HomeMy Public PortalAbout5143 FRATUS DR_Plumbing__ 76AS67 OBS 17 I1-SO APPLICATION FOR PERMIT
•
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT Tip FILL p"IN DISTRIC ROUP )PERMITr X; �9 3�� 7
PLUMBER �� 1 "� • READY FOR 7
1 /,�A R IVE BY FIRST INSPECTION DATE ISSUED
ADDRESS +''� ��C� ''--` `
_CITY '" TEL N040' 7 BUILDING
/ ADDRESS 7
L CEN9E NO v EXPIRES �O ®�°[" + LOCALITYCOUNTY `
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNER
MAIL
WATER CL09ET(TOILET) @ 050 $ ADDRESSSS f%5 V
BATH TUB @ 050 CITY ` -�"`�' '� TEL NO
SHOWER @ 050 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ O 50 AND STATE LAWS REGULATING PLUMBING.
' CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O SO ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL �RROPERTY DE13CRRIIBBAED ABOVE.
GAS SYSTEM OUTLETS @ 0.50 1 1
/,� GA��T�
SIGNATURE OF
WATER HEATER @ O.SO PERMITTEE
SLOP BINK @ 0.50 INSPECTION RECORD
FLOOR BINK @ 050
FLOOR DRAIN @ 0.50
DISHWASHER @ O 50
DRINKING FOUNTAIN @ 050
URINAL 0.50 J
Q
HOUSE SEWER @ 0.50 Z_
MISCEL NEOUS 2
O
APPROVALS
DATE INBPECTCR'B NAME
ROUGH PLUMBING gam►`
OAS PIPING
l"" O
GAS VENT J'C/
CESSPOOL @ 1 00 CESSPOOL
SEPTIC TANK: I I SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 SEWER
PERMITI 1 DO GAS TEST /
• UTILITY CO.NOTIFIED
TOTAL FEE y.
FINAL 1
7GA667C ICE-8178) -9/78
i APPLICATION FOR LUMBING PERMIT @ {�
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING�l�/�
NUMBER FIXTURE OR ITEM @ FEE ADDRESS
WATER CLOSET LOCALITY r
NEAREST
BATH TUB CROSS ST
SHOWER OWNER
:;u3
MAIL l � f
LAVATORY ADDRESS f
SINK CITY TEL NO
DISHWASHER CONTRACTOR
.0 G
CLOTHES WASHER
SWIMMING POOL RECEPTOR ADDRESS
LAWN SPRINKLER SYSTEM CITY zk?- Q TEL NO
STATE IVr LIC
WATER HEATER LICENSE NO' CLASS �' r
d
GAS SYSTEM OUTLETS O DISTRICT GRO P IZONE1PR ESED Y V
OUTLETS OVER �/ 0 9=
5 PER SYSTEM V
INDUSTRIAL
WASTE APPROVAL 1y
0-
INSPECTION
INSPECTION REC ORD
Plan check fee
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
Plan check applicant
Name APPROVALS DATE INSPECTOR 5 SIGNATURE
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel NO GAS PIPING
I HEREBY ACKNOWLEDGE THAT I 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 T I AM PROPE R GISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REpUIRE BY OS ANGEL COU TY AND STATE OF GAS TEST Q
CALIFORNIA OR THAT AM E LEGA OW ER F AND INTEND TO
RESIDE IN THE ABOV DESCR ED RES AL PER TY UTILITY CO NOTIFIED
SIGNATURE /I
OF PERMITT �^"' FINAL
° tib
PLAN CHECK V IDATION CK M O CASH PERMIT VALIDATION — ° CK oM 0 CASH
O Q °
-0 O b n D--.
CH
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0701260014
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID I FEES PAID I BUILDING ADDRESS
ITR 16475 LT 127 I I 5143 FRATUS DR 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917803725 I
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET I
18590-031-007 101 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE 596 GRID JS LOCALITY TEMPLE CITY, Cl
125 LAVATORIES/SINKS 1 00 FIX 16 20 I I
ITENANT 126 MISCELLANEOUS FIXTUR 1 00 FIX 16 20 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON I
I 145 WATER CLOSET/URINAL 1 00 FIX 16 20 101/26/07 JK 07/25/07 I
1 TOTAL FEES 76 35 1 pp
(OWNER TEL NO I IFINAL DATE FIN CODE
ILODWICK KENNETH J (626) 285-0307- 1 I l
15143 FRATUS DR I I I
ITEMP 917803725 1 IDESCRIPTION bF WORK I
(INSTALL NEW LAVATORY SINK, REPLACE WATER CLOSET & TUB VALVE 1
I �(APPLICANT TEL NO I I
IGEM PLUMBING INC (626) 355-3496- 1 (
1140 E MONTECITO AVE 1 ISPECIAL CONDITIONS
ISIERRA MADRE 91024 I
11 I
(CONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE
IGEM PLUMBING INC (626) 355-3496- I I
1140 E MONTECITO AVENUE LIC NO I (UNDER SLAB WORK
ISIERRA MADRE, CA 91024 111308/C36 I I I I I
I IWATER SERVICE I I I
1PLAETIC Y/N METAL Y/N I 1 I
1ARCHITECT OR ENGINEER TEL NO I I I I I
1 _ I IROUCH PLUMBING I 1 1
LIC NO I IGAS PIPING I I I
I
IGAS VENT I I I
1 IHOT WATER HEATER I I 1
1PLUMBING FIXTURES I I 1
ILAWN SPRINKLERS I I I
I
IGAS TEST I I I
1UTILITY COMPANY NOTIFIEDI I I
ICWV I I I
IGRAY WATER SYSTEM I I I
I I I
I I I I
I 1 I I I I
1 I I I I I
I I II I 1
I I I I
1REPORT ID DPR263 ROUTE TO BS0508
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