HomeMy Public PortalAbout4854 FRATUS DR_Plumbing__ 7GA667-CE0817 4-64
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNEAREST
ING IV Q
JOHN A LAMBIE, COUNTY ENGINEER ESS a V
WILLIAM A JENSEN, SUP T OF BUILDING LITY
FOR APPLICANT TO FILL IN S Si
NUMBER FIXTURE OR ITEM EACH FEE OWNER /
vn f
WATER CLOSET $125 MAILc
BATH TUB 125 ADDRESS �J �%FggilvS
SHOWER 125 CITY TEL NO 7�
LAVATORY 125 CONTRACTOR
SINE 125 ADDRESS
DISHWASHER 125 CITY TEL NO
CONTRACTOR'S STATE
LAUNDRY TUB 1 25 REGISTRATION NO. COUNTY p
CLOTHES WASHER 1 25 DISTRICT NO GROUP ZONE PROCESSED BY
WATER HEATER 1 50 ,/ � �p r -GC
AL
GAS SYSTEM–/—OUTLETS 1 / v WASTEINDUSPP a
WASTE APPROVAL 0
__/iOUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD V
U
W
N
Z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK `
ROUGH PLUMBING ✓ �.a•y'
TOTAL FEE Z
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT Y i�
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 V
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DES BED RESIDENTI L PROPERTY UTILITY CO NOTIFIED
SIGNATURE c A r
OF PERMITTEuzaFINAL
VAIJIDAT40ROBERT A"WOOD
CK M ok. CASH SUPERVISING MECHANICALENGR
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lr� APPLICATION
PLUMBING
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76A667i APPLICATION FOR Y �.URY/0BItl , G 0 ERMIT 1
DBS 17`jBIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN,SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
OWNER DISTRICT NO GROUP ZONE I READY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESSValley Plumbing Co of Glendora
44Z W icetwcod Place
CITY Glendora
LICENSE NO EDgewood 5-1293
NUMBER TYPE OF FIXTURE OR ITEM FEE
L WATER CLOSET (TOILET) @ $1 00 $
BATH TUB @ $1 00
SHOWER @ $100
LAVATORY (WASH BASIN) @ $1 00
KITCHEN SINK @ $1 00
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $1 004
WATER HEATER @ $1 00
GAS SYSTEM @ 3100
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING —
GAS PIPING
TOTAL FEE O
GAS VENT
I HEREBY ACKNOWLEDGE THAT I 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 FIXTURES
PLUMBING _4 A
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST U J/
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF + �n
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE
OF PERMITTEE � `1 FINAL
JOHN A LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
CR N 0 CASH
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