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Home My Public Portal About9532 LEMON AVE_Plumbing__ 76A667.0 E#817 5163 e APPLICATION FOR PLUMPING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY 4Z 7-w FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER �r WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS SHOWER 1.25 CITY TEL. NO. LAVATORY 1.25 CONTRACTOR SINK1.25 ADDRESS DISHWASHER 1.25 CITY TEL. NO. LAUNDRY TUB 125 CONTRACTOR'S STATE REGISTRATION NO. lr COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO. GRO ZO E P BY WATER HEATER 1.50 r ,�n pp r >.. GAS SYSTEMr! �r UYLETS 1.50 INDUSTRIAL d WASTE APPROVAL 0 OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD O H V Lu a h Z r APPROVALS DATE INSPE TO S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK �� /' I AIJ/ ROUGH PLUMBING ��✓ � Vv� TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLIC TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST 2.� r ✓ CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESIDENT AL PROPERTY UTILITY CO NOTIFIED SIGNATURE OF PERMITTEE FINAL LIDATION ROBERT A WOOD cK M O CASH SUPERVISING MECHANICAL ENG R L;3LO 1 0 8 9G OCT 7 5 D 9.75- cm 76A667-CE#817 2-66 APPLICATION FOR PLUMBING PERMIT 7'� COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION 7NEAREST JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUP T OF BUILDING FOR APPLICANT TO FILL IN dj NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL u BATH TUB 1.25 ADDRESS CITY �E;l N TEL. NO. SHOWER 1.25 LAVATORY 1.25 CONTRACTOR SINK 1.25 ADDRESS DISHWASHER 1.25 CITY_? TEL. NO._1 „ D LAUNDRY TUB 1.25 STATE �✓ �' LIC LICENSE NO „j��J ,7 CLASS 13�I CLOTHES WASHER 1.25 D T$ t1 CT P D BY WATER HEATER 1.50 GAS SYSTEM OUTLETS 1.50 INDUSTRIAL pr WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .30 v INSPECTION RECORD O / F— U W d N Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEEGAS PIP ING IH ACKNOWLEDGE THAT I HAVE READ THIS__APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING 1 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 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL ROPERTY UTILITY CO NOTIFIED SIGNATURE OF PERMITTEE FINAL 7 LIDATION JACK R. ALLEN C M o cnsH SUPERVISING MECHANICAL ENG'R. L _947VZ JUL 7 5 D 3.50- D.B.S.17 25M SETS 10-47 APPLICATION PP*ICATION FOEy PERMIT DEPARTMENT OF BUILDING-AND SAFMN ' LIS ilii/ 11 1� ii �1i4iW8ib COUNTY OF'LOS_ANGELES PLUMBING , WM.J. FOX, CHIEF tNGINHER NATURE O INSTALLATION DMITRIo. ou �}P ROUGH FIXTURESCOMPLETE S O RE ED BY READY FOR D TB ISSUED HEATER CESSPOOL I-I SEPTIC TANK FIRST INSPECTION AS MISCELLANEOUS APPLIC((ANT1 F''I//LL IN HEAVILY OUTLINED PORTION ONLY JOB E NAME _ J�7 y4 (� p✓ICI Y.?�l��✓ (r r d ADORES. I— ��-- m ADDRESS U A ! LOCALITY 17!F (i/ S✓ NEAREST IL CITY �� TEL.No 'j/ ��O�,d; CRO S ST. CERT.NCOUNTYo. V EXPIRES .1 �r 4! NAME / W LOCATION OF SEPTIC TANK, OR CESSPOOL. 3 MAIL ADDRESS a NORTH O v v CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE /ORQUALT1 PLumll" E P •I AM THE LEGAL OWNER OF THROPERTY DESCRIBED ABOVE. V/ OWNER '1 CORRECTIONS SOUTH JQ DESCRIPTION OF WORK Z BATH TUB FURNACE -SHOWER DISHWASHER 0 VATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER -FLOOR-SINK SAND TRAP SLOP"SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER-GAS 6ODA FOUNTAIN GAS PIPING OUTL GAS VENT I CESSPOOL I TOTAL NUMBER OF FIXTURES SEPTIC TANK i CESSPOOL SEPTIC TANK SEWER TOTAL FEE �P UTILITY CO.NOTIFIBD I 1�) J FINAL D.B. 17 23M BET? 12-43 APPLICATION FOR PERMIT " DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING ' WM. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURESCOMPLETE �- HEATER CESSPOOLyl SEPTIC TANK RECEIVED BY READY FOR DATE ISSU,E/D n ,/q FIR TIN N 2-` 7—vs- AS MISCELLANEOUS ` ' APPLICANT FILL IN HEAVILY OUTLINED PORTION1i ONJOB LY E NAME B. A. G O R H A M ADDRESS W- A m ADDREssCESSPOOL SERVICE LOCALITY m . NEAREST J CITY TEL.No. CROSS ST. .L 2022 EMPEROR AVE D COUNTY . CERT.No. EXPIRES m NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 1 3 ADDRESS NORTH O CITY ��se TEL.NO. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUM6ER / I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED m ABOVE. D OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK _i BATH TUB FURNACE Q' SHOWER DISHWASHER O LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR BINK SAND TRAP e SLOP SINK FLOOR DRAIN ' WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I METER GAS RODA FOUNTAIN GAS PIPING OUTL GAS VENT I CESSPOOL TOTAL NUMBER OF FIXTURES � SEPTIC TANK I I _CESSPOOI SEPTIC TANK � SEWER I � 1—UTILITY CO.NOTIFIED TOTAL FEE FINAL WORKERS'COMPENSATION DECLARATION 76A667A I hereby„Affirm-At iat I have a certificate of consent to self CE e17 (z-601 A P P L I C A t I O N FOR PLUMBING PERMIT_ insure, or a certificate'of Workers'Compensation Insurance,or a certified,copy thereof(Sec 3800,Lab C.) m,gJe�l�g�p� CcA-v COUNTY OF LOS ANGELES UILDING AND SAFETY- ; Policy No Company Certified copy is hereby furnished 9�/�7_ FOR APPLICANT TO FILL IN (PRINT„OR TYPE)' BUILDING n ADDRESS ��- i �E/kp/V /T✓E, Certified copy is Bled with the county budding inspection NUMBER FIXTURE OR ITEM • FEE department WATER CLOSET_ J/ LOCALITY Date�-3 41 • Applicant s ^'�� —” NEAREST BATHTUB CROSS ST" L l CERTIFICATE OF EXEMPTION'FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER E 'MA LAVATORY MAIL } (This section need not be completed if the work involved ADDRESS a by the permit is for one hundred dollars ($100) or less.) SINK CITY TQM PLE TEL NO L14Z°?-678 0', I certify-that in the performance of the work`for which this DISHWASHER v, ,permit is issued, I shall not employ any person mCONTRACTOR any manner F/l/�+Qfs AI�ASS�`CS+ Q so as to become subject to the Workers' Compensation Laws CLOTHES WASHER ~ Date Applicant ADDRESS sza � Dg9JV6Er D1PPE A• UJI U SWIMMING POOL RECEPTOR �J/ / _a NOTICE TO APPLICANT If, after making this Certificate of CITY � C AJ _lA TE 6�®'7.23 Z Exemption, you, should ,become subject to the Workers' LAWN'SPRINKLER SYSTEM _ P Y J - STATELIC �^�y Compensation provisions of the Labor-Code, you must forth- WATER HEATER �Fj4l} LICENSE NO. 605 d76 CLASS C 4 ,I' with comply with such provisions or this 'permit shall be deemed revoked DISTRICT NO. 1-0-07P CESSED Y GAS SYSTEM OUTLETS LICENSED CONTRACTORS DECLARATION OUTLETS OVER / 1 _I hereby affirm tl aCl am licerised under provisions of Chapter - 5 PER SYSTEM-_ 9 (commencing with Section 7000) of Division 3 of the Busi- nZ FINAL - M VALIDATION ness,and Professions Code, and my license is in full force and f d A� c3TO�R�� %RNK DATE effect : r rSC. ,r FINAL License Number �5ab 71 Lie' Class 4 BY Contractor Date 9-3_gl♦ I am exempt from-the licensing requirements as I am a Plan check fee licensed architect or a registered professional engmeer, PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code) TOTAL FEE Q Lic.or Reg No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION• Name I hereby affirm that I am exempt from the Contractor's Address ` 1',029A License Law for the following reason (Section 7031 5, Busi- City Tel No # 0 0 0 0-0 5" ness and'Professions Code): ; I, as owner of the property, am exclusively contracting 2,0 0 1,Q Q with licensed contractors to construct the project (Section 7044, Business and Professions Code) 0 0 0 CONSTRUCTION LENDING AGENCY " Q Q,p 3-8 1 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 SEE REVERSE FOR EXPLANATORY LANGUAGE ordmances and State laws regulating Plumbing, and hereby authorize representatives'of this County to enter upon the above-mentioned property for inspection purposes Signature of Permitt a Date Permitt a Date