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Home My Public Portal About5529 NOEL DR_Plumbing__ 76AA7 177 a 50 10 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRI`CI AAO GROUP ZONE PERMIT NO PLUMBER TRACTORS REC IVED BY READY FOR DATE �UED ANA park. Ca FIRST INSPECTION ADDRESap Monterey / CITYAl1$Iftic. 2 4654 CL tr1 er anA UILDING TEL NO DDRESS COUNTY M �/ LOCALITY `/1.nyyryJ{(.fl.,i LICENSE NO EXPIRES NEAREST PERMIT FEES CROSS ST r NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER �� G MAIL WATER CLOSET (TOILET) O 50 S � ADDRESS BATH TUB Q O 50 CITY TEL NO SHOWER Q O 50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) Q O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND �^ AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK Q O 50 l{J STATE LAWS REGULATING PLUMBING 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY LICENGO OR 1 A THE LEGAL OWNER OF THE RESIDENTIAL�P//jR�OP��^ IBED ABOVE GAS SYSTEM OUTLETS Q O SO SIGNATURE E �✓ / WATER HEATER Q O SO SLOPSINK Q O 50 INSPECTION RECORD FLOOR SINK Q O SO FLOOR DRAIN Q O 50 DISHWASHER Q O 50 DRINKING FOUNTAIN Q O 50 T>wr S r-_ URINAL Q O SOI HOUSE SEWER Q O SOI �a Z MISCELLANEOUS (7 lr I I APPROVALS D/ATC IN9BECTOR 8 NAME ROUGH PLUMBING r GAS PIPING GAS VENT f CESSPOOL Q 1 00 CESSPOOL SEPTIC TANK SEPTIC TANK I DRAIN ( ) PIT ( ) Q 1 00 SEWER PERMIT 1 00 GAS TEST TOTAL FEEJV UTILITY CO NOTIFIED 11 i I � FINAL / 7eAes, 17 a So la APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY B I N D 1 COUNTY OF LOS ANGELES PLUNI WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN DIST RIC NO GROUP ZONE PERMIT NO -3(0 ,0 BURKE-HOWARD RECEIVED BY READY FOR DATE 1 SUED PLUMBER �Vg+' 2440 N ROSEMEAD BLVD FIRST INSPECTION ADDRESS r-.-.n.t BUILDING ` , / p CITY TEL NO ADDRESS r' r .f r COUNTY LOCALITY f LICENSE NO EXPIRES NEAREST r PERMIT FEES CROSS ST NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER V\ i MAIL %*ATERCLOSET (TOILET) Q O s0 S ADDRESS BATH TUB Q O 50 CI /b/ TEL NO , SHOWER Q O SO 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) Q O 50 APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK Q O 50 STATE LAWS REGULATING PLUMBING I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q O So ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER OF THE RESIDENTIAL`PROPERTY DESCRIBED ABOVE GAS SYSTEM OUTLETS Q O s0 SIGNATURE OF ( e 7,p y I� WATER HEATERQ O 50 PERMITTEE L� SLOP SINK Q o so INSPECTI RECdd6 -6-l' FLOORSINK Q O 50 FLOOR DRAIN Q O s0 DISHWASHER Q O 50 J. DRINKING FOUNTAIN Q O 50 URINAL Q O 50 J HOUSESEWER Q O so Q _Z MISCELLANEOUS 0 It 0 I I APPROVALS DATE INSPECTOR S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL Q 1 00I CESSPOOL r� I SEPTIC TANK SEPTIC TANK DRAIN ( ) PIT ( ) Q 1 001 1 SEWER PERMIT 1 00 GAS TEST UTILITY CO NOTIFIED TOTAL FEE S FINAL APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BU�n�DING AND SAFETY gD�M�SION er BUILDING ESS � L CIISSATT D GRWM SWt of Ruildmg LOCALITY FOR APPLICANT TO FILL IN NPO N ST NUMBER FIXTURE OR ITEM OWNER � WATER CLOSET MAIL RATS TUB p-PREkrS' /N q' o e-c �y 2 SHOWER CITY TEL NO JI-6 LAVATORY CONTRACTOR SIM ADDRESS DISHWASFDiRR CITY LAUNDRY TUB CONTRACTOR S STATE ❑ REGISTRATION NO COUNTY CLOTHPS WASHES DISTRICT NO GROUP I ZiLl PBQQESSED BY WATER SEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD YL .fI s _#eD x - 70 Itylvek f'i��S,�'� ,C'cei . o 57,26-0 / LSCS- nZ12 , APPROVALSd#A`_P /26/I!U!' 0 oa FRsm s I �, DATE INSPECTOR S SIGNATURE UNDER 8 B WORK 2, , PERMIT 2 00 ROUG PLUMBING Q yy TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES riA xa P 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST , LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIOL PR ERT �- t SIGNATURE .( L�� sow FINAL OF PERMITTERI� ®P ROBERT A WOOD VALIDATION SUPERVISING MECHANICAL ENG R CK H O CASH � Ar 6659n „ky19 5 A 400kn r w�.,,,,,�_,,II�. .WAWRS COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT �I�'ereby Affirm that I hpve a certificate of consent to self in 76A66�A PW 4/87 n sure -or a certi#.cate of Workers Compensation Insurance or a CE 817(REV 8/86) 1UI certifid'copy tYfereof (Sec 3800 Lab C ) COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS Policy No Company Certified copy is hereby,furnished BUILDING El Certified copy is filed with the county building inspection FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS department NUMBER FIXTURE OR ITEM @ FEE LOCALITY WATER CLOSET(TOILET) Date Applicant NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB h CROSS ST COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by MAIL +' the permit is for one hundred dollars($100)or less) LAVATORY ADDRESS GSL I certify that in the performance of the work for which this per SINK CITY TEL NO mit is issued I shall not employ any person in any manner so as to become subject to the Workers Compensation Lows1 DISHWASHER 11V IF � CONTRACTOR Date —Appl lcant��a CLOTHES WASHER ADDRESS NOTICE TO APPLICANT If after making is ertificote of Ex SWIMMING POOL RECEPTOR emption you should become subject to the Workers Compen CITYTEL NO sation provisions of the Labor Code you must forthwith comp LAWN SPRINKLER SYSTEM ly with such provisions or this permit shall be deemed revok STATE ed WATER HEATER LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION GAS SYSTEM OUTLETS TR,s3�v' CESSED BY I hereby affirm that I am licensed under provisions of Chapter ..JJ C/!1 tJx 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER fed Professions Code and my license is in full force and of 5 PER SYSTEM FINAL VALI ION d DATE j Q License Number Lic Class V FIN � Contractor Dote BY O I am exempt under Sec d B&P C for this reason Plan check fee 101. Z Date PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE SINGLE FAMILY Plan check applicant HOME OWNER BUILDER DECLARATION pP I hereby affirm that I am exempt from the Contractors License Name Law for the following reason (Section 7031 5 Business and ;904 45 A 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 •'• 6 4 5 0 Business and Professions Code) CONSTRUCTION LENDING AGENCY • • • 6 IL 5 0 5 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued 0 8 1 6-88 (Sec 3097 Civ C ) Lender s Name Lender s Address— A Alii_ 11e I certify that I hove read this IF 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 aboy`mention d property for i specfion purposes -III" SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of er tee Date