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Home My Public Portal About4853 FRATUS DR_Plumbing__ • APPLICATION N/�_ .qy� pp�� ®R pp B�p��ppppp q�p■�®/�� PERMIT pqn�. gyR��pp , DBS-17}10.55 'DIVISION OF BUILDING AND SAFETY - Depo=tment of County Engineer County of Loa Angeles BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO F L INI NEAREST CROSS ST. OWNER ` - DISTRICTNO. GROUP � .ZONE I READY FOR INSPECTION MAIL T ADDRESS .�L• INDUSTRIAL CITY TEL. NO. WASTE APPROVAL PLUMBER _� �l INSPECTION RECORD y� ey Ylumt)i g �-"• ADDRESSv 1 0 d Place .i CITY Glendora, California t Sew LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 $ BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 ' KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 APPROVALS DATE INSPECTORS SIGNATURE UNDER SLAB WORK PERMIT $ l 00 ROUGH PLUMBING � -� 46 GAS PIPING TOTAL FEE GAS VENT �Y I D HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER p _ ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES A nn - I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST (V/1 a �� 1p I j(/(( l LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER"OF THE ABOVE UTILITY CO.NOTIFIED �f DESCRIBED RESIDENTIAL -PROPERTY SIGNATURE OF PERM TTEE Zv4 FINAL " � y JOHN'A. LAMBIE, COUNTY,ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR CR. M.0. CASH LACO 7 6 2 0 APR 29 3 1 0.0 0 r"7GA887-CE4817 9/63 C1alGI �Tt .Q ( �C APPLICATION FOR PLUMBING PER IT u COUNTY OF LOS ANGELES u DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY i FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER—::- WATER WNER WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS SHOWER 1.25 CITY oiz& TEL. NO. aZ LAVATORY 1.25 CONTRACTOR SINK 1.25 ADDRESS ` f DISHWASHER 1.25 CITY ' TEL. NO. LAUNDRY TUB 1.25 CONTRACTOR'S STATE g� REGISTRATION NO. COUNTY "E3 CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZO E ESSED BY WATER HEATER 1.50 GAS SYSTEM OUTLETS 1'5030 INDUS—NDUSTRIALLLL-- D_ WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .30 'U / INSPECTION RECORD/ A uJCLZ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT 5 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING I D HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT ANSTATE THATHATTHE 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 00, LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF r-- CALIFORNIA OR TNA 1 AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST RESIDE IN,THE ABO DESCRIBE RESID NTIAL PROPERTY UTILITY CO. NOTIFIED v SIGNATURE OF PERMITTE FINAL ) 3Q�Ll/r/' '75�4 VALIDATION ROBERT A. WOOD cic + M o CASH SUPERVISING,MECHANICAL ENG'R Lp,, o 7 6 1 5 Z' APR 13 5 D 3.50- 76A667 - CE 817 7-69 APPLICATION FOR PLUMBING "PERM, COUNTY OF LOS 'ANGELES DEPARTMENT OF COUNTY,ENGINEER BUILDING AND SAFETY DIVISION, BUILDING (� Z� JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS D COLEMAN W. JENKINS. SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN (PR NT.C, TYPE) NEAREST C ' ROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 l'Gt BATH TUB 1.50 ADDRE '7`9.7 3 CITY�Qaw �c` TEL. NO. SHOWER � 1.50 - LAVATORY 1.50 ' CONTRACTOR SINK 1.50 ADDRESS DISHWASHER 1.50 CITY �u + ,�, TEL. NO. CLOTHES WASHER 1.50 -_-5� STATE h y LIC LICENSE NO. /ZdS /� CLASS SWIMMING POOL RECEPTOR 1.50 - DISTR�T IJO .GROU ZO�J PRO BY LAWN SPRINKLER SYSTEM 2.00 WATER HEATER 1.50 INDUSTRIAL - a WASTE APPROVAL O GAS SYSTEM OUTLETS 1.50 •INSPECTION RECORD u OUTLETS OVER " 5 PER SYST M .30 - N Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE S. 2 00 K TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE' Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address - GAS PIPING - GAS VENT City Tel. No. I HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT IHAVE 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. , 1 HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR UTILITY CO. N 1 " D �' LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,LIND INTEND TO _ RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL SIGNATURE � �' JACK R. ALL it CHANICAL ENG'R. OF PERMITTEE - md PERMIT VA K M.O. CASH PLAN CHECK VALIDA ION CK. M.O. CASH R. Mt t 4 6 3.5 c APR 2 3.5 0 L, WORKERS'COMPENSATIONDEe of CE APPLICATION FOR PLUMBING PERMIT ' I hereby affirm that I have a' certificate of consent to self ce s» (z-so) insure, or a certificate of Workers'Compensati Insurance,or a certified copy thereof(Sec. 3800,La)k.C.) , !t\ COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy Compan l� C ied copy is hereby furnis ed. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDIN ` ADDRESS .,,A� NUMBER FIXTURE OR ITEM • FEE Certitq d cop is filed with the county building inspection J t e LOCALITY �1 Date Applicant WATER CLOSET NEAREST BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' \ SHOWER OWNER COMPENSATION INSURANCE 1M41 AIL (This section need not be completed if the work involved ADORES } by the permit is for one hundred dollars ($100) or.less.) SINK CITY ` CO TEL. N �. O I certify that inrthe performance of the work for which this DISHWASHER CONTRACTOR ` U permit is issue , I shall not employ any person,i ny mannercr so as,to b c e subject to th W r 'lC�mpensa a s. CLOTHES WASHER ADORES �. O in Date Applicant _V SWIMMING POOL RECEPTORU NOTICE APPLICANT:•If,-after making this Certificate of CITY - l :1 0- LU 0- Exemption, you should, become subject to the Workers' LAWN SPRINKLER SYSTEM , STATE LIC. Compensation provisions of the Labor Code, you must forth- LICENSE NO. J ASS with comply with such provisions or this permit shall be WATER HEATER deemed revoked. GAS SYSTEM OUTLETS D Ty�NO P OCESSED B LICENSED CONTRACTORS DECLARATION OUTLETS OVER I hereby affirm that I am licensed under provisions of Chapter' YST 9 (commencing with Section 7000) of Division 3 of the Busi- t FINAL /3 / VALIDAT N ness and Professions Code, and my license is in full force and DATE B effect: y FINAL License N ber Lic.Class < / BY Contracate � ` � ' F1I am exempt from the licensing requirements as I am a P n check fee _ n licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE Lic.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt, from the Contractor's Address License Law for the following reason (Section,7031.5, Busi- City Tel.No. ness and Professions Code): -P 4 6 0.2 A 0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project # 0 0 0,0 0 rj (Section 7044, Business and Professions Code). 2 0 0 600 CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency 0 0 0 (� 0 0 U for the performance of the work�for which this permit is1. issued(Sec. 3097,Civ.C.). 0 4,0 1 —8 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 SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the Lye-mentioned property foi'inspection purposes. %946ature of Permittee Date