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Home My Public Portal About5533 NOEL DR_Plumbing__ 3� t� &GPEERMIT 76A66fCT817 12/59 APPLICATION FOR PLUMB COUNTY DEPARTbIENNT OF COUNTTYGEIINGIINEER B�TII.D� JG� SAFETY Roof BUMDING %� OH A I COUNTY NGINEER ADDRESS 5533 e WILLIAM A JENSEN SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST NUMBER FIXTURE OR ITEM OWNER WATER CLOSET I. Z S mL BATH TUB ADDRESS S S 3 3 • / SHOWER i, S TEL. 11!O LAVATORY CONTRACTO ' � /. �. MINE ADDRESS p , aISHWASFDUt C TEL. No CONTRACTOR S Q r�I STATE LAUNDRY TOB REGISTRATION NO 7/ / 3 5 COUNTY CLOTHES WASHER DI RI NO GROUP ZONE ESSEDBY WATER HEATER GAS SYSTEM INDUSTBIAL WASTE APPROVAL , / INSPECTION RECORD/ / zj o F - V W a M W O $ I 3 74' APPROVALS DATE/ INSPECTOR S SIGNATURE PERMIT s 2 00 UNDER SLAB WORK TOTAL FEE r/ ROUGH PLUMBING �� /� b ✓ �� 7 GAS PIPING I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AMD STATE LAWS REGULATING HOT WATER HEATER PLUMBING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED LOS ANGELES COUNTY D STATE OF GAS TEST CALIFORNIA OR THAT THE L OWNER THE ABOVE DESCRIBED RESIDENT! OPERTY UTILITY CO NOTIFIED / C. SIGNATURE OF FERMI FINAL ®� ,,-'`VALIDATION ROBERT A VOOD CII B 0 CAM SUPERVISING MECHANICAL ENG R LACO5 0 8.1Qj OCT 2 5D 5.75N Bey w11=-" 0 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO PLUMBE RECEIVED BY If INSPECTION DY FOR DATE ISSUED 3J1 AE1DRESs344 W. Garwy Motater-ey Par ^L��L_ BUILDING 53 CITY ATIdntic 2-4654 -TEI.COImberI8nd 3 vm ADDRESS COUNTY /�Q � //�/ s� LOCALITY LICENSE NO 1/ y EXPIRES 4 NEAREST PERMIT FEES CROSS ST NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) @ O 50 I S �5 V ADDRESS BATH TUB @ O 50 I I_� CITY TEL NO SHOWER @ 0501 —0 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY WASH BASIN) @ O 501 3� APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0501 rQ STATE LAWS REGULATING PLUMBING 1 CERTIFY THAT I POSSESs THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ O 501 Q ANGELES COUNTY LICENSE O AM THE LEGAL OWNER OF THE RESIDENTIAL PROP CRIB D ABOVE GAS SYSTEM OUTLETS @ O 501 SO SIGNATURE OF r� WATER HEATCR @ 0501 -rO PERMITTEE SLOP SINK @ 0501 INSPECTION RECORD FLOOR SINK @ O 50 FLOOR DRAIN ® O 50 DISHWASHER @ O SO l I DRINKING FOUNTAIN 0 O 50 1 1 URINAL C& O 50I J HOUSESEWER @ O 501 Z MISCELLANEOUS O I� I APPROVALS DATE INSPECTOR 8 NAME ROUGH PLUMBING GAS PIPING 4 GAS VENT CESSPOOL @ 1 OO I CESSPOOL SEPTIC TANK I SEPTIC TANK DRAIN ( ) PIT ( ) @ 1 00 SEWER PERMIT I 1 00 GAS TEST UTILITY CO NOTIFIED 7 TOTAL FEE j-1 FINAL 7SA667 17 5-80 it APPLICATION FOR PERMIT DEPARTNdENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING 1 WILLIAM J FOX CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO GROUP "= PERMITNO L `® 3 ja PLUMBER BURKE-HOWARD REC IVSD BY � READY FOR DATE IS ED� 2436 N ROSEMEAD RLV9 FIRST INSPECTION ADDRESS !Y I ; AtIPOR ltA BUILDING CITY TEL NO ADDRESS COUNTY LOCALITY LICENSE NO EXPIRES NEAEST PERMIT FEES CROSRSST NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER I ✓! MAIL WATER CLOSET (TOILET) 050 S ADDRESS BATH TUB O SO CI TEL NO SHOWER O SO 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) O SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN BINK ® O SO STATE LAWS REGULATING PLUMBING I CERTIFY THAT i POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY a O SO ANGELES COUNTY LI NSE OR I AM THE LEGAL OWNER OF THE RESIDENTI�V� ESCRAOVE� GAB SYSTEM OUTLETS O SO SIGNATURE OF WATER HEATER @ 050 PERMITTE SLOP SINK O SO INSPECTItECORD FLOOR SINK ® O SO FLOOR DRAIN ® O SO DISHWASHER O SO DRINKING FOUNTAIN O SO URINAL O SO a HOUSESEWER O SO _Z MISCELLANEOUS a Ir O APPROVALS DATE INSPECTOR 8 NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL I00 CESSPOOL 17 SEPTIC TANK SEPTIC TANK DRAIN ( ) PIT 100 SEWER PERMIT 1 00 GAS TEST S ` UTILITY CO NOTIFIED TOTAL FEE ?'J_ FINAL WORKERS'COMPENSATIONDECLARATION 7; ) APPLICATION FOR PLUMBING PERMIT I hereb affvep m that 1 have a certificate of const to self CE ce 81si7 z-eo insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec 3800,Lab C) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company Certified copy is hereby furnished FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING �✓ ,�r $ /v Certified copy is filed with t co building ection NUMBER FIXTURE OR ITEM • FEE ADDRESS Date Applicant WATER CLOSET LOCALITY NEAREST A CERTIFICATE OF EXE TION FROM WORKERS' BATH TUB CROSS ST ,r d/fL�L�/IS)- COMPENS ON INSURANCE SHOWER Lk Co OWNER p p MAIL >- (This section need not be completed if the work involved LAVATORY ADDRESS a by the permit is for one hundred dollars ($100) or less) SINK CITYTEL NO U I certify that in the performance of the work for which this DISHWASHER CONTRACTOR permit is issued, I shall not employ any person in any manner _4,1/ IA--e Q so as to become subject to the Workers' Compensation Laws CLOTHES WASHER a ADDRESSU Date Applicant SWIMMING POOL RECEPTOR , a NOTICE TO APPLICANT If after making this Certificate of CITY TEL NO U3 Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STAT /� LIC z Compensation provisions of the Labor Code, you must forth WATER HEATER R+fj LICENSE NO CLASS with comply with such provisions or this permit shall be deemed revoked GAS SYSTEM OUTLETS LA 0.7 DISTRICT NO PRO ESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER . t> WJ I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi FINAL VALIDATION ness and Professions Code,and my license is in full force and DATE / / (J G effect FINAL License Nu er -' Lic Class 3� BY � Contractor Date V a ov fA E] Is exempt from the licensing requirements as I am a Plan check fee H Ped architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ SG acting in my professional capacity (Section 7051, Bus loess and Professions Code) 3 2.. Sr> TOTAL FEE 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 License Law for the following reason (Section 7031 5, Bust Icity Tel No ness and Professions Code) i, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044,Business and Professions Code) 9 2 9 9 0 A CONSTRUCTION LENDING AGENCY # • • • • • 55 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is 2 • • 3 2 5 0 issued(Sec 3097,Civ C) Lender's Name • • • 3250 Lender's Address 0 2 1 8—8 2 1 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 ordinances and State laws regulating Plumbing and hereby author a re entatives of County to enter upon the above in n o d perty f r in pection purposes n ture of Permittee Date WORKERS COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT {� .;I4he:Z affirm that I have a certificate of consent to self 76A667A LI sur or a chrtificate of Workers Compensation Insurance CE 817(REV 10/81) or a�prtified copy thereof(Sec 3800 Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company `4, ��✓� Certified copy is hereby furnished BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) Certified copy is filed with the county building inspec ADDRESS .S^�`X: tionpar ment NUMBER FIXTURE OR ITEM @ FEE �� LOCALITY Date Applicant 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 MAIL / the permit is for one hundred dollars($100)or less) LAVATORY ADDRESS,S_�'7`3 y�Q� I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner SINK d CITY TGA /G �� TEL NO so as to become subject to the Worke-m Compensation Laws DISHWASHER CONTRACTOR Date c V�� pplican ` � CLOTHES WASHER ADDRESS 71 1 G' SG.✓� G��,,, / NOTICE TO APPLICANT If after making this Certificate of SWIMMING POOL RECEPTOR / Exemption you should become subject to the Workers CITY � ` TEL NO Compensation provisions of the Labor Code you must forth LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE _9��// LIC deemed revoked WATER HEATER LICENSE NO /77" CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NOESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS CL 11 Q (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER J V D and Professions Code and my license is in full force and effect 5 PER SYSTEM FINAL VALID TION i DATE License Numbef�a�tee'/ I Lic Class � 0 F U 6 z ii �6 W Contracto Date I am exempt under Sec U B 8P C for this reason Plan check fee ► GW. Date �501.0A `) PLUMBING PERMIT ISSUING FEE$ S Z Signature TOTAL FEE # • • � • � 5SINGLE FAMILY Plan check applicant It • e 2 a 5 0 HOME OWNER-BUILDER DECLARATION Name e e e 28,505 1 hereby affirm that I am exempt from the Contractor s License Address 07 1 1 -r86 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 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 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 ordinances and State jaws regulating Plumbing and hereby authorize representatives of this County to enter upon the Wabrificined property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Aza- Signature of Permittee Date `t