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Home My Public Portal About5700-5702-5704 NOEL DR_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PIPJ= DSof County EngineerPLUMBING DIVISIONION OF OF BUILDING & SAFETY WILLIAM J FOX County Engineer / FOR APPLICANT TO FILL INDISTRI � PIERNIT NU P. 3 (C 1 I O S PLU BER 4E RECEIVE BY READY POR DATE ISSUED PIRST INSPECTION = , _ S V ADDRESS CITY TEL.No ADDRESS d O— m -O COUNTY LICENSE NO O EXPIRES A-30 F0. LOCALITY NEAREST PERMIT FEES CROSS BT NUMBER TYPE OR FIXTURE OR ITEM FEE OWNEzffR a MAIL WATER CLO13ET(TOILET) ! ago $0214-01 ADDRESS BATH TUB ! 1350 CITY TEL NO SHOWER ! 1350 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AND 13TATETHE ABOVE 19 CORRECT LAVATORY (WASH BASIN) 0 050 ANDLICATION AGREE TO COMPLY W THRALL COUNTY ORDINANCES KITCHEN BINK 0 O 50 AND STATE LAWS REGULATING PLUMBING 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY ! 050 b ANGELES COUNTY LICENSE OR 1 AM THE LEG L DINNER GAS SYSTEM OUTLETS ® 050 d a OF THE RESIDENTIAL PROPERTY CRIBED SIGNATURE OP WATER HEATER a 050 -1 CI a PERMITTE SLOP SINK 0 050 INSPECTION RECORD FLOOR BINK 0 050 FLOOR DRAIN ® 0 50 C4 DISHWASHER ! D50 t/niOB SL.ad DRINKING FOUNTAIN 050 URINAL O SD 40--2 HOUSE BEWER 050 MIB ELLANEOUS / d L � C-A 2Q2 L APPROVALS D E INSPE OR S NAME ROUGH PLUMBING GAB PIPING Aj .00 GAS VENT CESSPOOL 100 CESSPOOL 4 SEPTIC TANK SEPTIC TANK DRAIN ( ) PIT ( ) ® 1 OD SEWER / PERMIT 100 GAS TEST TOTAL FEE -.J p UTILITY CO NOTIFIED S�v 2 Q FINAL T"667 DBS*17 lg/.IS WORKERS COMPENSATION DECLARATION 76Ae67A I hereby affirm that I have a certificate of consent to self cs sig(s s°) APPLICATION FOR PLUMBING PERMIT 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 229-431 Company State Comp. Insurance 1:1IX Cin Certified copy is hereby furnished FOR APPLICANT TO FILL IN (PRINT OR TYPE) ABUILDING DDRESS Jr�+�' N. Noel Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM • FEE a�c�smiiee� LOCALITY Temple Clt CA. Datep�V_y� Applicant John Ricci WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB CROSS ST COMPENSATION INSURANCE SHOWER OWNER Walter Jackson MAI L (This section need not be completed if the work mvolved LAVATORY ADDRESS same by the permit is for one hundred dollars ($100) or less) SINK CITY TEL NO 8 — IL I certify that in the performance of the work for which this DISHWASHERt V permit is issued I shall not employ CONTRACTOR Johnny's Plumbing Service p p y an y parson in any manner so as to become subject to the Workers Compensation Laws CLOTHES WASHER ADDRESS 9125 L'i° Las Tunas Dr. Date Applicant SWIMMING POOL RECEPTOR U NOTICE TO APPLICANT If after making this Certificate of CITY Tem le Cit TEL N0285-3224 OW. Exemption you should become subject to the Workers LAWN SPRINKLER SYSTEM STATE LIC N Compensation provisions of the Labor Code you must forth 1 WATER HEATER LICENSE NO 279687 CLASS C-36 Z with comply with such provisions or this permit shall be DISTRICT NO PROC SSED�GY deemed revoked GAS SYSTEM OUTLETS LICENSED CONTRACTORS DECLARATION OUTLETS OVER Seo I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi FINAL 'c� ness and Professions Code and my license is in full force and Re—locate to outside O DATE r6++ VALIDATION effect building. License Number 279687 Lic Class C-36 BY ContractorJohn Ricci Date 9-20'82 I am exempt from the licensing requirements as I am a Plan check fee 71e,'Z i licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ S-0acting in my professional capacity (Section 7051 Bus iness and Professions Code) TOTAL FEE �— S Lie or Reg No Date Plan check applicant HOME OWNER BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractors Address License Law for the following reason (Section 7031 5 Busi City Tel No ness and Professions Code) §6 3 IL 3 A 0 I as owner of the property am exclusively contracting # ° • ° ° 5 with licensed contractors to construct the project (Section 7044 Business and Professions Code) 2 • ° 12 5 0 CONSTRUCTION LENDING AGENCY ' i I hereby affirm that there is a construction lending agency °�°,° 12505 for the performance of the work for which this permit is issued(Sec 3097 Civ C) 0920-82 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 ordinances and State laws regulating Plumbing and hereby authorize representatives of this County to enter upon the ab ov mentions property for inspection purposes L Wigiiaturevof Fermittee Date WORKERS COMPENSATION DECLARATION 76A667A I hereby affirm that I have a certificate of consent to self c6 6t7(R 66) APPLICATION FOR PLUMBING PERMIT insure or a certificate of Workers Compensation Insurance or a certified copy thereof(Sec 3800 Lab C) COUNTY OF LOS ANGELES Ti C . BUILDING AND SAFETY Policy No Company 229-431 State Comp, Insurance Certified copy is hereby furnished FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ❑X Certified copy+s filed with the county building inspection NUMBER FIXTURE OR ITEM • FEE ADDRESS 5702 N. Noel `Vfa'=92 John Ricci WATER CLOSET LOCALITY Temple Cityp CA Date Applicant NEAREST BATH TUB CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE SHOWER OWNER Walter Jackson if (This section need not be completed if the work involved LAVATORY ADDRESS IL 04 N. Noel by the permit is for one hundred dollars ($100) or less) SINK CITY Tem le City TEL NO 2$7-3977 I certify that to the performance of the work for which this DISHWASHER Johnny's Plumbing Service °C permit as issued i shall not employ any person in any manner CONTRACTOR y G so as to become subject to the Workers Compensation Laws CLOTHES WASHER ADDRESS 9125 E. Las Tunas Dr, Date Applicant OW. SWIMMING POOL RECEPTOR NOTICE TO APPLICANT If after making this Certificate of CITY Temple City TEL NO 285-3224 N Exemption you should become subject to the Workers LAWN SPRINKLER SYSTEM STATE LIC Z Compensation provisions of the Labor Code you must forth 1 WATER HEATER LICENSE NO 279687/C-36 CLASS with comply with such provisions or this permit shall be deemed revoked GAS SYSTEM OUTLETS DISTRICT NO PR ESSED 13Y1& LICENSED CONTRACTORS DECLARATION OUTLETS OVER S �� I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Bust $e—locate t0 outside e O FINAL 6 �i� � VALIDATION Jeffe s and Professions Code and my license is in full force and DATE `' �"'� ct building �j FINAL ense Number279687 Ltc Class CBY tractorJohn Ricci Date 9-20-82I am exempt from the licensing requirements as I am a Plan check feelicensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051 Bus+Hess and Professions Code) TOTAL FEEor Reg No Date Plan check applicant HOME OWNER BUILDER DECLARATION Name ereby affirm that I am exempt from the ContractorsAddress ense Law for the following reason (Section 7031 5 Bust City Tel No s and Professions Code) ;16 3 6.2 A El1 as owner of the property am exclusively contracting # e e e a • 5 with licensed contractors to construct the project (Section 7044 Business and Professions Code) 2 • • 1 2 5 0 j CONSTRUCTION LENDING AGENCY +, e • 2 5 0 5 I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is 0' -82 Issued(Sec 3097 Civ C) 920 Lender a Name Lender a 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 ordinances and State laws regulating Plumbing and hereby authorize representatives of this County to enter upon the above mention d property for inspection purposes tgnattie o Permittee Date WORKERS COMPENSATION DECLARATION 74AS67A I hereby affirm that I have a certificate of consent to self 'ce$17(s so) APPLICATION FOR PLUMBING PERMIT insure or a certificate of Workers Compensation Insurance or a certified copy thereof(Sec 3800 Lab C) COUNTY OF LOS ANGELES < BUI LDING AND SAFETY Policy No 229-4 CompanyState Comp. Insurance . Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ® Certified copy as filed with the county building inspection NUMBER FIXTURE OR ITEM FEE ADDRESS 5700 N. Noel WATER CLOSET LOCALITY Temple Cit CA. . DatepU Applicant John Ricci NEAREST BATH TUB CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS COMPENSATION INSURANCE SHOWER OWNER Walter Jackson MAI L (This section need not be completed if the work involved LAVATORY ADDRESS 570 N. Noel 9L ' by the permit is for one hundred dollars ($100) or less) SINK CITY Temple City TEL NO 287-3977 8 I certify that in the performance of the work for which this DISHWASHER tL permit is issued I shall not employ any person m any manner CONTRACTOR Joh s S Plumbs Service Q so as to become subject to the Workers Compensation Laws CLOTHES WASHER H ADDRESS 9125 E. Las Tunas SWIMDr. C3Date Applicant W t MING POOL RECEPTOR Temple Cit 28 224 fan NOTICE TO APPLICANT If after making this Certificate of CITY TEL NO Exemption you should become subject to the Workers LAWN SPRINKLER SYSTEM STATE LIC Z Compensation provisions of the Labor Code you must forth WATER HEATER LICENSE NO 27 68 CLASS C-36 with comply with such provisions or this permit shall be 1 deemed revoked GAS SYSTEM OUTLETS DISTRICT NO PROCJySSE4BY �/ LICENSED CONTRACTORS DECLARATION OUTLETS OVER / eO I hereby affirm that I am licensed under provisions of Chapter 15 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Bust FINAL Re—locate t0 Outsi e O DATE > VALIDATION ness and Professions Code and my license is in full force and Z effect builds • FINAL License Number 279687 Lic Class C-36 BY Contractor John Ricci Date 9-20-82 I am exempt from the licensing requirements as 1 am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051 Bus mess and Professions Code) TOTAL FEE aZ d Lic or Reg No Date Plan check applicant HOME OWNER BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractors Address ;263& l A License Law for the following reason (Section 7031 5 Bust City Tel No ness and Professions Code) # • • • • • 5 13 I as owner of the property am exclusively contracting with licensed contractors to construct the project 2 • • 1250 (Section 7044 Business and Professions Code) • •'012505 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 0 9 2 0-82 for the performance of the work for which this permit is issued(Sec 3097 Civ C) Lenders 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 ordinances and State laws regulating Plumbing and hereby authorize representatives of this County to enter upon the above mentioned pEoperty for inspect3n purposes _ ' 6(. ,W� Signa re of Permittee Date