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Home My Public Portal About5720 NOEL DR_Plumbing__ 76A667-CE817 8&7--Iw APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 'n BUILDING AND SAFETY DIVISION FIB:UMDIN:G JOHN A LAMBIE COUNTY ENGINEER _ CASSATT D GRIFFIN SUP T OF BUILDING FOR APPLICANT TO FILL IN r pm NUMBER FIXTURE OR ITEM yr WATER cLosEr OWNER BATH TUB MAIL � SHOWER CITY TEL NO LAVATORY CONTRALTOrx SINK ADDRESS DISHWASHER CITY ,�TEL NO 6s LAUNDRY TUB CONTRACTOR S STA REGISTRATION NO CLOTHES WASHER DISTR�T NO GROUP ZONE,E� READY FOR INSPECTION WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD �J p Im 44 46. r APPROVALS ® $100 PER mm DATE INSPECTOR S SIGNATURE OR FRF. $ �O UNDER SLAB WORK ROUGH PLUMBING PERMIT $ 100 GAS PIPING TOTAL FEE GAS VENT IE ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AN AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND ST LAWS REGULATING PLUMBING FIXTURES PLUMBING I HEREBY CERTIFY THAT A RO LY EGIST D AND/OR GAS TEST LICENSED AS RE LO A G S LINTY ND STATE OF CALIFO IA 0 H M H L OWNE OF TH VE UTILITY CO NOTIFIED DESCRI D R T RO BR SIGNATURE FINAL OF PERM ITT r Q (osd MMATION ROBERT A WOO SUPERVISING MECHANICAL ENG R C��7 il M O CASH &0 4 5 6 7 5 SEP 8 5 A 2.00 41f-�'! I 7GA667 CE817 8 57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING -77 - BUILDING AND SAFETY DIVISION ADDRESS ® / 7 JOHN A LAMBIE COUNTY ENGINEER CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY , FOR APPLICANT TO FILL IN CROS�T Q,q CROSS ST NUMBER FIXTURE OR ITEM IL WATER CLOSET OWNER BATH TUB ADDRESS Z G SHOWER CITY TEL NO `r s� TO LAVATORY OONTRACC SINK ADDRESSI Z• R' "r DISHWASHER CITY �,L 0 r TEL N04g LAUNDRY TUB CONTRACTOR S / pis 4 Cc--j TATE REGISTRATION NO C7 G ..J Lmunix -u CLOTHES WASHER DISTRICT G 2 E- READ¢FOR INSPECTION WATER HEATER A GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS / @ $100 PER ITEMDATE INSPECTOR S SIGNATURE OR FIXTURE $ /O� UNDER SLAB WORK PERMIT $ 1100 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER O� { �t AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY LCDESCRIB�D COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES IY CERTIFY THAT 1 AM PR LY REGISTEREA�AND/OR GAS TEST AS REQUIRED 8 LO L COUNTY STATE OF A OR T T G BOVE UTILITY CO NOTIFIED RESI P TE � YITTEE / FINAL ROBERT A WOO es ALIDATION SUPERVISING MECHANICAL ENG R CK M O CASH L"vuIAP-46729412 sA 200 D B 17 ISM BETS 19 49 APPLICATION FOR DEPARTMENT OF BUILDING AND SAFETY PLUMBING1 COUNTY OF LOS ANGELES WN J FOX CHIEF ENGINEER i NATURE OF INSTALLAT[ONc ROUGH FIXTURES COMPLETE ' V CILS NEATER CESSPOOL SEPTIC TANKLINERECEIVED dY FIREADY FOR TION DATE ISSUED ws ISE LA u RSTINSPEC ` 2z— �OA APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY C NAME Joe ADDRBN = ADDRESS LOCALITY G ��yy y CITY NEAREST TEL No o-�/ CROSS BY • COUNTY V CERT No �/ EXPIRES NAME LOCATION OF SEPTIC TANS, OR CESSPOOL z MAIL NORTH O ADDRESS CITY TEL No 1 AM THE LEGAL POSS ARR OF THE ABOVE LOS ANGEL�NTY �CATS OF 4UALIPI ATION 1 AM THE LEGAL OWNE�=F �JR0F=ME!MCRIuuD ABOVE. OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK _Z HATH TUB FURNACE O ROWER DIBHWABHER Q VATORY REFRIGERATOR ITCHEN SINK WATER SOFTENER -.FLOOR SINK --------.AANDTRAP LOP SINK F'ADR DRAIN i WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE 11NBPEC7on B N ME WATER H TER DENTAL LAVATORY ROUGH PLUMBING-'% LUMBING / N\ 1 U XT6 AS SDA FOUNTAIN O/IS PIPING i Vl OUTL GAS VENT I CESSPOOL TOTAL NUMBER OF FIXTURES 4t -&o_ SEPTIC TANK EBBPOOLSZPT1CTANK BEWER S UTILITY CO NOTIFIED / f� TOTAL FEE 7700 00 `y�- D R 17 SSM SET® 12 49 APPLICATION FOR PERMIT DEPARTMENT OFLOS NG AND SAFETY ®�� COUNTY OFF LOS ANGELES r WM J FOX CHIEF ENOINEER NATURE OF INSTALLATION lr-T NO I� a O U PERMIT NO ROUGH FIXTURES COMPLETE V5 HEATER CESSPOOL SEPTIC TANK R EIV BY READY FOR DATE ISSUED `., FIS IN a ION ,A ISC LA S r�' � . w • APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY 2 NAME r -ADDRESS ■ ADDRESSD LOCALITY ' J • NEAREST • /J� 6CITY TEL NO CROSS ST cif COUNTY CERT NO EXPIRES �' NAME ffA LOCATION OF SEPTIC TANK, OR CESSPOOL ADDRESS � NORTH O CITY TEL He 1 AM THE LEGAL POSSESSOR OF 1E ABOVE LOB ANGELES COUNTY CERTIFIC:; E�OF�IL _FIeT�T 6•'!'�iJ( K// �PlLUUMERK 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED w ABOVE OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK _z ATH TUB FURNACE 0 Q' ROWER DISHWASHER 0 ,AVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK -FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CIASET DRINKING FOUNTAIN DATE INSPECTOR S HANE ' WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FOUNTAIN GAS PIPING OUT. GAS VENT CESSPOOL TOTAL NUMBER FIXTURES SEPTIC TANK CESSPOOL SEPTIC TANK I SEWER S / TOTAL FEE /� �0 ,7Fr UTILITY Co NOTIFIED FINAL r3 to I*�W�ORKERS COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I.herebi'i�ftirm that I have a cestifwate of consent to self 76A667A insure or p cert ic2t,of Workers Compensation Insurance CE 817(REV 10/81) or a cOrtified copy thereof(Sec 3800 lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY J Policy No Company Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING 13 r' Certified copy is filed with the county building mspec ADDRESS hon department NUMBER FIXTURE OR ITEM ® FEE LOCALITY P11=W0 / Date Appligant WATER CLOSET L Q NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB d CROSS ST QA COMPENSATION INSURANCE OWNER (This section need not be completed if the work involved by SHOWER �'d 517 the permit is for one hundred dollars($100)or less) LAVATORY MAIL ADDRESS SGl rn I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner SINK CITY TEL NO J so as to become subject to the Workers mpensation Laws DISHWASHER O ]� CONTRACTOR Date pplicant CLOTHES WASHER v ADDRESS NOTICE TO APPLICANT If after making this Certificate of SWIMMING POOL RECEPTOR Exemption you should become subject to the Workers CITY TEL NO Compensation provisions of the Labor Code you must forth LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC deemed revoked WATER HEATER Q LICENSE NO CLASS LICENSED CONTRACTORS DECLARATIONDISTRICT I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER ✓ �, and Professions Code and my license is in full force and effect 5 PER SYSTEM FDI NT f� VALID ON O License Number Lic Class �6/ V FIN Contractor Date B 0 to ❑ I am exempt under Sec B 8P C for this reason Date Plan check fee ;M2231 A Z PLUMBING PERMIT ISSUING FEE$ # 5 Signature • • • • e TOTAL FEE .Z x * 98250 SINGLE FAMILY Plan check applicant HOME OWNER BUILDER DECLARATION Name • • • 8 2 5 0 u 1 hereby affirm that I am exempt from the Contractor s License Address Law for the following reason (Section 7031 5 Business and 0610-85 N(P'r'ofoscions Code) City Tel No /K q�J 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) Q Lender s Name- Lender ame 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 laws regulating Plumbing and hereby authorize representatives of this County to enter upon the eve mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date r COUNTY OF LOS ANGELES TEMPLE CITY fil 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0207180008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS TR 6561 LT 727 UN 002 5720 OAK AV FEE DESCRIPTION QUANTITY L= AMOUNT TEMP CA 917802430 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LAS TUNAS 8587 010 024 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY 25 LAVATORIES/SINKS 1 00 FIX 16 20 TENANT 45 WATER CLOSET/URINAL 1 00 FIX 16 20 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON TOTAL FEES 60 15 07/18/02 JK 01/14/03 OWNER TEL NO FINAL E FINAL BY CODE BATEMAN ROBERT E PATRICIA A (626) 579 8589 5720 OAK AV TEMP 917802430 PLUMBING FOR ADDITION APPLICANT TEL NO SHELLMAN (909) 592 2191 458 W ARROW HWY SPECIAL CONDITIONS SAN DIMAS 91773CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGMATaff— ®�. HAVEN GROUP, INC (909) 592 2161- �® 1173 N DIXIE DRIVE STE 204 LIC NO \ UNDER SLAB WORK2(J SAN DIMAS CA 91773 638143 B / \ WATER SERVICE\ PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER TEL NO ROUGH PLUMBING �-� LIC NGAS PIPING O J 1 �il�ti�1��J1 1I – — t��o ��Cc �'�� Co��F)� iHOT WATER HEATER o � � f-r r PLUMBING FIXTURES PRINKLERS LAWN 3 GAS TE51 I 1 ♦1 CWV yV C UTILITY C014PANY NOTIFIEDh REPORT ID DPR263 ROUTE TO BS0508