HomeMy Public PortalAbout4921 FRATUS DR_Plumbing__ «a��6R7 DB6.17 12 84 APPLICATION FOR PLUMBING PERMIT
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DIVISION OF BUILDING AND SAFETY 1
Deportment of County Engineer
County of Los Angeles
WM J FOX, COUNTY ENGINEER BUILDING
ADDRESS �"J`� �✓ - /� fY"
CASSATT D GRIFFIN, SUPT OF BUILDING /�29-5;
LOCALITY
OR APPLICANT TO FILL IN NEAREST
CROSS ST
OWNER DISTRICT NO GROUP INE READY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL NO
WASTC APPROVAL
PLUMBERA!aa/9jCJ_GxCC.r/_' INSPECTION RECOIR/D�
ADDRESS=;: �Y d�1 .�- y E^,'"P"� 7--)9't s+'1` S• !LI_!�f'l1.AL..
CITY_ � ^� (y4� TEL NO?TF_
��v� .,�'�yZ�a f- qk L.)
LICENSE NO �Ol"_9 e1 4-1,04-L—
NUMBER
NUMB?ER TYPE OF FIXTURE OR ITEM FEE e9- 41 4✓ •r A!;A.bV CO ?c/NOS L
F WATER CLOSET (TOILET) $ ��
BATH TUB O
SHOWER
LAVATORY (WASH BASIN) 0
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER d
TOTAL NO ' @ 080 APPROVALS
/ DATE INSPEGTOR S SIGNATURE
GAS SYSTEM OUTLETS @ 100 - 1
UNDER SLAB WORK
WATER HEATER @ 1 00 !
ROUGH PLUMBING
PERMIT $ 1 00 Q'
GAS PIPING
TOTAL FEE 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 G PLUMBING FIXTURES
PLUMBING S TEST
1 HEREBY CERTIFY THAPRTY
P GISTERED AND R
LICENSED AS REOUIR Y L NTY AND ST OF U ILITY CO NOTIFIED_
CALIFORNIA OR T 1 AM OWNER OF ABOVE _
DESCRIBED RES NTIAL PR „S
SIGNATOR II
OF PERM TE FINAL
WILLIAM J FOX, COUNTY ENGINEER VALIDATION
iso 3 3 9'7`& MAY 4 3 7.0 0 m
BY a+�
DEPUTY
76A667A ICE 8178) -4/77
APPLICATION FOR PLU M B INQ PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS 4921 FRATUS DR.
WATER CLOSET LOCALITY TEMPLE CITY
BATH TUB NEAREST
CROSS ST
SHOWER OWNER MACHUCA, FRANCISCO
LAVATORY MAIL
ADDRESS SAME.
SINK CITY TEMPLE CITY TEL NO 287—X1$842
DISHWASHER CONTRACTOR TRANE HCC
CLOTHES WASHER
ADDRESS 2034 N. PECK RD.
SWIMMING POOL RECEPTOR
CITY SO. EL MONTE TEL NO 579-7982
LAWN SPRINKLER SYSTEM
STATE LIC
WATER HEATER LICENSE NO 265094 CLASS C-20
1 GAS SYSTEM 1 OUTLETS 3 00 DISTRICT NO GROUP ZONE RO ED BY
o�
OUTLETS OVER J O
5 PER SYSTEM INDUSTRIAL V
WASTE APPROVAL Ce
INSPECTION RECORD 0
U
W
1
C/7
Z
Plan check fee
PLUMBING PERMIT ISSUING FEE$ 4 50
TOTAL FEE ] 50
Plan check applicant
Name APPROVALS DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel No GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST
LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OFPERMITTEE FINAL
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION UCKM o CASH
i
8 4�4 t--GEC 2 ! 5 0 7.50 ���
1
76A667 (CE-817)-8-71c
APPLICAT1� ` OR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FD'DR
(� h /
7 v� t
FOR APPLICANT TO FILL IN (PRINT OR TYPE)
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1 75 MAIL
BATH TUB 1 75 ADDRESS V19M ��
SHOWER 1 75 CITY TEL NO ,2
LAVATORY 1 75 CONTRACTOR
1
SINK 1 75 ADDRESS�� 0
DISHWASHER 1 75 CITY TEL NO ,� '71)7U
CLOTHES WASHER 1 75 STATE
LICENSE NO �� 9 LIC
CLASS
SWIMMING POOL RECEPTOR 1 75
DISTRICT NOS., GROUP JZOUE� P OC ED B
LAWN SPRINKLER SYSTEM 1 75 (JJ((// Q
WATER HEATER 1 75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD 0
OUTLETS OVER
5 PER SYSTEM 30 �L
C� I- Az L C. �.
v
Z
Plan check fee See reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE -7
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address t GAS PIPING
City Tel No GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
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 LITILITY 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/D/�/9/CRIBED RESIDE TI L PROPERTY FINAL
SIGNATURE ( .f
OF PERMITTEE �-
PERMIT VALIDATION CK c M O CASH
PLAN CHECK VALIDATION CK M 0 CASH
.JAN 1 7 5 D 4.75-