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Home My Public Portal About4903 FRATUS DR_Plumbing__r , 76A887 DBS-1APPLICATION FOR PLUMBING PERMIT 1 � 'DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING y JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL INNEAREST CROSS ST. OWNER ale DISTRICT NO. GROUP ZONE READY FOR INSPECTION MAIL —/ � � �'} ADDRESS i INDUSTRIAL CITY TEL. NO. WASTE APPROVAL PLUMBER INSPECTION RECORD ADDRESS -VAHey Plumbing Co. of Grlendta ti 441 W. ee woe Oce CITY GlendoramCahbornia EDaewood 5-1243 LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM FEE 'L WATER CLOSET (TOILET) @ $1.00 $ BATH TUB @ $1.00 SHOWER @ $1.00 L LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 J CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 APPROVALS DATE INSPECTORS SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE jo " 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 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 RESIDENTIAL PROPERTY. SIGNATURE OF PERMITTEE r FINAL JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR CK. V.O. CASH � V' 7 5 3 4 A! R Ir 76A667 (CE-817)-8-71 APPL A-IC P PERMIT OMON FOR PLUMBING COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEERBUILDING /� BUILDING AND SAFETY DIVISION ADDRESSU'/r� LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST NUMBER FIXTURE OR ITEM @ FEE CROSS ST WATER CLOSET 1 75 OWNER MAIL r / BATH TUB 1 75 ADDRESS �f Q � LLs SHOWER 1 75 CITYl C �j^2 TEL NO LAVATORY 1 75 CONTRACTOR SINK 1 75 ADDRESS DISHWASHER 1 75 CITY G�/fJPc �/ TEL NO CLOTHES WASHER 1 75 STATE p LIC �j O SWIMMING POOL RECEPTOR 1 75 LICENSE NO CLASS DIS�$I ONO„ GROUP ZONE PROCESSED BY LAWN SPRINKLER SYSTEM 1 75 � c.J Q/,)' Z WATER HEATER 1 75 INDUSTRIAL WASTE APPROVAL 96 GAS SYSTEM OUTLETS 1 75INSPECTION RECORD OUTLETS OVER 30 5 PER SYSTEM A. Vf Plan check fee See reverse PLUMBING PERMIT ISSUING FEES 3 00 TOTAL FEE APPROVALS DATE INSPECTOR 5 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 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 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PERTY FINAL / SIGNATURE OF PERMITTEE PERMIT VALID TIO cK o cnsH PLAN CHECK VALIDATION CK M o CASH 6 1 o o� JUL 9 0 4.75- WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT ��777 I hereby affirm that I have a certificate of consent to self 20-0026 DPW 6/87 insure, or Pcertificate of Workers' Compensation Insurance, 76A667A or 9 certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS Policy No Company ❑ Certified copy is hereby furnished ❑ FOR APPLICANT 70 FICC IN(PRINT OR TYPE) BUILDING - S, Certified copy is filed with the county building inspec- ADDRESS (! tion department NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST0 W Z-1s COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed If the work Involved by s the permit is for one hundred dollars ($100)or less ) LAVATORY ADDRESS s 11 S 1 certify that in the performance of the work for which this, , permit is issued, I shall not employ any person in any manner SINK CITY � � TEL NO r7 Z so as to become subject to the yWkers'Compensation Laws DISHWASHER "t� CONTRACTOR 1A'Date < ZApplicanCLOTHES WASHER ADDRESS e�//NOTICE TO APPLICANT If, aftking this Certificate of 7l 1 Q O C Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR / Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY 8 �CJ/�/ TEL NOI, ? Z� 7with comply with such provisions or this permit shall be STATE �y—,^Tu UC u�`� deemed revoked WATER HEATER LICENSE NO a CLASS LICENSED CONTRACTORS DECLARATION O P OCES E B I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and m license is in full force and effect 5 PER SYSTEM Y FINAL4 VAdDATION a �vZ-3 Lic Class _3� DATE U License Number p t� p Ot!A�fSt�LU/1D ' p—, /` 7D BY FINAL Contractor i to � O ❑ I am exempt under Sec IU B&P C for this reason a-' Plan check fee ► Cn Z Date PLUMBING PERMIT ISSUING FEE$ olv Signature TOTAL FEE Plan check applicant SINGLE FAMILY } HOME OWNER-BUILDER DECLARATION Name f r- s x.1e thereby affirm that I am exempt from the Contractor's license 1 F Law for the following reason (Section 7031 5, Business and Address 7.^11-7 1? or Professions Code) City Tel No ,l T r� ❑ I, as owner of the property, will do the work and the MS structure is not intended or offered for sale (Section TO HL 20 - 50 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY _ C_ I hereby affirm that there is a construction lending agency for CHANGE the performance of the work for which this permit is issued (Sec 3097, Civ C ) Y Lender's Name 0 001—CI`I 1 1 Lender's Address `�.r.9 1 Al`, ('e 1,' 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 c h nze representatives of this County to enter upon the abo e-mentioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE gnature of Permittee Date • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1310070004 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT LEGAL ID FEES PAID BUILDING ADDRESS ITR 22321 LT 10 4903 FRATUS DR 1 I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917803720 1 (ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET 18590-030-035 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY CAI 1 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 I 1 ITENANT I TOTAL FEES 44 00 (ISSUED ON PROCESSED BY PLAN BY 1 1 I 110/07/13 SR I (OWNER TEL NO IFINAL DATE F7AVY CODE IPALMER, ELAINE (626) 287-5422- 1 1^/ 14903 FRATUS DR 1 `{�� ITEMP 917803720 1 11DSCRIPTIONNtF WORK 1 IGAS LINE FOR FURNACE I 1APPLICANT TEL NO 1 I ILINDSEY, MARK (626) 794-1191- 1 1 1 1333 N SANTA ANITA AV 1 ISPECIAL CONDITIONS 1 1ARCADIA CA 91006 I 1 1 1 i I I ICONTRACTOR TEL NO I 1APPROVALS DATE INSPECTOR SIGNATURE 1 ILINDSEY'S HEATING AND A, C (626) 794-1191- I 1 1333 N SANTA ANITA AVE STE 16 LIC NO (UNDER SLAB WORK I 1 1 1ARCADIA CA 91006 633543 I 1 I I 1 I 1 IWATER SERVICE IPLASTIC YIN METAL YIN I I (ARCHITECT OR ENGINEER TEL NO I I - 1 IROUGH PLUMBING LIC NO I I IGAS PIPING 1 1 1 1 I IGAS VENT 1 1 I 1 1 I I (HOT MATER HEATER 1 1 1PLUMBING FIXTURES I 1 1 I I I I I I I 1 (LAWN SPRINKLERS I 1 I 1 IGAS TEST I I I 1 (UTILITY COMPANY NOTIFIEDI I I 1 I 1CWV I I I I GRAY WATER SYSTEM I I I I I I I I I I I I I I I I I I I I I 1 I I I I I 1 (REPORT ID DPR263 ROUTE TO BS0508 I I I 1 I I