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Home My Public Portal About9848 WENDON ST_Plumbing__ 76A687 ('CE-817) - 1/75 �"� ��•--ref_f_ ��•_L APPLICATION FO& PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: TADDRESS LDING HARVEY T. BRANDT, COUNTY ENGINEERCALITYFOR APPLICANT TO FILL IN (PRINT OR TYPE) ARESTOSS ST. r , NUMBER FIXTURE OR ITEM @ FEE OWNER WATER CLOSET 2.00 o MAIL BATH TUB 2.00 ADDRESS 14 SHOWER S „ r!/.� CITY TEL. NO. LAVATORY 2.00 W CONTRACTOR SINK 2.00 ADDRE S DISHWASHER 2.00 CITY EL. NO. r CLOTHES WASHER 2.00 STA Et^ CLLIC 24 ASS SWIMMING POOL RECEPTOR 2.00 LICENSE NO. J DISTRICT NO.GROUP ZONEP ESSED BY LAWN SPRINKLER SYSTEM 2.00 f� u f WATER HEATER 2.00 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 2.00a INSPECTION RECORD CD OUTLETS OVER 5 PER SYSTEM .30 v CC O W O.. y i� Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE PI'S APPROVALS DATE INSPECTOR'S 91GNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REIYA ERED ANDSTATE/OR UTILITY CO/. NOTIFIE I�D,,r CALLICIFORNIA NSED ASOR THAT REQUIR1D BY THE LEGALLois LES OWNE U NDIliTEND TOor (�L11JP til,1!RESIDE IN THE ABOV ES RIBED RESIOENTIA FINAL ' SIGNATU RE OF PERMIT•? I PERMIT VALIDATION �Cg, M.O. CASH PLAN-CHECK VALIDATION CK. M.O. CASH 9 9••''a CIP-AU6 12 5 D 4.7 5 e,-8 �1 x J� 4 76 A'667 - G n B 17 7=69 -��s e 'APPLICATION F®R ' PLUMBING PERMIT �- COUNTY OF LOS ANGELES DEPARTMENT OF'COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS Q COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALI.TY C FOR APPLICANT TO FILL IN(PRINT O TYPE) CRAREST CROSS.'ST: HUMBER FIXTURE OR ITEM EACH FEE , WATER CLOSEOWNER. T 1.50 - MAIL. BATH TUB 1.50 ADDRESS SHOWER 1.50- CITY /ZyTEL. NO. 7 LAVATORY 1.50 CONTRACTOR .. SINK 1.50 ADDRESS DISHWASHER 1.50 CrIT TEL. N.O. CLOTHES WASHER 1.50 'STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE EBBED BY LAWN SPRINKLER SYSTEM 2.00 (� f WATER HEATER 1.50 INWDUSTRIALASTAPPROVAL GAS SYSTEM ,OUTLETS 1.50 1570 INSPECTION RECORD 8 OUTLETS OVER 5 PER SYSTEM .30 z O Z— Plan check fee 25% of above. See reverse: PLUMBING PERMIT ISSUING FEE 8 2. 00 TOTAL.FEE_ 9 APPROVALS DATE INSPECTOR'S SIGNATURE Plan Check applicant. UNDER SLAB WORK Name ROUGHPLUMBING ~ Address GAS PIPING OAS VENT City Tel. No. HOT.WATER HEATER_, , 1 HERESY ACKNOWLEDOE THAT I HAVE'READ THIS APPLICATION AND STATE TI4AT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALI, COUNTY ORDINANCES AND STATE LAWS REGULATING ' PLUMBING. GAS TEST `I 1�`1 I .J1"I✓� I. HEREBY CERTIFY THAT 1AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF , CALIFORNIA OR THAT 1.AWTHE LEGAL OWNER OF;AND INTEND TO p RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL �Jl 171-W 97XI SIGNATURE JACK R.AE LLEN, SUPERVISING MCHANICAL E OF PERMITTEE PERMIT VALIDATION cK. M..O.• cnSH, PLAN CHECK VALIDATION CK. M.O. CASH WORKERS'COMPENSATION.DECLARATION t I hereby, affirm that I have a certificate of consent to self in- 20—=6 PW 4/90 APPLICATION FOR PLUMBING PERMI • sure,or arcerttficott of Workers'Compensation Insurance,ora certified copy thereof(Sec. 3800, Lab. C.) Policy No. Company COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Certified copy is hereby furnished. BUILDING r-1Certifiedcopy is filed with the county building inspection FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS "►//�C✓ department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY r , Date Applicant WATER CLOSET(TOILET) NEAREST /� w CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCESHOWER OWNER ,r (This section need not be completed If the work involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS 9Sf tCJ.L^�1L�/�lJlL_� I certify that in the performance of the work for which this per- SINK CITY •----- . -TEL.NO. . mit is issued, I shall not employ any person in any manner so — _j �,c� 13 as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR •�OOT Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers.'Compen- CITY • �� TEL.NO.,_I sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER � v LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSEb BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and m license is in full force and ef- 5 PER SYSTEM FINAL y VALIDATION fect. HOSE BIB DATE �� a License Number Lic. Class FINALO V Contractor Date BY O I am exempt under Sec. V B.&P.C. for this reason Plan check f ® N fee Date: PLUMBING PERMIT ISSUING FEE$ � .30 Signature TOTAL FEE SINGLE FAMILY ' HOME OWNER-BUILDER DECLARATION Plan check'applicant I hereby affirm that I am exempt from the Contractor's License Name 5 Law for the following reason (Section 7031.5, Business and A44TaV Professions Code): Address I, as owner of the property, will do the work and the City Tel. No. 303 40 structure is not intended or offered for sale(Section 7044, 1 ITEMS Business and Professions Code). r TOTAL 43.40 CONSTRUCTION LENDING AGENCY CHECK 43°40 I hereby affirm that there is a construction lending agency for ; the performance of the work for which this permit is issued CHANGE .00 (Sec. 3097, Civ. C.). Lender's Name 0000_0001 1/ 8/96 Lender's Address 4140 1 PH12:09 I certify that I have read this application and state that the above information is correct.I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby I authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. ; 9 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature Date