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Home My Public Portal About5540-5542-5544 SULTANA AVE_Plumbing__ Vm Wilt 1 have a certificate DECLARATION A°PW 9/� APPLICATION FOR PLUMBING PERMIT Y I hd eby alarm Ma:l 1 have a cenlllcete of consent to Bell Insure or a ceRlllcate of Worker a Compensation Insurance, or a certified °GOLDEN EAGLE INS . CO COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS DEPT OF PUBLIC WORKS DIV Policy No Company R. Certihetl popy le hon by furnished FOR APPLICANT TO FILL W(PRINT OR TYPE) AADDDREESS 554® N. SULTANA AVENUE ❑ Cenllled coPY b flied rmh u bWldmg i depenmenI NUMBER FIXTURE OR ITEM 0 FEE LOGLLDY Date 2-20-9ZAppl t WATER CLOSET 7 NEAREST CROSS ST , CERTIFICATE OF EXEAt N FROM WORKERS r COMPENSA INSURANCE BATHTUB v' 6J A / "(IMP BOOK PAGE'(- PARCEL (This section need not be completed H the work Invoked by the O SHOWER permit Is for one hundred dollar*(1100)or leu) LAVATORY �� S$ OWNER S U A F.C.L. R S H I P I certify that In the Performance of the work for which this permit I , Is issued I shall not employ any person In any manner so as to 81NIc o7 ('U ADDRESS become eub)ect to the Workers Compensation Laws DlswASHERCITY MONTEREY PARK TEL NO 280-450 Date NOTIC TO APPLICANT� If after making this Certllicete of licant CLOTHES WASHER / �" CONTRACTOR RICHARD FREYRE PLUMBING INC. Exemption you should become subject to the Workers CompensationSWIMMING POOL RECEPTOR s� provisions of the Labor Code you must forthwith comply with such D ADORE57823 ALPACA ' STREET provisions or this permit shall be deemed revoked O LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION _ TEL NO I hereby affirm that I am licensed under provisions of Chapter 9 WAS NEATER /Iqjs (� J, STATE IL TO E L 4143-1011 (commencing with Section 7000) of Division 3 of the Business and (iA,55•yy-�M OUTLETS LICENSE NO CLASS VVVX UIC Professions Code and my license Is in full force and effect OUTLETS OVER DISTRICT NO PYABJMSSED BY O 5 PER SYSTEM C—O License Numba290393 LIC Class C-36 J14 10 � F neTFINAL DATEV�LIDATION a Z_RICHAARD FREYRE PLUMBING , InrDate - 2 ❑ I am exempt under Sec By RNAL tii r ? B&PC to eon _'117 5 �` Dme Zo y Plan check fee , PLUMBING PERMIT ISSUING FEE Si I tEpl-, 1 T01 AL 286 _ 65 TOTAL FEE Plan check applicant BR BFAMILY (�A{'�I�E u�r HOME OWNER BUILDER DECLARATION Name I hereby affirm that I*m exempt from the Contractor a License Law _ for the following reason(Section 7031 5 Business and Professions Address ^c _ Code) CICmJII-pRpl �:i� CAY Tel No _ ❑ I as owner of the property will do the work and the structure 12x7 I hill ;;;)2 is not Intended or offered for sale (Section 7044 Business and Professions Code) ► ' CONSTRUCTION LENDING AGENCY ' I hereby affirmThat there Is a construction lending agency for the performance of the work for which this permit le Issued(Sec 3097 CN C) Lenders Name Landera Address I certify that I have read this application and state that the above , Information M correct I agree to comply with all County ordinances , and State laws regulating Plumbing and hereby authorize representatives of,thls County to enter pqon the above mentioned pr Inepemron Purposes SEE REVERSE FOR EXPLANATORY LANGUAGE ��v WORKER SCOMPENSATION DECLARATION P`9918e res _ APPLICATION FOR PLUMBING PERMIT- or a certificate of Worker a Compensation Insurance or a certified T' copy thereof(Sec 3900 Lab C) 115451 m n�EN EAGLE INS . COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS - ADEPT OF PUBLIC WORKS DIV EDCant9ed copy Is hereby fumiahed ' FOR APPLICANT TO RLL IN(PRINT OR TYPE) �gNSGS5542 N SULTANA AVENUE ❑ Cemfled copy m filed with Ur building I ` "�ORf�N- ® LOCAUTY TEMPLE CITY , CA . Date 7-7 a 4 51 WATER CLOSET J' NEAREST CROSS ST CERTIFICATE OF D(EM FROM WORKERS BATH TUB I PENSATION E T ASSESSOR (This section need not Abe completed If the he wort Involved by the Q KNOWER MAP BOOK PAGE PARCEL pemrlt is for one hundred doflars(Ii or less) �o LAVATORY F. C. L. VILLA PARTN RSHIP I certify that In the performance of the work for which this permit B Is Issued I shell mil employ any person in any manner so as toBINK - ,� a MAILADDRESS become subject to the Workers Compensation Laws DISWASHER CITU TEL NO _ 450( NOTICE TO APPLICANT Ificantaftermaking this Certificate of / CLOTHES WASHER V'wo J� CONTRACTOR R - FREYRE PLUMBING. IN Exemption you should become subject to the Workers Compensation 6) SIMMMIN3 POOL RECEPTOR provisions of the Labor Code you must forthwith comply with such ADDRESS 9891 provision or this permit shell be doomed revoked Q LAWN SPRINKLER SYSTEM } LICENSED CONTRACTORS DECLARATION SO EL MONTE TEL No443-1011 0. I hereby affirm that I em licensed under provisions of Chapter 9 WATER HEATER r) .� STATE UC p (commencing with Section 7000)o1 Division 3 of the Business and / OAS SY87EN OUTLETS LICENSE RO CLASS C-36 U Pmtesalom Code and my license h In lull/once end effect DISTRICT ND BY Q OUTLETS OVER a PER SYBfEMr Der Q I.x:enss Number�40 3.93 Lic Clots�`-�� Z 0 ...a O U y FINAL UJ RICHARD FREYRE PLUMBING, INC DATEZ, VAu� DATION a. Contractor Date _ - fn ❑ I am exempt under Sec BYE _ ? B 6P C for this reason '16ate Plan Check fee UL PLUMBING PERMIT ISSUING FEE$ ' TOTAL FEE TO[AL 28; 6 _ 65 /� iHtCi! ' Plan check applicant SINGLE FAMILY � ` � n HOME OWNER BUILDER DECLARATION ♦HA�`f�]F .(til I hereby affirm that I am exempt tram the Contractor a License Law for the following reason (Section 7031 6 Business and Professions Address - Code) City Tel No Ln]0I1-01101 2/25/c2, ❑ I as owner of the property w111 do the work and the structure 1°45 1 AP, 5-,to is not intended w offered for We(Section 7044 Business pop.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 - - CW C) Lender a Name Lander s Address , I certlly that I have read this application and state that the above Information is correct I agree to campy with all County ordinances I and State laws regulating Plumbing and hereby authorize _ representatives of this County to enter upon the above-mentioned property for Inspecuon purposes SEE REVERSE FOR EXPLANATORY LANGUAGE n 2/yo/,� -7— ' WORKER 6aveacNSAnoteofconsen°" 7�DPW 9/89 APPLICATION FOR PLUMBING PERMIT 1 hertby affirm that I have a certificate of consent to self insure � or a cMificate of Worker a Compensation Insurance or■certified '- copy thereof(Seo 3900 Lab C 1 I . , UNTY OF LOS ANGELES DEPT OF PUBLIC WORKS DEPT OF PUBLIC WORKS DIV 1Poacy rro NWC11545},rpp,py GOLDEN EAGLE INS -� �, LGL Certlfled copy is hereby famished _ FOR APPLIC TO PILL dI(PIIINT OR TYPE) A�pp�pE 55 N S LTANA AVEN ❑ CerBfled copy le filed vi O building m deperbnentNUMBER FIXTURE OR ITER/ 9 FEE LOCALITY- LE 'CITTY Date 7_90-92 Appl WATER CLOSET �� as -NEAREST TEMP CERTIFICATE OF EXEFROM WORKERS BATH TUB �'>' _ COMPENSATION INSURANCE ASSESSOR (This section need not be completed U the work Involved by the SHOWER MAP BOOK L PAGE r PARCEL, permit Is ler we hpefor dalers(the odor LAVATORY - -- _ S"8 OWNERSULTANA F.C . L. VILLA PARTE SHIP I cenity that In the performance of the work /or which this permit ,Is issued, I shall not employ any person In any manner so as to61NK ,1 a �D CRESS T 128 become Subject to the Workers Compensation Laws _ DtSWASHER CRY Al TEL NO Date Applkxm CLOTHES WASHER t/ CONTRACTOR NOTICE TO APPLICANT If alter making this Certificate of - Exemption you should become Subject to the Workers'Compensatlon D SWIMMING POOL RECEPTOR r provlawns of the Labor Code,you must forthwith comply with such ADDRESS 9823 ALPACA ST. provinons or this permit Shall be deemed revoked 0 LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION / WATER DATER / ,! CRY TEL "°443-1011 a I hereby affirm that I am licensed under provisions of Chapter B Ah'ri F.1 mnmTR LID (commencing with Section 7000)of Division 3 01 the Business and / GAS SYSTEM OUTLETS EN6E NO tC,JJ Professions Code and my license is in lull force and effect — , OUTLETS OVER DISTRICT NO BY "yt e PER SYSTEMA Ixanee Number 290493 Lrc Clea. C36 01 3 �, 0 �• M.� U RFINAL ICHARD FREYRE PLUMBING, INC. oo DATE V' "K TION y," __, a ❑ �—�-92 m I am exempt under SecBVD 1 I 1 ECM= Z B aP C for this reason 101 AL 286 . 65 Plan check fee -7 PLUMBING PERMIT ISSUING FEE S CHAOIE Cli ❑ TOTAL FEE SINGLE FAMILY Plan check applicant - r C ,- HOMEOWNER-BUILDER DECLARATION Name _ _ OrIOCI—L1CIU1 cr —!�5 I hereby affirm that I am exempt from the Contractor a License Lew rAM Y I� for the following reason (Section 7031 6, Bualnesa and Prolesslone' Address Code) City I as owner of the Tel NO ❑ property,will do the work end the structure t ' is not intended or offered for sale(Section 7044 Business and Pmfmions 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(Sac 3087 , CIV C) Lander a Name - Lenders Address I cerfity that I have read this application and State that the above , information Is correct I agree to comply with all County ordinances and S laws regulating Plumbing and hereby authorize ren tivea of this mabove mentioned to enter upon the abmentioned props 1 ins pe oras SEE REVERSE FOR EXPLANATORY LANGUAGE Sin ure of nilnee Date