The URL can be used to link to this page

Home My Public Portal About9726 WOOLLEY ST_Plumbing__ 'BA9B7 IB8.17 fO.B3 APPLICATION F'OR'PLTJMBING PERMIT 1 DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles BUILDING JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS CASSATT D,GRIFFIN,SUPT OF BUILDING _ LOCALITYFOI# APPLICANT TO FILL IN NEAREST _ GRO83 ST. 4 OWNER h / 'DISTRIZ-59, GROUP ZONE READY FOR INSPECTION MAIL ADDRESS INDUSTRIAL CITY TEL.NO.. WASTE APPROVAL PLUMBER L� S', le w a Al INSPECTION RECORD ADDRESS // CITY e,>�`� TEL.NO. e LICENSE NO. /Q ap .moi R NUMBER TYPE OF FIXTURE OR ITEM PEE WATER CLOSET (TOILET) @ $1.00 $ 4640 BATH TUB @ $1.00 0 0 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 Q KITCHEN SINK -@ $1.00 ��jj r /�I DISHWASHER @ $1.00 1:1 V/UFJ T�OI1/�G7 9 E � LAUNDRY TUB OR TRAY @ $1.00 O O CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 J. GAS SYSTEM @ $•1.00 (� l- /�1J fn � •LI A,l�c Da/l ie Lf KrJ' 9C— 1716 6"/x•3 1;FA- &16 K A-6 r-Am APPROVALS DATE INSPECTORS SIGNATURE UNDER SLAB WORK PERMIT $ ROUGH PLUMBING 1 OO I GAS PIPING TOTAL FEE ®B GAS VENT I HEREBY ACKNOWLEDGE THAT I.HAVE READ THIS APPLICATION / /• �3' `. / AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO'COMPLY HOT WATER HEATER i� Sr, / . !�I.;_,•r WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING " J PLUMBING. PLUMBING FIXTURES Vit' f I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR, GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM TLEG L OWNER OF THE ABOVE UTILITY CO.NOTIFIED •m ,• /�1, „�l DESCRIBED RESIDENTIA PROPH Y• - SIGNATURE ` OF PERMITTEE ` FINAL OHN A.L.AMBIE, COUNTY ENGINEER ALIDATION ROBERT A.WOOD,CHIEF PLBG. INSPECTOR 0, CASH jjC0 5 4 3 5', APR 2 5 3 8.0 0 7GA537A(CES17A) - 6/75 O • APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES. DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING // MAKE CHECKS PAYABLE TO: ADDRESS �.29 ,sr, 7:A 0 I/B HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY T le C' ` . FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET OWNER BATH TUB ADDRESS 2d Il-e SHOWER C ITY , -C TEL. NO. �Y 7 elf LAVATORY CONTRACTOR SINK ADDRESS DISHWASHERCITY NO. CLOTHES WASHER STATE LIC SWIMMING POOL RECEPTOR LICENSE NO. CLASS DISTRICTNO. GROUP E PROCESSED BY LAWN SPRINKLER SYSTEM .5_by i� �I WATER HEATER I.NDU WASTJTXIAL PPROVAL GAS SYSTEM OUTLETS INSPECTION RECORD OUTLETS OVER 5 PER SYSTEM U W N z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL.FEE Plan chec pplicant APPROVALS. DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK Name ROUGH'PLUMBING Address GAS PIPING City Tel. No. GAS VENT HOT WATER HEATER 1 HEREBI'.ACKNOWLEDGE THA HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST 1 HEREBY CERTIFY THAT I AM .PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS RECJUI'RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT [.AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN'THE ABOVE DESCRIBED RESIDENTIAL PROP RT ,y FINALIYT , SIGNATURE OF PERMITT PERMIT VALIDATION K. M,0. CASH PLAN CHECK VALIDATION CK. M.O. CA H . 76A687A(C E817A) - 8/76 �FR PLUMB NG PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY.DIVISION BUILDING MAKE CHECKS PAYABLE TO: ADDRESS. 9 7.2 G C.Joo HARVEY T. BRANDT,'COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM _ @ FEE OWNER WATER CLOSET d MAIL BATH TUB ADDRESS i C j [, ,0 SHOWER :✓ V CITY �� TEL. NO. Z LAVATORY tADD;RE NTRACTORSINK DISHWASHER . O.CL•OTHES.WASHER LIC NO. CLASS. SWIMMING POOL RECEPTOR ICT GROUP NE CESS BY LAWN SPRINKLER SYSTEM ( ` WATER HEATER INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS INSPECTION RECORD d OUTLETS OVER, 5 PER SYSTEM JIM . U W O. z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plancheck applicant UNDER SLAB WORK Name �'L v ± ROUGH PLUMBING Address 9 7a t. WC) / yp GAS PIPING City _ e Tel. NO. a�2�' GAS VENT ��9HOT WATER HEATER 1HERE BY.ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND •;STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS.TEST 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NQTIFI.ED - LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE.OF CALIFORNIA OR THAT I AM THE LEGAL OWNER.OF, AND INTEND TO RESIDE IN THE'ABOVEbESCRIBED RESIDENTIAL PROPERTY. FINAL SIGNATU RE ' OF PERMITTEE PERMIT VALIDATION CK. M.O. CASH , PLAN.CHECK VALIDATION CK. M.O. CASH 35 0 .9 ' WORKERS'COMPENSATION DECLARATION 20-0046 DPW 4/90 APPLICATION FOR PLUMBING PERMIT L hereby,--affirm that I have a certificate of consent to self in- 7611,661A- sure,or a cerQficat6.ofWorkers'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 FOR APP�LIC,j�NT TO FILL IN(PRINT OR TYPE) /I,,aa F1 Certified copy is filed with the county building inspection ADDRESS 744 AlA department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Data Applicant WATER CLOSET(TOILET) �10 NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. is COMPENSATION INSURANCE SHOWER OWNER _ U Pk 041!a (This section need not be completed If the work Involved by MAIL o the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS ( > W I certify that in the performance of the work for which this per- SINK CITY TEL. NO. ��e mit is issued, I shall not employ any person in any manner so „Q py. C t as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- emption,you should become subject to the Workers'Compen- CITY TEL.NO. sation provisions of the Labor Code,you must forthwith comp- LAWN.SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION : _ DISTJUCT NO. P CESSEb BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is in full force and of--".` 5 PER SYSTEM FINAL (� V DATION fect. HOSE BIB DATE Z 2� 1 >_ License Number Lic. Class IL C FINAL Contractor Date BY V er I am exempt under Sec. O� B.BP.C. for this reason ,Q W Plan check fee ® ACCT aCL Date: PLUMBING PERMIT ISSUING FEE$ 3,33 75.60 U' Signature TOTAL FEE 1 ITEMS SINGLE FAMILY TOTAL 7-°_'b o 6E HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name CHECK 75.60 Law for the following reason (Section 7031.5, Business and CHANGE o � Professions Code): Address I, as owner of the property, will do the work and the City Tel. No. structure is not intended or offered for sale(Section 7044, 0000_0001 12/15/95 Business and Professions Code). ® 370 1 AM 10 29 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 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 a ov -meJ_,�rf.ntione propert for inspection purposes. Il SEE REVERSE FOR EXPLANATORY LANGUAGE Si nature of Permittee Date WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby, affirm that 1 have a certificate of consent to self in- 20-0026 DPW 4/90 76A667A sure,or a certificate of Workers'Compensation Insurance,or a n certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS QUI Policy No. Company ❑ Certified copy is hereby furnished. BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) ❑ Certified copy is filed with the county building inspection ADDRESS Z D 6- department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET(TOILET) NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. �A COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work Involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this per-' SINK CITY TEL.NO. mit is issued, I shall not employ any person in.any manner so [� �S as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR 14 Date Applicant CLOTHES WASHER ADDRESS 9 NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- CITY TEL. NO. r� sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEMS U ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER 0 LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS �� 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL ' VALIDATION fect. HOSE BIB DATE License Number Lic. Class FINAL V Contractor Date B,,Y 5 cc ❑ I am exempt under Sec. I ACCT.4 0 U B.&P.C. for this reason 3303 Plan check fee 59,.50�0 681 9L Date: PLUMBING PERMIT ISSUING FEE$ O I 1 ITEMS Signature O TOTAL59.50 TOTAL FEE SINGLE FAMILY CHECK 59.50 HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name CHANGE .00 Law for the following reason (Section 7031.5, Business and Professions Code): Address 0000-0001 2/21/96 { I, as owner of the property, will do the work and the City Tel. No. structure is not intended or offered for sale(Section 7044, 4948 1 •ATM 10 18 Business and Professions Code). i 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 i above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representativ s of this County to enter upon the above- entioned Pr, r erty for inspect n purposes. D 6 SEE REVERSE FOR EXPLANATORY LANGUAGE Date Si a re of Permittee �