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HomeMy Public PortalAbout5009 FRATUS DR_Plumbing__ 78A867 -CE#817 x,63 ' . , / o CC APPLICATION FOR PLUMB NG PERM //" COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS - BUILDING AND SAFETY DIVISION BUILDING JOHN A LAMBIE COUNTY ENGINEER WILLIAM A JENSEN SUP T OF BUILDING 4 LOCALITY FOR APPLICANT TO FILL IN CROSSSST 5_01&b_ NUMBER FIXTURE OR ITEM EACH FEE / OWNER i i "'. 'g WATER CLOSET ;1 25 MAIL ,L BATH TUB 125 ADDRESS �O o iA." DY SHOWER 125 CITY Cle© ��• TEL NO LAVATORY 185 CONTRACTOR SINS 125 ADDRESS DISHWASHER 125 CITY TEL NO LAUNDRY TUB 125 CONTRACTOR'S STATE El REGISTRATION NO COUNTY ❑ CLOTHES WASHER 125 DISTRICT NO NE =ROPBY WATER HEATER 1 50 GAS SYSTEM OUTLETS 1 50 INDUSTRIAL d WASTE APPROVAL 0 OUTLETS OVER 5 PER SYSTEM 30 n U A INSPECTION RECORD W CL f� Z APPROVALS DATE INSPECTOR S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE _31 I 77l GAS PIPING IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO GAS TEST O/IIIF� � �1 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED -- -+-- SIGNATURE I p OF PERMITTEE FINAL VALIDATION ROBERT A'WOOD r CK M O CA SUPERVISING MECHANICAL ENG R LI I{.v & 7 1 4 1'3 I,�, 1 5 D :76 A CE 81?q1REV 6/78) � / f APPLICATION FO PLUN7 ING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ���� ADDRESS NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET LOCALITY E a;7- NEAREST BATH TUB CROSS ST SHOWER OWNER LAVATORY MAIL ADDRE�SS u© /� n��s `/ SINK CITY 1 l�j� TEL NO DISHWASHER CONTRACTOR SEL F CLOTHES WASHER ADDRESS1:1 Q14 FIT n-ftf g, SWIMMING POOL RECEPTORJ� CITY 7r� P _ C;v TEL NO LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER LICENSE NO CLASS GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR 5 SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES GAS TEST / Plan check fee UTILITYCO N04IFIED PLUMBING PERMIT ISSUING FEE$ �J o TOTAL FEE FINAL Plan check applicant PLAN CHECK VALIDATION Name Address City Tel No I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS 19 6,8 A REQUIRED BY LOS ANGELES COUNTY ND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND T E IDE IN THEA S(4RIBED R I ENTIAL .PRO/P/ERTI � � O Q y O O O 5 5IGC U"f RE eft / Z O O 1 0,00 OF PE RM ITTE PZ DISTRICT N P CESSED a o o Q O O y h �� o227-78 INDUSTRIAL WASTE APPROVAL r t 76A607-CE817 10-60 e � APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS -O O /- -W 96'-' 4 r< 6 WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM WATER CLOSET OWNER a F MAIL e'C.- BATH TUB ADDRESS s0 O CITY Teat le C!e' TEL. NO. j SHOWER / LAVATORY n ` CONTRACTOR - (-O 4 f✓' ADDRESS a�HZ/.a 1/f/. SINS DISHWASHER CITY ,q/�?<z..u6rle TEL. NO. (/j -s/d O CONTRACTOR'S STATE LAUNDRY TUB REGISTRATION NO. cSd SOA COUNTY CLOTHES WASHER DISTRICT NO. GROUP 4NE PlptlICESSED BY WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD o_ O V cC O W a N z @ $1.00 PER ITEM �/ ^T OR FIXTURE $ O APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK TOTAL FEEROUGH PLUMBING GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE GAS TEST DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTEE FINAL 0 ALIDATION ROBERT A. CLOD CK. M.0. CASH SUPERVISING MECHANICAL ENG'R L) .�7 76AS67 Des 17 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �' � COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER ISTR No. GRO" ONE FOR APPLICANT TO FILL IN PLUMBER 1 EIV BY READY FOR 1 DATE ISSUED FIRST INSPECTION ADDRESS ���� p � �"�v� ' _/ 1 BUILDING CITY � TEL N �y ADDRESS COUNTY LICENSE NO ' B EXPIRES " LOCALITY NEAREST PERMIT FEES CROSS S14 NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) @ O 50 $ ADDRES/S��/ BATH TUB @ 11513 CITY TEL N "/d SHOWER @ O SO I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) O 50 APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 050 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ O SO ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER SI THE RESIDENTIAL PR PERT' DESCRIBED 4-,. A�V E. GAS SYSTEM OUTLETS @ O 50 CNT I t/ZRT.,� ,"l�`- 'Fs�'j f" � SIGNATURE OF V � WATER HEATER @ 050 PERMITTED SLOP SINK @ O SO INSPECTION RECORD FLOOR SINK @ D SO FLOOR DRAIN @ O SO DISHWASHER @ 0.50 _ DRINKING FOUNTAIN @ O.SO URINAL @ 0.50 J Q HOUSE SEWER @ 050 Z MIS LLA EOUS A 9 O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING / GAS PIPING J•1� v GAS VENT CESSPOOL @ 100 CESSPOOL SEPTIC TANK: I SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.0131 SEWER PERMIT I 1 OO GAS TEST UTILITY CO.NOTIFIED TOTAL FEE IS FINAL