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Home My Public Portal About5424 ROBINHOOD AVE_Plumbing__ APPLICATION FOR PLUMBIN ERMIT 1 Ona i�tate DIVISION OF BUILDING AND SAFETY D"mrft .nt of Couat7 Enwtwm ComtT of Los Ana" FNEARMST BH Y d B/ JOHN A. LAMBIE. COUNTY ENGINE[R CASSATT D,GRIFFIN,Sua•-r or EIUILDIHa ITY FOR APPIXANZ TO FILL IN D OWNER O DIYfRICT NO. GROUP ZONE 71LADT FOR I12PLCT10■ MAIL ADDRKJ" INDUSTRIAL crry TR O WASTE APPROVAL PLUMBER Valley Plumbing Co. INSP=ON RECORD ADDRX" 442 W. Fleetwood P1. CITY Glendora p,� .� No. Ed 5-12 LICENSE NO. 160847 NUMant I TYrI Or FIXTURI OR IT01 ru wATIR CLOSE (TOILET) 1.00 BATH TUB 1.00 GHOWER 4 1.00 LAVATORY (WASH BASIN) a 01.00 KITCHEN RINK 41.00 DISHWASHER 1.00 LAUNDRY TUB OR TRAY Q 41.00 CLOTHEa WASHIR $1.00 WATER HEATER 11.00 GAS VY91TXM 1.00 AMOVAIS DATE IN8 CTOR'S SIGNATURE UNDER PLAB WORK PERMIT $. 00 ROUGH PLUMBING GAG PIPING TOTAL FEE i GAS VENT i I HEREBY ACKNOWLEDGE THAT I HAVE READ THI APPLICATION AND STATY THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY' HOT W TER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FUCfUREA I HEREBY CERTIFY THAT I AM PROPERLY REGISTHREO AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDEATIAL PRCj SIGNATURE 11 OF PERMITTEE INAL 1JOHN A.LAMBIE. COUNTY ENGINEERAI.DATION ROBERT A.WOOD, CHIEF PLDCR G. INSPXTO �. CASH ��LAC07 0 6 88RNOY 28 5 n 12.0 0 � WOF*CEFV8 COMPENSATION DECLARATION �ADPW efee heroy affirm that I hew a certificate of consent to @elf insure, APPLICATION FOR PLUMBING PERMIT or a oerate df Workers Compensation Insurance, or a certified copy the ,(Seo.3B00 Lab.C.) Policy No.1 1G$ 244-` „ y �}y�^� e.,, j COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DTV. ❑ CerttM1ed copy Y hereby furnished. FOR APPt"Jfr TO FILL N TRIM T OR TYPE) Bl1LDING �I ADDRE8824 ►G4 Cerdfled copy Y Sod with ttm ooanty bu6dtnp knpectlon , ` NUMSE1 FD(TURE OR ITEM FEF LOCALITY L--//Dots � 1 WATER CLOSET NEAREST CERTIFICATE OF E)mtPTION FROM WOR}QEFI8' BATH TUB CROSS ST. COMPENSATION INSUFLANCE ASSESSOR (This eeotfoa need not be completed If the work Involved by The 8HOWEA MAP BOOKPAGE PARCEL permtt Is for one hundred doDara($100)or less.) OWNED I certify that In the performance of the work for which this permit LAVATORY la Issued, I shall not employ any person In any manner so as to SI awADDRESS -f--.4 h beoo-me subject to the Workers'Compensation Ls DLBWABHER CITY lj TEL NC.k-(M Date O ICE TO APPLICANT: I�a ter making this Certificate pf CLOTHES WASHER � �/� Exemption,you should beoDme subject to the Workers'Comperwtlon SWIMMING POOL RECEITTOR ` provisions of the Labor Code, you must forthwith comply whh such ADDS provisions or this permtt shall be deemed revoked. LAWN SPRD*a-ER SYSTEM LXA348ED CONTRACTORS DECLARATION Cnl TEL_NO.-7 �¢ _ I hereby affirm that I am licensed under provisions of Chapter O WATT (oommencing with Section 7000) of Dhelelon 3 of the BuslnAss andGAB S 01-11-= STATTE � Q b L LI 88 Professions Code,and my license Is In full force and effect OU1-LETS OVER DISTRICT HO BY a PER SYSTEM Jt� Lberse Number 4'LlS\_l/T t+ L,/� Uo,Class 6 [! q ConiraotorJ`'1 ^' (��►{ Date ! / D TE f C)— VALIDATION ❑ I am exempt under Sea BY BAP.C,for this reason ll// Plan check fee , PLUMBING PERMIT ISSUING FEE$ ❑ TOTAL FEE r SINGLE FAMILY Plan dwck applicant r HOME OWNER-BUILDER DECLARATION NomekA 5 1 hereby affirm that I am exempt from the Contractors Llaense Law ix ACCT. for the following recon (Section 7031.5, Business and Professions Addr— 'g lUr , Code): �,; ❑ 1,as owner of the property,wlII do the work and the structure �Y Tel.No. r g5'3, �7 43.00 la not Intended or offered for sale (Section 7044, Bwlnees 1 1 I C1 k7 end Professions Code). , TOTAL 43 -00 CONSTRUCTION LENDING AGENCY U ECK 43.011 1 hereby affirm that there Is a construction lending agency for the performance of the work for which this permit Y issued (Sea 3087, L CIV.C.) Lenders Nemo OOD -Ml 10/iSRO Lorxises II oaftIfythawave reed this application and state that the above 3383 1 AM 7:42 Information Is correct.. I agree to oompty with all County ordinsnoaq , and State laws regulating Plumbing, and hereby authorize reprewentatfves of this County to enter upon the above-mentioned prop"for inspevtion pure—. SEE REVERSE FOA EKPLANATOAY LANGUAGE r-- ' "'° BCO'" '"°"° "°" I 25-OM°P'I °1°° APPLICATION FOR PLUMBING PERMIT Ll I.f�aretiy aMrm that I have a cerllfloate of consent to self Insure, or a oentlfloate of Workers-Compeneatlon Insurance, or a oardfled copy tharpof(SPC-3800 Lab C.) PofloY Nat 16 — p" rTj__4 COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. ❑ CerdW copy Is hereby fumtshed. FOR APPLICANT TO Fit IN(PRINr OR TYPE) �� CertMed copy Y flied wflh the oouW building Inspection i Y �✓is�i� iNUL68R FDCTURE OR n-BA • FEE LOCALITY Date WATER CLOSET NEAREST I CEFTTfFIC,ATE OF PTION FROM WORKEW BATH YUB cRosa 8T. . , j COMPENSATION INSURANCE ASSESSOR UAP BOOK (This,sectionnand riot be oompMted H ait the wFnvolvdd try the SH0VER PAGE PARCEL psrmtt Is for one hrmdrsd,doihrs($100)or less.) LAVATORY OWNER I oerttfy that In the performance of the work for which this permit MAL Is Issued, I shall not employ any parson In any manner so as to Sm _ L bsoorne sub)ect to the Workers'Compensatlon Laws. ESS DISWA8**R CITY Li TEL NO. Date APPS CLOTHES WASHER CONTRACTOR NOTICE TO APPLICANT: If, After making this Certificate of Exemption,you should become sub)eot to the Worker'Compensation SWI)MING POOL RECEPTOR provisions of the Labor Code, yotr must forthwith comply with such ADDRESS i provisions or this permit ahaD be deemed revoked. LAWN SPFdNKLEA SYSTEM L ICENSI D CONTRACTORS DECLARATION CITY I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER a I (commencing with Section 7000) of Division 3 of the Business and STATE fi0 �j ProfesabCLASS n s Code,and CRAB SYSTEM f OUTLETS my Doense h In full force end effect. �g PROCFfiBED BY a POUTLETS SYSTEM°� , D 0e50 LcKm Number � _ 4 vy Lia C1asa 0 Contractor b� Da. / y �� o f 7SVALIDATION �a A Cl) ❑ I em exempt under Sea SYS . BaaP.C.for this reason Ot Plan check fee , 8i ` PLUMBING PSIMIT ISSUING FEF S ❑ TOTAL FEF 8tNGLE FAMILY Plan oheok applicant HOME OW 4EB-BUILDER DECLARATION Name ACCT.i I hereby affirm that I am exempt from the Contractors License Law for the folknving reason (Section 7031.5, Buelnets and Profsaalons Address 3307 20.511. Code): I � KC El1.se owner of the property,will do the work and the structure city Tell.No. 1 1 f E S Is not Intended or offered for sale (Bectlon 7044, Business TOTAL. 20- 50 and Professions Code). , CWCy,TI '?Ofid] . CONSTRUCTION LENDING AGENCY LU N I hereby affirm that there Is a construction lending agency for the performance of the work for which ihle permit Is lesued(8so. 3097, Civ.C.) 00 0—I.X.�y�� I 1:/17/90 Lenders Name 4�?U 1 Ah 11:ACJ Lenders Addne I certify that I have read this applloatlon and state that the above Information is correct- I agree to comply with all County ordinanoes , and State laws regulating Plumbing, and hereby authorize repraasntaUvss of this County to enter upon the above-mentioned i property for Inspection purposes. SM IRFVEFM FOR EXPLA ATORY LANGUAGE