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Home My Public Portal About5302 NOEL DR_Plumbing_1/16/1964_ 78A867 CE#'S 172 82 TEMPLE C97V r APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING D JOHN A LAMBIE COUNTY ENGINEER ADDItES WILLIAM A JENSEN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN � TSS T J NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $125 r L BATH TUB q} 125 ADD SHOW ` 1 TEL N51O LAVATORY 125 CONTRACTOR ^C V SINS 125 ADDRESS f DISHWASHER 125 C TEVNO )9''t" Q�� CONTRACT � STATE LAUNDRY TUB 125 REGISTRATI NO � COUNTY CLOTHES WASHER in DISTRICT NO GROUP (NE ESSED BY WATER HEATER 150 50 _- GAS SYSTEM—OUTLETS- 1WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM 90 INSPECTION RECOO !� O r V W d to Z APPROVALS DATE INSPECTORS SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK UGH PLUMBING TOTAL FEE GAS PIPING / I HEREBY ACKNOWLEDGE THAT 1 NAVE RE THIS A LICATION GAS VENT (4 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 L09 A LES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE G OWNER OF AND INTEND TO RESIDE IN THn-- E DESCRIBED E DENTI PROPERTY UTILITY CO NOTIFI D .r' SIGNATURE �� ) OF PERM. FINAL '� < VALIDA ROBERT A WOOD CK M Q CASH SUPERVISING MECHANICAL ENG R LC�LOw r l I s :, LjL0 4 3 4 6 JtiN 13 5 D 3 2 5 �' ' WORKERS COMPENSATIQN DECLARATION APPLICATION FOR PLUMBING PERMIT L h-reby.oYirm that I have a certificate of consent to self 76A667A rlttsure 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 Policy NoIV8523798zompany Fremont / Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is Bled with the county building mspec ADDRESS 5302 Noel Dr. tion department NUMBER FIXTURE OR ITEM @ FEE LOCALITY Temple Cit Date 3-29-85 ApphgontOwen Bros, Plbg. WATER CLOSET ..,� NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB CROSS ST COMPENSATION INSURANCE SHOWER OWNER Kenneth Mullen (This section need not be completed if the work involved by the permit is for one hundred dollars($100)or less) LAVATORY MAIL ADDRESS 825 Golden West Ave #6I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner SINK CITY Arcadia TEL NO 445-2223 so as to become subject to the Workers Compensation Laws DISHWASHER i- co"rRAaoR Owen Bros. Plumbing, Inc Date-- Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT If after making this Certificate of 4265 N Baldwin Ave Exemption you should become subject to the Workers SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code you must forth LAWN SPRINKLER SYSTEM CITY El Monte TEL NO 443-0078 with comply with such provisions or this permit shall be STATE LIC deemed revoked WATER HEATER —� LICENSE NO 231 41 CLASS C36-20 LICENSED CONTRACTORS DECLARATION DISTRICT NO PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER v and Professions Code and my license is in full force and effect 5 PER SYSTEM FINAL _ IL DATE V ID I A V License Number 931 741 ^ Lic Class C3Fi-2n FINAL # • • • • • 5 O,O Contractor Owen Bros P1bgDate 3-29-85 BY I • • 8 8 5 0 11— W ❑ I am exempt under Sec IL = U z B 8P C for this reason Plan check fee . . . 8&5p ► Signature Date E 04.04-85 PLUMBING PERMIT ISSUING FEE$ TOTAL FEE SINGLE FAMILY Plan check applicant HOME OWNER BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor s License Address 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 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 Poo information is correct I agree to comply with all County ordinances and State jaws regulating Plumbing and hereby authorize representatives of this County to enter upon the b entioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 3-29-85 i ature of Permittee Date Y • WORKERS(COMPENSATIQN DECLARATION APPLICATION FOR PLUMBING PERMIT $,I hereby8m affirthat I have a certificate of consent to self 76A667A fhSure of 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 Policy No .. T3L85P37 Sq'inpany Fremont Certified copy is hereby furnished 119 FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspec ADDRESS 5304 Noel Dr. tion department NUMBER FIXTURE OR ITEM ® FEE �.,., LOCALITY Date I-29—A5 Appli4ant QWPU AMR P_lho. 4:X WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB CROSS ST COMPENSATION INSURANCE / SHOWER OWNER (This section need not be completed if the work involved by -- Kenneth Mullen the permit is for one hundred dollars($100)or less) LAVATORYMAIL AD I certify that in the performance of the work for which this DRESS 825 Golden West Ave. #6 permit is issued I shall not employ any person in any manner SINK �• CITY TEL NO44 2223 so as to become subject to the Workers Compensation Laws DISHWASHER Arcadia CONTRA Bros Plumbing, Inc Date Applicant CLOTHES WASHER 7 ADDRESS NOTICE TO APPLICANT If after making this Certificate of SWIMMING POOL RECEPTOR 42b N. Baldwin Ave. Exemption you should become subject to the Workers Compensation provisions of the Labor Code you must forth LAWN SPRINKLER SYSTEM CITY El Monte TEL N0443-0078 with comply with such provisions or this permit shall be STATE LIC deemed revoked I J WATER HEATER LICENSE NO CLA LICENSED CONTRACTORS DECLARATION DISTRICT NO ESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS7 , �) (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER V and Professions Code and my license is in full force and effect 5 PER SYSTEM FINALA. DATE VALID ION u License Number 211 741 Lic Class 0115-2n � � OC 01 FIN 0 Contractor Owen Bros. Plbg®ate 3-29-85 B 1 $0.0 A V ❑ W I am exempt under Sec # so e e 05 H B 8P C for this reason Plan check fee 00 • * 8a50 Z Date Signature o PLUMBING PERMIT ISSUING FEE$ e s' *8 a 5 0 c TOTAL FEE —Z Isp 0404-85 SINGLE FAMILY Plan check applicant HOME OWNER BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor s License Address Low 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 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 hove 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 Ave�ntionecl property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 3-29-85 Sig a re of Permittee Date