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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 IV 41?7-,9 /J RQ(5b'7r- o nog tis - i_ w 6-,K- -�. 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