HomeMy Public PortalAbout9218 ROSEGLEN ST_Plumbing__ Tw�1a*.1ARPLICATION FOR PLUM ING PERMIT
SUALD AND SAFtErr DrVLs
FOR APRKANT TO FILL IN(PRINT OR TY PEI BUS D�
NUMBER fIXTURE OR ITEM • FEE
WATER CLOSET LOCALJTY ` < <•
BATH TUB NEAREST
CROSS ST.
SHOWER OWNER i
LAVATORY �S
SINK CITY T&.NO
DLSH WASHER CONTRACTOR
CLOTHES WASHER
AD DRE$S
SWIMMING POOL RECEPTOR
CITY TEL NO.
LAWN SPRINKLER SYSTEM
STATE UC
WATER HEATER LICENSE NO. CLASS
/ pGAASS�SYSTEE�M� OUTLETS D1.STpCT r a6 jQNE Y
5 PER YSTEM INDLdTWAL
WASTE APPROVAL
INSFECTK�tJ RD
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Z
Plan check fee
PLUMBING PERMIT ISSUING FEE
TOTAL FEE
Plan check applicant
APPROVALS DATE ULSPECTO"61GNATURS
Name
LINDE2 SLAB WORK
Address RD"PLUMBING
city Tel.No. GAS PIPING
I H"I BY AMODIALEDGE THAT I RAVE RM THIS M►LICAT"N AND STAT! GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WTTH ALL COUNTY 0I09WK-ES
AAD STATE LAWS REGULATING PLUMBIWL HOT WATER HEATER
I HXRM CERTFY THAT I AM PROPERLY LICINSW AS PLUMBING FIX LIRES
REOU UiED eY L COONTY D STA OR TFNT I AY THI GAS TEST
LEGAL .MDI TO IDE Sm RESDUT1AL
PROP UTILITY CO.NOTIFIED
e TUHTi
F;NAL
PLAN CHECK VAU DATION cx ILO CASH PERMIT VALIDATION �a CASH
2 0 7 r JJN 27 5 0 1 0.0 0 Asa
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DM-17 To-" APPLICATION FOR PLUMBING PERMIT
DIVISION OF BUHDING AND SAFETY
Dopoximmmt of Cc=IT Fmuiawr
ccr 7 of Las )Lngv1K BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS Cr
CASSATT D,GRIFFIN SUF'T OF BUILDING
LOCALITY
FOR APP CANT TO FILL IN NEAREST
r CRO ST
OWNS 6 G b DISTRICT NO. GROUP ZONE 11-DY FOR INSIM-109
MAIL
ADDREIS
INDUSTRIAL
C O WASTE APPROVAL
PLUMBER ValleyUM ng Va. - INSPECTION RECORD
A,DDRESS 442 IN. Fleetwood
Glendora CITY TIL NO.
LICINGX NO.
NUMBQI TYTI OF FIRTURK OR ITW FII
WATER CLOSET (TOILET) Q $1.00
BATH TUI Ip 1.00
SHOWER $1.09
LAVATORY (WALSH BASIN) 0 ql.(>O
KITCHEN BINK Ip 1.OK>
DIaHWASHB••R 1.00
LAUNDRY TUI OR TRAY 01.00
CLOTHES WASHER 1.00
WA'i[R HEATER 1.00
GAS SYSTEM V1.00
APPROVALS
DATE 1N9PECT0TUYE
UNDER 64.4➢WORK
PER19IT 1 QO ROUGH PLUMBING
GAS PIPING
TOTAL FEE G"VENT
HEREBY A I HAVE READ THLS
AND STAT$ THAT THE ABOVE ET AO
CORRECT AND AGREE To COYPLY
HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATIAG
PLUMBING. - PLUMBING FIXTURE6
I H9REBT CERTIFY THAT I AM PROPERLY REGISTERED AHD/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY APD STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF. THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PR PERTY_
SIGNATURE
OF PIRMITT FINAL
JOHN A. LAMB11E. COUNTY ENGINKIER AUDATION R013ERT A.WOOD, CHIEF PL.I¢. INSPECTOR
E.•. GAIL
S 2 2 1. FEB 13 3 A 1 0.0 0