HomeMy Public PortalAbout10644 SPARKLETT ST_Plumbing__ 70MR57A ICE B1>O1 11"S
APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPEI BUILDING
NUMBER FIXTUREORITEM 0 FEE ADDRESS
WATER CLOSET LOCALITY
BATHTUB NEAREST
CROSS St
SHOWER OVINE
LAVATORY MESS
• SINK CI ro, j eq, TEL NO
DISHWASHER OONTRACTOR
CLOTHES WASHER
I ADDRESS
SWIMMING POOL RECEPTOR
CRY TEL NO
LAWN SPRINKLER SYSTEM
STATE UC
WATER HEATER LICENSE NO CLASS
GAS
``SYSTEM
� OUTLETS 3 as-06 G� Z /E P SSE
D BY
SOPER SYSTEMR INDUSTRIAL
WASTE APPROVAL O
INSPECTION RECORD V ,
K
O
Plan check fee —
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE
Plan check applicant
Name APPROVALS DATE INSPECTOR 5 SIGNATURE
UNDER SLAB WORK
Address ROUGH PLUMBING
City 'Tel No GASPIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MPL TION AND STATE GAS VENT
THAT THE ABOVE IS CORAECT AND AGREE TO COMPLY W ALL COUNTY ORDUNNCES
Arm STATE LAWS REOUTAnNG P MBING HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AMD/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STAT!OF CALIFORNIA OR THAT I UA THE (SAS TES
LEGAL OWNER OF AMD INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY UTILITYCO NOTIFIED
SIGNATURE
oPPeRMlrfe FINAL
PLAN CHECK VALIDATION CA MO CASH JPTIT VALIDATIONr cK 0 CASH
04 6t, - 0 14( M e
R
mE
COUNTY OF LOB ANGELES APPLICATION FOR PERMIT
Department Of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J FOX County Engineer PLUMBING 1
DISTRICT NO. G
FOR APPLICANT TO FILL IN 5r A-1 26-2-8-r-32-
PLUMBER
-ZBJ 3ZPLUMBS VALLEY BOULEVARD PLUMBING CO. RED IVVED BY READY FOR DAT[ ISSUED
FIRST INSP[OTION
ADDRESS 8300 EAST VALLEY BLVD. -A0—v__3
BUI O
CITY ROSEMEAD TEL No AT 2.2719 ADOR
COUNTY 6-30- LOCALITY
LICENSE O Ip
NEAREST
PERMIT FEES CROSS ST
C
NNM.LII TM OF II%TIR[an ITEM F[[ OWNER
MAIL
WATER CLOSET(TOILET) • 056 B ADDRESS
BATH TUB • 054
Q CITY TEL. No
SHOWER @ 0. 1 HEREBY AOKNOWL[DGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) • 040 D APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT
AND ADR[[ TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK • 040 AND STAT[ LAWS REGULATING PLUMBING
1 CERTIFY THAT i POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY @ O O AND&" COUNTY LICENBE. OR I AN THE LEGAL OWNER
DF THE RESIDENTIAL OPCRTY DESCRIBED AB L
GAB SYSTEM OUTLCTB • O O v V
SIGNATURE Or
E
WATER HEATER • O O P[RMITT[
BLOP BINK @ also INSPECTION RECORD
FLOOR BINK • BO
MOOR DRAIN • CLSO
DISHWASHER • So
DRINKING FOUNTAIN • BO
URINAL @ O O -1
a
NOUS[ S[W[q • C a Z
MISCELLANEOUS
D
O
APPROVALS
DATE IH.IcmoR. NAM[
ROUGH PLUMBING yy��
OAR PIPING T/
DAB VENT
CESSPOOL • LOO CESSPOOL
BEPT10 TANK I I SEPTIC TANK
DRAIN ( ) PIT ( ) @ IOU I SEWER
PERMIT �100 GAB TEST
TOTAL FEE S X Q UTILITY CO NOTIFIED
V FINAL
T6A88f DEB#17 6-62