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Home My Public Portal About5218 FARAGO AVE_Plumbing__ 76A667-CE617 3-59 APPLICATION FOR PLUMBING PERMIT � COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUII.DING AND SAFETY DIVISION TNEAREST UILDING /77/7 JOHN A. LAMBIE. County Engineer DDRESS DT / LL CASSATT D. GRIFFIN, Sup 4 of Building OCALITY / �h7 FOR APPLICANT TO FILL IN ROSS ST. NUMBER FIXTURE OR ITEM //�� i OWNER p V C4 1) Or, WATER CLOSET MAIL BATH TUB ADDRESS CITY TEL. NO. SHOWER CONTRACTOR LAVATORY Lvv- J SINK bet.,1'— ADDRESS �5':k , G/ DISHWASHER CITY e, ej 14V TEL. NO. O CONTRACTO 'S STATE LAUNDRY TUB REGISTRATION NO. G- �'L COUNTY ❑ CLOTHES WASHER DISTRICT NO. GROUP Z NE ESSED BY WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD v �S 7 c7' O1.00 PER ITEM R FIXTURE $ 'r APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT ! 2100 UNDER SLAB WORK ROUGH PLUMBING t!' TOTAL FEE loo GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT LDESCRIBED COUNTY ORDINANCES AND STATE LAWS REGULATING ` HOT WATER HEATER . Y CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST A OR THAT I AM THE LEGAL OWNER OF THE ABOVE , RESIDENTIA ROPE iY. UTILITY CO.NOTIFIED RE ITTE �. OF AUDATION ROBERT A. WOOD, cS. M.0. CASH SUPERVISING MECHANICAL ENG'R L (V,)93 4 2 - APR 26 5 A 4 .00 �° 76A667-CE817-8-58 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES. DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, Countgg Eaineer ADDRESS I—Q CASSATT D. GRIFFIN,Supt of Building .� LOCALITY — —1--mj� 4 FOR APPLICANT TO FILL t✓ IN NEAREST ^ ' NUMBER FIXTURE OR ITEM CROSS ST. OWNER - O �— WATER CLOSET MAIL ob BATH TUB ADDRESS SHOWER CITY TEL. NO. LAVATORY CONTRACTOR Gr SINK ADDRESS �` C DISHWASHER CITY 6 . NO. CONTRACTO STATE LAUNDRY TUB REGISTRATION NO. _� 7 COUNTY p CLOTHES WASHER DISTRICT NO. GROUP ZONE PROCESSED BY WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS @ OR OR0 FIE M$ DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 2100 ROUGH PLUMBING TOTAL FEE a GAS PIPING I 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 FIXTURES 1HEREBY 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 RESIDEMLPPERTY. � SIGNATURE FPERM TTE 12 FINAL ROBERT A.WOOD. OF V SUPERVISING MECHANICAL ENG'R VALIDATION Id.0. CASH 064 5 5 30 �•. 76A667A ICE 6178) -4/77 APPLICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM ® FEE ADDRESS WATER CLOSET LOCALITY BATH TUB NEAREST CROSS ST. SHOWER OWNER ' LAVATORY MAIL ADDRESS i SINK CITY j 41 TEL.NO. DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL.NO. LAWN SPRINKLER SYSTEM STATE LIC. WATER HEATER LICENSE NO. CLASS GAS SYSTEM OUTLETS V DISTRICT NO. G UP ZONE ROCES ED BY OUTLETS OVER 0 o� CD 5 PER SYSTEM INDUSTRIAL V WASTE APPROVAL INSPECTION RECORD U W 0- Plan Plan check fee PLUMBING PERMIT ISSUING FEE$ 7 00 TOTALFEE fJ ®y7 Plan check applicant Name APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING LREQUil'RED Tel.No. GAS PIPING EREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES E LAWS REGULATING PLUMBING. HOT WATER HEATER EREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT IAM THE GAS TESTNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL . UTILITY CO.NOTIFIED REMITTEEAFINAL 1 VeNh CH&W VAMATIO , nh� �c Tt ASH',;; PERMIT VALIDATION CK. M.0. CASH V?Tl Sd6�u,��u� �� L-a ff }';lr r ^ r a 9 7 9 r JUN 15 55 U 1 76A667C (CE-8178) -975 APPLICATION FOR PLUMBING PERMIT 2' BUILDING A SAFETY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING D NUMBER FIXTURE OR ITEM @ FEE ADORE ✓ WATER CLOSET LOCALITY BATH TUB NEAREST CROSS ST. SHOWER OWNER LAVATORY MAIL ADDRESS SINK CITY ej TEL. NO. - w DISHWASHER CONTRACTOR C LOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL. NO. LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER LICENSE NO. CLASS a} O DISTRICT NO. GROUP ONE CESS O BY v GAS SYSTEM OUTLETS OUTLETS OVER �J - �V , C) O 5 PER SYSTEM INDUSTRIAL w WASTE APPROVAL a 3 INSPECTION RECORD Plan check fee PLUMBING PERMIT ISSUING FEE $ TOTAL FEE Plan check applicant Name APPROVALS DATE INSPECTORS SIGNATURE UNDER SLAB WORK Address G ROUGH PLUMBING A/�-".;°// City Tel. No. GAS PIPING I FEREBY ACKNOWLEDGE THAT I 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 HOT WATER HEATER PLUMBING. _ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE Dell IB RESIDENTIAL//PR//0,7�J{�1TY, J UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEEFINAL �� (�� PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 8 9 —?IL--OGT 22 5 U 1 ens -(711 If . 76A667C (CE-81713) -.9/75 lF� ♦ O APPLICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING . IVNUMBER FIXTURE OR ITEM @ FEE ADDRESS �.� o WATER CLOSET LOCALITY BATH TUB NEARESTCROSS ST. a SHOWER OWNER LAVATORY MAIL ADDRESS SINK CITY TEL. NO. j DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL. NO. LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER LICENSE NO. CLASS Y DISTRICT NO. GROUP ZONE RO SED BY CD GAS SYSTEM OUTLETS C' OUTLETS OVER 0 f� � a-tn✓ � 5 PER SYSTEM U INDUSTRIAL WASTE APPROVAL Lu a A INSPECTION RECORD Plan check fee PLUMBING PERMIT ISSUING FEE $ TOTAL FEE S Plan check applicant m Name APPROVALS DATE IN5PECTOR'S SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel. No. GAS PIPING ?J- I HEREBY ACKNOWLEDGE THAT I 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 HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO ESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE RESIDE IN THE ABOVE DE OF PERMITTEE FINAL �' ✓ - PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO (CK. 1M" .0. CASH 9 6 1 AtJG 'j s o 7.5 0 A-46 76A667 (CE-817) - 1/7S P APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT.OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING p MAKE CHECKS PAYABLE TO: ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST NUMBER FIXTURE OR ITEM FEE CROSS ST. s WATER CLOSET 2.Q0 OWNER MAIL BATH TUB 2.00 ADDRESS I SHOWER 2.00 CITY TEL. NO. /3 LAVATORY 2.00 CONTRACTOR I SINKU Q 2.60 ADDRESS DISHWASHER "� 2100 CITY TEL. NO. CLOTHES WASHER 2;00 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 2 00 DISTRICT'9 (TINE CIPIRO-ChESSEDBY LAWN SPRINKLER SYSTEM J.00 WATER HEATER .00 INDUSTRIAL `{ WASTE APPROVAL GAS SYSTEM OUTLETS -37O INSPECTION RECORD U OUTLETS OVER 5 PER SYSTEM •30 O H U W d C-1) Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ �y TOTAL FEE (/ APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address ..lam � -),t GAS PIPING City Tel. No. /3 9GAS 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 PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED V 1r o 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 DES CRIB D RESIDENTIAL PROPE FINAL SIGNATU RE OF PERMITTEE ^� PERMIT VALIDATION CK. 0: CASH PLAN CHECK VALIDATION CK. M.O. CASH 9 8 6r-,igv 24 5 u 7.5 0 ®t'W 40RKERS COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 76A667A insure, or a certificate of Workers' Compensation Insurance, CE 817(REV. 10/81) or a certified copy thereof (Sec. 3800, Lab. C. COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company Certified copy i her by f h d. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified cop ilea with t e county building inspec- ADDRESS tion department. NUMBER FIXTURE OR ITEM ?n FEE LOCALITY t i� a WATER CLOSET Date �/"�� Q- , pplicanI / a .� - NEAREST 4 CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by MAIL �� the permit is for one hundred dollars ($100)or less.) LAVATORY ADDRESS v�p t�j® I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY /r� d,7 TEL. NO. -,Iry3 ® so as to become subject to the Workers Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR �� CITY 4544 Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM -• TEL. O. with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PR E ED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS /\� (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER V and Professions Code, and my license is in full force and effect. 5 PER SYSTEM I FINAL VALIDAT14N DAT License Number Lic. Class— FIN ! FIN O Contractor Date BY Eln I� I am exempt under Sec. B.&P.C. for this reason , Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ Signature �3 G Z 1 A TOTAL FEE 0 0 0 0 0 5 Plan check applicant SINGLE FAMILY I o o 3 Q 5 0 HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address ° ° ° 3 0,5 �' Law for the following reason (Section 7031.5, Business and Professions Code): City Tel. No. 0,04-85 E] . - I, as owner of the property, will do the work and the - structure is not intended or offered for sale (Section 7044, Business and Professions Code). lop CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). 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 ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Jam•. ..• Signature of Permittee '-� Date • WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT t;thereb' affirm that I have a certificate of consent to self 76A667A insure, or a certificate of Workers' Compensation Insurance, CE 817(REV. 10/81) a `tified'copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY °P li N��a Company F1311T _ Cer' ' copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspec- ADDRESS 5: tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY 7. r WATER CLOSET Date AppI i4an NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE SHOWER OWNERO (This section need not be completed if the work involved by the permit is for one hundred dollars ($100)or less.) LAVATORY MAIL ADDRESS A I certify that in the performance of the-work for which this permit is issued, I shall not employ any person in any manner SINK CIT TEL. NO so as to become subject to the Workers'Compensation Laws. DISHWASHER L�C� CONTRACTOR Q r LPN Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of ADDRESS �- 116-7 Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITY TEL. NO ( ^� with comply with such provisions or this permit shall be LAWN SPRINKLER SYSTEM caw STATE ^ LIC. FD deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PR CESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS V (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER a and Professions Code, and my license is in full force and effect. 5 PER SYSTEM �— FINAL fj VAL ATION @� _ DATE v License NumbeA S 7 Lic. Class_ FIN ant o��ra�6CS�V� AL Date�` Y �6 BY 1 am exempt under Sec. @6 Ndi B.&P.C. for this season Plan check fee g Date: PLUMBING PERMIT ISSUING FEE$ 0 Signature TOTAL FEE .n -19-QS SINGLE FAMILY Plan check applicant p\ HOME OWNER-BUILDER DECLARATION Name N p 2 5 0.3A I hereby affirm that I am exempt from the Contractor's License Low for the following reason (Section 7031.5, Business and Address S' Professions Code): � 0 0 0 0 0,5 ❑ City Tel. Noir I, as owner of the property, will do the work and the I o a 3 Q50 structure is not intended or offered for sale (Section 7044, Business and Professions Code). 3� ® o.o of Q 5 Q v CONSTRUCTION LENDING AGENCY �; I hereby affirm that there is a construction lending agency for 0722-85 the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name 1 Lender's Addresshle I certify that I have read this application and state that the above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby✓/ authorize representativ of this County to enter upon the Qve-men _ tion rap rt fo 'nspection purposes. ' r rg c SEE REVERSE FOR EXPLANATORY LANGUAGE il ignature dtfPermittee Date