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Home My Public Portal About9130 WOOLLEY ST_Plumbing__ OBS-17 S.SB 1 I� APPLICATION. FOR -PLUMBING PERMIT SS. DIVISION OF BUILDING AND SAFETY �� Department of County Engineer County of Los Angeles BUILDING WM.J. FOX,COUNTY ENGINEER ADDRESS CASSATT D.GRIFFIN,SUPT OF BUILDING• LOCALITY t 2 FOR APPLICANT 10 FILL IN NEAREST CROSS ST. 'OWNER y _ DIST. CT NO.. GROUP ZONE READY FOR INSPECTION MAIL ADDRESS INDUSTRIAL _ CITY �L TEL.NO. WASTE APPROVAL PLUMBER. � . INSPECTION RECORD ADDRESS CITY &j g TEL.'NO. LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM FEE' WATER CLOSET (TOILET) $ BATHTUB SHOWER LAVATORY (WASH BASIN) KITCHEN SINK DISHWASHER LAUNDRY TUB OR TRAY q CLOTHES WASHER 00% J. TOTAL NO. . 0.80- APPROVALS DATE INSPECTOR'S SIGNATURE GAS SYSTEM OUTLETS ® 1.00 WATER HEATER @ 1.00UNDER•SLAB WORK i .ROUGH PLUMBING PERMIT S ] 00 0 .GAS PIPING TOTAL FEE OYU GAS VENT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP ICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. IICG HEREBY CERTIFY THAT 1 AM PROPERLY' REGISTERED AND/OR AS TEST L ENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM. THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PROPER Y... SIGNATURE � OF PERMITTB:E E FINAL � WILLIAM J.FOX,COUNTY ENGINEER VALMATION R.A.WOOD,CHIEF PLBG.INSPECTOR 08 2 5 SEP 2 0 3 2.00 In 761A667(CE-817)-4/72 t v •- APPLICATION OR PLU BING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION /� MAKE CHECKS PAYABLE TO: ADIORess 5!j HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY ZF*w !-6- C FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST NUMBER FIXTURE OR ITEM @ FEE CROSS ST. WATER CLOSET 1,75 OWNER -ZMAIL Z BATH TUB 1.75 ADDRESS SHOWER 1,75 CITY /L/� /7 67/' ep TEL5. NO.2$ `"7i LAVATORY 1.75' CONTRACTOR SINK 1.75 ADDRESS DISHWASHER 1.75 ,CITY TEL. NO. CLOTHES WASHER 1.75 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.75 LAWN SPRINKLER SYSTEM 1,75 DISTRICT NO. GROUP NEJ� PRO SSED Y WATER HEATER '1.75 INDUSTRIAL ?, WASTE APPROVAL GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD v OUTLETS OVER .30 C 5 PER SYSTEM F- V W a Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 00 TOTAL FEE Plan check appl cant APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK Name L �j/y ROUGH PLUMBING Address 5717,9 S/ GAS PIPING City ��(,�� T4I. No. �„� GAS VENT IVA HE ACKNOWLEDGE THA I HAVE READ TH15 A CATION HOT WATER HEATER AND S ATE THAT THE ABOVE I CORRECT AND AGREE TO CO PLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST I HEREBY &M- PLAN PROPERLY REGISTERED AN OR UTILITY CO. NOTIFIED LICENSED AS G ES NTY AND ST OF CALIFORNIA OG L OW OF, AND IN D TO RESIDE IN THE ID N 1 OPER TY. FINAL Q\A SIGNATU RE OF PERMI PERMIT VALI�AT CK. M.O. CASH PLAN CHECK V IDATION CK. M CASH { �,, 1 8 7 173 JW2 5 D 4,754 a 76A667 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER C BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDING I3 ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST NUMBER FIXTURE OR ITEM @ FEE CROSS ST. 4l1 OWNER WATER CLOSET 1.75 C MAIL BATH TUB 1.75 ADDRESS SHOWER 1,75 CITY j TE . NO.,j LAVATORY 1,75 CONTRALTO 2 ol SINK 1.75 ADDRESS DISHWASHER 1.75 CI TEL. NO. CLOTHES WASHER 1.75 STATE LIC SWIMMING POOL RECEPTOR 1.75 LICENSE N 0,J 7 3416, CLASS DISTRICT NO. GROUP ZONE OC ED BY LAWN SPRINKLER SYSTEM 1.75 -- WATER HEATER 1,75 INDUSTRIAL WASTE APPROVAL r GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V OUTLETS OVER 30 O 5 PER SYSTEM It, W a h z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name 'ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT HOT WATER HEATER IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES 1 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING I�� PLUMBING. GAS TEST / a• i HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS RE11UIRED BY LOS ANGELES COUNTY AND STATE OF ' I CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIB �+li SIDEN IAL P PE Y. FINAL ' SIGNATU RE J OF PERMITTEE PERMIT VA ID ION CK. 0. CASH PLAN CHECK VALMATION CK. M.O. CASH nJ 3 a 6 2 1 L nuG 235 10-0 0 �� WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm. that. I have a certificate of consent to self i76Ab67q insure, or a certificate of Workers'Compensation Insurance, iCE 817(REV. 10/81) or.a certified copy thereof(Sec. 3800, dab.C.) ; COUNTY OF LOS.ANGELES l� ' BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. BUILDING. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS. 13 O love l e Certified copy is filed with the county building inspec- tiondepartment. NUMBER FIXTUREORITEM @ FEE LOCALITY f WATER CLOSET .rz Jit 2-' Date ��6'��Appli4an NE�IRES'f CERTIFICATE.OF EXEM N FR M WORKERS' BA7H TUB CROSS ST. jU e r COMPENSAM INSURANCE OWNER (This section need not be completed if the work involved by SHOWER / MAIL Y DO rL e the permit is for one hundred dollars($1.00)or leis.) LAVATORY ADDRESS f GV I certify that in the performance of the work for which this , permit is issued,, I shall not employ any person in any manner SINK CITY t� 1♦ TEL.NO. .to as,to become subject'to the Workers'Compensation Laws. DISHWASHER' IF r CONTRACTOR Fneuua-- A. Date Applicant. CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR . .� Luc fie k Exemption; you. should become subject to the Workers' p Compensation provisloAs of the Labor Code, you must forth,- LAWN SPRINKLER SYSTEM CITY O v I a+ TEL.NO. v-0th comply with such_provisions or this permit shall be STATE' LIC.. deemed revoked.. WATER HEATER LICENSE.NO. 3 2 CLASS LICENSED CONTRACTORS DECLARATION DISTRICT N P ESSED BY I hereby affirm that I am licensed under provisions of Chapter91 GAS SYSTEM OUTLETS (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER s and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL DATE /� Z3VALIDATION ' 0 (License Number c3K Lic:Class ' FINAL +I Contractor 1<o Date <� BY V ❑ 1 am exempt under Sec. 663 J9 U) B.&'P.C.for this reason Plan check fee ► � Date: PLUMBING PERMIT ISSUING FEE$ Signature `3 9 5.8'q TOTAL FEE , fi Plan check applicant SINGLE FAMILY 2 0 0 1 (a 1:Q HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from:the Contractor's License Address ` o Low for the following.reason (Section 7031.5, Business and •' CRY y Tel.No.i, Professions Code): ^ ^ 26-83 ❑ u , I 1, as owner of the property;,will do the work and the structure is not intended or offered for sale (Section i 7044, Business and Professions Code'). CONSTRUCTION LENDING AGENCY I hereby affirm that there Is a construction lending agency for •' the performance of the work for which this permit is issued j (Sec. 3097,.Civ. C.). , Lender's Name Lender's Address I certify 4 ,that I have read this application and state that the above information is correct. I agree to comply with all County pop G ordinance9 and State laws regulating Plumbing, and hereby authorize representatives of this County to 'enter upon the bove.-mentioned property for inspection purposes. ' t , SEE REVERSE FOR,EXPLANATORY LANGUAGE gnatu of:Permittee Date i WORK9RS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I trrereby-affirm that I have o certificate of consent to self 76A667A �!or a certificate of Workers'Compensation Insurance, CE 817(REV. 10/81) �J t_ifid`�p l}afeg �(Se Isb*c•) n COUNTY OF LOS ANGELES BUILDING AND SAFETY Poli' y o. l� "IIJC�olmpany T. Certified copy is hereby furnished. BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS Certified copy is filed with the county building i spec- ion depart nt. NUMBER FIXTURE OR ITEM ® FEE LOCALITY •� Dateq-- ` AppfirantnL4 WATER CLOSET NEAREST CERTIFICATE OF EXEMPTrONR WORKE BATH TUB CROSS ST. ' COMPENSATIONCE OWNER � ♦� �� (This section need not be completed If the work Involved by; SHOWER MAIL the permit Is for one hundred dollars($100)or loss.) LAVATORY ADDRE I certify that in the performance of the work for which this. permit is issued,I shall not employ any person in any manner SINK CITYTEL. NO. so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Q r—PFN FCh Date Applicant CLOTHES WASHER ADDRESS -,-� NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' CITYTEL. NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM 44 with comply with such provisions or this permit shall be STATE IC. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO./ PR ES ED BY I hereby affirm that I am licensed under provisions of Chapter 9. GAS SYSTEM OUTLETS �^/1 t;/ (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER �J �(/ b and Professions Cqdqancl 1'c a is in full force and eG. 5 PER SYSTEM FINAL VALID ION } (� DATE p License Number Class C ` FINAL L Contra to t 3 BY. RVW 4f, ❑ C xe I am ept under Sec. C � C B.&P.C. for this reason i LL Plan check fee ® u Date: PLUMBING PERMIT ISSUING FEE$ U 2 Signature TOTAL FEE � 968G.1 A Plan check applicant SINGLE FAMILY # o 0 0 0 0 5 HOME OWNER-BUILDER DECLARATION Name I o o 1650 1 hereby affirm that I am exempt from the Contractor's License Address Low for the following reason (Section 7031.5, Business and ' 0 0 0 1 b 5 0 5Professions Code): City Tel. No. ❑ I, as owner of the property, will do the work and the o 4.0 3 i 8 7 structure is not intended or offered for sale (Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction 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 poll, information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby orize representatives of thi County to enter upon the bo -mentioned property f r i spect' urposes. C , SEE REVERSE FOR EXPLANATORY LANGUAGE Signal of Permittee Date I -WORKERS'COMPENSATION DECLARATION 'APPLICATION FOR PLU BONG tl ERM li' �` `_ 5~ 1-0 6 06 I mere y affirm that I have a certificate of consent to self 76A667A r+ nsur4. or a certificate of Workers'Compensation Insurance, CE 817(REV. 10/81) �J or a certified o y they f(Sec. 3800, b. C,) COUNTY OF LOS ANGELES BUILDING AND SAFETY ro ,F� 0 cy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING O Certified copy is filed with the county building inspec- ADDRESS '[ tion department. NUMBER FIXTURE OR ITEM ® FEE LOCALITY I,e C� ,9R Date �__57-w Appli4ant lWWATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATHTUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed If the work involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRE S I certify that in the performance of the work for which this p permit is issued,I shall not employ any person in any manner SINK CITY 16 TEL. NO. 9 so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR fl2la&j Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' CITY TEL. NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. L CLASS LICENSED CONTRACTORS DECLARATION DIS ICT NO� ESSED BY I hereby affirm that 1 am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL VALBDA OfI�N DATE C �n( /� C License Numb +�v `� Lic..Class `� /��(� FIN C' Contractor ,Aa `� atei BY Q ❑ I am exempt under Sec. CC B.&P.C. for this reason n Da Plan check fee A 6 8 Q 3 A � e (� �n, ,,, PLUMBING PERMIT ISSUING FEE$ # 0 0 0 0 0 5 2 Siannt�r L4_g 1 A W►'\ TOTAL FEE A o - 1 6650 Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name ° ° ° 1 66 5 O I hereby affirm that I am exempt from the Contractor's License' Address Q 4, Q 3 y$7 Law for the following reason (Section 7031.5, Business and Professions Code): City Tel. No. ❑ I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section; 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby off irm that there is a construction 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 repre"sentatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR LANGUAGE CL 3 Sign ture of Permittee Date