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Home My Public Portal About9458 PENTLAND ST_Plumbing__ �7""7 I' ""S" 7 48 APPLICATION FOR PERMIT '•DEPARTMENT OF BUILDING AND SAFETY �� 7 COUNTY OF LOS ANGELES e WY J FOX.CHIEF SNGINEER NATURE OF INSTALLATION— P PERMIT NO ..T� ROUGH FIXTURES COMPLETE S' /4-/ � S�(n RECEIVED! �Y READY FIRST INIIPFOR ECTION 3DATH 1„U4 HEATER CESSPOOL SRE TANKC� L-ASiUKO lRup M SC N APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY .JOB NAYH ADDRESS B ADDRESS SO LOCALITY Z jr NEAREIT LL CI TEL N 3&14aCROSS ST COUNTY LICENSE NO -s- EXPIRES R NAME LOCATION OF SEPTIC TANK, OR CkSSffidL = MAIL ADDR[88 NORTH o CITY TI EL No I AM THE LEGAL POSSESSOR OF THE ABOVE LO ANGELES COUNTY CERTIF CATH OF IFICATIOH mums= I AM THE LEGAL O NER OF THE PROPSRTY DESCRIBED ABOVE owmm CORRECTIONS SOUTH J _ DESCRIPTION OF-WORK _ s _i - - ' ATH TUB FURNACE HOW HR -DISHWASHER O VATORY REFRIGERATOR ITCHEN SINK WATER SOFTENER FLOOR BINK SAND TRAP kTOTAL OP SINK FLOOR DRAIN ASH TRAY URINAL APPROVALS ATER CLOSET DRINKING FOVNTAINDATE IN*P[CTOR•NAMM ATER HEATER VENTALLAVATORY ROUGH PLOYBIND STER�AS SODA FOUNTAINGAS PIPING OUTLGAS VENT CESSPOOLTAL NUMBER OF FIXTURESSEPTIC TANK ESSPOOL SEPTIC TANK SEWERS O•C7UTILITY CO NOTIFIEDEE j Ca N`4 INAL WORKERS CI have COMPENSATIONDECLARATION of corse APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 76g667A 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 PWC70028d11q1&,,3 ❑ Certified copy is hereby furni ed FOR APPLICANT i0 FILL IN(PRINT OR TYPE) BUILDING ❑ Certified copy is filed with t e co buildm nspec- ADDRESS 9458 Pentland St , bon department NUMBER FIXTURE OR ITEM FEE LOCALITY Dale3L2/87 WATER CLOSET Temple City Applicant NEAREST CERTIFICATE OF EXEMPTION ROM WORKE BATH TUB CROSS Si COMPENSATION IN RANCE SHOWER OWNER �J].a5 ueze (This section need not be complet if the work Involved b the perIs for one hundred dollars ({100)or less ) IAVATORY ADDI mit RESS 9458 Pentland St . I certify that in the performance of the work for which this I permit is issued I shall not employ any person in any manner SINK CITY Temple City TEL N"287-5035 so as'to become subject to the Workers Compensation Laws DISHWASHER CONTRACTOR Verco Plumbing Date Applicant CLOTHES WASHER ADDRESS 501 WMaple Ave . Suite F NOTICE TO APPLICANT If after making this Certificate of W. P Exemption you should become subject to the Workers SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code you must forth- LAWN SPRINKLER SYSTEM CITYOranilze TEL NO 771-7533 • with comply with such provisions or this permit shall be STATE LIC deemed revoked WATER HEATERLICENSE NO 484333 CLASS 36 LICENSED CONTRACTORS DECLARATION DISTRICT NO SSED BY I hereby affirm that I am nsed under provisions of Chapter 9 GAS SYSTEM OUTLETS O (commencing with Secti n 000) of Division 3 of the Business OUTLETS OVER 647 and Professions Code a y license is in full force and effect 5 PER SYSTEM FINAL Vf&IDATION DATE/License b 48 33 Lia class C36 �` 0 FINA U Contract Date3/2/8 7 BY ❑ I am empt un r Sac B 8P for this reason W Plan check fee di Data co PLUMBING PERMIT ISSUING FEE E 10. 50 _ Z Signature _ _ _ - - - -- TOTAL FEE 16 50 SINGLE FAMILY Plan check applicant R 6 8 6,0 A HOME OWNER-BUILDER DECLARATION Name .;.hereby affirm that I exempt from the Contractors License eee5 Law for the (allowingg reason (Section 7031 5 Business s andd Address q 650 Pr❑olessions Code) City Tel No e e e J�t16505 6 5 0 as owner of the property will do the work and the loopi structure is not Intended or offered for sale (Section ; L1*L1* 8 7 7044 Business and Professions Code) • CONSTRUCTION LENDING AGENCY I hereby offirm that there is o construction lending agency for The performance of the work for which this permit is Issued (Sec 3097 Gv C ) Lender s Name Lenders Address I certify that I have reai applicatwn and state that the above mformot,< a car ct' agree to comply with all County , ordinances and $tate 1 w regulatmg Plumbing and hereby ' authonz re ental of this County to enter upon the above noon d pr rty for inspection purposes i SEE REVERSE FOR EXPLANATORY LANGUAGE 3/2/87 Sign re of Permat a IDate WORKER I h a a certificate DECLARATION DPW a/� 4PPLICATION FOR PLUMBING PERMIT lJ 0 OD26 I hereby afhrp that l heAe a carblicate of consent to salt insure . 4 or a cerlih Ate of y"ker a Compensation Insurance or a certified copy thereof(Sec 3900 Lab C) y No 994965 Company Ran- Tndamnl r.. COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS _ DEPT OF PUBLIC WORKS DIV , Pohcr- � Certified copy is hereby furnished BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS 9458 Pentland Certified copy is filed with the county building inspection department NUMBER FIXTURE OR ITEM ® FEE LOCALIT, Dale 6/74/91 Applican WATER CLOSET a NEAREST �0 Tem le Ci CERTIFICATE CROSS ST OF EXEMPTION FROM WORKERS BATH TUB _ COMPENSATION INSURANCE ASSESSOR (Thu section need not be completed if the work Involved by the SHOWER MAP BOOK PAGE PARCEL permit Is for one hundred dollars($100)or lees) LAVATORY O s OWNER Courtney Construct ion I certify that in the performance of the work for which this permit J MAIL is Issued I shall not employ any person in any manner so as to SINK - ADDRESS 590 N rU become subject to the Workers Compensation Laws I I DISWASHER Cm Monrovia, CA TEL No359-2783 y Data Applicant CLOTHES WASHER CONTRACTOR NOTICE TO APPLICANT If after making this Certificate of _ Frank Marrone & Son Exemption you should become subject to the Workers Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code you must forthwith comply with such ADDRESS 9860 Lower Azusa Road provisions or this permit shell be deemed revoked LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY E1 Monte TEL N0444-2548 1 hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER d (commencing with Section 7000) of Division 3 of the Bu"inese and STATE GAS SYSTEM OUTLETS LICENSE NO 397884 CLASS C/36 OV Professions Code and my license is in full force and effect OUTLETS OVER DISTRICT NO PROCESSED BY cc 5 PER SYSTEM lY Q License Number 997ARJa Lic Class C/96 G/6 C:Jt J x FINAL VALIDATION LU \ DATE d Contractor F. Mnrrnno R Cnnd)ale l? a :2 () ❑ I am exempt under Sec BY NAL / ? c B dP C for this reason Date Plan check fee F , �71,,.T.s I PLUMBING PERMIT ISSUING FEE$ S� - -- � Signature - - - - Ss�r i5r, y ❑ M1 TOTAL FEE SINGLE FAMILY Plan check applicant I FIN-; - IC—� o 79 1 HOME OWNER BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractors License Lew _for the following reason (Section 7031 5 Business and Professions Address Code) ❑ City Tel No I as owner of the property do the work and the structureoffered {11]I�II-I�(11�1 7J 1 is not intended or offered foror sale(Section 7044 Business and Professions Code) ' , �2.,6 1 F7 1::7 CONSTRUCTION LENDING AGENCY i 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 Address I certify that I have read this application and elate that the above information is correct I agree to comply with all County ordmances , and State laws regulating Plumbing and hereby authorize representatives of this County to enter upon the above mentioned propyrty for in pection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE S�nature o Permittee ermittee - Date f