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HomeMy Public PortalAbout4885 FRATUS DR_Plumbing__ 76 A364 - CE 8 18-1/75 i APPLI ION FOR P MIT HEATING - VENTILATING - AIR CON0I1IONING N COUNTY OF LOS ANGELES FADDRESS G DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION TY e. T FOR APPLICANT TO FILL IN (PRINT OR TYPE ONLYI ` MAI L NO TYPE&SIZE OF EQUIPMENT FEE ADDRESS - SEE BACK OF APPLICATION CITY, TEL NO FORCE AIR FURNACE, BTU Q� CONTRACTOR COMPRESSOR, BTU ADDRESS_ I '. 0/) !� aze VENTILATION FAN CITY TEL NO LIST ALL OTHERS BELOW STATELIC LICENSE NO CLASS �Z V DISTRICT NO GROUP ZONE ESSED BY � r INSPECTION RECORD } OL O U O H U W d Plan check fee See reverse PLAN CHECK APPLICANT NAME ,ADDRESS CITY TEL NO I HEREBY ACKNOWLEDGE.THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE,IS CORRECT AND AGREE TO COMPLY - WITH ALL ORDINANCES AND LAWS REGULATING HEATING VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE LATING AIR CONDITIONING ROUGH IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF CHAPTER 9 DIVISION 3, THE BUSINESS AND PROFESSIONAL FINAL CODE OF THE STATE F CA OR NIA _ SIGNATURE OF PERMITTE PERMIT VALIDATION cK M o CASH PLAN CHEC77VALIDATION CK M 0 CASH 1 5 0 ,pp 5 41 D 17.55 v'&gin 76 A 667 - CE 817 7-69 CITY OF TEMPLE CITY 1 F' APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES 850796 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION LDNG ADDRESS 488 5 No. Fratus Dr.. JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS SUPT OF BUILDING LOCALITY Temple City FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST CROSS ST La Rosa NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1 50 ' Robert A- Yound MAIL BATH TUB 1 50 DDRESS Same SHOWER 1 50 CITYv TEL NO LAVATORY -1 50 "CONTRACTOR slNx 1 so ADDRESS 6558 West Blvd. DISHWASHER 1 50 CITY TAs A ples e� TEL NO PL 3-2541 CLOTHES WASHER 1 50 STATELIC LICENSE NO C-36 151839 CLASS SWIMMING POOL RECEPTOR 1 50 DISTRICT NO GROUP ZONE PRPCESSEDBY LAWN SPRINKLER SYSTEM 2 00 1 WATER HEATER 1 50 1 50 µ/AST IAPPROVAL S GAS SYSTEM OUTLETS 1 50 11I INSPECTION RECORD OUTLETSOVER 5 PER SYSTEM 30 lReady for InStlection Now V WATER SOFTENER r�� ' _ a N z Plan check fee 25% of above See reverse PLUMBING PERMIT ISSUING FEE 9 2 00 TOTAL FEE 3 50 APPROVALS DATE INSPECTOR S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING' GAS VENT City Tel 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 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 I,AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED REST TIAL PROPERTY FINAL 7 SIGNATURE • JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R OF PERMITTEE �r PERMIT VALIDATION 0 M o CASH PLAN CHECK VALIDATION CK M o CASH , a 9 8. 1 5� AP1121 5 D 3.50 J _k i ► APPLICATION ■/q a ryp p� {� ILS , p�� �g� DBS76A17 AP9 LICA tl IO �9 tl O tl PLUMBING 9 ERYiYI 0 D86 17 i'055 OF BUILDING AND SAFETY Deportment of County Engineer County of Los AngelesZADDRESS UILDING JOHN A LAMB IE. COUNTY ENGINEERCASSATT D GRIFFIN+SUP T OF BUILDINGOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST OWNER LR DISTRICT NO GROUP ZONE y READY FOR INSPECTION MAIL ADDRESS cad INDUSTRIAL CITY TEL NO WASTE APPROVAL PLUMBER r INSPECTION RECORD ADDRESS?j7 110 7 12,m1'1 a, CO. of l lelacl':. CITY T 442 W F1ePT.WiodlOPlace Glencrord, . ... LICENSE NO Wgewood 5-1293 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 @ v 00 LAUNDRY TUB OR TRAY @ $1 00 CLOTHES WASHER @ $1 00 WATER HEATER @ $1 00 GAS SYSTEM @ $1 00 APPROVALS DATE INSPECTOR S SIGNATURE UNDER SLAB WORK ROUGH PLUMBING PERMIT $ 1100 u OG GAS PIPING TOTAL FEE %O r GAS VENT y� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER p `S /`=§ ,$ too. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES I I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL PROPERTY _ SIGNATURE OF PERM ITTEE FINAL JOHN A LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR CK m 0 CASH t_ACO 7 6 3 1 APR 2 3 1 0.0 0 In 76A667 CES 17 8 57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE COUNTY ENGINEER 5 Frating CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST NUMBER FIXTURE OR ITEM OWNER Lowell Olson a n WATER CLOSET BATHTUB ADDRESS R SHOWER CITY Temple City TEL NO LAVATORY CONTRACTOR T Cong SINK ADDRESS G abrifal DISHWASHER CITY TEL NO At 7^5033 LAUNDRY TUB CONTRACTORS STATE REGISTRATION NO COUNTY ❑ CLOTHES WASHER DISTRICT NO GROUP ZONE READY FOR INSPECTION WATER HEATER 1 GAS SYSTEM j— INDUSTRIAL WASTE APPROVAL INSPECTION RECORD } APPROVALS @ $1 00 PER ITEM DATE INSPECTOR S SIGNATURE OR FIXTURE $ UNDER SLAB WORK 3 PERMIT $ 00 ROUGH PLUMBING GAS PIPING TOTALFEE Q GAS VENT rt I 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL PROPERTY SIGNATURE OF PERM ITTEE - /+� FINAL / ROBERT A WOOD p ©s ALIDATION SUPERVISING MECHANICAL ENG )CII M O CASH o 4 0 7`8 U OCT 16 5 A 3.0 0 78178- CE 817 APPLI'CATI®N FOR PLUMBING PERMIT' 1 BUILDING AND SAFETY DIVISION Department of County Engineer County of Los Angeles BUILDING JOHN A LAMBIE,COUNTY ENGINEER ADDRESS 4885 N. Fraltus Dr. CASSATT V GRIFFIN,,SUPT OF BUILDING LOCALITY Temple Cit FOR APPLICANT TO FILL IN I CROSS sT Rio Hondg A OWNER Robert A. Young, DISTRICT NO/ GROUPZONE/ READY FOR INSPECTION ADDRESS 4885 N. Fraitus Dr., .� = I A —( clTTemple G itv, TEL NCHLA AT.61977 INDUSTRIAL WASTE APPROVAL PLUMBER Cal if ornia Appl. Ins t lrs .I . , INSPECTION RECORD ADDRESS 14 20 Gr if f ith Ave. , ���� -� O C1TYLos Angeles 121.IEL No Ri.77663 LICENSE NO 158149 NUMBER TYPE OF FIXTURE OR ITEM FEE V 7'S G,4 4Z-/t C WATER CLOSET (TOILET) @ $1 00 BATH TUB @ $1 00 �1 �! - 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 ^ 1 GAS SYSTEM @ $1 00 1 00 Ran Q line for combo wa he APPROVALS DATE INSPECTOR S SIGNATURE UNDER SLAB WORK PERMIT $ 7 00 ROUGH PLUMBING TOTAL FEE a 00 GAS PIPING GAS VENT I 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 L �S LICENSED AS REQUIRED BY L G S C TY AND STATE OF CALIFORNIA OR THAT I A TH A BOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL OP SIGNATURE OF PERMITTEE /� FINAL ROBERT A WOOD. JOHN A LAMBIE.CDurITY ENGINEER ALIDATION SUPERVISING MECHANICAL ENG'R M 0 CASH [AC,02�3 2 4 N P%IF,.R 24 3 A 2.0001 1 r' �5 WORKER'S COMPENSATION DECLARATION 20 0026 DPW 9/89 76A667A APPLICATION FOR PLUMBING PERMIT �J I h',-, �y affirm that I have a certificate of consent to self insure, or a ce ificate of Worker's Compensation Insurance, or a certified copy thereof(Sect 3800 Lab C) COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS DEPT OF PUBLIC WORKS DIV Policy No Company Certified copy is hereby furnished❑ BUILDING FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS Certified copy is filed with the county building inspection department NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST 0 COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the work involved by the SHOWER MAP BOOK PAGE PARCEL permit is for one hundred dollars($100)or less) OWNER I certify that in the performance of the work for which this permit LAVATORY is issued I shall not employ an MAIL p y y person in any manner so as to SINK ADDRESS r r�yL2 , become subject to the Workers'Compensation Laws DISWASHER CITY TEL NO I Date Applicant12 CLOTHES WASHER ' NOTICE TO APPLICANT If, aft r making this Certificate of CONTRACT R L ' Exemption,you should become subj to the Workers'Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS provisions or this permit shall be deemed revoked LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL N05 J7 2�� >_I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER O L / (commencing with Section 7000) of Division 3 of the Business and STATE LI0 C Q Professions Code,and my license is in full force and effect GAS SYSTEM OUTLETS LICENSE NO J W_ CLASS L �j 0 OUTLETS OVER DISTRICT NO PROCESSED BY a: 7 / 5 PER SYSTEM License Number X34-Fa_ 3 Lic Class 0`�1 b �D J � O FINAL ��Fj-7 VALIDATION W l �S ®L(fHl1 Eft -/� DATE < a Contractor Id ate �' _ ❑ I am exempt under Sec FINBY ALd Q%� Z B&P C for this reason G Date Plan check fee ' Signature PLUMBING PERMIT ISSUING FEE$ ❑ TOTAL FEE 11,70,50 c Pian check applicant SINGLE FAMILY ; HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Law 7_1 Ir _moi for the following reason (Section 7031 5, Business and Profession's Address Code) 1 T'_rl' City Tel No �>_1i' ❑ I, as owner of the property will do the work and the structure TU14L 20 m _eft is not intended or offered for sale (Section 7044 Business and Professions Code) , Nj; Z1.5o CONSTRUCTION LENDING AGENCY C HANG 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) 131r Lender's Name i Lender's Addre Ing / I certify that I hav r clthis application and state that the above information is core I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize ti representatives of this County to enter upon the above-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE