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HomeMy Public PortalAbout5111 FRATUS DR_Plumbing__ 76A®67 OBS 17 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING GOIINTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLiCANT TO FILL IN DISTRICT NO. GROUP ZONE/ PERMmZ z > * � PLUMBERL • 1 �' READY FOR d J owlCEI FIRST INSPECTION /58 E� _ADDRESS �• CITY t TEL N� �X— 1 ADDRESS ISUILDINO `, ADDRE5S I LICENSE NO I j) I �� LOCALITY EXPIRES NEAREST PERMIT FEES CROSS ST NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL 3 0 WATER CLOSET(TOILET) O 50 $ ADDRESS BATH TUB @ O 50 CITY TEL. SHOWER @ O 50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 050 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ O SO AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0 SO ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER 13FTHE RESIDEN t . DE DD AB SIGNA � GAS SYSTEM OUTLETS @ O 5D / - 81TURE OF � WATER HEATER @ O 50 PERMITTEE SLOP SINK @ 050 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.80 DRINKING FOUNTAIN @ O SO URINAL @ 0.50 -I Q HOUSE SEWER @ 0.50 Z MISCELLANEOUS 3 r O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING b•+ �,Y� GAS VENT � 3" CESSPOOL @ 100 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1 00 SEWER PERMIT I 1 DD GAS TEST TOTAL FEE UTILITY CO NOTIFIED /IA S i `a' FINAL / 1 EV 6/76) L n GE ©s' 4 APPL1GATEON ` ®R PLU B ING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY Al FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING X111 Fratus NUMBER FIXTURE OR ITEM ® FEE ADDRESS LOCALITY pie City y WATER CLOSET NEAREST BATH TUB CROSS ST _ q SHOWER OWNER Griffith LAVATORY, MAIL ADDRESS 5111 Fra.tUS SINK CITY Tam le CityTEL NO 28 _8 2 DISHWASHER 3 CONTRACTOR Unlyprsal Plumbing CLOTHES WASHER ADDRESS 2631 Lee Ave. SWIMMING POOL RECEPTOR CITY So.El Monte TEL NO 57 _ 60 LAWN SPRINKLER SYSTEM STATE LIC O WATER HEATER 7 (1 LICENSE NO 16018 CLASS C 6 GAS SYSTEM OUTLETS �v LS DATE INSPECTOR S SIGNATURE OUTLETS OVER UNDE SL-A(@-WORK A/2/77 7 5 PER SYSTEM ROUGH PLUMBING GAS PIPING GAS VENT HOT WATER HEATER PLUMBING FIXTURES GAS TEST 303:G ZqZ4 Mh j_C1�J Plan check fee UTILITY CO NOTIFIED c� c� PLUMBING PERMIT ISSUING FEE$ o TOTAL FEE FINAL Plan check applicant PLAN CHECK VALIDAT N Name � 3'a �! j Address City Tel No I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION AND STATE q THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES 6731�� J AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION 6 / I HEREBY CERTIFY THAT I AM ROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES CoUN ND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND T ESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY 2— OF OF PERM ITTEE RI NO ZP CESSED Y INDUSTRIAL WASTE APPROVAL 1 WORKERS' COMPENSATION DECLARATION -12. APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a certificate of consent to self 76A667A insure br,a certificate bf Workers' Compensation Insurance, CE 817(REV 10/81) LLLJJJ br a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company 57-Al-6- QO r1 r Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspec- ADDRESS J tion department NUMBER FIXTURE OR ITEM @ FEE �— LOCALITY G oly`P4_ r Date 9_�iz Applicant -� � WATER CLOSET NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST p COMPENSATION INSURANCE SHOWER OWNER rn, F r. `(This section need not be completed if the work involved by L the permit is for one hundred dollars ($100)or less ) LAVATORY MAIL `-� n ADDRESS_-5 S 0/Z I certify that in the performance of the work for which this permit is issued, I shall not employ an person in an manner SINK CITY Lf-� C T TEL NO.Z* �- P P Y Y P Y ��/�( P I � 3 so as to become subject to the Workers'Compensation Laws DISHWASHER CONTRACTOR G .�. C0 A."".57- Date JSTDate Applicant CLOTHES WASHER ADDRESSi NOTICE TO APPLICANT If, after making this Certificate of �� to Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY _M ec AD TEL NO ZS� 72 with comply with such provisions or this permit shall be STATE LIC NO deemed revoked WATER HEATER LICENSE3 G Oa Z CLASS lU, LICENSED CONTRACTORS DECLARATION DISTRICT NO PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS �4' (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER ` and Professions Code,and my license is in full force and effect 5 PER SYSTEM FINALn 1�aly�7 Lic Class r DATE�� � a License Number C) 1 ,�/ FI U Contractor 64 I r dlSN5k7` Date I am exempt under Sec Al B 8P C for this reason W Plan check fee ► a Date PLUMBING PERMIT ISSUING FEE$ O .5v Z Signature --L TOTAL FEE Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION NameST— I hereby affirm that I am exempt from the Contractor's License Address �� Law for the following reason (Section 7031 5, Business and r O Professions Code) City Me— Tel No ❑ 1, as owner of the property, will do the work and the structure is not intended or offered for sale (Section j 7044, Business and Professions Code) 9 5 94.0 A CONSTRUCTION LENDING AGENCY # o 0 0 0 0 5 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued ° ° 4650 (Sec 3097, Civ C ) 000465005 Lender's Name 1. 14-86 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 pop- ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above- ntioned property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE 7— S�C Signature of ermit ee Date ~� COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0212180020 t., BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FEES PAID BUILDING-ADDRESS: TR: 16475 LT- 132 5111 FRATUS DR FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803725 ASSESSOR INFORMATION NUMBER: NEAREST CROSS`STREET• LA ROSA 8590-031-012 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 2.00 FIX 32.40 TENANT: 25 LAVATORIES/SINKS 3.00 FIX 48.60 ISSUED ON PROCESSED BY: PLAN BY EXPIRES ON 45 WATER CLOSET/URINAL 2 00 FIX 32.40 12/18/02 JK 06/16/03 TOTAL FEES 141.15 OWNER: TEL. NO FINAL DATEFINAL BY CODE: GRIFFITH PAUL R,JANE P (626) 285-8523- 5111 FRATUS DR 2 C'3 TEMP 917803725 DESCRIPTION OF WORK REMODEL BATHROOMS; CONVERT ONE FULL BATH TO 3/4 BATH APPLICANT TEL NO TOTAL: 1 3/4 BATHS D M PLUMBING (818) 766-8613- 6254 TEESDALE AVENUE SPECIAL CONDITIONS: N HOLLYWOOD 91606 CONTRACTOR: TEL NO APPROVALS DATE INSPECTOR SIGNATURE D M PLUMBING (681) 876-6861-3 6254 TEESDALE AVENUE LIC. NO UNDER SLAB WORK N HOLLYWOOD, CA 91606 560103 C36 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER TEL. N0: LIC. N0: ROUGH PLUMBING 2 �L GAS PIPING GAS VENT HOT WATER HEATER �aw4 PLUMBING FIXTURES--94Th Z o LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CWV GRAY WATER SYSTEM cX4-- no eoo a AAG &. ryop�� ///? REPORT ID: DPR263 ROUTE TO: BS0508