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Home My Public Portal About4943 WILLMONTE AVE_Plumbing__ FOR w1 CpnA +y WORIYER'S have' a certi16Nficate of cLARATI to 2"027BA666DPW9/89 APPLICATION FOR PLUMBING PERMIT � 76A667A /i `//'1 0'(�� Yhereby affirm that��l have a certificate of consent to self insure,. or a cer$ficate of Worker's Cgompensatiop Insurance, or a certified copy thereof(Sec.3800 Lab.C.) ` COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Policy No. Company ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING 1Z vc ADDRESS-_'L C' 14. ❑ Certified copy is filed with the county building inspection department. NUMBER FIXTURE OR ITEM FEE P ® LOCALITYl J Date Applicant WATER CLOSET ,�. NEAREST; 4i I -F I.Ltd /- CERTIFICATE OF EXEMPTION FROM WORKERS' {� CROSS ST. COMPENSATION INSURANCE BATH TUB ''� o MAP LSUUK f1 PAGE PARCEL (This section need not be completed if the work Involved by the SHOWER permit is for one hundred dollars($100)or less.) OWNER LAVATORY I certify that in the performance of the work for which this permit MAIL ! is issued, I shall not employ any person in any manner so as to SINK ADDRESS (�. t•� �( 5 ��jJ( j( (�(�,7r{. !� pecome subject to the Workers'Compensation Laws. , /{ DISWASHER CITY ? TEL.N eL Data Z Applicant CLOTHES WASHER CONTRACTOR ' r NOTICE TO APPLICANT: If, after making this Certificate of Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR ADDRESS provisions of the Labor Code,you must forthwith comply with such provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.NO. I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER STATE LIC. f 0 (commencing with Section 7000)of Division 3 of the Business and GAS SYSTEM OUTLETS LICENSE NO. CLASS (� Professions Code,and my license is in full force and effect. OUTLETS OVER DISTRICT NO. 09ESSED BY 5 PER SYSTEM "* /'� O l/ a License Number Lic.Class FINAL ��` V DATE / _ V I ATION W CL Contractor Date '; CO) FINAL �I / �'fr-c.- Z ❑ I am exempt under Sec. BY B.&P.C.for this reason '+ Date: Plan check fee Signature PLUMBING PERMIT ISSUING FEE$ , ❑ TOTAL FEE J SINGLE FAMILY - Plan check applicant •. HOME OWNER-BUILDER DECLARATION Name ('`1L. '3 I hereby affirm that I am exempt from the Contractor's License Law - for the following reason(Section 7031.5, Business and Professions Address -=�3 Code): City Tel.No. 1 1 T (i: r_1 I,as owner of the property,will do the work and the structure i;I �"°-- -- is not intended or offered for sale(Section 7044, Business � 2 — -_ and Professions Code). ® LjE # �r CONSTRUCTION LENDING AGENCY 1 hereby affirm that there is a construction lending agency for the CHANGE -- performance of the work for which this permit is issued(Sec. 3097, Civ.C.) r _ Lender's Name ; i. 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-mentioned property pectlon purposes. �- SEE REVERSE FOR EXPLANATORY LANGUAGE X1. 2 73 ' Signature of Permittee Date i 7 25M GETS 10-47 APPLICATION FOR PElUM ..IMPARTMENT OF BUILDING AND SAFETY. COUNTY OF LOS ANGELES PLUMBING WM.J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION 00,Pl9rrRICTNO. GROUP /.� PERMIT (lO. ROUGH FIXTURES COMPLETE READY FOR HEATER CESSPOOL SEPTIC TANK RE77,11/172, BIV 6�r DATE ISSUED —- FIRST INSPECTION AS MISCELLANEOUS ' /! V 'f f APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLYJOBQ G NAM Qt�'® fse' �� O —ADDRESS i�3 / c 1�-• W ADDRESSe�r2G�//�L�� "e�/� LOCALITY L. NEAREIS7' ® d CITY J'� ll�Ga TENo. CROSS HT. W COUNTY ms� ®? CERT.NO. � �"� EXPIRESFn9 Sl G NAME LOCATION OF SEPTIC TANS, OR CESSPOOL, a AMUL DDRE.SS - ✓'— 0 DD NORTH O i" CITY ( TEL.No 1 AM THE 6EGAL PO® R OF THE ABOVE LOS ANGELES COUNTY CERTITE cw IFICATION. CCCCCC��i�'d16� ✓p ! 5. r nuwoesi 1 AM THE LEGAL OWNER OF THE PROPERTY TCRIBED ABOVE. (J 3 OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK z_ ATH TUB RURNACE ROWER DISHWASHER 0 LAVATORY REFRIGERATOR ITCHEN SINK WATER SOFTENER .FLOOR BINK SAND TRAP .SLOP SINK FLOOR DRAIN WASH TRAY URINAL - APPROVALS WATER CL08ET DRINKING FOUNTAIN - DATQ G IN9PCtt:fOR'9 NAPAE r WATER HEATER DENTAL LAVATORY ROUGH PLUMBING / I ETER� GAB - SODA FOUNTAIN GAS PIPING I I r OUTL GAS VENT I CESSPOOL I I TOTAL NUMBER OF FIXTURES SEPTIC TANK I I CESSPOOL SEPTICTANK SEWER 8 UTILITY CO.NOTIFIED I I TOTAL FEE C9� I FINAL 76AG67-CE#617 5/69 I , Z I T Y O F T E m P L SE C I T Y APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY .DIVISION FADDUSS 4943 Willemonte JOHN A.LAMBIE. COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING Temple . City FOR APPLICANT TO FILL IN . Lower Azusa NUMBER FIXTURE OR ITEM EACH FEE OWNER V. Thompson WATER CLOSET $1.25 BATH TUB 1.25 ADDRESS Same SHOWER 1.25 CITY TEL. NO. LAVATORY 1.25 CONTRACTOR General Installation Co. SINS 1.25 ADDRESS '6558 west Blvd. DISHWASHER 1.25 CITY Los Angeles TEL. NO. PL 3-2541 LAUNDRY TUB 1.25 REGINSTSTRATION NO. C-36 151839 787 COUNTTYY CLOTHES WASHER 1.25DISTRICT NO GROUP ZONE P r SSE BY WATER HEATER 1.50 f L� GAS'SYSTEM OUTLETS� 1.50 INDUSTRIAL WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V 1 Water softener IM Ready for Inspection Now p 0 CL N Z •APPROVALS DATE INSPECTOR'S SIG RE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING B 1 HEREBY ACKNOWLEDGE THAT 1 HAVE .READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 1 WITH ALL . COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER pb PLUMBINI HEREBY CERTIFY THAT I AM PROPERLY REGISTEREb AND/OR PLUMBING FIXTURES yi I7 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE iN.THE ABOVE DESCRIBED RESIDEyf R$,QP� UTILITY CO.NOTIFIED SIGNATURE G�ij C, OF PERMITTEE FINAL LIDATION ROBERT A.WOOD M.0. .CASH SUPERVISING MECHANICAL ENG'R 0 FEB 1. 7 5 D .3.50- i .i 17 25M SETS 7-48 APPLICATION FOR PERMIT DEPARTMENT OF F LOS NG AND SAFETY �' • - COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRICT GR O FERMIT NO. FOR APPLICANT TO FILL IN PLUMBER z RECEIVED BY READY FOR. DATE ISSUED ADDRESS FIRST INSPECTION f� _�'� � CITY �./� TEL.N0. dOB COUNTY LICENSE NO. r EXPIRES LOCALITY42z2a i CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NEAREST ANGELES COUNTY LICENSE. CRD899T. /Y, �P !fiJ.-- /'i ., OWNER .'1 . ' .0 P tis�_/: •f'�:! MAIL 4 PLUMBER --ADDRESS PERMIT FEE 19 $1.00 FOR THE FIRST FIXTURE OR CITY X41.,-pTEL. ITEM LISTED BELOW, PLUG 50O FOR EACH ADDITIONAL 1 AM TWE LEGAL OWNER Of;(THE RESIDENTIAL PROP- ITEM. FOR EACH SEPTIC TANK AND PIT OR ORAINFIELD ERTY DESCRIBED ABOVE. $1:CO. MINIMUM FEE FOR ANY PERMIT $1:.00. EACH GAS SYSTEM IS A SEPARATE ITEM. Gs. r/ OWNER// NUMBER TYPE OF FIXTURE OR ITEM WATER CLOSET (TOILET) CORRECTIONS BATH TUB SHOWER ' LAVATORY (WASH BASIN) KITCHEN SINK LAUNDRY TUB OR TRAY GAS SYSTEM CUTLETS WATER HEATER SLOP SINK J - Q FLOOR SINK Z FLOOR DRAIN O DISHWASHER O DRINKING FOUNTAIN URINAL MISCELLANEOUS APPROVALS DAT_E INSPECTORS NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL C-3 07 SEPTIC TANK - DRAIN ( ) PIT ( ) $. SEPTIC TANK CESSPOOL $ Q SEWER HOUSE SEWER $ S—� GAS TEST UTILITY CO.NOTIFIED. TOTAL FEE FINAL - �� '✓/�!u'i DEPARTMENT OF COUNTY ENGINEER PLUMBING DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING LL�/13 WILLIAM J. FOX, COUNTY ENGINEER ADDRESS /T % P!// C�i Are re FOR APPLICAN TO FILL IN LOCALITY BUILDINGNEAREST �` CRO SST. ADDRESS '7 DISTRICT NO. GRO P Z NT NO. LOCALITY 1 ,4-1 6=0 NEAREST rr R CEIVED BY Ready for Inspection DAT ISSUED CROSS ST. R Q/� �� d�(�� OWNER I e UA��tl rffri modp'Pi MAILINDUSTRLKL ADDRESS 5p ;� �' ;�/ WASTE APPROVAL CITY i F @, re.0 TEL.NO. �'�,�e910 6"11 INSPECTION RECORD PLUMBER � Gi',y4 Ca j In 14 fib// ADDRESS 9!/ OL(•9 ( A: , /;,A 7•S3 a"X159'/tib CU�re _.r�rdl� CITY ° TEL.N0.A 4®761- ,,ssem v ❑STATE dF�.t�+fra�*.r'/J r}.� ►C�. .Yr�. LICENSE NO. - A (7 COUNTY v J PERMIT FEES z VUPIDER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET(TOILET) @ 0.80 $ BATH TUB @ 0.80 SHOWER @ 0.80 LAVATORY(WASH BASIN) @ 0.80 KITCHEN SINK @ 0.80 LAUNDRY TUB OR TRAY @ 0.80 SLOP SINK @ 0.80 FLOOR SINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER @ 0.80 DRINKING FOUNTAIN @ 0.80 URINAL @ 0.80 //y��y GAS SYSTEM..._....-OUTLETS @ 1.00 (7/ WATER HEATER @ 1.00 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDERSLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURESI THAT I AM AND/RREBY LIICEN ERD IAS REQUIRED BY PROPERLYLOSAN EL SGISTERED COUNTY GAS TEST AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- - ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATUREj, OF PERMITTEE.- - ///�... n_. _......------ _ � ._-------- 9 n FINAL �✓-.l:" /'�....� X Ar'7, 76AG67 DBS 17 1/53