT NO. PROCESSED BY
I hereby affirm-that I am licensed under provisions of Chapter 9 I GAS SYSTEM' OUTLETS t ' -of
(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER
and Professions Code,and my license is in full force and effect. 5 PER SYSTEM, FINAL f„-��--�}� VALIDATION
DATE
License Number 2 9 3 5 2 9 Lic. Class C2 „ CC,'
AAA Cond Ai I FINAL
Contractor mate 9—3—91 BY C
® 1 am exempt under Sec, t
B.BP.C, for this reason S Plan.check fee
Date: PLUMBING PERMIT ISSUING FEE$ �p
Signature 4
TOTAL FEE
Plan cheek applicant
SINGLE FAMILY '
HOME OWNER-BUILDER DECLARATION Name ACCT.Or
I hereby affirm that I am exempt from the Contractor's License I
Law for the following reason (Section 7031.5, Business and Address 3313-!7
Professions Code): City Tel. No. 1. 1 ITEMS
❑ I, as owner of the property, will.do the work and the _
strueture'(s not intended or offered for sale (Section I (OTAIL 20_50
7044, Business and Professions Code). I HECK 15[t
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for I CHANGE X0
0
the performance of the work for which this permit is issued
(Sec. 3097, Civ. C.). 1
Lender's Name I!
L000-0001 6I 3/?i
Lender's Address I 7264 y AM �ro5•,
V°•tea:
I certify that I have read this application and state that the i I.
above information is correct. I agree to comply with all County
ordinances and ft State laws regulating Plumbing, and hereby
authorize represse tive. s of ibis County to enter upon the ,
above-mentions pr rt y ' s�ection purposes.
David ross 6-3-91 SEE REVERSE FOR EXPLANATORY LANGUAGE
Signature of.Permittee Date
76AS67 17 5-49® APPLICATION FOR PERMIT
DEPARMIENT OF BUILDING AND SAFETY
COU14TY OF LOS ANGELES I I Wo 1
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISE�ITO. GROUP ZONE PERMIT NO.
PLUMBER ,7 r'I f'r'y = �' rpz� y�(•y RY READY FOR DATEISSUED
ry - FIRST INSPECTION
ADDRESS I /... / .'>
BUILDING
CITY TEL. NO. 7 7 / ADDRESS r`� �� ��/ �s" -•
1UN
ICENSE N P2/ EXPIRES 6 -36-S4) LOCALITY L�'Y'7rLY
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNER ✓��.�t
r.ADDRESS Z y .�� / s —��. 7./C�,
MAIL
WATER CLOSET (TOILET) @ 0.50 � / J
BATI•(TUB @ 0.50. t-7� CITY !.E-° -111,12Z �-=�r, TEL. NOre-J�4�4i" ��
SHOWER @ 0.50 v I HEREBYVACKNOWLED THAT I HAVE READ THIS
LAVATORY WASH BASIN) 0.50 �'b APPLICATION AND STATE THAT THE ABOVE I$ CORRECT AND
AGREE TO COMPLY- WITH -ALL COUNTY ORDINANCESJAND-
STATE
KITCHEN SINK 0.50 LAWS REGULATING PLUMBING, n1 CERTIFY THA POSSESS THE ABOVE, VALIDLAUNDRY TUB OR TRAY 0.50 ANGELES COON . LIC NSE,/Obi--t AM THE 1EGXL O
OF THE RESIDE' '�l FSR7�aC CRIBED 'BOVE.
GAS SYSTE�UTLETS @ 0.50 . .S`? P(l�-l�
SIGNATURE.O
WATER HEATER @ 0.50 .I� PERMITTE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN 0.50
URINAL. @ 0.50
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS
'a
APPROVALS
DATE INSPECTOR'S HANE
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE IS
,r
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