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Home My Public Portal About9433 LEMON AVE_Plumbing__ 76A667-CE4817 6-65 V APPLICATION FOR PLUMBI G PERMI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND'SAFETY DIVISION BUILDING JOHN A LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W JENKINS SUPT bF BUILDING LOCALITY - FOR APPLICANT TO FILL IN NEAREST--CROSS ST. NUMBER FIXTURE OR ITEM EACH F OWNER WATER CLOSET MAIL BATH TUB 1.25 ADDRESS SHOWER CITY TEL. NO. LAVATORY CONTRACTOR SINE ADDRESS qo Z DISHWASHER 1.25 CITYTEL. NO. w 1261w STATE LIC LAUNDRY TUB 1.25 LICENSE NO CLASS CLOTHES WASHER 1.25 DIS ICT NO. GROUP ONE PRO RD BY WATER HEATER 1.50 f 6 GAS SYSTEM OUTLETS 1.50 ,5 Q INDUSTRIAL a WASTE APPROVAL OUTLETS OVER S PER SYSTEM .30 INSPECTION RECORD U V W N Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING I HEREBY CERTIFY THAT I 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 UTILITY CO NOTIFIED SIGNATURE / 414 OF PERMITTEEAz FINAL VALIDA IBJ CK M O CASH ince 0 2 0"S3 AUG 20 5 D 1 1.00- .78A667-CE#817 10-67 APPLICATION FOR PLUMBING PERM CO'JNTY' OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN W JENKINS SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN (PR NT OR TYPE) NRARFSSi.T -- CROSS w NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET 1 50 BATH TUB 1.50 MRESS�N 3 SHOWER 1.50 CITY TEL. NO.1LC(,S—Z-tl LAVATORY 1 50 f Q CONTRACTOR SINK 1.50 ADDRESS DISHWASHER 1 50 CITY TEL. NO. CLOTHES WASHER 1 50 STATE LIC LICENSE NO CLASS SWIMMING POOL RECEPTOR 1 50 DISTRICT NO. GROUP NE P CFS SED BY_, LAWN SPRINKLER SYSTEM 2.00 l WATER HEATER 1.50 'YJ INDUSTRIAL � WASTE APPROVAL CD GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD V OUTLETS OVER - W 5 PER SYSTEM 30 Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE S 2 00 TOTAL FEE APPROVALS DATE INSPEC'TOR'S_ SIGNATURE Plan check applican UNDER SLAB WORK y+' Name 'r �Q, ROUGH PLUMBING Address 3 ( - L&- -,— GAS PIPING City' (, Tel. No .3 GAS VENT HOT WATER HEATER I HEREBY AC NOWLEDGE AT I HAVE READ THIS APPLICATIONto, P. r AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES /' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST ?0//5 PLUMBING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED °LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO / RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL - SIGNATURE �_ -. �_ Q OF PERMITTEE P•'•'��' JACK R. ALLEN SUPERVISING ECH ANICAL EN G'R mmmdPERMIT VALIDATION cK M o CASH PLAN CHECK VALIDATION CK M O CASH I 'I%c�5 7 7 5 t*UG 7, 5 D- 8.0 0 •-16A667 -CF-0817 9/631-7 d- APPLICATION FO PL UMBIN PERMIT COUNTY OF LOS ANGELES u DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ADDRESS BUILDING JOHN A. LAMBIE, COUNTY ENGINEERIt O WILLIAM A JENSEN, SUPT of BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS S. NUMBER FIXTURE OR ITEM EACH FEE "ow1+ER � F . j3 A•K r 2 WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS SHOWER 1.25 CITY e," og2 TEL. NO. G f LAVATORY 1.25 C CONTRACTOR nj �m SINK 1.25 J ADDRESS DISHWASHER 1.25 CITY TEL. NO. LAUNDRY TUB 1.25 CONTRACTOR'S STATE [:1 REGISTRATION NO. COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT j10. GRP E PROCE D BY WATER HEATER 1.50 a ((T,j II } GAS SYSTEM OUTLETS 1'50 INDUSTRIAL CL WASTEAPPROVAL O OUTLETS OVER 5 PER SY TEM .30 INSPECTION RECORD U ce _ o e U W a. 0 - v Nto Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00UNDER SLAB WORK ' TOTAL FE ROUGH PLUMBING �` i•�i,�i/ r ��' T ' GAS PIPING 1 D HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT �/'� \ _ 51- ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH AL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER .._.-- I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED ASREQUIRED 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 UTILITY COO NOTIFIED A SIGNATURE OF PERMITTEEy- FINAL 7f ALIDATION ROBERT A WOOD cK M o CASH SUPERVISING MECHANICAL ENG'R Lr��.o7 1 0 41 DEC24 5 D 5.75 P 7SA667 Des 17 7-51 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DIBTRICT 0. GROUP FgO�yRj APPLICA T TO FILL IN J/ V �7 PLUMBER p/J (`-{� RE=VED BY READY FOR DATE ISSUED- �� FIRST INSPECTION / �Y ADDRESS ` - 7. BUILDING el3 Q CITY I /�O TEL. No. ADDRESS 1 COUNTY LOCALITY WDENSE NO. EXPIRES NEAREST PERMIT FE:E$ CROSS ST. i NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) a 0.6D S ADDRESS BATH TUB @ 0.50 CITY '- TEL No. SHOWER 0 0.50 1 HEREBY•ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.60 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. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OAS SYSTEM OUTLETS 0.50 OF THE RESIDENTIAL PROPERTY DESCRjgtD ABOVE. SIGNATURE WATER HEATER 0.50 PERITTE ...n SLOP BINK 0.50 INSPECTION RECORD FLOOR SINK 0.50 FLOOR DRAIN 0.60 DISHWASHER 0.50 DRINKING FOUNTAIN 0.50 URINAL 0.50 J Q HOUSE SEWER O.BO J Z MISCELLANEOUS O R' O APPROVALS • DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL it>? 1.00 0 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) 1.00 SEWER PERMIT 1.00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE !6 do FINAL r 76A667 -CE481,7 9/63 APPLICATION FOR PLUMB NG PE MIT J COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS E Lemon Ave WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY Temple Cit FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER Ra nd Baker WATER CLOSET $1.25 MAIL BATH TUB 1.2S ADDRESS Sallie CITY TEL. NO. SHOWER 1.25 LAVATORY 1.2S CONTRACTOR p Blue Haven Pools SINK 1.25 ADDRESS 827 W. Cypress Ave. DISHWASHER 1.25 CITY Covina TELL. NO. 331 x.8p 51 CONTRACTOR'SLAUNDRY TUB 1.25 REGISTRATION NO. 192236 COUNSTATY CLOTHES WASHER 1.25 DISTR CT N GROUP ZONE P OC rcD BY WATER HEATER 1.50 2�6 } GAS SYSTEM OUTLETS 1.50 INDUSTRIAL CL WASTE APPROVAL 0 OUTLETS OVER 5 PER SYSTEM .30 U INSPECTION RECORD Pool piping & p P Trapand vent 5 W a Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT s 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE - GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT I 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 GCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE � OF PERMITTEE FINAL 0V LIDATION ROBERT A. WOOD CK. M.O. CASH SUPERVISING MECHANICAL ENG'R 1 l WORKERS'COMPENSATION DECLARATION APPLICATION PPLIC A TION FOR PLUMBING 1 1 I BIN PERMIT I her by affirm that I have a certificate of consent to self 76A667A /'� L M 1r R `L/�Y�a� V R�Y� ins e, or a certificate of Workers' Compensation Insurance, CE 817 (REV 10/81) or certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY lacy No Company Certified copy Is her u hed FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDIN ❑ CertifiWt s filed it e ty building inspec- ADDRESS tion t NUMBER FIXTURE OR ITEM @ FEE LOCALI Date pp scant w WATER CLOSET NEAREST CERTIFICATE OF PTIO F WORKERS' BATH TUB CROSS ST COMPENSAT SURANCE OWNER (This section need not be completed if the work involved by SHOWER the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS I certify that In the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY ` TEL NO so as to become subject to the Workers'Compensation Laws DISHWASHER CONTRACTOR 0� �n �is Date Applicant CLOTHES WASHER ADDRESS 3 �� ✓rr C NOTICE TO APPLICANT If, after making this Certificate of Exemption, you should, become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITY /oTEL NQ6" LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE l LIC �] deemed revoked WATER HEATER LICENSE NO CLASS /7 LICENSED CONTRACTORS DECLARATION . DISTRICT NO PROC ZY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER >, and Professions Code,and my license is in full force and effect 5 PER SYSTEM FINAL VALID ION 91116License Number Lic Class DATE �—� U G/V FI v ®C Contractor Date B ❑ I am exempt under Sec LM B 8P C for this reason ► Plan check fee _ Date PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE SINGLE FAMILY 3 G 4 A Plan check applicant ' HOME OWNER-BUILDER DECLARATION Name # o 0 0 0 0 5 I hereby affirm that I am exempt from the Contractor's License Address p— �/ o o S Law for the following reason (Section 7031 5, Business and - C 4 �&� Professions Code) City K Tel No 000 ,165050 ❑ 1, as owner of the property, will do the work and the structure is not intended or offered for sale (Sectionpool ( a 1 6=8 5 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 , above information is correct I agree to comply with all County As,rgn nces and State jaws regulating Plumbing, and hereby epresentatives of this County to enter upon the ed property for inspection purp es SEE REVERSE FOR EXPLANATORY LANGUAGE o m"tee Date