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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