HomeMy Public PortalAbout5212 FARAGO AVE_Plumbing__ 76A667 17 11 49 APPLICATION FOR PERMIT J
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
FOR DISTRICT GROUP ZONE PERMIT NO
R APPLICANT T❑ FILL IN / / /_ 3 "f)
[ADDRESS
LUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
2--;-6-- CIO,
PA
CITY TEL Na ADDRESS '�o /'� P(+Po-' Ih=�'
COUNTY LOCALITY /�� p^
LICENSE NO EXPIRES /
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ O SO $ /ADDRESS
BATH TUB @ 0 SO / CITY J ,M/��1� TEL No
SHOWER @ 0 50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0 5O AND STATE LAWS REGULATING PLUMBING
I 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 050 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
GAS SYSTEM OUTLETS @ O 50
SIGNATURE OF
WATER HEATER @ O 50 PERMITTEE -^' _ ep
SLOP SINK @ 0501 INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN @ 0 50
DISHWASHER @ O 50 I I V
DRINKING FOUNTAIN @ O 50
URINAL @ O 50 J
Q
HOUSE SEWER @ O 50 _Z
MISCELLANEOUS O
O
APP VALS 17
ATE /INSg EC j0R 8 NAME
ROUGH PLUMBING '1j'
GAS PIPING
GAS VENT
CESSPOOL @ 1 OD CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 OOSEWER
PERMIT I 1 DD GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE37
FINAL
1
76 A 667-CE 817 8/68 �7
. APPLICATION FOR PLUMBING PERWOT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNEAREST
JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUP T OF BUILDING Y
FOR APPLICANT TO FILL IN PR NT OR TYPE) CROSS ST f O
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 150
MAIL
BATH TUB 150 ADDRESS
SHOWER 1 50 CITY TEL NO
LAVATORY 1 50 CONTRACTOR O61>� 00r7A/
SINK 1 50 ADDRESS � Gty f3
DISHWASHER 1 50 CITY (2) e-)?' TEL NO e6 f O
CLOTHES WASHER 1 50 STATE �rLIC
LICENSE NO �V CLASS c�
SWIMMING POOL RECEPTOR 1 50 DISTRICT N OU E ROC ED
LAWN SPRINKLER SYSTEM 2 00 3 a
< C)
WATER HFATER 1 50 INDUSTRIAL U
WASTE APPROVAL Z
0
GAS SYSTEM OUTLETS 1 50 INSP CTION RECORD 2
OUTLETS OVER U
5 PER SYSTEM 30a
!/�
fiR-
Plan check fee 2r1% of above See reNerse
PLUMBINC PFRMIT ISSIIINC FLF $ -3 00
DOTAL FFE
APPROVALS DATE INSPECTOR 5 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
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 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 UTI TY O TIFI D
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM HE LEGAL OW R OF INTEND TO
RESIDE IN THE ABOVE C BED RESIDENT L PR v FINAL
SIGNATURE JACK R ALLEN SUPER SING ME HAFIICAL ENG R
OF PERMITTE
PERMIT VALIDATICkN cKM o CASH
PLAN CHEC ALIDATIONLCLO cK M o H
7 'AUG 4 3 0 4.75- 17
76A667 (CE-817) - 1/75
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING z
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM @ FEE CROSS ST.
WATER CLOSET
2.00 OWNER ;.. k A
MAIL
BATH TUB 2.00 ADDRESS 'S
SHOWER 2.00 CITY TEL. NO. L, L/
LAVATORY 2.00 CONTRACTOR
SINK 2.00 ADDRESS
DISHWASHER 2.00 CITY TEL. NO.
CLOTHES WASHER 2.00 STATE LIC
SWIMMING POOL RECEPTOR 2100 LICENSE NO. CLASS
DISTRICT NO.�GROUPJ 'ZPNE PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00
WATER HEATER 2.00 INDUSTRIAL 0
WASTE APPROVAL
GAS SYSTEM j OUTLETS 2-00- C'L: J
INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM .30
CD
a
W
F—
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ =� 0
TOTAL FEE f
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Namej-� ROUGH PLUMBING
Address #'' GAS PIPING
Cityt. + Tel. No. .
`J GAS VENT
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
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 OWNER OF, AND INTENV TO
RESIDE IN THE ABOVE DESCRIBED RESI DENrIAL PROPERTY, FINAL
SIGNATURE
OF PERMITTEE '-� '� . d,1. .°
PERMIT VALIDATION CK. M,O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH \
76A66T DBS 17 7 51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER PLUMBING 1
FOR APPLICANT TO FILL IN DISTRICT GROUP
ZONE PERMIT NO
<'? '3
PLUMBER RECEI D BY READY FOR �DA�T 9,15t—
CITY
,•�F� FIRST INSPECTION ?4j
ADDRESS / /-
2//�Z
CITY CAM-
� ADDRESS ,1
COUNTY LOCALITY
LJOENSK NO EXPIRES
NEAREST
PERMIT FEE$ CROSS ST ,r
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILE'ty 0 050 6 ADDRESS L
BATH TUB a DOD CITY EL�..jNo Jyd
SHOWER 050 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) DOD APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK Ct4 050 AND STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Oso ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
OF THE REBIDENTIA ROPERTY DESCRIBED-ABOVE
OAS BYBTEM OUTLETS (it 050
01014ATURE OF A
WATER HEATER @ Oso PERMITTE —
SLOP SINK a 050 INSPECTION RECO /
FLOOR SINK OBD
FLOOR DRAIN 050
DISHWASHER ® 090
DRINKING FOUNTAIN DOD
URINAL O 50
Q
HOUSE SEWER Ela? DOD Z
MISCELLANEOUS L7
IY
O
APPROVALS
DATE INSPECTOR 99 NAME
ROUGH PLUMBING I4i- 1,
GAB PIPING
GAB VENT
CESSPOOL 00 CESSPOOL
SEPTIC TANKS SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 SEWER
PERMIT 1 00 GAB TEST
0�B� UTILITY CO NOTIFIED
TOTAL FEE
FINAL
78A887eA(C E817A) 0/78 7 C/✓ /
1-1-1 APPLICATION FOR PLUMBING PERMIT {�
COUNTY OF LOS ANGELES
LJ
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO FNEAREST
5212 Farago �_
` HARVEY T BRANDT COUNTY ENGINEER Temple Cit;
FOR APPLICANT TO FILL IN (PRINT OR TYPE(
NUMBER FIXTURE OR ITEM @ FEE
OWNER Jack Brown
WATER CLOSET MAIL _
BATH TUB ADDRESS 212 Farago
SHOWER CITY Temple City TEL N0442-3610
LAVATORY CONTRACTOR All-Cal Inc.
SINK ADDRESS729 S. Glendale Ave.
DISHWASHER CITY Glendale TEL NO 246-5
CLOTHES WASHERSTATE L
SWIMMING POOL RECEPTOR LICENSE NO 213283 CIL SS C 20
Qk
DISTRICT NO GROUP E FRO ESSE BY
LAWN SPRINKLER SYSTEM !Q ' \
WATER HEATER INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 0 INSPECTION RECORD d
OUTLETS OVER O
5 PER SYSTEM V
OC
O
F—
U
W
d
V1
z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE 7,50
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT
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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING �r �,�I a+
PLUMBING GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REOU I RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
LOF
DE IN THE ABOVE DESCRIBED ESIDENTIAL PROPERTY FINAL ��A
NA TU RE
PERMITTEE
PERMIT VALIDATION cK M o CASH
P N CHECK VALIDA ION CK M 0 CASH
~_ , Y 1 5 0 V nal 21 5 0 7.5 0 A9t
a
76A%667 (C E-817)-8-71 �_
APPLICATION FOR PLUMBING PE MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRES BUILDING GI
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1 75
MAIL
BATH TUB 1 75 ADDRESS Ago, y
SHOWER 1 75 CITY TEL NO C
LAVATORY 1 75 CONTRACTOR Or
SINK 1 75 ADDRESS
DISHWASHER 1 75 CITY �Ov TEL NO
CLOTHES WASHER 1 75 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 75
DISTRICT NO GP Z E PRO BY
LAWN SPRINKLER SYSTEM 1 75 �`0 r /
WATER HEATER 1 75 INDUSTRIAL f_
WASTE APPROVAL
GAS SYSTEM OUTLETS 1 75INSPECTION REC ORD fj
OUTLETS OVER
5 PER SYSTEM 30
O
U
Lu
Vf
I
Plan check fee See reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR 5 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
I
Address GAS PIPING
City Tel NO GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF PCP(7 ^I� e�_��_7x
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO �+�5•
RESIDE HE ABOVE DESCRIBED RES DENTI L PRQPWFy FINAL fL
SI A
F
PERMIT VALIDATION cK O CASH
PLAN CHEC VALIDATION CK M O CASH `\/
F Y
Jt;
ti
r
r COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY PLUMBING j
WILLIAM J FOX County Engineer
Di GROUP �� °l ZONE PERMIT-NO
�
FOR APPLICANT TO FILL IN 6 V—
PLUMBER�ENERAL INSTALLATION CO
RECEIV BY READY FOR DATE 168UED
311 E 80th STREET L A 3 FIRST INSPEC ION
ADDRESS -RLeasant 3 2541 U
BUILDING
CITY TEL. NO ADDRESS
COUNTY LOCALITY
LICENSE NO EXPIRES NEAREST
PERMIT FEES CROSS ST o.0�
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER �l�r
MAIL
WATER CLOSET(TOILET) O 50 $ ADDRESS
BATH TUB 0 O 50 CITY TEL NO
SHOWER 0 0 S I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q O 50 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK Q 050 AND STATE LAWS REGULATING PLUMBING
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
GAS SYSTEM OUTLETS Q 050 /
SIGNATURE
WATER HEATER @ O 50 PERMITTEE ��ttMff f/
SLOP SINK @ O 50 INSPECTION RECORD
FLOOR SINK O 50
FLOOR DRAIN O 50
DISHWASHER O 50
DRINKING FOUNTAIN @ D 50
URINAL @ 050 I Q
HOUSE SEWFR Q 050 Z
Es
MISCELLANEOUS
OZ� O
APPROVALS
DATE INSPECTOR B NAME
ROUGH PLUMBING
GAS PIPING
i
GAS VENT
CESSPOOL @ t 00 CESSPOOL
HEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT 1 00 SEWER
PERMIT I DD GAS TEST
UTILITY CO NOTIFIED _
TOTAL FEE
76A66 llBS#/'It 6 52
WORKERS COMPENSATION DECLARATION 76A887A
I hereby affirm that I have a certificate of consent to self CE e17 (z 90) APPLICATION FOR PLUMBING PERMIT
insure or a certificate of Workers Compensation4nsurame or
"fl
a certified copy he�eo (Sec 3800 Lab C
pY� � COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy N Company
Certified copy is hereby furnished FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
ADDRESS /v
Certified copy is filed with the county building inspection NUMBER FIXTURE OR ITEM • FEE
department WATER CLOSET pa LOCALITY
Date Applicant NEAREST
BATH TUB CROSS ST
CERTIFICATE OF EXEMPTION FROM WORKERS
COMPENSATION INSURANCE SHOWER OWNER
LAVATORY / pp MAIL c }
(This section need not be completed if the work involved ✓ ADDRESS L A CL
by the permit is for one hundred dollars ($100) or less) SINK
CITY TEL NO U
I certify that in the performance of the work for which this DISHWASHER CONTRACTO tri
permit is issued I shall not employ any person in any manner d
so as to become subject to the Workers Compensation Laws CLOTHES WASHER ADDRESS D'' U
Date Applicant LL
SWIMMING POOL RECEPTOR
NOTICE TO APPLICANT If after making this Certificate of CITY AL2TEL NO Q , rn
Exemption you should become subject to the Wdrkers LAWN SPRINKLER SYSTEM STATE LIC / z
Compensation provisions of the Labor Code you must forth LICENSE NO CLASS /
with comply with such provisions or this permit shall be WATER HEATER
deemed revoked GAS SYSTEM OUTLETS DISTRICT NO PROCESSED BY
LICENSED CONTRACTORS DECLARATION OUTLETS OVER
I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM
9 (commencing with Section 7000) of Division 3 of the Busi FINALe�"G g +� VALIDATION
ness and Professions Code and my license is in full force and DATE t��C+
effect
�
q FINAL
License Nu r / R Class t, � � BY bp�—
Contrac �
rxempt fr t e licensing requirements as I am a Plan check fee
lic d archi ct oi a registered professional engineer PLUMBING PERMIT ISSUING FEE$
acting in my rof ional capacity (Section 7051 Bus
iness and Professions Code) TOTAL FEE
Lic or Reg No Date Pian check applicant
HOME OWNER BUILDER DECLARATION Name
I hereby affirm that I am exempt from the Contractors /address
License Law for the following reascn (Section 7031 5 Busi City Y i Tel No 4 0 7 1 A
ness and Professions Code)
ro 0 0 0 015
I as owner of the property am exclusively contracting
with licensed contractors to construct the project 2 0 fo 2050
(Section 7044 Business and Professions Code)
°'°'° 2050
CONSTRUCTION LENDING AGENCY i i
I hereby affirm that there is a construction lending agency 05,20-82
for the performance of the work for which this permit is
issued(Sec 3097 Civ C)
Lender s Name
Lender s Address
I certify th ave read this app cation a state that the
above info ati n is correct Ifao com with all County SEE REVERSE FOR EXPLANATORY LANGUAGE
ordinanc an Sta s reg Pl ing and hereby
autho a ese a ives f un o enter upon the
abov n ne p perty o io urposes
S of er ittee Date