HomeMy Public PortalAbout4916 FRATUS DR_Plumbing__ 76A687 (CE-897),8-7*0 - S
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS / VS" e/e
LocAUTY ire v
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST J A
CROSS ST .,041ese
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1 75
MAIL ��
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BATH TUB 1 75 ADDRESS ,$' ,.
SHOWER 1 75 CITY `fny TEL NOa�
LAVATORY 1 75 CONTRACTOR
SINK 1 75 ADDRESS
DISHWASHER 1 75 CITY TEL NO
CLOTHES WASHER 1 75 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 75
DISTRICT NO G,�P ZQ�VE gES ED BY
LAWN SPRINKLER SYSTEM 1 75 17`� oj`/ L/jf/iQ
WATER HEATER 1 75 INDUSTRIAL
WASTE APPROVAL 96
GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD (�
OUTLETS OVER
5 PER SYSTEM 30 z
z
Plan check fee See reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS QATE SPECTOR A SIGNATURE
Pian check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO 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 PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING
,GAS TEST
Z
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND I NO TO
RESIDE IN THE ABOVE011ESBED RESIDENTIAL P PE Y FINAL
SIGNATURE
OF"PERMITTEE
�
PERMIT VALIDATI ( cK M o CASH
PLAN CHECK VALIDATION CK M Q CASH
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L,LID
76A667-CE817-8-58
APPLICATION
of LICATION FOR PLUMBING PERMIT
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DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County Enggweer ADDRESS --y. 1
CASSATT D. GRIFFIN,Supt of Building LOCALITY
f
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
/ SHOWER CITY TEL. NO.
LAVATORY CONTRACTOR �
SINS ADDRESS O� S-o I�� L� �
DISHWASHER ACITYDD U��y Q tj TEL NO Y N rOUINTYE3 CONTRACTOR'S LAUNDRY TUB REGISTRATION NO / %
CLOTHES WASHER DISTRICT NO GROF ZQNE I PROCESSED B
WATER HEATER
f GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
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J
APPROVALS
OR FIXTURE $ 0 0 DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK y
PERMIT $ 2100 ROUGH PLUMBING
TOTAL FEE ii D :C> GAS PIPING '
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY N HOT WATER HEATER v t- jig;�V.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
LDESCRIBED
PLUMBING FIXTURES —sj �tV
CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
S REQUIRED BY LOS ANGELES COUNTY AND STATE OF
OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED f
RESIDENTIAL PROPER Y
FINAL /�—yf�� /�ITTE _ �' �-"`��
ROBERT A WOOD
®r // VALIDATION SUPERVISING MECHANICAL ENG R
CR m 0 CASH
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