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Home My Public Portal About5625-5627-5629-5629 1/2 NOEL DR_Plumbing__ DEPARTMTY ENT OF COUNWfGH EER PLUMBING DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUN'PY OF LOS ANGELES BUILDING WILLIAM J FOX, COUNTY ENGINEER ADDRESS FOR APPLICANT =FILL NEAREST LOCALITY ei BUILDING ADDRESS _ CROSS ST DISTRICT GROUP ZONE PERMIT N0, LOCALITY (J �6 NEAREST CROSS ST RECEIY9D BY Ready for InsveeUon DATE ISSUED • �3 OWNER POK MAIL INDUSTRIAL ADDRESS WASTE APPROVAL CITY L No INSPECTION RECORD PLUMBER "ab i4 C3 ADDRESS CITY TEL NO STATE dSL S LICENSE NO �.YS4RtY PERMIT FEES 7� A p r c`� � � Z 4umlarR TYPE Or r17CTURE OR ITEM rEE WATER CLOSET(TOILET) ! 0 00 s D O 711 BATH TUB a 080, SHOWER ! 080 LAVATORY(WASH BASIN) 41 080 KITCHEN SINK a 0 80 LAUNDRY TUB OR TRAY a 080 SLOP SINK 0 see FLOOR SINK 0 080 FLOOR DRAIN ! 080 DISHWASHER ! 080 DRINKING FOUNTAIN 080 URINAL ! 080 GAS SYSTEM _OUTLETS ! 100 O WATER HEATER Q 100, MISCELLANEOUS ' APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK i PERMIT : 1 00 ROUGH PLUMBING y.s TOTAL FEE GAS PIPINO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE NOT WATER HEATER f TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES ANO%OR LIC NSEBDIAS R 4UIRED AN PROPERLY ANGELESGCOUNTY GAS TEST /O Sy v AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED .6/ SIGNATURE /� OF PERMITTEE/ a .ti_ _ _ _ a p FINAL N 76A667 DBS 17 1/83 *no APPLICATION FOR PLUMBING PERMIT 1 4BR 17 17 DIVISION OF BUMDMG AND SAM- Y Deportment of Comte Engtaew COuatp of Los Aim BUILDING JOHN A LAMBIE COUNTY ENGINEER ADDRESS CASSATT O GRIFFIN.SUP TOP BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST )15��46dj" f OWNER , DISTRICT NZ GRO�IA I NB I READY FOR INSPECTION MAIL S S j 3 ADDRESS INDUSTRIAL CITY TEL NO WASTE APPROVAL PLUMBER w I INSPECTION RECORD ADDRESS . y CITY JAf o7. EL NO LICENSE NO NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) ® $100 $ BATH TUB $1 00 /( r SHOWER $100 LAVATORY (WASH BASIN) (Ii $l 00 - KITCHEN SINK @ $1 00 DISHWASHER Q $100 LAUNDRY TUB OR TRAY $1 00 CLOTHES WASHER @ $l 00 WATER HEATER @ $100 GAS SYSTEM $t 00 APPROVALS DATE INSPECTOR S SIGNATURE UNDER SLAB WORK PERMIT $ I 1100 ROUGH PLUMBING + weW GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY YA WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES I 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 UTILITYCO NOTIFIED DESCRIBED RESIDENTIAL PROPERTY SIGNATURE OF PERMITTEE FINAL v JOHN A L.AMBIE COUNTY ENGINEER VA J?ATIO ROBERT A WOOD,CHIEF PLBG INSPECTOR CK N ° fN Lj;8 2CA5 RJ'JL 16 3 900 V) 76A667 CE4817 6 65 � APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUDAING r JOHN A LAMBIE COUNTY ENGINEER ADDRESS t/ COLEMAN W JENKINS SUP T OF BUILDING LOCALYfY FOR APPLICANT TO FII.L IId Naos STT NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSER $1 25 ` BATH TUB 125 DRESS SHOWER 125 CITY TEL NO r+ p LAVATORY 125 CONTRA SINS 125 ADDRESS DISHWASHER 125 CITY TEL N9f per' STATE LIC LAUNDRY TUB 125 LICENSE O CLASS CLOTHES WASHER 125 DISTRICT NO GROUP ZONE I PROCEAsED BY WATER HEATER 150 ,fCJ , O 8 ..3 INDUSTRM d GAS SYSTEM OUTLETS 150 WASTE APPROVAL Q OUTLETS OVER S PER SYSTEM 90 MSPECTION RECORD U V W CL N Z APPROVALS DATE INSPECTOR 8 SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE 3 -5-0 GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF EST CALIFORNIA OR THAT I AM E AL OWNER OF AND INTlND TO RESIDE IN THE ABOVE D! IBED E8IDENTI RO Y UTILITY CO NOTIFIED .09 SIGNATURE OF PERMITTEE FINAL VALID0 CK M O CASH L&O 017 4 1 sro— SEP 19 5 0 3.50— co 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 Policy No Company Certified copy is hereby furnished BUILDING Ij� ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS f /r Certified copy is filed with the county building mspec tion department NUMBER FIXTURE OR ITEM FEE LOCALITY Date Applicant WATER CLOSET NEAREST ) CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB CROSS ST COMPENSATION INSURANCE P SHOWER OWNER Vd (This section need not be completed If the work involved by MAIL the permit is For one hundred dollars($100)or less) LAVATORY ADDRESS go r I certify that in the performance of the work for which this permit is issued,1 shall not employ any person in any manner SINK - CITY- 25 TEL NO so as to bec�myegubject to the Work Com tion Laws DISHWASHER CONTRACTOR / Datete Applicant CLOTHES WASHER ADDRESS NOTICE O PPLICANT If after mak,n is Certificate of Exemption you should become subject to the Workers SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code you must forth LAWN SPRINKLER SYSTEM CITY TEL NO with comply with such provisions or this permit shall be STATE LIC , deemed revoked WATER HEATER LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION DISTRIr�NO__i MESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS /�/Q�/ • (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code and my license is In!full force and effect 5 PER SYSTEM FINAL VA ATION DATE ' License Number Lic Class 1 FIN U Contfactor Date BY , 0' ❑ I am exempt under Sec O B 8P C for this reason W Plan check fee ► Ni Date PLUMBING PERMIT ISSUING FEE$ Q Z Signature Plan check applicant TOTAL FEE �� , SINGLE FAMILY• A 4 3 fl 3 A HOME OWNER BUILDER DECLARATION Name # e e e e • Jr I hereby affirm that I am exempt from the Contractor s License Address Law for the following reason (Section 7031 5 Business and 111 - 1650 Professions Code) City Tel No ❑ ,I, as owner of the property, will do the work and the e e e 16,500 structure is not intended or offered for sale (Section ► 7044, Business and Professions Code) _ 0'4.07-86 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 above information is correct I agree to comply with all County Poo ordinances and State laws regulating Plumbing and hereby ' authorize representatives of this County to enter upon the a ire mentioneJ propert for ins ect,on purpos s SEE REVERSE FOR EXPLANATORY LANGUAGE g6 Signatu of Permittee Dg9e - 76AS67-CERS17 4-64 I APPLICA ION R PLUMBIN PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGIIN M fBA:�G tU NG AN�E,SI�4FETY FIVISION ESS Q koJOH ALAM I OUNTY NGINEER WILLIAMA JENSEN SDPTOFBUILDING LITYFOS APPLICANT TO FILL INR0�88�sTNUMBER FIXTURE OR ITEM EACH FEWNERWATER CLOSET 8145MAIL BATH TUR 145 DDRESS C$ SHOWER 145 Cm TEL NO LAVATORY 145 CONTAIICTO SIH= 145 ADDRESS DISHWASHER 145 Cm TELNTRA LAUNDRY TUR 145 9800A O!BXO COUNNTTYY CLOTHES WASHER 145 DISTRICT NO GROUP ZONE PRO ESSED BY WATER HEATER150 Q � ��3 �- GAS SYSTEM OUTLETS ISO IWASTE NDUSTRIAL OVAL OUTLETS OVER 5 PER SYSTEM 40 INSPECTION RECORD V OC I N Z APPROVALS DATE INSPECTOR&SIGNATURE PERMIT : 2 00 UNDER SLAB WORK 0 ROUGH PLUMBING \ r TOTAL FEE O GAS PIPING 1 HEREBY 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 jir xtJl,. 'a�' PLUMBING i _ 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 THE L OWNER OF AND INTEND % Rl81D6 IN THE ABOVE RIB RlBIDlNTIA RO r UTILITY CO NOTIFIED 1 SIGNATURE �I OF PERMITTEE FINAL o/jn VALIDATION ROBERT A R WOOD CK M O CASH SUPERVISING MECHANICAL ENG R ( 05 8 2 4m NOV12 5' 0 3.5 0-