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Home My Public Portal About4925 FRATUS DR_Plumbing__ 76A667-CE817-11-57 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ! 1 ' JOHN A LAMBIE, County Engineer ADDRESS ! [f CASSATT D GRIFFIN Sup t of Building LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST NUMBER FIXTURE OR ITEM WATER CLOSET OWNER MAIL BATH TUB ADDRESS �. SHOWER CITY NO LAVATORY CONTRACTOR SINK ADDRESS��Q C T DISHWASHER CITY NO. LAUNDRY TUB CONTRACTOR S ST TE101 REGISTRATION NO COUNTY CLOTHES WASHER DISTRIC; GRO.0p NE' READY FOR INSPECTION WATER HEATER lG�� GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD ® APPROVALS $1 00 PER ITEM I G DATE INSPEC GNATURE OR FIXTURE $ S � UNDER SLAB WORK 2 PERMIT $ 00 ROUGH PLUMBING �� .vv TOTAL FEE g a7 GAS PIPING �c ��" 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ° HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES 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 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDEN�PROPERTY SIGNATURE1 ��ulOF PERMITTE �'��.//t�l.. FINAL ROBERTA WOOD ®F VALIDATION UPERVISING MECHANICAL ENG R CK M O CASH 'duo 7 S m SEC Q 5 H 9.00 cn v�. 7UW7-=17-11-57, APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, County.En eer ADDRESS : � U S 42.ed, r �f CASSATT D. GRIFFIN, Sup t of Building LOCALITY (l/ r f FOR APPLICANT TO FILL IN NEAREST � e T NUMBER FIXTURE OR ITEM CROSS ST SkN /� � r� ` e OWNER S1 4 MAIL WATER CLOSET BATH TUB ADDRESS Y9 �L S 1Pl9/.y-U$, P)C V ACV1 SCI SHOWER CITY TEL NO fgr- 9'lil LAVATORY CONTRACTOR valy2 SINK ADDRESS DISHWASHER CITY TEL NO. LAUNDRY TUB CONTRACTOR S STATE ❑ REGISTRATION NO. COUNTY ❑ CLOTHES WASHER DISTRICT NO GRO o ZONE READY FOR INSPECTION WATER HEATER `%/J^ A- 1 GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD L_ �`c- L �J '— Izr 1LJ A APPROVALS @ $100 PER ITEM / T DATE INSPECTOR S SIGNATURE OR FIXTURE $ V UNDER SLAB WORK PERMIT $L200 ROUGH PLUMBINGTOTALFEE GAS PIPINGGAS VENT1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLIAND STATE THAT THE ABOVE IS CORRECT AND AGREE TO HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGUPLUMBING PLUMBING FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED GAS TESTLICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STCALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THEUTILITY CO NOTIFIED DESCRIBED RESIDENTIAL PRERTYSIGNATURE OFPERMITTE FINAL ROBERT A WO D +r OF VALIDATIO UPERVISING MECHANICAL ENG R CK M 0 CASH LA.O2 1 6 JAN 26 5 A 3.0 0 �I.ur -<7"'NORKERS'COMPENSATION DECLARATION" �' ` : 200026 DPW 4/87, _ ,APPLICATIOIV..F�OR PLUMBING PERMIT „I hereby hffirm that I have a certificate'of,consent to self in- 76A667A sure,or arTificate of Workers'Compensation Insurance,or CE 817(REV 8/86) y c Policy copy thereof (Sec 3800, Lab Cv): ,,^r, ' uty No Cy* COUNTY OF_ LOS ANGELES DEPT,. OF_PUBLIC Wy ' ompany ORKS Certified copy�is hereby furnished ' ' ., "• FOR'APPLICANT-fO'FILL IN (PRINT`OR TYPE) BUILDING a < Cert fied'copy is filed with the county'buildmg inspectione ADDRESS- L' lits J ,department' m ° r' c t NUMBER FIXTURE OR ITEM, - , @' FEE' - - _ r .�`4 3, r LOCALIIT,Y Date Applicant NEAREST j WATERCLOSET,(,TOIL'ET) v NE t m` a i "CERTIFICATE OFEXEMPTIONFROM WORKERS'- BATH TUB'_ r CROSS ST (a/ Sy COMPENSATION INSURANCE; f _ „ OWNER -- �t • . SHOWER, �- r " 7. his section need not'be completed rf the work involved by MAIL the permit•rs for one hundred dollars ($100)or less ) 1 , s LAVATORY t 1 ' �' ;ADDRESS Iticertify that in the performance of the work for which this per- ¢ j mitis issued„Ishal not employ`any person in any manner so_ ,x SINK CITY e ' dyAble ”^r s to 6ecomeoeorersme sahon ws DISHWASHER b �TEL`'/tl�N CONTRACTOR "Date,±I" 7 Applicant. - t' 'u CLOTHES�WASHER ' ADDRESS`` NOVICE-TO'APPLICANT If after making this Certificate of Ex- M - J f 4 SWIMMING POOL RECEPTOR :- r< , m mption,.you4should become subleci to'ifie Workers'@ompen- } t CITY TEL NO r ` 'sation' rovisions of"the Labor Code, ou:must forthlith comp I 'withP uch rovisions'or'this ermit shall ' ° LAWN,SPRINKLER SYSTEM y r, p p be deemed revok'- STATE ., Jdr LIC ��r-i r WATER HEATER LICENSE N CLASS ? r t r - LICENSED CONTRACT R _ C SE O ` F O S"DECLARATION,` CESSED BY �• ' s DISTRICT NO R ° " t GAS SYSTEM _OUTLETS" I hereby affirm,that I am liter sed`undef provisions of Chapter x ' r _ 9(commeneing,with Section 7000)ofbivision 3 of,the,Business OUTLETS OVER and_Professions Code, and my hcense'is m,full force and'ef- 5 PER SYSTEM , _ 5; fect' " ,� 4 ' 1 , FINE 'L 1 �U V VALIDATION O r ' DATE' v ` cense Nurr',ber' Lic Classy JR r U FIN Contractor 'Date ` r BY +., _ O, p`,.qtr I am exempt under Sec Uj 'B 8P C_for'thisr'ea � sonPian Checkflet Date` Js^ G PERMIT ISSUING FEE Poo 1 PLUMBING $ 1 ` , .,Signature `S 855 Jr t�� , TOTAL FEE ..° 'SINGLE FAMILY '.� . % "5 HOME OWNER-BUILDER DECLARATION „ ;, .?. _Plan check applic+antkr t' I hereby affiim th6tkam exempt from'the'Contractor's License �' s _ °,2•�J',O Law for the f II �, Namri ;'<,_ M _ 0 owing reason'(Section 7031 5, Business and X a°, �,+ ' t Professions Code).r” ," s 5, Address ` ;` e b' yw a.o�o,2 a 0�0� z e'=pl;t as owner of the^property, will„do the work,and the dr, City, ,,, _ ` � - 'Tel"'No iructure is not`intended'or,offered for sale(Section 7.044,' ` Business and,Professio6s'Code) CONSTRUCTION LENDING AGENCY.'4.' I hereby affirm that there is a consiruction lerdmg,agency'for the"performance of the work for`wh`i& this-permit'*is issued0 `�. "'� _ �r '" �r. s s `,(Sec'r`3097,Crv5C ) s_ ;s r Lender's,Name, r o a 't Lender's Address` Icertify,that.l,have read this application and state that the r r •'�J y above information is correct I agree,to comply'wrth all'County - ordinances and State'lavws regulating Plumbing, andlhereby, authorize=representatives_of this`County,to ente"r 'upon the,' ab v` ''-m;e,�necl'propgfor inspection purposes - -' _ T - _��— SEE-REVERSE FOR�EXPLANATORY-LANGUAGE ' - Signature'of Permittee I Date b > ,4 " ,R�y, - v a� ;" w WORKERS'COMPENSATION DECLARATION DPW 4/.87 - APPLICATION 'EOR PLUMING PERMIT 7 :20-00261 here�y, affirm that I have a certificate of consent to self in- 76A667A sere,or a certificate,of•Workers'Compensation Insurance,or a CE•817(REV 8/86) certi1.eo copy thereof (Sec' 3800,-Lob•'C ) -COUNTY OF LOS ANGELES DEPT: OF PUBLIC WORKS Policy-No Company ; "' Y •, Certified copy is hereby furnished FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING _ ❑ -Certified copy is filed with the county 6uildmg inspection ADDRESS N �•' NUMBER FIXTURE OR ITEM department r • � @ _ FEE `LOCALITY Date Applicant WATER CLOSET(TOILET) NEAREST _ , CERTIFICATE OF,EXEMPTION FROM WORKERS' BATHTUB76 CROSS ST Z Q OA�O a e COMPENSATION INSURANCE' SHOWER OWNER z 1 ; (This'•section need not be"completed if•the'work involved by MAIL IV t' the permit is for one hundred dollars (;100)or less.) LAVATORY ADDRESS Z o0 4 s- ' %Ss R. I certify that'rin the performance of the'work for which this per- SOK- CITY / TEL,NO 6 mit is issued,•I shall not'einploy any person in any-manner so . x l.� 1 T as to become subject to the Workers'Compensatio DISHWASHER, [',r CONTRACTOR Date Applicant /' CLOTHES WASHER <• J, r 'ADDRESS NOTICE,TO,, P„PLICANT If,.after m6king this Certificate of Ex- SWIMMING POOL RECEPTOR ,. ` emption,you should become subject to the Workeis'Compen- CITY "TEL, NO " sation prov,isions.of the Labor Code, you must forthwith comp- 'LAWN SPRINKLER SYSTEM ly with such,provisions or this permit shall be deemed revok- STATE" LIC' ed r WATER:HEATER LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION,` DISTRICT NO PROCESSED BY I herebyaffir,m thai I am licensed under provisions<of Chbpter, / GAS SYSTEM -OUTLETS /j' 01 9(commencing with Section 7000)of Division 3 of,the Business OUTLETS'OVER fed Pm Professions Code, and my license is full force and ef- 5 PER SYSTEM FINAL VALIDATION a ct O LicenseLic Class V i. FINA� CC Contractor Date BY O ❑; I,am exempt under Sec r h r W 84P C,,for'this reason Poo ` •E" W Plan•check fee g Date PLUMBING PERMIT„ISSUING FEE$ yv Signature' TOTAL FEE Q SINGLE[FAMILY HOME OWNER-BUILDER'DECLARATION Plan-check applicant ; I hereby affirm thSat'I°om'exempt from the Contractor's License Name L _ 'Law for the following reason (Section 7031 5, Business'and " Professions Code) •:�, _ '• Address 1 ,arowner of'the property will do the work and the City Tel No structure is°riot'mtended or offered forrsale(Section 7044; _ Busmess.and Profdssions Code) 'CONSTRUCTION LENDING AGENCY r H • , } ))f L0 m,=s , I i e`reby affirm that there is a construction lending agency for (;}( E� _;`1�_s?1 the performance-of the work`for which this permit is issued (Sec 3097,'Civ C ) - 1s s e�i1 Lender's Name'.Lender's-hl 1/ 1._ I certify that I have read this application and state that the 4 6?t I ''._•;i '- above informatioA is correct I agree'to comply with all County Y _ ordindh'es and State laws regulating Plumbing; and hereby -. authorize representatives of this County to enter upon the r` ; above-nr entioned,pro for insoection,purposes-- L ?' SEE REVERSE,FOR EXPLANATORY LANGUAGE ; Sig Lure of Permittee 'Date