HomeMy Public PortalAbout5033 FARAGO AVE_Plumbing__ WWII-
3,-,7 --
.3,..7 --CE 817 8/68
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING rc'
' JOHN A. LAM BI E, COUNTY ENGINEER
ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
I
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST '
CROSS ST: �tl
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1.50 OWNER" : r'" .,. 1
MAIL
FADDRESS'„r
BATH TUB j I.50
SHOWER 1.50 CITY - l - TEL. NOS
r .I
LAVATORY .r. 1.50 / CONTRACTOR
,f
SINK 1.50 �/ ” ADDRESS
DISHWASHERtIr 1.50 CITY -' TEL. NO.
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.50 DIST)MCT NO. GROUP .ZONE PROCESSED BY a
LAWN SPRINKLER SYSTEM 2.00 .- '' ''�
!^' �-- W
I l WATER HEATER 1.50 DUSTRAL
WASTE AIPPROVAL LL
GAS SYSTEM �? OUTLETS 1.50 INSPECTION RECORD
—� OUTLETS OVE`7 -
5 PER SYSTEM .30
W
f4" ~
N
Plan check fee 25-1 of above. See reverse.
PLUMBING PERMIT ISSUING FEE; 8 2 00
TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City TPI. NO. HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN. THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATURE
C JACK R. ALLEN, SUPERVISING MECHANICAL EN G'R.
OF PERMITTE -
PERMIT VALIDATION CK. M.0. A
PLAN CHECK VALIDATION CK. M.0. CASH
,R
f
76A66�CE817 12/59 —
�� APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY RIVISION BUILDING�, -0
JOHN A L M IE COUNTY NGINEER ADDRESS
WILLIAM A JENSEN SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET
AD <S�3
BATH TUB DRESS
/ CITY TEL NO
SHOWER
LAVATORY CONTRACT
ADDRESS y
SINK G
DISHWASHER CITY d TEL NO
CONTRACTO Sy TATE
LAUNDRY TUB REGISTRATION NOS/� ' COUNTY ❑
CLOTHES WASHER DISTRIIC�T NO G P ZONE R D BY
WATER HEATER _:5,
(/ /
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD y
a
U
O
U
6/11 f Ir�1. W
W
z
7/ @ ()U PER ITEM
O
v OR FIXTURE $ QL lJ�ll APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE lel- ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM TH LEGAL OWNER OF THE ABOYE GAS TEST
DESCRIBED RESIDENTIIAIL ROPE L UTILITY CO NOTIFIED
SIGNATURE r(/
OF PERMITTE44 FINAL
®� ALIDATION ROBERT A WOOD
c�c m O CASH SUPERVISING MECHANICAL ENG R
U 4 t� �
oilljllro--�
H A io7—CE 819 8/68 �-
le
APPLICATION OR PLUMBING PERMIT
COUNTf OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION fADDRESSDINJOHN A LAMBIE COUNTY ENGINEERCOLEMAN W JENKINS SUP T OF BUILDING CALITY
FOR APPLICANT TO FILL IN (PR NT OR TYPE) AREST
OSS ST
NUMBER FIXTURE OR ITEM EACH FEE 1
OWNER
WATER CLOSET 1 50
SIL
BATH TUB 1 50 ADDRESS
SHOWER 1 50 CITY TEL NO:5&—' / :�4
LAVATOR 150 CONTRACTOR
SINK 1 50 ADDRESS
DISHWASHER 1 50 CITY TEL NO
CLOTHES WASHER 1 50 STATE LIC
LICENSE NO CLASS
SWIMR1ING POOL RECEPTOR 1 50 DIST NO GROUP ZONE I PR SEED BY >"
a
LAWN SPRINKLER SYSTEM 2 00 O g s
U
WATER HEATER1 50 INDUSTRIAL
WASTE APPROVAL
I—
GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD v
LU
OUTLETS OVE n-
5 PER SYSTEM 30Z N
Z
7
C2 4f 40
SIKC'P �( /f lFri SiaPuY'� d
Plan check fee 25% of aboxe See reverse
4 PLUMBING PERMIT ISSUING FH F 8 2 00
f OT4L FFE (,
APPROVALS DATE INSPECTOR S SIGNATURE
Plan Cheek -ipplie int UNDER SLAB WORK
I
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City lei No HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING
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 AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL P ERTY FINAL
l Z
SIGNATURE JACK R ALLEN SUPERVISING MECHANICAL ENG R
OF PERMITTEE
PERMIT VALIDATION CK M o cAs
PLAN CHECK VALIDATION CK M O CASH
nrt 6 7 5 jut', 4 1D 960-
76 A 667—Cfi 817 8/68
• APPLICATION FOR PLUMB NG PER T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADD DING
JOHN A LAMBIE COUNTY ENGINEER
ESrk
COLEMAN W JENKINS SUP T OF BUILDING LOCAL
ITY-
FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1 50
MAIL
BATH TUB 1 50 ADD
SHOWER 1 50 TEL NO
LAVATORY1 50 CONTRAC
IV
SINK 1 50 ADDRESS
DISHWASHER 1 50 CTCY TEL NO
CLOTHES WASHER 1 50 STATE LI
LICENSE �O,Z>i
SWIMMING POOL RECEPTOR 1 50
DISTRICT N GIgaUP ZONE PR C£ D BY d
I AWN SPRINKLER SYSTEM 2 00 1--JI Gl. / V
WATER HEATER 1 50 INDUSTRIAL Z
WASTE APPROVAL o
GAS SYSTEM OUTLETS 150 INSPECTION RECORD W
OUTLETS OVER a
5 PER SYSTEM 30 f '—~ ` Z
Plan check fee 25% of above See reverse
Oft 7
PLUMBING PERMIT ISSIANC F LL 8 2 00
I OTAL FFF_
APP V LS DATE INSPECTOR S SIGNATURE
Plan check ippllcanl I
UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
CIL} lel No HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING
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 AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DES B!D R BIDENTIAL PROPERTY FINAL
E
SIGNATURE JACK R ALLEN SUPERVISING MEGHANICAL ENG R
OF PERMITT
PERMIT VALIDATIO cK M o CASH
PLAN CHECK VALIDATION CK M o CASH
ti
Af n? 262c-- OCT 21 5 0 3-50-17
15 A 6657—PE 817 8/68
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
JOHN A LAMBIE COUNTY ENGINEER �.�
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST , /�
CROSS ST !/
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1 50 MAIL
BATH TUB 1 50 ADD
SHOWER 150 CITY TEL N�
LAVATORY 1 50 CONTRACTOR
SINK 1 50 ADDRESS
DISHWASHER 150 CITY NO O
CLOTHES WASHER 1 50 STATE / LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 50 f
ISTRICT NO GROUP ZONE O
I AWN SPRINKLER SYSTEM 2 00 OWATER HFATER 1 50 USTRIAL TE APPROVAL 2-1
o
GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD 1-
OUTLETS OVER
U
5 PER SYSTEM 30 d
Plan check fee 2i% of above See reverse
PLUMBINC PERMIT ISSUING F 1;F 8 2 00
IOTNL FEC
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applic-int UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City lel No HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING
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 I AM THE LEGAL OWNS CO AND INTEND TO
RESIDE IN THE ABOVE DE IBED SIDENTI PROPERTY FINAL
SIGNATURE JACK R ALLEN SUPER VISI HANI C AL ENG R
OF PERMITTEE
PERMIT VALIDATION cK M o CASH
PLAN CHECK VALIDATION CK M o c As 8 3 3 5-4 Jnti 1 3 3,50-
Q
I 1�
V a `
76 A 6615 - CE 817 7-69 /1rry
APPLICATI-ON FOR PLUMBING PERMIT u
s COUNTY OF LOS ANGELES 1 u
DEPARTMENT OF COUNTY ENGINEER r
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST �?: -
CROSS ST !�
NUMBER FIXTURE OR ITEM EACH FEE
�'/(l/J•sivYT`/—
WATER CLOSET 1 50 OWNER --
MAIL
BATH TUB 1 50 * ADDRESS 16
SHOWER M 1 50 CITY TEL NO.5 79-, 736
I
LAVATORY' 1 50 CONTRACTOR
SINK 1 50 ADDRESS
DISHWASHER 1 50 CITY TEL NO
ti CLOTHES WASHER 1 50 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 50 D STRICT NO GROUP NE CESSED BY
LAWN SPRINKLER SYSTEM 2 00 - _ 5
X WATER HEATER r+ 1 50WASTAPPROVALI
I O
GAS SYSTEM OUTLETS 1 50 l do
INSPECTION RECORD V
OUTLETS OVER 30 n �f`�
5 PER SYSTEM 1
_ N
Z
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE $ 2 00
TOTAL IEE
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No 7
HOT WATER HEATER �� �'� '�� � ,1,n✓
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING
1 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 AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL
SIGNATURE ��y�, r� ///� - JACK R ALLEN SU ERVISING MECHANICAL ENG R
OF PERMITTEE A-L -- r
PERMIT VALIDATION CK M o q5H
PLAN CHECK VALIDATION CK M o CASH
- a - LArn 6 5 8 8C-- SEP 2 5 D �5 0 O N
4
76 wA 667 - 'C 1-817 7-69
APPLIC T N FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER gUILDlNG
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST t
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1 50
MAIL
BATH TUB 1 50 ADDRESS ��' r
SHOWER 1 50 CITY TEL NO
LAVATORY 150
CONTRACTOR
SINK 1 50 ADDRESS
DISHWASHER 150 CITY TEL NO
CLOTHES WASHER 1 so ST TE / LIC
LICENSE NO ��-- CLASS
SWIMMING POOL RECEPTOR 1 SO DISTRICT NO GRO P ZONE PRO.CES D BY
LAWN SPRINKLER SYSTEM 2 00 D t
WATER HEATER .� 1 50 INDUSTRIAL
USASTE APPROVAL x g
GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD
OUTLETS OVER 30 r O
5/PER SYSTEM n
o z
a
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE ad
Y APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City t Tel No HOT WATER HEATER
LAN EREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES r
ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
BING
EREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIEDSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
ORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TOE IN THE ABOVE DEBCRIBED RESIDENTIAL PROPERTY FINAL
ATURE JACK R ALLEN SUPERVISING M ANICALENG R
PERMITTEE "t-�-� '-'�L�' ""
PERMIT VALIDATION cK M o CASH
PLAN CHECK VALIDATION CK M O CASH Y
1 ►�� 6 1 6 hUG 4 5 D 5.00-
I
WORKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT
-0026 D
I hereby,'affirm that I have a certificate of consent to self in- 76A667A PW 4/87 r '
sure,or a certificate of Workers'Compensation Insurance,or a CE 817(REV. 8/86) `7U)
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 ��Q A O
❑ Certified copy is filed with the county building inspection ADDRESS rG 4
department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY
1 WATER CLOSET(TOILET)
Date Applicant NEAREST _ (�
CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. J rOf 09
COMPENSATION INSURANCE OWNER CL Of
,
(This section need nor be completed if the work involved by SHOWER MAIL
the permit is for one hundred dollars ($100)or less.) �• LAVATORY 6 ADDRESS s� L
I certify that in the performance of the work for which this per-
mit is issued, I'shall not employ any person in any manner so SINK .CITYfr� It c TEL' NO.
as to become subject to the WoDISHWASHER CONTRACTOR D 7
Date Applic rkers' �nsa �ws. CLOTHES WASHER ADDRESS
NOTICE TO APPLICANT: If, aft g this Certificate of Ex-
SWIMMING POOL RECEPTOR
emption,you should become subject to the Workers'Compen- CITY TEL. NO.
sation,provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEM
ly with such provisions or this permit shall-be deemed revok- STATE LIC.
ed. t WATER HEATERLICENSE NO. CLASS
LICENSED CONTRACTORS DECLARATION DISTRIGT-WR PR CESSED BY
Thereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS
9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER
and Professions Code, and my, license is in'full force and ef- 5 PER SYSTEM FINAL VALID ON
fect. DA 0
License Number Lic. Class 0
C / i ad
Contractor Date / 0
❑ I am exempt under Sec. W
B.&P.C. for this reason Plan check fee
Date: PLUMBING PERMIT ISSUING FEE$
Signature TOTAL FEE
SINGLE FAMILY ,
HOME OWNER-BUILDER DECLARATION Plan check applicant
I.hereby affirm that I am exempt from the Contractor's License Name
Law for the following reason (Section 7031.5, Business and
.5 F
Professions Code): Address,•
r
I, as owner of the property, will do the work and the
® City Tel. No.�j/!� Z
structure is not intended or offered for sale(Section 7044, c
` Business and Professions Code). _
4' &
CONSTRUCTION LENDING AGENCY Filiog
I hereby affirm that there is a construction lending agency for 3307 46.50
the performance of the work for which this permit is issued
(Sec. 3097, Civ. C.). ITEC`' '
Lender's Name TOTAL 46 -50
Lender's Address CHECK 46.5 0,
I certify that I have read this application and state that thepop. f [j NGE .00above 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 r f ,i, , �9
�gnv.
mention pro rt ection.purposes. Cl!} i3�—,Ifll 1 i= ��' 7
SEE REVERSE FOR EXPLANATORY LANGUAGE �i_ ii'�I1='rre of Permittee Date