HomeMy Public PortalAbout5325 FRATUS DR_Plumbing__ -6A667 CE#817 2 62
APPLICATION FOR PLUMBI G PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING nn
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN SUP T of BUILDING n
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
i NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1121 MAIL
BATH TUB 125 ADDRESS
SHOWER 125 CITY TEL NO
LAVATORY 125 `w�l CONTRALTOS
SINK 125 ADDRESS �2g
DISHWASHER 125 CITY - (y4-V.U;LTEL NO
CONTRACTORS // / /
LAUNDRY TUB 125 REGISTRATION NO ��O(0.64 COSTATE
UNTY
CLOTHES WASHER 125 DISTRICT TP r PR BY
` WATER HEATER 150SM
(nj
CAS SYSTEM OUTLETS 150 vINDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION IRECORD d
/ OC
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d
Vf
z
s
APPROVALS DAT# INSPECTORS SS��TU)RE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
� ... TOTAL FEE
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY gq�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER yyy'O"{�16L��' (�"�
PLUMBING
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 LEGAL OWNER OF AND INTEND TO I .t �l I
RESIDE IN, THE ABOVE DES I D RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
()ALIDATION ROBERT A WOOD
, M J CASH SUPERVISING MECHANICAL ENG R
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76A667A '
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE( BUILDING
ADDRESS
NUMBER FIXTURE OR ITEM @ FEE
LOCALITY
WATER CLOSET
NEAREST
BATH TUB CROSS ST J�
SHOWER OWNER Z U /--/^[>
MAIL
LAVATORY ADDRESS
SINK CITY Z..,�� � TEL NO
DISHWASHER CONTRACTOR r
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR IT P TEL NO
LAWN SPRINKLER SYSTEM ST E LIC
WATER HEATER LICENSE NO ��^ CLASSe 5
GAS SYSTEM OUTLETS ,�5�1 APPROVALS DATE INSPECTOR S SIGNATURE
OUTLETS OVER C/CJ UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING
GAS VENT
HOT WATER HEATER 0
PLUMBING FIXTURES
GAS TEST v
Plan check fee UTILITY CO NOTIFIED
PLUMBING PERMIT ISSUING FEE$ +�"� -•
TOTAL FEE FINAL
PLAN CHECK VALIDATION
Plan check applicant
Name t
Address �i—
City G Tel No ;?gj60:5'4V
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION v{�
I HEREBY CERTIFY THAT I AM PR L R S ERE AND/OR LICENSED AS RE 2 9,8 A
REQUIRED BY LOS ANGELES COUNT S F C LI RNIA OR THAT I AM THE
LEGAL OWNER OF AND INTE RESID E AB DESCRIBE(RESIDENTIAL # O O O O a 5
PROPERTY (�
SIGNATURE 2 a o 1 0,0 C
OF PERMITTEE
O O O C 0 C 3
DISTRICTIVO P ESSED BY
08,23-79
INDUSTRIAL
WASTE APPROVAL
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