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Home My Public Portal About5019 FARAGO AVE_Plumbing__ 7SA667 n 5-49® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES K s WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT'TO FILL IN DIST\CST NO. GROUP I Z N PERMIT NO. ' PLUMBER Az RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS1 � Q"I' BUILDING CITY / /� TEL NO/(7 —ADDRESS , s COUNTYR LOCALIT LICENSE NO. L/ EXPIRES — _ NEAREST PERMIT FEES cRoss sr. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNE MAIL ,WATER CLOSET (TOILET) @ 0.50 s ADDRESS ♦ BATH TUB st @ 0.50 CITY TEL. NO `� s �+ SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ,„!THIS '}' 1'e LAVATORY (WASH BASIN) Q 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES"AND;, STATE LAWS REGULATING PLUMBING. ,$` ^y' ••,o• KITCHEN SINK @ 0.50 •.,n; -} I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS: LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE; OR .4M THE LEGAL- OWNER;;' OF THE RESIDENTIAL PROPER DE ABOVEJ,, GAS SYSTEM OUTLETS @ O.50 55,�j'}/ •t••. '<<”, ')'i��•.{;��. 't'`� ' SIGNATURE OF C �J'G(/IY •w. i..,� :f. (f WATER HEATER @ 0.50 PERMITTEE ♦ �il 1 ` :'NIS±} ` !! SLOP SINK @ 0.50 INSPECTION RECORD:- FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 p•� DISHWASHER @ 0.50 /.3/i r y'..E :i v I/Y 0';':'4''kt'L :�•w�`t7'"''4-'.k's � i T,i '•i p 7�y i ' DRINKING FOUNTAIN Q 0.50 URINAL @ 0.50 i'•`,`-"�'r(5 :N++. tT:J,'; HOUSE SEWER @ 0.50 •r•r - ,,. i vr'�,:^',i` 1'i �-' MISCELLANEOUS .H:f• •� > �a^s N•,. � �I - 1 4�d APPROVALS . , ..e DATE "INSPECTOR'�S�^;nc NAME 4'Xo- ROUGH PLUMBING. ` GAS PIPING ,{±:, •. NI {_ '••�'} GAS VENT �, �- - ':;!P:•I •''is CESSPOOL Q 1.00 CESSPOOL I '1 '� � '..Is:-=.• SEPTIC TANK: SEPTIC TANK +.Lr I �- :1:ie•,• ,• \I DRAIN ( ) PIT ( ) Q 1.00 SEWER '• ?f4"" `:• RKiv�: 1 PERMIT . 1,00 GAS TEST .a. •` . 7!i ♦ FI UTILITY CO. NOTIED i' TOTAL FEE $ /J / �+ FINAL (U iI�J 1��/✓^� .� i 76A667 CE817 8 57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS mi6 i/a ® 0. v JOHN A LAMBIE COUNTY ENGINEER CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY e FOR APPLICANT TO FILL IN NEAREST 4CROSS ST yc'. a,-1 NUMBER FIXTURE OR ITEM OWNER G a,t Sa(� e_ i WATER CLOSET MAIL BATH TUB ADDRESS O Ze 1--A--V-4 Q GL V Cs— SHOWER CITYr&nv a r TEL NO If,-G LAVATORY CONTRACTOR SINK ADDRESS DISHWASHER CITY TEL NO LAUNDRY TUB CONTRACTOR S STATE Ll REGISTRATION NO COUNTY ❑ CLOTHES WASHER DISTRICT 17-NO GROUP ZONE READY FOR INSPECTION WATER HEATER � -z A - GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD p APPROVALS $100 PER ITEM DATE INSPECTOR S SIGNATURE OR FIXTURE Q UNDER SLAB WORK �l ROUGH PLUMBING PERMIT $ 1 )o GAS PIPING TOTAL FEE OC GAS VENT 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL PROPERTY � SIGNATURE ( �� OF PERMITTEE FINAL 0 =OR ROBERT A WOOD V SUPERVISING MECHANICAL ENG R CK FEB S A 300 � r 76AS67 APPLICATION L (CATION ! O 0 i PLUMBING aG PERBVII T 1 BB9 ""66 kSION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING JOHN A LAMBIE COUNTY ENGINEER ADDRESS ®/ O CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN I NEAREST CROSS ST OWNERr;• �'� q C A Q J/ DISTRICT NO GROUP ZONE 'J'READY FOR INSPECTION MAILrr ADDRESS Jv 7 {rQ O. INDUSTRIAL CITY +2 hot AVQ e ,7\# TEL NO11-9 H WAS E APPROVAL PLUMBER 7,fogs INSPECTION RECORD ' 1 ADDRESS //?&Aet o ✓'e G/ i CITY TEL NO 4&y"1 dv LICENSE NO NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $100 $ BATH TUB @ $100 SHOWER @ $100 LAVATORY (WASH BASIN) @ $100 KITCHEN SINK @ $1 00 �P DISHWASHER @ $1 00 LAUNDRY TUB OR TRAY @ $1 00 CLOTHESWASHER @ $100 WATER HEATER @ $100 GAS SYSTEM @ $1 00 VYJA I � APPROVALS DATE/ INSPECTOR S SIGNATURE UNDER SLAB WORK PERMIT $ 1100 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED 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 RESIDENTIAL PR PERTY SIGNATURE OF PERMITTEE FINAL JOHN A L.AMBIE COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR CK Y 0 CASH AC c3 4 3 2° JUL 2 0 3 400 un f � � 76AG07-CE817 10 60 APPLICATION FOR PLUMBING PERMIT DEPARTTN=OUNTY OF COUNANGELES Y NG TEER BUILDING AND SAFETY DIVISION r7k.&:2�.j JOHN A LAMBIE COUNTY ENGINEER WILLIAM A JENSEN SUP T OF BUILDING FOR APPLICANT TO FILL IN ST IVSS ST NUMBER FIXTURE OR ITEM OWNER WATER CLOSET NAIL BATH TUB ADDRESS CITY TEL NOI SHOWER LAVATORY CONTRACTO I SINS ADDRESS Q DISHWASHER CITY TEL NO CONTRACTOR TY LAUNDRY TUB REGISTRATIONATINNO COUNTY CLOTS WASHER DISTRICT NO GROUPZ�I�1 PR Y WATER HEATER Q Q/ J // GAS SYSTEM INDTATRfAL WASTE APPROVAL INSPECTION RECORD v IJ O V O a. Z MMB-PER ITEM OR FIXTURE $ APPROVALS DATE INSPECTOR S SIGNATURE PERMIT $ j 00 UNDER SLAB WORK �/4/G34 TOTAL FEE ROUGH PLUMBING GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBI HOT WATER HEATER 1 H EBY CERT Y THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICE. ICE ED AS RE QU RED BY L S ANGELES COUNTY AND STATE OF GAS TEST CALI ORNIA OR TH T 1 T LEGAL OWNER OF THE ABOVE DESC IBED RESIDEN IAL P PE UTILITY CO NOTIFIED SIGN TURE OF RMI FINAL Q VALIDATION ROBERT A WOOD CK M O CASH SUPERVISING MECHANICAL ENG R U"9 8 4 3 t2 SEP 6 5 D 325- V opxl� . .0 ' 1 M r',Wfirm that COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT tl kEkeby- affirm that I have a certificate of consent to self in 76A667 DPW 4187 n sure, or a certificate of Workers'Compensation Insurance,or a CE 817(REV. 8/86) _ QUI certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company Certified copy is hereby furnished. . FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING - Certified copy is filed with the county building inspection ADDRESS S019 7,4446-4 department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY iM LF ei 7 WATER CLOSET(TOILET) o Date Applicant v NEAREST CERTIFICATE OF EXEMPTION FROM'WORKERSBATH'TUB o CROSS ST. �R COMPENSATION INSURANCE rJ OWNER SHOWERo (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY / ADDRESS l � I certify that in the performance of the work for which this per' SINK mit is issued, I shall not employ any person in any manner so 60 CITY i{ A TEL. 1.OA(j3-)o� as to become subject to the Workers' Compensation Laws. DISHWASHER (�/T 0 • &-7-01 E `V L,// - CONTRACTOR Date. &` 0p� Applicant _T // CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- emption, you should become subject to the Workers'Compen- CITY TEL. NO. sation provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEM ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. OCESSED BY I hereby affirm that I am licensed under provisions.of Chapter GAS SYSTEM OUTLETS D 9(commencing with Section 7000)of Division 3 of.the Business OUTLETS OVER and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION fect. -DATE License Number Lic. Class 0 U FIN Contractor Date BY 0 O a- El I am exempt under Sec. U UJI B.BP.C. for this reason Pian check fee . Date: PLUMBING PERMIT ISSUING FEE$ Q O Signature TOTAL FEE SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that am exempt from the Contractor's License Name Law for the following reason (Section 7031.5, Business and FEE— Professions Code): Address r 7�� I, as owner of the property, will do the work and the.. City Tel. No. ;�, li"t•� I �'t; - r•, Y'l structure is not intended or offered for sale(Section 7044, Business and Professions Code). , 1 AN �3 n 2L to .: CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for A c the performance of the work for which this permit is issued (Sec. 3097, Civ. t.). ;7 lt — e�a=t Lender's Name Lender's Address TU I-HL '-F -50 I certify that I have read this application and state that the � � Ct•tt e ,_ii; above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby CHANGEn%t3 authorize representatives of this County to enter upon the above-mention d property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature, f Per ittee Date =- `�R 7� _s