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Home My Public Portal About5740 NOEL DR_Plumbing__ 76"66' 09617 ,t 60 /0"" APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY L U I N COUNTY OFF LOS LOS ANGELES WILLIAM J FOX, CHIEr ENGINEER DIBTRICT ZONE P MIT NO FOR APPLICANT TO FILL IN PLUMBER READY FOR RE IVSD BY DATE ISSUED 7D FIRST INSPECTION `♦r' ADDRESS t-f LI e BUILDING CITY TBL NO&t;2,224, ADDREB COUNTY �73Al �( LOCALITY NSE NO EXPIRES .7 NEAREST PERMIT FEES CROSS BT NUMBER TYPE OF FIXTURE OR ITEM FEB OWNER ' MAIL WATER CLOSET(TOILET) ago S iD ADDRESS (� BATH TUB 13513 CITY V No SHOWER 411 coo .'S 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) 0 9350 18 CORRECT ANDLICATION AND STATE THAGREE TO COMPLY W THRALL C T THE UN ABOVE ORDINANCES f KITCHEN SINK 0 051343AND STATE LAWS REGULATING PLUMBING t CERTIFY THAT I POSSESS THE ABOVE VALID LOU LAUNDRY TUB OR TRAY 0 ago ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER GAS SYSTEM OUTLETS DSO OF THE REBIDEN L PROPERTY DESCRIBED ABOVE. SIGNATURE OF WATER HEATER ! O SO PERMITTE SLOP SINK a ago INSPECTION RECORD FLOOR BINK 41 1360 FLOOR DRAIN 0 ago _ B DISHWASHER 41 ago /LL DRINKING FOUNTAIN 0 O BO URINAL o So HOUSE SEWER a ago 7- 1,A1 ),0Z _Z MISCELLANEOUS D L4.S /,00 0 Srz .S'U ,A1 ,6' ACE JPS i0 ARaC& E R SA YS " 74 li APPROVALS A •�" QDATE AJ."69PARR s NAM ROUGH PLUMBING 7w� GAB PIPING GAS VENT CESSPOOL IGO CESSPOOL SEPTIC TANK SEPTIC TANK DRAIN ( ) PIT ( ) IOU SEWER PERMITpp GAB TEST UTILITY CO NOTIFIED ti TOTAL FEE Q FINAL A COUNTY OF LOS ANGELES APPLICATION FOR PERMIT ' Department of County Engineer DIVISION OF BUILDING & SAFETY PLUMBING WILLIAM J FOX County Engineer FOR APPLICANT TO FILL IN DISTRf NO GROUP I ZONE --- PIERMIT NO \ / -2. PLUMBER L O �� RE IV D BY FIRST INSPFOR ECTION ff A6TE ISSS�UUEE ADDRESS BUILDIND CITY C- TEL.No ADDRESS LICENSE NEXPIRES LOCALITY _ NEAREST PERMIT FEES —CROSSST NUMB[R TYPE OF FIXTURE OR IT[M FEE OWNER MAIL WATER CLOSET(TOILET) ! 9350 M ADDRES8 BATH TUB 0 050 CITY TEL. No SHOWER ® 050 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) O 50 APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK O 50 AND STATE LAWS REGULATING PLUMBING 1 CERTIFY THAT I POSSESS THE AB E ALID LOS LAUNDRY TUB OR TRAY 050 ANGELES COUNTY LICENSE R OWNER OF THE RESIDENTIAL P 1 OVE GAS SYSTEM OUTLETS 050 SIGNATURE OF WATER HEATER Q 050 PERMITTE GLOP BINK G 50 INSVEdTION RECORD FLOOR SINK 050 FLOOR DRAIN ® 050 DISHWASHER Oso DRINKING FOUNTAIN 0513 URINAL fla 050 j HOUSE SEWER ! 050 _Z MISCELLANEOUS O APPROVALS DATE IN9PEOTOR H NAME ROUGH PLUMBING GAB PIPING GAS VENT CESSPOOL 01 I00 CESSPOOL PSEPTIC TANK SEPTIC TANK DRAIN ( ) PIT ( ) 41 loci I SEWER PERMIT Ica GAB TEST UTILITY CO NOTIFIED F� TOTAL FEE S q G.. FINAL O 70A8/7 DBS#17 10/18 WORKERS COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT 0 I oereby affirm that I hove a certificate of consent to self 76A667A ponsure or a certificate olr Workers Compensation Insurance CE 817(REV 10/81) i, or gertified cdpy thereof(Sec 3800 Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY =Company Tr? 11Lh ❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ertified copy is filed with the county building inspec ADDRESS S tion department 2`�A NUMBER FIXTURE OR ITEM ® FEE LOCALITY Date C` Apph;an� �I 1 WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS BATH TUB CROSS ST ag COMPENSATION INSURANCE OWNER (This section need not be completed if the work involved by SHOWER the permit is for one hundred dollars($100)or less) LAVATORY DDRESS I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner SINK CITY TEL NO so as to become subject to the Workers Compensation Laws DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT If after making this Certificate of I SWIMMING POOL RECEPTOR Exemption you should become subject to the Workers Compensation provisions of the labor Code you must forth LAWN SPRINKLER SYSTEM CITY TEL NO ,g with comply with such provisions or this permit shall be STATE LIC deemed revoked WATER HEATER LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION Dt S ICT r Y I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS • (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER 4 and Professions Code and my license is in full force and effect 5 PER SYSTEM FINAL %f J VA4DATION g License Number S7 49i f Lic Class DATE —+ DATE !r o 8 CoCn/► ��__p�l�' �J ffN O wcct�� `_�`� Date7- to W ❑ I am exempt under Sec B&P C for this reason Z Plan check fee Date PLUMBING PERMIT ISSUING FEE$ Signature ;125(15A TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER BUILDER DECLARATION Nam • • 3 Q 5 0 1 hereby affirm that I am exempt from the Contractor s License Address Law for the following reason (Section 7031 5 Business and r • • •3 Q 5 0 cr3 Professions Code) City Tel No ( f ❑ I as owner of the property will do the work and the 0722-85 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 ) Lender s Name Lender s Address r 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 aut orize representativ f this County to enter upon the o e mention rop o spection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE C 14 taz► 7 (�i k2 -- ignature f re, rmitteis Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508LUMB IG'PERMI�T DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL 0508 960SM114 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE (818) 285 0488 EXT LEGAL 10 FEES PAID BUILDING ADDRESS TR 6561 LT 725 5740 OAK AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802430 ASSESSOR INFORMATION NL04BER NEAREST CROSS STREET 8587 010 020 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY 07 BATHTUBS/SHOWERS 1 00 FIX 16 35 TENANT 13 DISHWASHER(S) 1 00 FIX 16 35 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 21 HOSE BIBB(S) 1 00 FIX 16 35 02/13/97 TC 02/13/98 25 LAVATORIES/SINKS 2 00 FIX 32 70 OWNER TEL 45 WATER CLOSET/URINAL 1 00 FIX 16 35 FINAL DATE FI FAN JOHN G,SHIRLEY H (000) 000 0000 51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 35 5740 OAK AV TOTAL FEES 142 20 TEMP 917802430 DESCRIPTION OF WURK APPLICANT TEL NOPLUMBING FOR NEW 1166 SQ FT AD ON SAME AS OWNER ' SPECIAL CONDirroms� 0 CONTRACTOR TEL_ -NOIkPPROVALS DATE INSPECTOR SlGNATUffF__ F'� O SAME AS OWNER �- U / LIC NO � ��i p O 0 OUNDER SLAB K OUR C ARCHITECT Olt ENGINEER IEL NO 6 10ji o�,�j 0 1 s n� PLASTIC Y/N U METAL Y/N YEN HOMER (818) 445 8239 U ROUGH PLUMBING 805 W DUARTE RD #102 LIC NO ARCADIA, CA 91006 NONE 'roGAS PIPING ' v GAS VENT %T WATER HEATW_03 GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM r REPORT ID DPR263 ROUTE TO BS0508