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Home My Public Portal About4909 FRATUS DR_Plumbing__ 76A687 A P PU C A TMD W FOR Il 41. Lia U N C7'D M N G D E R M T DBB•17 10`55 DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles w BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 7/ CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. OWNER t,11a e,V DISTRICT NO. GROUP ZONE READY FOR INSPECTION MAIL I '4� �7 v' ADDRESS INDUSTRIAL- CITY TEL. NO. _' WASTE APPROVAL PLUMBER INSPECTION RECORD Vaney PlumbingCo. o en ora ADDRESS 442 W. Fl—twood Place CITY Cilendora,•J�plinia bL)gewood 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 r" DISHWASHER @ $1.00PI LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 z= '+ APPROVALS DATE INSPECTORS SIGNATURE *. UNDER SLAB WORK P I ROUGH PLUMBING PERMIT $ 1 00 - " toa GAS PIPING TOTAL FEE GASVENT LDESCRIBED BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION �yTE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATERU��5L COUNTY ORDINANCES AND STATE LAWS REGULATINGPLUMBING FIXTURES G, sEBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GASTESTD AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO. NOTIFIEDED RESIDENTIA PROPER Y.URERMITTEE FINAL "�"''S-7 JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR CK. M.O. CASH .t�l�o 7 6 3 6)ELI-) APR 2 D 3 1 0.0 0 � wOAvcER'SCOMPENSATIONDECLARATION 6DPW 9/89 76A667A APPLICATION FOR PLUMBING PERMIT 76A66 I hq bV affirm that d have a certificate of consent to self insure, or a certificate of Worker's Compensation Insurance, or a certified copy tiVeof(Sec.3800 Labr C.) 1:1 74,414 "� L'' COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. PolicyNo. V Company .ZEM k4AM fied copy is hereby furnished. BUILDING �Jr Certified FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS copy is filed with the county building inspection ' department. NUMBER FIXTURE OR ITEM @ FEE �� v^ 0, tt!�4,&�_ LOCALITY' f l�'��y� . J Dateql Applicant L�/�c� WATER CLOSET Q NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE ASSESSOR �� SHOWER MAP BOOK _C PAG PARCE (This section need not be completed if the work involved by the D permit is for one hundred dollars($100)or less.) OWNER G I certify that in the performance of the work for which this permit LAVATORY DMAIL is issued, I shall not employ any person in any manner so as to SINK ADDRESS become subject to the Workers'Compensation Laws. DISWASHER .5v CITYv TEL.NO. if_C' Date Applicant CLOTHES WASHER — CONTRALTO NOTICE TO APPLICANT: If, after making this Certificate of Exemption,you should become subject to the Workers' Compensation SWIMMING POOL RECEPTOR provisions of the Labor Code, you must forthwith comply with such ADDRESS provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY J TEL.NO. �j -7 I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER 0 l / �. (commencing with Section 7000 of Division 3 of the Business and STATE LN ( 9 ) LICENSE NO. E CLASS V Professions Code,and my license is in full force and effect. GAS SYSTEM • OUTLETS OUTLETS OVER DIST ICT NO. PROCESSED BY M:5 PER SYSTEM O f! ` �9 License Number Lic.Class O FINAL DATE �ylt VALIDATION LU U j— Aq Contractor DateP. O 1 I am exempt under Sec. �v FINAL IVi B.&P.C.for this reason Plan check fee , Signature Date: PLUMBING PERMIT ISSUING FEE$ TOTAL FEE EJ plJ SINGLE FAMILY Plan check applicant c HOME OWNER-BUILDER DECLARATION Name i;C• a i- T. I hereby affirm that I am exempt from the Contractor's License Law ^rti, for the following reason (Section 7031.5, Business and Professions Address iL�=_'t Code): ❑ City Tel. No. i I i r M._; I, as owner of the property,will do the work and the structure is not intended or offered for sale (Section 7044, Business , !'I_I and Professions Code). �._ _ C. 9,J CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the (_.(-(y 3i t- el�'tl performance of the work for which this permit is issued (Sec. 3097, Civ. C.) Lender's Name i s ��t =! _ A f,1 4=.N 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 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 WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I have a certificate of consent to self in 20-0026 DPW 4/90 76jck66:yq sure,or a certificate of Workers'Compensation Insurance,or a n certified copy thereof(Sec. 3800, Lab. C. IIuII Policy No. Company o COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS. Certified copy is hereby furnished. Certified copy is filed with the county building inspection FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ADDRESS r b department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Dote Applicant WATER CLOSET(TOILET) NEAREST B TU (l CERTIFICATE OF EXEMPTION FROM WORKERS' BATH �j `� CROSS ST. ;0, COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS Q S I certify that in the performance of the work for which this per- SINK mit is issued, I shall not employ any person in any manner so CIT TEL. NO. .� ,y 6 as to become subject to the Workers Compensation Laws. DISHWASHER CONTRALTO Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- CITY TEL. NO. sation provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEMS ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PR SED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VA ATION fect. HOSE BIB DATE _ License NumberLic. Class r FINAL C Contractor Date BY V fS I am exempt under Sec. O B.&P.C. for this reason Plan check fee ► Date: PLUMBING PERMIT ISSUING FEE$ �. Signature TOTAL FEE d 3 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name 5 Law for the following reason (Section 7031.5, Business andACCT. �r n Professions Code): Address ca I, as owner of the property, will do the work and the City Tel. No. 315 43.40 structure is not intended or offered for sale(Section 7044, 1 ITEMS and Professions Code). 000 TOTAL -43 m �� CONSTRUCTION LENDING AGENCY CHECK 43.40I hereby affirm that there is a construction lending agency,for the performance of the work for which this permit is issued CHANGE ,�Q (Sec. 3097, Civ. C.). Lender's Name 0000-0001 12/ 5/95 Lender's Address 3601 1 FM 1057 1 certify that I have read this application and state that the 010.above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above- entioned property f r inspection,purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0011080008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING ADDRESS: TR: 22321 LT: 9 4909 FRATUS DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803720 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: RIO HONDO 8590-030-034 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 TENANT: 25 LAVATORIES/SINKS 2.00 FIX 32.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 45 WATER CLOSET/URINAL 1.00 FIX 16.20 11/08/00 UT 05/08/01 TOTAL FEES 92.55 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: FLORES RICHARD;MARY E (818) 390-9167- / 4909 FRATUS DR l-Z�`�2- TEMP -TEMP 917803720 DESCRIPTION OF WORK PLUMBING FOR BATHROOM REMODEL APPLICANT: TEL. NO: TOM O'LEARY CONSTRUCTION (818) 287-0927- SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE TOM O'LEARY CONSTRUCTION (818) 287-0927- 5823 AGNES AVENUE LIC. NO UNDER SLAB WORK TEMPLE CITY, CA 91780 489354 B-1 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO- - i ROUGH PLUMBING / 2 LIC. NO: - - - GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV " GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508