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Home My Public Portal About4913 FRATUS DR_Plumbing__ �76A667 (CE-817) - 1/75 U APPLICATION FOR PLUMBING PERMIT {� COUNTY OF LOS ANGELES u DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO BUILDINGADDRESS ' F A z x, HARVEY T. BRANDT, COUNTY ENGINEER w LOC AurY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST NUMBER FIXTURE OR ITEM @ FEE OWNER `p WATER CLOSET 200 MAIL us BATH TUB 2 00 ADDRESS SHOWER 200 CITY rr TEL NO�gd-� LAVATORY 2 00 CONTRACTOR01 A J q //liC.0 .- � Fee /x SINK 200 ADDRESS 0 DISHWASHER 2 00 CITY j TEL NO � � /. CLOTHES WASHER 200 STATE LIC LICENSE NO �S�Q� CLASS s� SWIMMING POOL RECEPTOR 200 d DISTRICT NO r-Renl]PI ZONE PROCESSED BY LAWN SPRINKLER SYSTEM 2 00 9J-' . WATER HEATER 200 INDUSTRIAL (/ WASTE APPROVAL a- GAS SYSTEM OUTLETS 2 00 6 6INSPECTION RECORD U 5 UTLETS PERS STTEMR 30 ''�-•�. '� � ��'� O U W CL N Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ eI TOTAL FEE Q�j Q APPROVALS DATE INSPECTOR 5 SIGNATURE Plan check applicant UNDER SLAB WORK Name S ROUGH PLUMBING Address' f �� GAS PIPING City Tel No GAS VENT Q�� Y 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 �7 PLUMBING GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED AS REOU IRED BY LOS ANGELES COUNTY AND STATE OF �q CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO /f RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL SIGNATURE OF PERMITTEE ddJ PERMIT VALIDATION CK M 0 CASH PLAN CHECK VALIDATION CK M 0 CASH 1 6r-CER 11 5 D 1 0.50 � s / e 56 A'667 - CE 817 7-69 /t-11 ,0 ,[y O (f;-Tv�JC CA)s � r l/J // / / cry-' IS'I APPLICATION FOR PLUMBING' PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING /• �� n n JOHN A LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN W JENKINS SUP T OF BUILDING LOCALITY 1.-ff GI FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST CROSS ST �S � NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 150 MAIL BATH TUB 1 So ADDRESS SHOWER 1 50 CITY TEL NO f LAVATORY 1 50 CONTRACTOR SINK 1 50 ADDRESS ! 02, � C� DISHWASHER 1 50 CITY to- ,- TEL NO� —\l CLOTHES WASHER 1 50s b STATELIC LICENSE NO �y /Q CLASS C- Ej SWIMMING POOL RECEPTOR 1 50 DISTRICT NO GROUP Z E PR ESSED BY ..! LAWN SPRINKLER SYSTEM 2 00 a ( U - I �+ WATER HEATER 1 50 INDUSTRIAL n WASTE APPROVAL GAS SYSTEM C2OUTLETS 1 50 5lV IN PECTION RECORD OUTLETS OVER30 �,^� /�) Aa a 0 S PER SYSTEM ( [ (/ N z Plan check fee 25% of above See reverse PLUMBING PERMIT ISSUING FEE $ 2 00 TOTAL FEE '5-6? APPROVALS A E PECTO 5 ICN ATU RE Plan check applicant i UNDER SLAB WORK TIS&04 I Name ROUGH PLUMBING YA 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 IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES �9 WITH ALL 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 1 AM THE_LEGAL OWNER OF;AND INTEND TO RESIDE IN,THE ABOVE D SCRIBED RESIDENTIAL PROPERTY FINAL C SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R OF PERMITTEE PERMIT VALIDATION CK M o CASH PLAN CHECK VALIDATION CK M O CASH 6 6 4 4 .SEP 8 5 D � 6.5 0- r 76A667-CE817-8-58 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 2 BUILDING AND SAFETY DIVISION BUILDING �l r JOHN A. LAMBIE, CountF Engineer ADDRESS CASSATT D. GRIFFIN,Supt of Building a LOCALITYy C % m - < /Y� FOR APPLICANT TO FILL IN NEAREST CROSS ST NUMBER FIXTURE OR ITEM - OWNER `� t,-,7— WATER CLOSET f BATH TUB ADDRESS SHOWER CITY TEL. NO. 9 LAVATORY CONTRACTOR SINS ADDRESS C 0 S n /v O y DISHWASHER CITY In 0n//'*0 TEL. NO CONTRACTOR'S / �y STATE LAUNDRY TUB REGISTRATION NO. i Com! COUNTY ❑ CLOTHES WASHER DISTRICT NO GR ONE PROCESSED BY WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL a INSPECTION RECORD t L)ct a. tj A/o r✓r/i1-7Ljl=oje 10/0 /qGr, � iujw� APPROVALS @ $100 PER ITEM OR FIXTURE $ 00 DATE INSPECTOR S SIGNATURE UNDER SLAB WORK n PERMIT $ 2100 ROUGH PLUMBING TOTAL FEE GAS PIPING LDESCRIBED BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATERL COUNTY ORDINANCES AND STATE LAWS REGULATINGG PLUMBING FIXTURESBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ORGAS TESTD AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF IA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITYCO NOTIFIED D RESIDENTIAL PROPERTYIGNATURE RMITTEE i / 1 r' / FINAL ROBERT A WOOD ®r VALIDATION SUPERVISING MECHANICAL ENG R CK H O CASH I.Af'o 6 1 0 2 1 iP't 8 5 A 1 2.0 0