HomeMy Public PortalAbout5039 FRATUS DR_Plumbing__ 76A667C (CE-6f7B) -9/75 �jo � J
APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TYPEI BUILDINGs ply
3q T�ATciS
NUMBER FIXTURE OR ITEM @ FEE ADDRESS
;
WATER CLOSET LOCALITY
NEAREST
BATH TUB CROSS ST L N PD-Siel
SHOWER OWNER '?e725,0, .0;
LAVATORY MAIL
ADDRESSrj O3 9 O'C214Tvs
SINK CITY G TEL NO��6.� �8
DISHWASHER CONTRACTOR
�'EC�pL Ti E�
CLOTHES WASHER
ADDRESSS73Al C'4,61,Q
SWIMMING POOL RECEPTOR
CITY T TEL NO
LAWN SPRINKLER SYSTEM STATES
WATER HEATER LICENSE NO �QG--S v CLASS G v r
GAS SYSTEM OUTLETS fT`� DI_ 0CT NO GROUP ZONE �ROCIE ED BY
OUTLETS OVER � (5? ^�
5 PER SYSTEM CD
INDUSTRIAL V
�) J WASTE APPROVAL W
INSPECTION RECORD tt�
Plan check fee
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
Plan check applicant
Name APPROVALS DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
Address L 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
L
CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
S REOUIRED BYLOS ANGELES COUNTY AND STATE OF GAS TEST
OR THAT IAM THELEGALOW EROF AND INTEND TO
E ABOVE DESCRIBED RESIDEN AL P PERTY UTILITY CO NOTIFIED
EMITTEE ff FINAL
PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATI / cK M O CASH
1 3 7r"'-JAd 113 Q 7.5 0 A:)b
76.x57 DBS 17 11.50 APPLICATION FOR PERMIT
DEPAATMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
FOR APPLICANT TO FILL IN DISTRICT NO. GROUPIP
RMIT NEI.
PLUMBER e♦i 1 R IVED READY FOR DATE 1 UED
FIRST INSPECTION
ADDRESS
BUILDING
CITY -- / TEL No. R/. *•,/"a ADDRESSCOUNT ���
L CENSE NO ® 1p O �N f LOCALITY
EXPIRES
NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNER
MAIL
WATER CLOSET(TOILET) 0 0.50 $ ADDRESS
BATH TUB @ O 50 CITY I TEL N0 / s
SHOWER @ O SO 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 050 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0 50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0 50 ANGELES COUNTY LICENSE,�ORRR_IAMyTHE LEGAL OWNER
@GA9 SYSTEM OUTLETS O 50 OF THE RESIDENTIAPROPERTY
R ICED OVE
/ SIGNATURE OF y
WATER HEATER @ O 50 PERMITTEE
SLOP SINK @ o so INSPECTION RECORD
FLOOR SINK @ 050
FLOOR DRAIN @ O.So
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 J
Q
HOUSE SEWER @ O 50 Z
MIS ELLA EOUH ,,��� ���� t!)
rte./ Ir
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING ,.
GAS PIPING
GAS VENT
I
CESSPOOL @ 1 pp CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ) PIT ) @ 1.130 1 SEWER
PERMIT I 100 GAS TEST
A ✓
UTILITY CO.NOTIFIED ✓/.ice/���
TOTAL FEE o /1 S.-� /
7 FINAL