HomeMy Public PortalAbout5449 SARA MAR LN_Plumbing__ 'EAaaT APPLICATION FOR PLUMBING PERMIT 1
Des n aDEi--ON OF BUILDING AND SAFETY
' Dapta�TSnn
Dep=t o3 County Engi
COIIBIT OI LcE Angim13E BUILDING
WM J FOX COUNTY ENGINEER ADDRESS
CASOATTD GRIFFIN SUPTOFBUILDDIO
LOCALITY
FOR PPLICANT TO FILL IN NEAREST
CROSS SIT
OWNER DISTRIC�. O GROUP ZONE PrEADY FOR INFPEITI°N
MAIL �. 16
ADDRESS V F1
INDUSTRIAL
CITY TEL-NO WASTE PPROV L
PLUMBER ! ( INSPECTION RECORD
ADDRESS
LICENSE NO O
NUN°ER TYFQ OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) S
BATH TUB
SHOWER
LAVATORY (WASHBASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO 080 APPROVALS
Q
GATE INSPECTOR 3 SIGNATURE
GASSY 100
WATER HEATER 1 00 UNDER SLAB WORK
ROUGH PLUMBING
PERMIT S 1 00
GAS PIPING
TOTAL FEE 2 D 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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
1 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 OW ER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY i
SIGNATURE
OF PERMITTEE FINAL
WILLIAM J FOX.COUNTY ENGINEER VALIDATION R A WOOD. CHIEF PLBG INlPECTOR
_G5 8 5 9- RL21 3 2.00 0
"A°"
D..IT III 74 APPLICATION FOR PLUMBING PERMIT
DIVISION OF BUMDING AND SAFETY
DBpaTtm.at of Coonnty EngIBNe
County Of tAp Angeles BUILDING
WM J FOX. COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN.SUP Tor BUILDINn
LOCALITY
FOR APPUCAM TO FILL IN NEARESTCROSS ST
QLD c/ BGd�
OWNER E DISTRICT NO GROyP ZONE AEAOY FOR INvin1ON
MAIL
ADDRESSaa 'B9Q46L4mv
INDUSTRIAL
CITY y 79L NO WASTE APPROVAL
PLUMBER I OCA A S INSPECTION RECORD
ADDRESS OO W
CITY TEL NO
LICENSE NO 2 Q
NUM8611 TYPE OF FIXTURR OR ITEM P[tUNDER"SL�AB
t„ N/� 6N[.
WATER CLOSET (TOILET) $ ir�i�_
BATH TUB (�
SHOWER `` {
LAVATORY (WASH BASIN) 1
KITCHEN SINK
DISHWASHER O
LAUNDRY TUB OR TRAY I
CLOTHES WASHER r
TOTAL NO ® 080 APPROVALS
DATE INSPECTORS SIGNATURE
I GAS SYBTE OUTLETS 1 OO I :0:00:::
WATER HEATER ® 1 00
ROUGH PLUMBING 3 21
PERMIT $ t o GAS PIPING
TOTAL FEE O GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO NOTIFIED
CALIFORNIA OR TH T 1 A THE LEGAL OW ER OF THE ABOVE
-DESCRIBED RSSIDEN AL PERTY
SIGNATURE
OF PERMITTEE FINAL
WILLIAM J FOX,COUNTY ENGINUM VALIDATLON
BY
R, � DEFun