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Home My Public Portal About5402 PARMERTON AVE_Plumbing__ DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ��'�� WU J FOX, CHIEF ENGINEER NATURE OF INTIO PERMIT;IDAT:H�ISGUIED_ _ROUGH FIXTURES COMPLETE NEATER CESSPOOL SEPTIC TANK R[C[IV Y READY POR FIRST INSPECTION M BC UBAPPLICANT FILL IN HEAY O NED PORTION ONLYJOB �� E NAM ADDRESS f W ADn /1 G DRESS LOCALITYZ ^o JRT y CITY TEL NO CROSS BT COUNTY CERT No 11 EXPIRCS E NAME a"o. w LOCATION OF SEPTIC TANK, OR ESS OO 2 MAIL 3ADDRESS NORTH q p CITY TEL No 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOB ANGELES COUNTY CERTIRICATR p;QU IPICATION 10 FLYY[o1 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE OWHm CORRECTIONS SOUTH J DESCRIPTION OF WORK ATH TUB FURNACE C SHOWER DISHWASHER (3 ---4-LAVATORY REFRIGERATOR ITCHEN SINK WATER SOFTENER -------FLOOR BINK SAND TRAP LOP BINK FLOOR DRAIN' WASH TRAY URINAL APPROVALS WATER CLOSET ^FINKING FOUNTAIN OA .1jTOR¢MwM¢ WATER HEATER DENTAL LAVATORY ROUGH PLUMBING ETER_�GAS SODA FOUNTAIN OUn GAB PIPING / GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK 7 CESSPOOL REPTICTANK BEWER / •— S UTILITY CO NOTIFIED /JJ / e� TOTAL FEE' FINAL ol/ / '� r WORKERS COMPENSATION ate of consent to APPLICATION FOR PLUMBING PERMIT - BA88]A I hereby affirm that I have a certificate of consent to sell Insure or a eer ihcate of Worker a Compensation Insurance Or a certified r .) copy thereof(Sec 3800 Lab C) I - / COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS DEPT OF PUBLIC WORKS DIV Pat NO Company _ Cendied copy is hereby furnished S 5710 ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) Apo ESS F Dk) Cendletl copy is filed with the cau riding m _ ion tlepert/ rrlent , _ NUMBER FIXTURE OR MEMM ® FEE � d LOCALITY Dale Applicant 41 WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORK134S CROSS STV. - COMPENSATION INSURANCE BATHTUB ASSESSOR (This section need not be completed if the work Involved by the SHOWER MAP BOOK PAGE PARCEL permit Is for one hundred dollars($100)or leu) OWNER 'C • 9 I certify that In the performance of the work for which this permit LAVATORY - /l/ is issued I shall not employ any person in any manner so as toMAIL become subject to the Workers Compensation LamSINK ADDRESS DISWASHER ' CITY TEL NO ^/ Dale Applicant CLOTHES WASHER CONTRACTOR NOTICE TO APPLICANT If after making this Certificate of Exemphon you should become subject to the Workers Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code you must forthwith comply with such ADDRESS / provisions or this permit shell be deemed revoked LAWN SPRINKLER SYSTEM -51 LICENSED CONTRACTORS DECLARATION WATER HEATER _ CITY TEL NO _ d I hereby affirm that I em licensed under provisions of Chapter 8 STATE LIC r/J (commencing with Section 7000) of Division 3 of the Business and GAS SYSTEM /OUTLETS LICENSE NO CLASS c �" („) Professions Code,and my license is in full force and effect OUTLETS OVER DISTRICT NO PROCESSED BY Q � _�1 l P Q License Number z%�Kd Lic Cl LV 5 PER SYSTEM i O ! � Comrecl{L�J/O_/Ll� aia_� 1G �;?I �D VALIDATION 0 B�� w CL ❑ 1 am exempt under Sec B Y At._ IXI - Z B BP C fa this reason a // Date Plan check fee , t Signature PLUMBING PERMIT ISSUING FEE$ '/5 p-Q ❑ y TOTAL FEE C90 96V Plan check applicant SINGLE FAMILY AGGT.4 HOME OWNER BUILDER DECLARATION Name - I hereby affirm that I em exempt from the Contractors License Lew for the following reason (Section 7031 5 Business and Professions Address / Code) faty Tel No 1 ITEMS ❑ I as Owner of the property or do the work and the structure is not intended or offered for sale (Section 7014 Business T01 AL 20 - 50 and Professions Code) , uHECK 2u.5:l 1 CONSTRUCTION LENDING AGENCY - lHFNUE ,1}U I hereby affirm that there is a construction lending agency for the r performance of the work for which this permit is issued (Sec 3087 Civ C) �— UUUCI-DCICIt Lender s Name — ' i Lenders Address i 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 yf this CountC/ upon the above mentioned proper) for ins action put sea ////`` ///� SEE REVERSE FOR EXPLANATORY LANGUAGE