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HomeMy Public PortalAbout5336 FRATUS DR_Plumbing__ 76A667-CE817-8-58 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION JOHN A. LAMBIE, County Engineer ADDRESS 5336 No :E�L tus A Dr-9 CASSATT D. GRIFFIN,Sup t of Building LOCALITY Temp 1 e City FOR APPLICANT TO FILL IN NEAREST CROSS ST. , NUMBER FIXTURE OR ITEM T.-Tier OWNER John o WATER CLOSET BATH TUB MAIL D GESS 5336 NatuS r e, CITYTeJI le City . NO. SHOWER LAVATORY CONTRACTORAnthonoS. , Inc vSINS ADDRESS 5871 Ftone lvd.DISHWASHER CITY S Out h Gate . NO. SP-3221 d qp LAUNDRY TUB CONTRACTIONS 011.70G+ 3 STATEREGISTRATIONNf " COUNTY ❑ CLOTHES WASHER DISTRICTS JFGROUP ZONE � Rp O ES BY WATER HEATER J[� GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD Fresh water piping o - swim pool I i APPROVALS OR FIXTURE $ DATE INSPECTOR'S SIGIjATURE UNDER SLAB WORK -_p u .��-�+►.� PERMIT $ 2 OU ROUGH PLUMBING TOTAL FEE 3 0 GAS PIPING I 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 LAW REGULATING PLUMBING PLUMBING FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY G TERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES UN AND STATE OF CALIFORNIA OR TH 1 AM THE LEGA W R OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESID PROPERT SIGNATURE INAL OF PERMITT -ROBERT A WOOD OF VALIDATION SUPERVISING MECHANICAL ENG'R CK !l.0. CASH ' LaICO7118 ^ `i" 27 5 'A 3 .00 76AS67 - APPLICATION LICATION FOR PLUMBING PERMIT DBS 17 10 55 DIVISION OF BUILDING AND SAFETY Department of County Engineer County Of LOS Angeles ADDRESS �.3✓/ A(i FRA;r J] T �� JOHN A LAMBIE, COUNTY ENGINEER' �+ CASSATT D GRIFFIN,SUPT-OF•BUILDING lamsmImAm LOCALITY AWIN i"TA 5:7 4 ©-4-1 VO FOR APPLICANT TO FILL IN NEAREST y- CROSS ST .L VE S�✓ OWNER DISTRICT NO G OUP Z NE READY FOR INSPECTION MAIL ADDRESS>�33! N. GRMus CITY LC' `/ r TEL NO j� INDUSTRIAL WASTE APPROVAL PLUMBER d 1nr�V£, INSPECTION RECORD ADDRESS CITY TEL NO G^ LICENSE NO NUMBER TYPE OF FIXTURE OR ITEM, FEE " WATER CLOSET (TOILET) @ $1 00 $ ' BATH TUB @ $1 00 SHOWER @ $1 00 LAVATORY (WASH BASIN) @ $1 00 KITCHEN SINK @ $1 00 DISHWASHER @ $1 00 LAUNDRY TUB OR TRAY @ $1 00 - CLOTHES WASHER @ $1 00 WATER HEATER @ $1 00 GAS SYSTEM @-$1 00 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING / TOTAL FEE 00 GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES IHEREBY CERTIFY'THAT I AM PROPERLY REGISTERED AND/OR GAS TEST if 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 RESIDENT14 PROPERTY SIGNATURE _ OF PERMITTEE aaa"""kkk••••••^•••��� �ti�'X FINAL JOHN A LAMBIE. COUNTY ENGINEER' VALIDATION ROBERT A WOOD, CHIEF PLBG INSPECTOR CK M O CAS �. -0,3" 3 5`94 ­00T 15 3 2.0-0 20 i V14KERS' COMPENSATION`DECLARATI61\1 pp I6e.reby a'ffjrm,that I,h'ave b c'erh#nate of,'consent to self in- . .,20-0026 15P PW 4 87, APPLICATION , FQR`PLUMBING PERMIT sure or a certificate of Wokers'.Compensahon.lnsurance,or a CE 817(REV 8/86 e ,- - certified cnpy,t�ereof (Sec',3800, Lab 2C=)' ) - W - COUNTY OF LOS ANGELES" Polic -'No- ;ti,1, Com an DEPT. OF PUBLIC WORKS Y P Y < , ��° Certified copy,isihereby, furnished r r' - " ' �" FOR•APPLICANT TO FILL IN(PRINT OR TYPE BUILDING ` Certified'copy is filed with"the+cour ty building,in"specti6F, ) ADDRESS department r >' c Ns MBER_ FIXTURE OR ITEM t Cnl FEE ��� ��✓ y. '' y ;` r^ �.`, -LQCALITY d'' j" a•' - I s .WATER CLOSET(TOILET) Date' > Applicant ' f r_ c NEAREST' ti CERTIFICATE OF EXEMPTION FROM--WORKERS' "+ BATH'TUB' CROSS ST :` '. COMPENSATION'INSURANCE >i°i%y' y OWNER 1� ,t- -��, , g, �' � "SHOWER _ r „ ` (This section need riot be completed if the work^involved by Z­ MAIL Permit,id for''one,hun'dred-dollai's ($100)'or less ) ' %LAVATORY ! �� ADDRESS —3.3 6 ��� - .'I certify that in the performonce of,the,wor0or,which'this per-. _ mit is issued-'I shall+,not employ any person many manner so r SINK L LA r_u A1;1 CITY �-+ h Or 0�+� fJ V. as to become subject to•the:Workers' Compensation Laws' G W o 4 ; DISHWASHERv< " ,� ,._ -r' Od� CONTRACTOR Date U "•Applicant + �✓ _ +CLOTHES WASHER �e �Y AdZ� 6 e s' NOTIC TO'APPDCAN_T If, after,m6, t1 ,s Cert, tate,of Ex ADDRESS 3 f � +t e'mption, you should become,sublec'to the,Wor ers'Co"mp'en- SWIMMING POOL'RECEPTOR` , " TEL NO sation provisions of the Labor Code, you-must forthwith comp- '_LAWN SPRINKLER SYSTEM ' ,' CITY �" /�, ©a''d` 1342, y ' 'I'y with such provisions&this'permit,shallCbe'deemed revok- - STATE L D 7 F v ed ` - > . , - ° . - LIC'. _ 4'1> "" p'' g, i �„a,7, , ', 1� ' �, WATER;HEATER d a LICENSE NO 22-5 7 .5k CLASS L ^;>' LICENSED CONTRACTORS�DECLARATION,, =, y DISTRICT NO PR ED BY I hereby affirm that,l amYlicensed under,pfov,sions of Chapter GAS SYSTEM' - OUTLETS^ �j w; , '9(cominencing'with Section'7000)of D visron 3 of the Business OUTLETS OVER ✓°i ' and P'fession's Code,and my license i's'in full fort 5 P,ER•SYSTEM. ' e'and ef- fect " FINAL VALI ATION . y �.5 + , `DATE _ a License'Number r�25 ` �� 'Lit• Class 1 r C� �. FINAL' U r - BYDatew OContractoL � °I,am exempt,under Sec W B'&P C fo this reason' r. - .y. 4 W Plan;check'fee Dat F PERMIT ISSUING FEE$" A Signature' ." 1,,PLUMBING Y #� oto�.I o < s ,',, TOTAL FEE • , 5' SINGLE MILY �; 0' t' HOME OWNER-BUILDER DECLARATION Plan check"applicant , • o=�$8i� I,hereby.affirm'that I am exempt from the Contractor's License Name '_ f' "" T" �^ "osoo 88.5 Q,9 ' Law for the following reason (Section"7031`5;'Business and a+ r. ,_ ° a, Professions Code)- ' , 4 - - r 1 r PAddress' - 1, Q1 9; 8 :I,,as owner of the'property, will'do',the' woik dnd,the - y' =r' Tel No` structure is not intended oi�offe'red'forTsale(Section 7044, , �• ;r_ k Business and Professions Code) ;CONSTRUCTION�LENDING>AGENCY� + I hereby'affar,m that there is a cdnstruchon'lending'agency for " the`performance'of`the�work°for"which this'.permrt is issued F* i r+?' - (Sec 3097, Ci'v,= _Lender's Name-' w _ Lender's_Address certify that"I h 'v + "d' at y a e read'this application an state th t"the above information is correct'I agree to'comply vwith all=County ordinances and,'State,laws:fegulafing,Plumbirig,�and-hereby authorize rep(esentatrves'af+this County,to enter upon the above:mentioned property for inspection purpo"ses Ile SEE REVERSE FOR EXPLANATORY-LANGUAGE i ye'of Peree Date y ,