HomeMy Public PortalAbout9873 WENDON ST_Plumbing__ 76A667 DOB 17 7-51 v APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY.,?' 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF-ENGINEER
'DISTRICTN.D. GROUP O .p
FOR APPLICANT TO FILL IN �91 � ��, 5�p ! 41-1
PLUMSPLUMS41K I READY FEW
RECEIVED BY ppppAAAATE 'ISSUED
FIRST INSPECTION /s
ADDRESS
BUILDING
CITY • L NO, ADDRESS IA
COUNTY � � LOCALITY �f I
Liar=
NO. EXPIRES v Id?
/NrAREST ' yam,
PERMIT FEES CROSS ST. �?'L^j1�L d L�2L� ��
NUMBER TYPE OF FIXTURE OR ITEM `FEE OWNER V V "To
MAIL
WATER CLOSET(TOILET) 0 0.50 ADDRESS
BATH TUB @ 0:50 CITY TEL NO.
SHOWER 0 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB Or TRAY 0.50 ANGELEB COUNTY LICENSE, OR 1 AM THE -LEGAL OWNER
GAS SYBTE � UTLETS -0 13.90OF THE RESIDENTIAL PROPERTY DESCRIBED BOVE.
OF
WATER HEATER 0 0.50 �' SIGNAT MITTS
BLOP SINK 0 0.50 INSPECTION RECORD
FLOOR SINK 49 0.50
FLOOR DRAIN @ 0.50
DISHWASHER 0 0.50
DRINKING FOUNTAIN 0.50 1 /
URINAL 0 W
.50 Z—(�� P ,S� w
HOUSE SEWER 0.50 G✓flfT�'-- �NfuF/-�(�L:���
I� MISCELLANEOUS
Lt., Lh 71J.17 d
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-�. APPROVALS1/4y
DATE INSPEOTORIB NAME Oki
ROUGH PLUMBING
GAS PIPING
GAS VENT (�
CESSPOOL @ 1.330 CESSPOOL
SEPTIC TANK.- SEPTIC TANK
DRAIN ( ) PIT.( ) 0 1.013 SEWER J� P
PERMIT .
1.130 GAS TET
UTILITY CO.NOTIFIED �IrTl.l; 17.7-mil
TOTAL FEE W4. vv16;6VOL
FI NAL
7GA667•CE#817 9/89
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 3
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY A
oel
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
.WN
WATER CLOSET $1.25 OWN
AIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. N7-0
LAVATORY 1.25 CONTRACTO
SINK 1.25 ADDRESS pr
DISHWASHER 1.25 CITY TEL.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PRO ESSED BY
WATER HEATER 1.50 : Q -7-7 �—F Gar 1�Q!
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL LL
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30INS$ECTIONi RECORD f V
Lu
Vf
Z
•r
APPROVALS DATE INSPECTORwSIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
OUGH PLUMBING f
TOTAL FEE S GAS PIPING
I HEREBY ACKNOWLEDGE THAT I NAVE READ THIS APPLICATION GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING l
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY I PLUMBING. HOT WATER HEATER f
-
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST + ,
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTi LITY CO.NOTIFIED \
L"OFPEURMITTEE—
FINAI
RE
LIDATION ROBERT A.WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
LAGO 3 925%-o SEP 17 5 D 325- v
76AG67C(CE 617-A1-1 1/76.
APPLICATION FOR..PLUMBING PERMIT f�
7
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ;.'-
NUMBER. FIXTURE OR ITEM G FEE ADDR �^ (�,�
WATER CLOSET LOCALITY /.-r G1 7 �/�
BATH TUB NEAREST /G `AJ O.L
CROSS ST. �L• _ /
SHOWER OWNA.l
ER. , l✓ '
LAVATORY MAIL Z
ADDRESS J /,
SINK CITY �/f/1 LC .0 y TEL.NO. 87-602-
DISHWASHER CONTRACTOR
CLOTHES WASHER
ADDRESS
SWIMMING POOL RECEPTOR 3 O&
CITY TEL.NO.
LAWN SPRINKLER SYSTEM
STATE LIC.
WATER HEATER 3 d LICENSE NO. CLASS
GAS SYSTEM OUTLETS a ;DISTRICT NO. UP ROCESSED BY
OUTLETS OVER
5 PER SYSTEM. INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD u
Ism
6
1s
Plan check fee
PLUMBING PERMIT ISSUING FEE$ 70
TOTAL FEE 6lad
Plan check applicant
APPROVALS DATE: INSPECTOR'S SIGNATURE
Name
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel.No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GASWENT '
THAT THEABOVE 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 REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAVTEST
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
CIFPERMITTEE' .� �/�- FINAL
PLAN CHECK VALIDATION Ck.. M:o. CASH - PERMIT VALIDATION K. M.O. CASH
-1 3 9 APR 25 5 n .OrC dw
as
WORKERS'COMPENSATION DECLARATION
t 20-0026 DPW 4/87 APPLICATION FOR
PLUMBING PE®M
'T
affirm that I hS{ve a certificate of consent to self in- 76A667A
sufe,ora cartiftcate of Workers'Compensation Insurance,or a CE 817(REV.8/86)
certified copy thereof (Sec. 3800, Lab. C.)
Policy No. Company COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS
❑ Certified copy is hereby furnished.
F-1CertifiedAPPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
Certified copy is filed with the county building inspection ADDRESS C; �r A)r—
department. NUMBER FIXTURE OR ITEM (d FEE LOCALITY _ 7
Date Applicant WATER CLOSET(TOILET) NEAREST
.BATH TUB 9L S /] CROSS ST. )'
CERTIFICATE OF EXEMPTION FROM'WORKERS' v
COMPENSATION INSURANCE SHOWER OWNER .--
(This section need not be completed if the work involved by
MAIL
the permit Is for one hundred dollars($100)or less.) LAVATORY ADDRESS
I certify that in the performance of the work for which this per-
mit is issued, I shall not employ any person in any manner so SINK CITY TEL. NO. .g�, `
as to become subject to the Workers'C9 pensation Laws. —5
/ . /1 DISHWASHER CONTRACTOR
Date Applicanf" / �/. �{✓ CLOTHES WASHER ADDRESS
NOTICE TO APPLI ANT: If, after ing'this Cer icate of Ex- SWIMMING POOL RECEPTOR
emption,you should become subject to the Wor ers'Compen- CITY TEL. NO.
sation provisions of the Labor Code,you must forthwith comp-
LAWN SPRINKLER SYSTEM
ly•with such provisions or this permit shall be deemed revok- STATE LIC.
ed. WATER HEATER LICENSE NO. CLASS
LICENSED CONTRACTORS DECLARATION GAS SYSTEM OUTLETS DISTRICT CI
hereby affirm that I am licensed under provisions of Chapter
9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER
and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VA ATION >_
fect. DATE IL C
License Number Lic. Class !�6nV
' FI - �
Contractor Date O
W
I am exempt under Sec. ;981 0A
A w
B.&P.C. for this reason H
Plan check fee ® #.0 0 0 0 0 5
Date:• PLUMBING PERMIT ISSUING.FEE$
Signature !I TOTAL ° 1 &5 0
- FEE' o 0 016505
HOME OSINGLE FAMILY OWNER-BUILDER DECLARATION Plan.check applicant a 1 5 i 8 7
1 hereby affirm-that I am exempt from the Contractor's License Name
Law for the following reason (Section. 7031.5, Business and
Professions Code): Address
l,,os owner of the property, will do the work and the City Tel. No.
structure is not intended or offered for sale(Section 7044,. i
Business and Professions Code).
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a constructiori 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 information is correct. I agree to comply with all County
ordinances and State laws regulating Plumbing, and hereby
authorize representatives of this County to enter upon the
above- entioned property for inspection purposes.
e'O -e Z SEE REVERSE FOR EXPLANATORY LANGUAGE
Si n ure of Permi a Dat