HomeMy Public PortalAbout4908 FRATUS DR_Plumbing__ I
17 10 55
DEIS APPLICATION FOR PLUMBING PERMIT
DBS 17
DIVISION OF BUILDING AND SAFETY
Deportment 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 DIS TR CT O GROUP ZQNE� READY FOR INSPECTION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBER-X;, 1, --t - �., ,. INSPECTION RECORD
ADDRESS 442 W Flo --A DI—
CITY Glendora, California.
LICENSE NO
NUMBER TYPE OF FIXTURE OR ITEM FEE
Z WATER CLOSET (TOILET) @ $1 00 $
BATH TUB @ $1 00
SHOWER @ $100
LAVATORY (WASHBASIN) @ $100
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
GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER Ft
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING _
I HEREBY CERTIFY THAT I 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 P PERT
SIGNATURE
OF PERMITTEE ` FINAL 0 ,
JOHN A LAMBIE. COUNTY ENGINEER VALIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR
1 CR r o CASH
I jAUO 7 6 5 5 APR 2 3 1 Q.Q ,0 In
76A667 -CE#817 10.62
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FADDR,.,Ess
DING
JOHN A LAMBIE. COUNTY ENGINEER !!O
WILLIAM A JENSEN, SUP T OF BUILDING LITY
FOR APPLICANT TO FILL IN EST \
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1 25 MAIL
BATH TUB 125 ADDRESS '1✓ �1j(
SHOWER 125 CI TEL NO
/ LAVATORY 125 CONTRACTOR 1
SINK 125 ADDRESS
DISHWASHER 125 CITY TEL N01,4
LAUNDRY TUB 1 25 CONTRACTOR'S �� -- STATE
REGISTRATION NO S COUNTY ❑
CLOTHES WASHER 1 25 DISTRICT NO GROUP ZONE P ESSED BY
WATER HEATER 150 o (J• f
/ 150 INDUSTRIAL d
GAS SYSTEM OUTLETS WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30
INSPECTION RECORD
%4 '964 Z W
\� L 1� s
AP!ROVALS DATE INSPECTOR S SIGNA SURE
PERMIT $ 2 CC UNDER SLAB WORK
/ ROUGH PLUMBING
TOTAL FEE
GAS PIPING
I0ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATEF,4
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO Y'�
RESIDE IN THE jABOVE CRI RESIDENTI PROP UTILITY CO NOTIFIED
SIGNATURE
OF PERMITT r FINAL ! �'
LIDATION ROBERT AeWOOD y
CK M O CASH SUPERVISING MECHANICAL ENG R
LgCo 5 9 4 5 w JUN 1 0 5 D 1 1 .2 5 y`'