HomeMy Public PortalAbout10635 SPARKLETT ST_Plumbing__ Tee SST-C ERIIT 5/03 v
APPLICATION FOR PLUMBING( PERMIT
COUNTY OF LOS ANGELES
DEP[A]j��R�TpTMENT��IIVOV��F COUNTY D�IO� eaDDn�a
JOTiN A LAMf31E OG UHTY ENGINEER SDI / ���
WILLIAM A JENSEN Sul T OF BUILDING LOCALITY
FOR APPLiCAM TO FII.L IN D I
NUMBER FIXTURE OR ITEM EACH PEE OWNER
WATER CLoftr 71'{5 MAR
RATH TDD 175 ,ADDRESS jK
SHOWER 175 / CITY / ^z
LAVATORY 175 CONTSJTCTOR
• ADDRESS
am 175
DISHWASHER 175 CITY TEL HO
LAUNDRY TOB 175 CONTRACTOR'S STATE
REGISTRATION NO �� COUNTY e
CLOTHES WARREN 125 DIBTRI NO GROUP ZONE ► OCEee BY
WATER HEATER 15O J
Y
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GAR SYSTEM-OUTLETS- I so INDUSTRULL
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM AO INSPECTION RECORD w
6- U hD NJ 0
L z
APPROVALS DATE INS CTOR 9SIGNATURE
PERMIT S 2 OO UNDER SLAB WORK - I'-�-(l i i Qp i
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HERUY ACKNOWURDDE THAT I NAVE Rue THI A LICATION GASVENT
ANO STATE THAT TH[ ABOVE IS CORMCT AND AGR[,
TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PIGKRINo HOT WATER HEATER
I H[R9lY CERTIFY THAT I AM PROMRLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS RSGYIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST 3�
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO
RMOE IN THIS AwvE DEKRISED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE P
OF PERMITTEE
FINAL
/--_VALIDATION ROBERT A WOOD
K o CASH SUPERVISING MECHANICAL ENG R
`- AD96903 JUN 4 5 D 10.00"
76AG57-C ERS17 5/63CERMIT/-e
APPLICATION FOR PLUMBING
COUNTY
p OpF LOS ANGEL FS
DEP 1N� C� INfr R Bxg%'Kc k'
B o IIAGLA IE OUN, NGINEER ADaeCeBA/Z !TEL
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WILLIAM A JENREN MIP T OF BUILDING
LOCALITY
FOR APPLICANT TO FELL IN NEAREST
EARESS T
T jl1a
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 4115
BATH TUR 125 ADDRESS j"
SHOWER 115 CITY No
LAVATORY 175 rRA"ROVAL
SHR 175
DISHWASHER 125 NO
LAUNDRY TDB 115 B STATE ❑
NO COUNTY a
CLOTHES WARREN I45 NO 6ple FR��RpQ�CIll�Bl[/D'� er
WATER HEATER ISO „ I L��0.„Y'4,4yr`
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CN SYSTEM OOTLITYAL
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OtiTLE17 Ov® f P� BTBTE44 >eINSPECTION RECORD V
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to
Z
APPROVALS DATE INSPECTOR 8 SIGNATURE
PERMIT S 2 OO UNDER SLAB WORK
— ZZ _n ROUGH PLUMBING
TOTAL FEE S r GAS PIPING
I HE.0Y ACKNOWLEDGE THAT 1 HAVE MEAD THIN A14LICATION GASVENT
ANO STATE THAT THE ABOVE IN CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY OEDIMAMCES AND STATE LAWS RZOULATINO
HOT WATER HEATER
PLUMSIMG
I HER CKWIFY THAT I AM PROPERLY REAIRERED AND/OE PLUMBING FIXTURES
uClN SED AS REGUI RED Ev-EOE ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM E LEGAL OWNER OF AND INTEND TO
REEIOR IN THE ABOVE nf8VI39D RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
r
OFPERM!
OF PERMITT!!
FINAL
VALIDATTgN---., ROBERTA WOOD
CK M o CASH SUPERVISING MECHANICAL ENG R
LAGOO 3JM23)V�-
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COUNTY Ok LOS ANGELES APPLICATION FOR PERMT
Department of County EngineerPLUMBING
DMSAFSION OF BUILDING & SAFETY
WILLIAM J FOX, CountyEnsleee7
FOR APPLICANT TO FILL IN 'T— y
'-Zs�'r-
PLUMBER VALLEY BOULEVARD PLUMBING CO, R Ivm BY READY FOR DAT[ IBBUED
FIRST INSPECTION �� a_
ADDRESS 8300 EAST VALLEY BLVD
CITY ROSEMEAD TEL NO AT 2-2729 ADBUI
Dw ea
DDUNTY93iM 6.30-
MSE p PI LDenLOCALITY -�i
NEAREBT
PERMIT FEES CRDSB BT
PLAVATORY
OF IIXTIR[DR ITEM FEE OWNER
MAIL
ET(TOILET) e COD B O ADDRESS
0 O SO CITY T[ No
® 050 1 HEREBY ADKNOWLEDGC THAT 1 HAVE READ THIS
ASH BASIN) ® O BO APPLICATION AMD STAT[ THAT THE ABOVEIB CORRECT
AMDABBEC TO COMPLY WITH ALL COUNTY ORDINANCES
K ® O SDAND STATE LAWS REGULATING PLUMBING
aICERTIFY THAT I POBBESS THE ABOVE VALID LwB OR TRAY m DSO 6 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
'u�. OF THE REBIDENTIA PROPERTY DESCRIBE ABOVE.
BAB SYSTEM UTLETB O O SO vv r
SIGNATURE OF
WATER NEATER O 0150 Od PERM ITTE
SLOP BINK a DOC INSPECTION RECO
FLOOR BINK O O SO
FLOOR GRAIN 0 Oso
DISHWASHER @ COG
DRINKING FOUNTAIN A DOD
URINAL O BO Q
HODS[ SEWER • 1350 _Z
MISCELLANEOUS F3
0
APPROVALS
DATE INeFEDraB a NAM[
ROUON PLUMBING
GAS PIPING b
GAS VENT v I
CESSPOOL ® ion CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 SEWER
PERMIT I w GAB TEST
TOTAL FEE
UTILITY QO NOTIFIED
8
FINAL
TOA66T DHS#17 6-38