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Home My Public Portal About9824 WENDON ST_Plumbing__ 76A867 (CE-817)-4/72 RT APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDIN HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY C r FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST t_d�s��. it NUMBER FIXTURE OR ITEM @ FEE CROSS ST. C l` WATER CLOSET 1,75 OWNER ei&,(d BATH TUB 1.75 MAIL46—�' SHOWER 1.75 CITY 117-4 TEL. NO. LAVATORY 1.75CONTRACTOR SINK 1.75 ADDRESS DISHWASHER. 1.75 CITY / TEL. NO. WASHER CLOTHES WASHER 1.75 STATELICENSE NO. 2�3CIL SS C �-- SWIMMING POOL RECEPTOR 1.75 D7e. T NO. GROUP NE. PR ESSED BY LAWN SPRINKLER SYSTEM 1.75 e/ WATER HEATER 1.75 INDUSTRIAL WASTE APPROVAL. GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD C7 OUTLETS OVER 30 F 5 PER SYSTEM' CC77 W CL Cn Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE S 3 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 TH LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE D RIB RESIDENTIAL PROPERTY. yy FINAL SIGNATU RE Y` OF PERMITTEE PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH Ar,,9 4 5 873 MAR 8 4.7 5 (T 76A667-CE#617 6-65 -3802 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITYT + CITY FOR APPLICANT TO FILL IN NEARESTOSS TT . VMT AV$NUI$ NUMBER FIIIT'URE OR ITEM EACH FEE WATER CLOSET =1.25 OWNER f BMW BATH TUB -1.25 ADDRESS 9824 =DW AVMVOI4' SHOWER1. 50 CITY CITY TEL. NO-28( i. 0 LAVATORY 1.25 CONTRACTOR TZW TjjZ SINK- 1.25 ADDRESS 5200 We WASHINGTON BLVD* DISHWASHER 1.25 CnTL '(� TEL. Ng' 1, .86 STATE LIC LAUNDRY TUB 1.25 LICENSE NO.lo5264 CLASS CLOTHES WASHER 1.25 Of NO. GROUP ZONE OC SEED BY WATER HEATER 1.50 5.08 ! R l GAS SYSTEM OUTLETS 1.50 WASTE INDUSTRIAL O WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD V O 1— V W D. N Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT S 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE 0. GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT"THE ABOVE IS CORRECT AND AGREE TO COMPLY L COUNTY ORDINANCES AND STATE LAWS pEGULATINOHOT WATER HEATER .Y` CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES AS REQUIRE BY LOS ANGELES COUNTY AND STATE OF GAS TEST A OR TH_A I M TH LEj�L O NER OF'AND INTEND TO THE - E 8C E R�81. ERTY. UTILITYCO.NOTIFIED REMITT E FINAL VALIDATION CK. M.0. CASH �,4 2;2 7% j0 5 .0 3.5 OM WOR96S'CVMPENSATION DECLARATION 76AS67A I hereby affiym that I have a' certificate of consent to self ce 617(2-60) APPLICATION FOR PLUMBING PERMIT insure, r a c�tificate of Workers'Compensation Insurance,or acoe '�d copy thereof(Sec.3800,Lab.C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Po o.-2=__J_401&npany� F1 Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ADDRESS �Certified copy is d with the count build' inspection NUMBER FIXTURE OR ITEM ® FEE n Lmk ��7� WATER CLOSET LOCALITYDApplican* �N F'�s-�� NEAREST BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER LAVATORY MAIL (This section need not be completed if the work involved ADDRESS Z 0 by the permit is for one hundred dollars ($100) or-less.) SINK CIT TEL.NO U I certify that in the performance of the work for which this DISHWASHER 0 ' permit is issued, I shall not employ any person in any manner CONTRACTO 0 so as to become subject to the Workers'Compensation'Laws. CLOTHES WASHER ADDRESS U Date Applicant SWIMMING POOL RECEPTOR ��/ err o..�� 1��! d NOTICE TO APPLICANT: If, after making this Certificate of CITY N�� TEL.NO.Z< Y U) Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. Compensation provisions of the Labor Code, you must forth- LICENSE NO. E 7� CLASS with comply with such provisions or this permit shall be WATER HEATER deemed revoked. DISTRICT NO. PROC SED BY GAS SYSTEM OUTLETS LICENSED CONTRACTORS DECLARATION OUTLETS.OVER I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- O/i FINAL DATE VALID TION ness and Professions Code,and my license is in full force and (f effect. f FINAL License NumberLic.Class a BY An�c r C^Vs,,A Date 9-'RV ;2244.2A F1 I am exempt from the licensing requirements as I am a Plan check fee # o o o 0 0 5 licensed architect or a registered professional engineer PLUMBING.PERMIT ISSUING FEE$ acting in my professional 'capacity (Section 7051, Bus- I o,0 3 Q 5 0 iness and Professions Code). TOTAL FEE 3� Lic.or Reg.No. Date Plan check applicant o o o 3 Q 5 0 U HOME OWNER-BUILDER DECLARATION Na-%- 0712-85 I hereby affirm that I am exempt from the Contractor's AddresSZO License' Law for the following reason (Section..7031.5, Busi- City Tel.No. ness and Professions Code): I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Section 7044,Business and 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,Civ.C.). Lender's Name Lender's Address I certify that.I have read this application and state that the above information is correct.I'agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State la egulating Plumbing, and hereby authorize repres"tives/lof/thnis County to enter upon the a entione r per r pection purposes. � Signatur d1fAf Permi tee Date