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Home My Public Portal About9830 WENDON ST_Plumbing__ l a76 A 667 ,Z CE 817 7-69 APPLICATION FOR _PLUMBING PERMIT . - �. COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING ANDSAFETY DIVISION BUILDING JOHN A. LAMBIE.'COUNTY ENGINEER ADDRESS 9Q _ 830• Wendon Lazne COLEMAN W. JENKINS.'SUP'T. OF BUILDING LOCALITY le C FOR APPLICANT TO FILL IN PR NT OR TYPE) CROSS ST. NUMBER FIXTURE OR ITEM. EACH FE'E OWNER ' WATER CLOSETMAIL o BATH TUB 1. DRESS 9830 Wendon Lane SHOWER 1.. .0 .c1n Timple Mty TEL.NO. 'I LAVATORY 1. 0 'CONTRACTOR Valley Plumbing CO ' of Glen snvK 1.40 ADDRESS 442 Wo Flee od Place DISHWASHER 1. CITY Glendora L.NO. mi 2 STATE L11- CLOTHES ICCLOTHES WASHER "16 LICENSE No209431 CLASS'C• 6•SC42-2 SWIMMING POOL RECEPTOR 1 0 DISTRICT NO. GROUP ZONE PR BY LAWN SPRINKLER SYSTEM 2.04 � ® Cy WATER HEATER 1. , INDUSTRIAL WASTE APPROVAL. Od GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD Z OUTLETS OVER 0 5 PER.SYSTEM N Plancheck fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE S 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant D UNDER' _'B$ .O¢RK e L,,- , Name ROUGH PLUMBING rf Address GAS PIPING GAS VENT City, Tel. No. HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION '" AND STATE THAT THE ABOVE 18 CORRECT AND.AGREE TO COMPLY PLUMBING FIXTURES WITH ALL. COUNTY 6RDIVANCE8 AND STATE LAWS REGULATING GAS TEST PLUMBING. - I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND'IOR UTILITY CO.NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES'COUNTY AND. STATE OF All CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. - FINAL SIGNATURE ACK R. ALLEN, SUPERVISING MECHANICAL EN•G'R. OF PERMITTEE PERMIT VALIDATION% K.:y' M.O. CASH. PLAN CHECK VALIDATION CR. M.0. CASH. I Af'� O 8 .8 3� JUid 5 D 6.50f, I d WORKERS'COMPENSATIONtDECLARATION 6 DPW 4/87 APPLICATION FOR PLUMBING PERMIT k, I hereby, affirm that I have a,certificate of consent to self in- 76A6676A667A sure,or a certificate of Workers'•Compensation Insurbnce,or a CE 817(REV,8/86) certified:cop y thereof (Sec. 3800, Lab. C.) dPSlicy No. Company COUNTY OFLOSANGELES DEPT. OF PUBLIC WORKS i Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) ' BUILDING Certified copy is filed with the county building inspectionADDRESS _,4,0 department. NUMBER FIXTURE.OR'ITEM @ FEE - LOCALIT Date Applicant WATER CLOSET(TOILET) NEAREST /y✓� CERTIFICATE OF'EXENIPTION FROM WORKERS' BATH TUB CROSS ST. lJ� COMPENSATION•INSURANCE SHOWER OWNER (This section need not be completed if the work involved.by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this per- mit is issued, I shall not employ any person in any manner so SINK CITY TEL.NO. as to become subject to the Workers'Compensation Laws.•: DISHWASHER / CONTRACTOR Dat9/ /J�� y —Applicant = CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- CITY TEL. NO. sation provisions of the Labor Code,you must forthwith comp- LAWN SPRINKLER SYSTEM l.y with such provisions or this permit shall be deemed revok- I STATE LIC.. ed. WATER HEATER LICENSE NO.- CLASS LICENSED CONTRACTORS DECLARATIONGAS SYSTEM OUTLETS n O DISTRICT NO. PROC S ED Y I.hereby affirm that I am-licensed under provisions of Chapter l v �j 9('commencing with Section 7000).of Division 3 of the Business OUTLETS OVER v ' andProfessions Code, and my license is in full force and ef- .. 5 PER SYSTEM FINALi VALIDATION a DATE O License Number Lic. Class•, V FINAL ' Contractor Date BY O 0 I am exempt under Sec. W CL B.&P.C. for this reason ► Plan check fee � Date: PLUMBING PERMIT,ISSUING FEE$ 10 -50 Signature , 0 TOTAL FEE SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant 3307 16°50 1 hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section 7031.5, Business and 1 ITEMS Professions Code): Address. TOTAL i6 m 50 I, as owner of the property„ will do the work and.the City Tel. No. ��E� structure is not intended or offered for sale(Section 7044, Business and Professions Code). CHANGE eGl 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 00013-0001 17/19/19 (Sec. 3097, Civ.-C.).'. 7554 iv.•C.).' rJt 1 AM 80-38, 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 ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. , SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date WORKERS'COMPENSATIONaECLARATJON' APPLICATION FOR PLUMBING; PERMIT 20-0026 DPW 4Y87 I hereby, affirm that I•haved Certificate of consent to self'(n- i sure,or a certificote:of Workers'Compensation Insurance,or a 76A667A P CE 817(REV.8/86) certified copy?hereof(Sec. 3800, Lab. C.) Company -CO-COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Certified copy,is hereby furnished. y FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING � Certified copy is filed with the county building inspection ADDRESS a vW • department.. NUMBER FIXTURE OR ITEM Q FEE LOCALITY WATER CLOSET•(TOILET) Date .' Applicant - NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS S ; COMPENSATION INSURANCE ? SHOWER OWNER , (This section need not be completed If the work Involved by ✓. MAIL the permit is for one'hundred dollars(;160)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this per- mit is issued; I shall not employ any person in any',manngr so. SINK ' 'CITY5W a TEL. NO. as to become subject to•the Workers'Compensation Laws. DISHWASHER (- - CONTRACTOR &JA Date I AppI'ican CLOTHES WASHER DO I i NOTICE TO APPLICANT: IIf, after m ing this Certificate of Ex- ADDRESS em tion', ou•should become sub;ect to the Workers'Com en- SWIMMING POOL RECEPTOR P Y I, P CITY TEL. NO. sation provisions of the.Labor Code,you must forthwith comp- LAWN'SPRINKLER SYSTEM I.y with such provisions'or this permit shall be deemed revok- STATE LIC. ed. ' WATER HEATER. LICENSE.NO. CLASS LICENSED CONTRACTORS DECLARATION' 6 DISTRICT tyQ� O ED I hereby affirm-that I'arri licensed under provision..s of Chapter Y GAS SYSTEM OUTLETS UX 9(commencing with Section 7000)of DLvision 3 of.fhe Business OUTLETS OVER and Professions Code, and my license Win full force and ef- , 5 PER SYSTEM FINAL VALIDATION fect. 5• DATE O License Number Lic..Class. FINAL : p� Contractor Date ( BY O r _ b ❑' I am•exempt under Sec. W B.&P.C. for this reason ' ca ca Plan check fee PooI Date:r PLUMBING PERMIT.ISSUING FEE$ ; Signature.. NOTAL FEE SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant 5 I hereby affirm that I am exempt'from the Contractor's License Name',, p�+• a Law for the following reason .(Section 7031.5, Business-and ACCTo4 Professions Code): Address 4 • 3307, .118050 F] I, as owner of the property, will do.the.work and the City it Tel.'. No. 1 ITEMS structure is not intended or offered for sale(Section 7044, .Business and Professions.Code). j ® Tr mI� CONSTRUCTION LENDING AGENCY. I CHECK 118.,50 I hereby affirm that there is a construction.lend ing.,agency for the performance of the work for which this permit is issued CHANGE � 0 (Sec. 3097., Civ. C.). Lender's Name 0000-0001 2/2$/89 Lenders Address 7$08 -1 AM 80-31 I certify that: I have read this application and state that the above information is correct:I agree to comply-with all County ordinances and St a laws regulating Plumbing, and hereby auth 'ze repres t t' es of this County to enter upon the ali .e- entyn p rty for inspection urposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signa re of Per itt-e Date