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HomeMy Public PortalAbout5124 FARAGO AVE_Plumbing__ EIS 17 10 B9 DAPPLICATION FOR PLUMBING PERMIT BS 17 DIVISION OF BUILDING AND SAFETY Deportment of County Engmeer County of Los Angeles BUILDING JOHN A LAMBIE COUNTY ENGINEER ADDRESS CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY /t6e FO PLI ANT TO FILL IN NEAREST CROSS ST OWNE .LIQ DISTRICT NO GROUP ZONE READY FOR INSPECTION MAIL e1 T 7 I -,—/- C) C) ADDRESS .!� A O ,,c INDUSTRIAL CITY EL N � ®/6( (F' WASTE APPROVAL J PLUMBER INSPECTION RECORD ,-r ADDRESS I ^ (�{ CI ga&W11TEL LICENSE NO (Q S NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $100 $ BATH TUB @ $100 SHOWER @ $100 LAVATORY (WASH BASIN) @ $100 KITCHEN SINK @ $1 00 DISHWASHER @ $1 00 LAUNDRY TUB OR TRAY @ $1 00 CLOTHES WASHER @ $100 WATER HEATER @ $1 00 GAS SYSTEM @ $100 APPROVALS DATE INSPECTOR S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING 21 GAS PIPING TOTAL FEE GAS VENT 1 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 FIXTURES PLUMBING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANG S COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GA OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RAL PRO / SIGNATUR OF PERMI EE FINAL ��' JOHN A LAM UNTY ENGIN ER` VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR CK m 0 CASH ��2867� FEB15 3 200 t) t 76A667 CU17 8 58 APPLICATION FOR PLUMBING PERMIT II DEPARTMENT OF COUNTY ENGINEER BIIII.DING AND SAFETY DIVISION �INc _ OHN A LAMBIE CountF Eag�aeer C SATT D GRIFFIN Supt of Building LOCALITY ,� L FOR APPLICANT TO FILL IN NEARESTdoe �-� CROSS ST NUMBER FIXTURE OR ITEM J OWNER WATER CLOSET MAIL BATH TUB ADDRESS J SHOWER CITY7-1 J TEL NO _ LAVATORY CONTRACTOR ��— SINK ADDRESS IT DISHWASHER CITY TEL NO CONTRACTOR S STATE ❑ LAUNDRY TUB REGISTRATION NO COUNTY ❑ CLOTHES WASHER DISTRICT NO GROUP NEESSED BY WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD VAPPROVALS OR PER ITEM FD[TUR $ / DATE INSPECTOR S SIGNATURE UNDER SLAB WORK PERMIT $ 2100 ROUGH PLUMBING TOTAL FEE GAS PIPING 12 ' 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURESr I HEREBY CERTIFY THAT AM PRO LY REGIS RED AND/OR GAS TEST LICENSED AS REQUIRED L S�IKN LE COU Y AND STATE OF CALIFORNIA OR THAT A HE LEGAL OWNE 0 THE ABOVE UTILITYCO NOTIFIED { DESCRIBED REST TI OP Y SIGNATURE FINAL OF PERM ITTE ROBERT A WOOD Or VALIDATION SUPERVISING MECHANICAL ENG R L�l CK m O CASH LAL�5820.5". A°R ?8 5 R 300 r i Vj(Cr-tha c'have a ATION DECLARATION APPLICATION FOR PLUMBING PERMIT I h0.ej$p'by?-#firm that I have a certificate of consent to self in- 76A��A DPW 4/87 sore,or a certificate of Workers'Compensation Insurance,or a CE 817(REV. 8/86) certified copy thereof (Sec. 3800, Lab. C.) LJ Policy No. Company COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Certified copy is hereby furnished: ❑ FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspection ADDRESS department. NUMBER FIXTURE OR ITEM @ ],FEE LOCALITY Date Applicant WATER CLOSET(TOILET NEAREST BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' V COMPENSATION INSURANCE It OWNER ( SHOWER �5. (This section need not be completed if the work involved by MAIL` •� /� �//� the permit is for one hundred dollars ($100)or.less.) ( LAVATORY ADDRESS• V /pV liFO-� I certify that in the performance of the work for which this per- mit is issued, I shall not:employ any per in on a ner so SINK CITY �Q p / TEL. NO. as to become subject to the Workers' o en ows. DISHWASHER ` L CONTRACTOR Date CC d Applicant t CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate f x- SWIMMING POOL"RECEPTOR c emptiopn, you should become subject to the Workers'Co p- CITY .A TEL. NO. 7 cation rovisions of the Labor Code, you must forthwith co LAWN SPRINKLER SYSTEM .�/Vl ly with such provisions or this permit shall be deemed revok- STATE ����j LIC. ed. WATER HEATER LICENSE 15Z; CLASS 4" -7_3 ` ^ ' LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER v and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL fect. VALIDATION DATE �j ' License Num Lic. Class 36 f/ V Fl Contractor Date h- I am exempt"under Se U 141 B.BP.C. for this reason Plan check fee ► Date: PLUMBING PERMIT ISSUING FEE$ tJ Signature TOTAL FEE ` SINGLE FAMILY ! Plan check applicant HOME OWNER-BUILDER DECLA ON PP I hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section 7031..5, Business and Professions Code): Address ;2943.3A I, as owner of the property, will do the work and the City Tel. No. # a o 0 0 0 5 structure is not intended or offered for sale(Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY r it o - 31L50 I hereby affirm that there is a construction lending agency for o'o 6 3 iL 5 0 the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). pU 21 -=88 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 oil.ordinance d Stat regulating Plumbing, and hereby author' e r res s of this County;to enter upon the abo -m property for inspection purposes. lt � SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o ermittee / Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1104060011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS 1 1TR 11497 LT 8 BL B I 5124 FARAGO AV I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803527 1 (ASSESSOR INFORMATION NUMBER INEAREST CROSS STREET 18574 009 042 101 PERMIT ISSUANCE FEE 27 80 THOMAS PAGE 597 GRID D4 LOCALITY TEMPLE CITY CI I 107 BATHTUBS/SHOWERS 2 00 FIX 32 50 1 ITENANT Ill CLOTHESWASHER(S) 1 00 FIX 16 30 JISSUED ON PROCESSED BY PLAN BY 1 113 DISHWASHER(S) 1 00 FIX 16 30 104/06/11 SR 1 125 LAVATORIES/SINKS 4 00 FIX 65 10 1 OWNER TEL NO 145 WATER CLOSET/URINAL 1 00 FIX 16 30 IFINAL DATE FINAL BY CODE 1 IREYES VIRGINIA 147 WATER HEATER(S) 1 00 WTH 16 30 15124 FARAGO AV 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 30 1 �I + TEMP 917603527 TOTAL FEES 206 90 IDEISCRTPTibN OF WORK 1 IPLUMBING FOR NEW BATHROOM LAUNDRY ROOM KITCHEN WATER THEATER AND GAS LINE (APPLICANT TEL NO 1 ISYAL ABERGEL (818) 594 3500 1 119562 VENTURA BLVD 1 (SPECIAL CONDITIONS ITARZANA CA 91367 1 1CONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE 1 1PREFERRED HOME BUILDERS INC (818) 594-3500 1 1 fl- 16271 VARIEL ST #C LIC NO (UNDER SLAB WORK (WOODLAND HILLS CA 91367 773147 B 1 I IWATER SERVICE IPLASTIC Y/N METAL Y/N I I 1 (ARCHITECT OR ENGINEER TEL NO 1 ID DESIGN INC (818) 594 3500 1 TROUGH PLUMBING 1 119562 VENTURALVD LIC NO CA 9 ITARZANA CA 91367 NONE IGAS PIPING 1 I I 1 IGAS VENT 1 I I I 1 IHOT WATER HEATER 1 I I I I PLUMBING FIXTURES 1 I LAWN SPRINKLERS I _ 1 j IGAS TEST I UTILITY COMPANY NOTIFIEDI I I I I 1 GW' I I I 1 1 IGRAY WATER SYSTEM 1 1 I I I I I 1 I I I I I 1 I I I I I f I I I I I I I IREPORT ID DPR263 ROUTE TO BS0508 I 1 I I I I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0212050019 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285 0488 EXT LEGAL ID FEES PAID BUILDIWG ADDRESS TR 11497 LT 8 BL B 5124 FARAGO AV FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917803527 AS ORMA UM NEAREST CROSS STREET FREER 8574 009 042 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID D4 LOCALITY TEMPLE CITY 51 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 TENANT TOTAL FEES 43 95 ISSUED ON PROCESSEDBY PLAN BY EXPIRES ON 12/05/02 JK 06/03/03 OWNER TEL NO FINAL E FINAL BY CODE REYES RUBEN A,VIRGINIA C (626) 442 8822 //2 5124 FARAGO AV TEMP 917803527 DESCRIPTION F WORK C/O FURNACE APPLICANT L NO GLOVER (909) 279 0604 5030 VICEROY AVENUE SPECIAL CONDITIONS NORCO 92860 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE AIR TRO INC (626) 357 5311 1630 S MYRTLE AVE LIC NO UNDER SLAB WOR MONROVIA CA 91016 258228 C20 WATER SERVICE - PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER TEL NO i I ROUGH PLUMBING LIC NO ' GAS PIPING GAS VENT WATERHOT HEATER PLUMBING FIXTURES LAWN SPRINKLERS UTILITYGAS TEST COMPANY NOTIFI W GRAY WATER SYSTEM REPORT ID DPR263 ROUTE TO BS0508