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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 VJJ ,RIMAE