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Home My Public Portal About9462 LEMON AVE_Plumbing__ 76A667—CE 817468 A APPLICATION FOR PLUMBING ERRAQM„ IT(//�L'� COUNTY OF LOS ANGELES 11 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FADDRiTs' 462 Lemon JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS. SUP T OF BUILDINGTY m le city FOR APPLICANT TO FILL IN (PR NT OR TYPE) TT C B1Vd ST. • • NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET 1.50 OWNER M• Gruenwald MAIL BATHTUB 1.50 ADDRESS as above /1 SHOWER 1.50 CITY T.C. TEL. NO. 447- 99'4 LAVATORY 1 50 CONTRACTOR W. E Graham SINK 1 50 ADDRESS 9127 Las T uria S r DISHWASHER 1.50 CITY TEL. N0286 -9293 CLOTHES WASHER 1.50 ATE LIC LICENSE NO 104466 CLASS C-36 SWIMMING POOL RECEPTOR 1.50 DISTRICT NO GROUP ZONE ESSED BY LAWN SPRINKLER SYSTEM 2.00D L^ x WATER HEATER lac 1.50 1 0 INDUSTRIAL (� WASTE APPROVAL GAS SYSTEM OUTLETS 1 ,S0 INSPECTION RECORD 0 OUTLETS OVER .30 5 PER SYSTEM Lu 0. H Plan check fee 25% of above See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE APPROVALS DATE INSPECTOR S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No. HOT WATER HEATER LCOU BY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES LL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST GEBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIEDD AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF NIA OR THAT I AM THE LEGAL OWNER OF,AND I D TO N, THE ABOVE DESCRIBED RESIDE ROPE RTY FINAL URE JACK R. ALLEN,'SUPERVISING CHANICALENG'R RMIT PERMIT VALIDATION C K M O C ASH PLAN CHECK VALIDATION CK M o CASH �'.,'3 2 1 1WN31 5 D 3.50N 76A667 CE#817 5 61 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS WILLIAM A. JENSEN, SUPT OF BUILDING LOCALTPY ` FOR APPLICANT TO FILL IN NEAP TT. .•- NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL BATH TUB ADDRESS CITY TEL NO. SHOWER LAVATORY CONTRACTOR Alert Plumbing & Heatin SmADDRESS 13933 So. Crenshaw DISHWASHER CITY Hawthorne TEL• NO. OS 9 3691 CONTLAUNDRY TUB REGIIS BAATION NO. 193617 C-36 co"UT NATffE CLOTHES WASHER DISTRICT NO. GROU ONE PROCESSED BY WATER HEATERr�rc GAS SYSTEM INDUSTRIAL v 0 WASTE AP$$OVAL 99 / INSPECTION RECORD 0 W Y 0'-' LAW® $1.00 PER ITEM OR FIXTURE $ AP,PROVALS TE INSPECTOR'S SIGNATURE PERMIT $ 2��Cl0UNDER_s p w0 K / TOTAL FEE ROUGH PLUMBING 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 HEAT PLUMBING. ER I CERT ERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE / d p�ri DESCRIBED RESIDENTIAL PROPER UTILITY CO NOTIF D lOfA6 L�.>l'b'i. 'o j�Zv SIGNATURE ��/ -� OF PERMITFINAL •a/ '� F�sIf VALIDATION `ROBERT A. WOOD CK M 0.: CASH /SUPERVISING MECHANICAL ENG'R / 5 9 4 JAN 5 -D 10,.0.0 5- i ,WORKERS'COMPENSATION DECLARATION, APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 76A667A insure, or a certificate of Workers' Compensation Insurance, CE 817(REV 10/81) or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY P tico Company Certrfred copy is hereb furnr ed FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed he building inspec- ADDRESS tion pa men! NUMBER FIXTURE OR ITEM ® FEE / LOCALIT /y Date Applica WATER CLOSET NEAREST CERTIFICATE OF EXE RKERS' BATH TUB CROSS ST COMPENSATIO S RA SHOWER OWNER (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS,,. I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL NO so as to become subject to the Workers'Compensation Laws DISHWASHER CONTRACTOR � /O Date Applrcaint CLOTHES WASHER NOTICE TO APPLICANT If, after making this Certificate of ADDRESS Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code; you must forth- CITY TEL NO LAWN SPRINKLER SYSTEM with comply with such.provisions or this permit shall be STATE LIC deemed revoked WATER HEATER LICENSE N CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO ESSED Y I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS 4 (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and m license is in full force and effect 5 PER SYSTEM S•' y FINAL VALI TION 0. DATE U License Number Lic Class FIN Contractor_ Date BY 0 ❑ 1 am exempt under Sec IL N B 8P C for this reason Plan check fee ► Date PLUMBING PERMIT ISSUING FEE$ a Signature - TOTAL FEE 150 SINGLE FAMILYPlan check applicant Q HOME OWNER-BUILDER DECLARATION Name F•f �3 1 /1,3 A I hereby affirm that I am exempt from the Contractor's LicenseAddres `� �• l� �� # 0 0 0 0 0 5 Law for the following reason (Section 7031 5, Business and Professions Code) 117 ,E,n Tel No I o 0 1650 ❑ 1, as owner of the property, will do the work and the structure is not intended or offered for sale (Section , 0,0 . 1 6 5 Q= 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY I p 1 6-8 5 1 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'sddress A I certify that I have read this application and state that the ► above information is correct I agree to comply with all County or ces and State laws regulating Plumbing, and hereby oJer presentatives of thisCveoned propertyornspection purposesSEE REVERSE FOR EXPLANATORY LANGUAGErermittee / Date