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Home My Public Portal About5514 ROBINHOOD AVE_Plumbing__ 76 A 667—CE 817 8/68 r ! APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION rOT D JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS. SU 'T. OF BUILDING LO —. FOR APPLICANT TO FILL IN CPR Wr OF TYPE 1[EARM CLOSE ST. NUMBER FIXTURC OR ITEM EACH PEE Owls WATER CLOSET 1.50 NAM — b BATH TUB 1.50 ADDEM JAI n SHOWHR 1.50 CITY Le Tm- NO' LAVATORY 1.50 CO'lt'CIAZIAI A SINK ADDIEES DISHWASHER (U- 1..L& C1Tt TEL NO. 6-e)'y It CLOTHES WASHER 1.50 STAT[ LIC LICENSE NO. CLASS SWLMItING POOL RECEPTOR 1.50 DISTRICT NO. GROUT E r [D BY LKAWN SPRINKLER SYSTEM 2.00 LY--- 08 � / S WATER HEATER 1.50 UTDUSTRULL AETE APPROVAL GAS SYSTEM OUTLETS 1.50 INSPECTION =ECOID E OUTLETS OVER 30 5 PER SYSTEM Z I I I I I Plan check fee 25% of above. See reverse. I PLUMBING PERMIT ISSUING FEE S TOTAL FEE-- O APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER Sue WOkK Name ROUGH PLUMBING Address GAS PIPING GAB VENT City Tel. No. HOT WATER HEATER I H[RDOE Y ACKNCVWLKDK THAT 1 HAVREAD THIS APPLICATION AMD [STATTHAT THE ADOVK 1• CORRANREE CT D AGTO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCRA AND STAT[ LAWS IKOULATINO OAS TEbT FLUMSIND. I HENEIY CERTIFY THAT I AM rROPERLY REGISTERED ANDIOR UTILITY CO. NOTIFIED ' LI CE NSA AS REQUIRED BY LOS ANQELEs COUNTY AND STAT[ OF CALIFORNIA OR T AM THC LEQAL OWNER OF.AMD INTtND TO RESIOC IN, THE RISCO w NTIAL PROPERTY. FINAL •'.,NATURE _ AP) JACK R. ALLEN, SUPERVISIN M HANICAL ENG'R. OF PERMITTEE PERMIT VALIDATION CK. M.O. CASH PLAN CHECK V ATION cK. 0o1 -E3 5 o 4.5v WO1KEA'8 COMPENSATION DECLARATION 20-0028 DPW 0/89 hereby affirm that-l have.a osrifflcate of consent to self Insure, 76AA'A APPLICATION FOR PLUMBING PERMIT LI or a certHfcate of Worker's Compensation Insurano', or a certified oopy thereof(Seo.3800 Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Po"No. Company Certified copy Is hereby fumbhed. El FOR APPLICANT TO FILL W(PR8fT OR TYPES BUILDM� ❑ C.MW copy b fled with the county b.LWr g lnspe �J deperttn rrL NIA/BFA I DJUTE OR ITEM O FEE Det' Appkant WATER CLOSET NEAREST C8066 ST. CERTIFICATE OF E)E]�MPIION FROM WOAD` BATH TUB COMPENSATION INSURANCE ASSESSOR �j�� P �� P (This section need not be oomplated tf the work Involved by the me permft Is for one hundred dollars($100)or lees.) I certify that In theL perform ance of the work for which tt)ii permit LAVATORY Is Issued, I sha�not employ any person In any manner so as to 8NK ADDRESS bsodms subject to the Workers'Compensation Laws. At Di8WA8HEA TEL Die r APP A CLOTHES WASHER LI NOTI E TO APPLICANT: If, after making this CertIfloate of OR Exemptlon,you should become subject to the Workers'Cortrperuaricn SWIMMING POOL RECEPTOR provisions of the Labor Coda, you must forthwfth comply with such-7CIV P42A -P/ provislons or this permit shall be deemed•revoked. LAWN SPRINKLER SYSTEM LICt3d3ED CONTRACTORS DECLARATION CITY kil TEL NO�� d I hereby affirm that 14m licensed under proylsicns of Chapter 8 WATER HEATERSTATE Kn{ (commencing with Section 7000) of DMajOn 3 of the Business and SYSLiNO.J�� CLAMV Professions Code,and my Iloense Is In full force and effect GABS OUTLETS DWTRICT NO. PROCE8SED BY Q �` 6amETs - O Lloerue Number Llo.Cies—16/- ' V C4xlb otDr DATE VALIDATION t7 FINAL Z PQ I am exemptBY under Seo. BY B.SP.C. this reason m Pian check fee PLUMBING PERMIT ISSUING FEF$ Sig riadu reTOTAL FEE F-1 Plan check eppllcant 5 r 8INGLE FAMILYl•T.T HOME OWNER-BUIO OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Llcense Law iri.t� for the following reason (8ectlon 7031.6, Business and Professions Address ?JJ4i tt 65 Code): city Tel.No. - 1 ITEM I,an owner of the property,will do the work and the structure TOTAL AL Is not Intended or offered for sale (8eotlon 7044, Business and Profesalons Code). , C�ECX 4-0.65 CONSTRUCTION LENDING AGENCY .00 I hereby affirm that there Is a construction lending agenoy for the performance of the work for which this permit Is Issued (Sec. 3087, Civ. c.) 0000-0001 6/21/93 Lendera Name Oar'�9 1 AM 3:01 Lender'Address I certify that I have re this application and state that the above Information Is oorrect I agree tc mply with all County ordlnanoss , and State laws re ulating umbing, and he y authorize reprass5d#loe of th Co to enter upon th a-mention i Inspectbn / BEE REVERSE FOR EJPLA ATORY LANGUAGE S Qn re of Permgee 6 )ON RKERSCOMI'E713ATate of consent to MO DPW 9/99 APPLICATION FOR PLUMBING PERMIT I hereby affirm that I hive n oeftlfloete of consent to self Insure, or a certfhcmttb of Wortera Compeneatton Insurance, or a cartlfled oopy thereoflSec.3W Lab.C.) _ COUNTY OF LOS ANGELES DEPT.OF PUBLJC WORKS DEPT.OF PUBLIC WORKS DIV. No Company ❑ Certified copy in hereby fumbhed. ❑ FOR APPIJCANT TO F01 IN(PRINT OR TYPE) Certified coPS Is fled with the county twlldng Inspection K NU16FR I MITRE OR FEW p FES Lin Dade Applicant WATER CLOSET NEAREST C;EfiT7FFC,�TE OF E� IO APTN FROM WORKERS' BATH TUB CROSS ST. COMPENSATFON INSURANCE ASSESSOR (This section need not be oompW d ff the waft Involved Ivy the SH(NIER "BOOKPAGE permtt Is for one hundred dollars($100)or)ass.) I oertity that In the performance of the work for which this permit LAVATORY Is Issued, I shall not employ any person In any manner_so as to become subject to the Workers'Compensation Laws. DLSWASHER TEL NO.Date NOTICE TO APPLICANT: IIf, after making this Certificate ofCLOTHES W �Exemptlon,you should become sub)eot to the Workers'Compartmdon SWDMIMWG POOL RECEPTOR provisions of the Labor Code, you must forthwith comply YMh such provtabna or this permit shall be deemed revoked. LAWN 8PMKLEA SYSTEM LKCIENSED CONTRACTORS DECLARATION MY TEL.NO. � I hereby afflrm that I am licensed under provisions of Chapter 9 WATER HEATER (L (commencing with Section 7000) of Division 3 of the Business and STATE LJC. S Profeeatons Code,and my license Is In full force and effect. GAS SYSTEM OUTLETS �� 1)CENSE NO. CLASS OUTLETS OVER DIBTRFCT NO. PROCESSED BY [[ 6 PER SYSTEM O License Number Llo.Class_� F— F'N N W DA a Contra" Dere ■T (o ❑ I am exempt under Sec. BY 3307 4O.�� &&P.C.for thla reason I IT[.1 S Date: Plan Check fee ' TOTAL 40-65 PLUMBING PERMIT ISSUING FEE$ 6 ❑ TOTAL FEE Q J/ •�c Plan check"Icant r SINGLE FAMILY HOME OWNED BUILDER DECLARATION Narne I hereby affirm that I am exempt from the Contractor's Uoense Law o for the following reason (Seotlon 7031.6, Business and Profeeslona Address 1 4/?,S/95 Code �I I, as owner of the property,will do the wortr k and the structure City Tel. No. '9327 1 Ah 8:1310Is not Intended or offered for sale (Section 7044, Business end Profseabns Code). , CONSTRUCTION LENDING AGENCY I hereby aMrm that there Is a construction lending agency for the parformanoe of the work for which this permit Is Issued (Seo. 3007, Civ. C.) Lenders Name Lenders Address I cartHy that I have read this application and state that the above Information Is correct. 1 agree comp with all County ordlnanaes , and 81st awe re ulatl P m g, end hereby authorize repress t of i s n e er upon the abavo-menticrr, f In SEE REVERSE FOR E)MA ATORY LANGUAGE 81 etu re Date