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Home My Public Portal About5125 FRATUS DR_Plumbing__ 76A667-CE817-8-58 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING BULNLAMIE, County Engaeer I �! S A & Q CESHATTA.D GRIFFIN,Supt of Building 1 LOCALITY 7 FOR APPLICANT TO FILL IN CROSSSI ' 1' NUMBER FIXTURE OR ITEM OWNER WATER CLOSET BATH TUB ADDRESS SHOWER CITY, TEL. NO. 4 LAVATORY CONTRACTOR SINK ADDRESS DISHWASHER CITYWZ' TEL NO CONTRACTOR' STATE ❑ LAUNDRY TUB REGISTRATION NO COUNTY ❑ CLOTHES WASHER DISTRICT,11 GROUP 1PRO ESSE Y WATER HEATERJ .XE / GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS @ $1.00 PER ITEM OR FIXTURE $ l DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT 1 2100 ROUGH PLUMBING TOTAL FEE 1 3 1 0—t) GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT 7—. - j" 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 1 AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDENTIAL PROPERTY SIGNATUREOF PERMITTE a FINAL ROBERT A WOOD ®_OP VALIDATION SUPERVISING MECHANICAL ENG R CK Y O CASH '_ACO 6 3 '8 5 AY 14 5 A 3.0 0 cl 76A667-=17-11-57, APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING JOHN A. LAMBIE, CountT Engmeer ADDRESS /tg7 A iS EJ CASSATT D. GRIFFIN,Supt of Buildmg LOCALITY / FOR APPLICANT TO FILL IN NEAREST Es TT. LJ NUMBER FIXTURE OR ITEM OWNER 1 c y f u WATER CLOSET MAIL / BATH TUB ` ) ADDRESS / Z s CITY &ZgE TEL. NO. St (J S LAVATORY CONTRACTOR ADDRESS i DISHWASHER CITY I TEL NO. LAUNDRY TUB CONTRACTOR'S ` / « I STATE [IREGISTRATION NO. / COUNTY ❑ CLOTHES WASHER DISTRIC GROUP Z E READY FOR INSPECTION WATER HEATER G GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD .fl a13L • -T A APPROVAL dal $1 00 PER ITEM DATE INSPECTORS-§I�GNATURE OR FIXTURE $ g UNDER SLAB WORK PERMIT $ 00 ROUGH PLUMBING TOTAL FEE � �Q G GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 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 1 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 RESIDENTIAL PROPERTY . SIGNATURE /� // J OFPERMITTE . V !!!///VVV FINAL / ® ��` ROBERT A WOOD F VALIDATION//7 SUPERVISING MECHANICAL ENG R CK N 0 CASN JJ L 2 7 01Ee 24 5 A 5.00 ! 76^667 DBS 17 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER D TR O. RO FOR APPLICANT TO FILLIN / / D z 3 PLUMBER �- �V "� R CEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS ' ♦' 6 �• -- ,�jy, BUILDING CITY � a/ TEL N04 Or I'!� ADDRESS COUNTY NO y EXPIRES 4/1� V�� LOCALITYLICE NEAREST PERMIT FEES CROSS STj NUMBER TYPE OF FIXTURE OR ITEM FEE OWNERX97 MAIL WATER CLOSET(TOILET) @ 050 # ADDRESS 36 rt � `y� BATH TUB @ O 50 CITY —� �`' , TEL No " 2v d SHOWER @ 050 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 @ 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 1 AM THE LEGAL OWNER GAS SYSTEMJ �y OUTLETS Q 050 /(J OF THE RESIDENTIAL P��222OPERTY SCRIBED ABOVE. \ SIGNATURE OF�p 'I WATER HEATER @ 050 PERMITTED Fa: SLOP SINK @ 0 so INSPECTION RECORD 1 FLOOR SINK @ 0.50 FLOOR DRAIN O SO DISHWASHER @ 0.50 DRINKING FOUNTAIN 0.50 URINAL @ 0.50 J Q HOUSE SEWER @ 050 Z MIB.,ELLANEOUS 2 Q' O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING / - i GAS VENT U CESSPOOL @ 1 00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1 DOSEWER PERMIT I 1.00 GAS TEST ✓ ' f UTILITY CO NOTIFIED n TOTAL FEE FINAL WORKERS'COMPENSATION DECLARATION 76A667A I hereby 'Affirm that I have a certificate of consent to self CE 817 (z-eo) APPLICATION FOR PLUMBING PERMIT insure, or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec 3800,Lab C A u^r t/yl- COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy o Company , ❑ Certified copy is hereby furnished FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING rtified copy Bled with the county building inspection NUMBER FIXTURE OR ITEM FEE ADDRESS r� K Datepie ailment 4 WATER CLOSET LOCALITY Ll� C Applicant w Lam..,�s�—r�>✓ NEAREST BATH TUB CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER C L_ fP]d JJ LAVATORY MAI L } (This section need not be completed if the work involved ADDRESS S�f' p— CL by the permit is for one hundred dollars ($100) or less) SINK CITY TEL NO�Fd— %J� U I certify that in the performance of the work for which this DISHWASHER CONTRACTOR permit is issued, I shall not employ any person in any manner f_ ✓J-t 0 so as to become subject to the Workers' Compensation Laws CLOTHES WASHER, ADDRESS T OJ �' T�� 'ti^.,�,lF+ U Date Applicant SWIMMING POOL RECEPTOR !� Ui NOTICE TO APPLICANT If, after making this Certificate of CITY TEL N07,P",oJ JP Cl) , you should become subject to the WorkersLAWN SPRINKLER SSTATE LIC /'� Exemption, PKR YSTEM _ p Y 1 Compensation provisions of the Labor Code, you must forth- LICENSE NO �.��ra3 CLASS ^S� with comply with such provisions or this permit shall be WATER HEATER deemed revoked GAS SYSTEM OUTLETS DISTRIC�Tp NO PROCESSED BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER A O� 0 I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL �� ness and Professions Code, and my license is in full force and DATE �� — VALIDATION effect J.?f`d-1 FINAL License Number ;� ', Lic Class C-6--9 BY Contractor Addif Date 6--, ❑ f I am exempt from the licensing requirements as I am a licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code) TOTAL FEE 0 Lic or Reg No Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address License Law for the following reason (Section 7031 5, Busi- City Tel No ;9'4 0 4,6 A ness and Professions Code) I, as owner of the property, am exclusively contracting # 0'0 0 0 0 5 with licensed contractors to construct the project (Section 7044, Business and Professions Code) 2 -'o 1 &5 0 CONSTRUCTION LENDING AGENCY 0 0 0 1 '6 Jr' 0 v I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is 0 19-82 issued(Sec 3097,Civ C) Lender's Name 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 SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby > authorize representatives of this County to enter upon the above-men coned property r inspection purposes Signature of Permittee Date