HomeMy Public PortalAbout10656 SPARKLETT ST_Plumbing__ >BAEB>-CERBIT P/es ( 1
APPLICATION FOR PLUMBI PERMIT
COUNTY OF LOS ANGELES
DEPARThIENT OF COUNTY ENGINEER Rise
BLTI�DING� SAFETY DIMION /o G
JO N A IE COUNTY ENGINEER
WILLIAM A 19NOCK Bur T OF BUILDING
LOCALTIT
FOR APPLICANT TO FELL IN CROSS T
ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $125 MAZ
SATs TUB 125 ADDRESS -
SHOWER 115 C[7Y TEL n0
LAVATORY lis CONTRACTOR
SINS 125 ADDRESS
DISHWASHER 125 CITY TEL NO
LAUNDRY TUB IAS CONTRACTORS STATE e
REGISTRATION NO COUNTY
CLOTHES WASHER 115 DIBTRI NO 6 Z PR B B
WATER HEATER ISO
s: 3
GAS SYSTEM OUTLETS 150 INDUSTRIAL a.
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM 20 INSPECTION RECORD V
DC
GO
y
a
N
Z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS ATLICATION GASVENT
AND STAT[ THAT TN[ ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY 01101NANCES AND STAT[ LAWS REGULATING
PLUMBING HOT WATER HEATER
1 HERmY CERT'
PY THAT 1 AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES MTY AND STAT[ OF GAS TEST ,'L
CALIFORNIA OR THAT
1 AM TH[ LEGAL O [ OF AND INTEND TO
REBID[ IN THE ABOVE O[ECRIB w[EIO AL ROP[RTv UTILITY CO NOTIFIED
SIGNATURE J
OF PERMITTE
FINAL
VALIDATION ROBERT A WOOD
CK M D CASH SUPERVISING MECHANICAL ENG R
_�. (x;00 3 8 8a JUN 23 5 0 3ZO- 9
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING SAFF
ETY
WILLIAM J FCX, County EnglplReer PLUMBING 1
FOR APPLICANT TD FILL IN DISTRICT "" Iry
s l� —/ I
PLUNGER R IVSD BY READY FO DAT[ ISSU—ED;?
FIRST INSPECTION �2 _�� �L..1
ADDRESS
BUILD
CITY TEL ND ADDR 6
COUNTY LOCALITY C/
LICENSE B
NEAREST
qn-
PERMIT FEES cpoeB er �j�c
NUMMR TYn[or nXTUR[am Irm. F[e OWNER
MAIL
WATER CLOSET(TOIL[l) @ DOD 1 O ADDRESS
BATH TUB Q DSO CITY TEL No
SHOWER @ 050 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 050 Q APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT
AMO AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK @ D BD AND STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I P13MEBS THE ABOVE VALID LOS
LAUNDRY TUS OR TRAY @ O SO ANGLES COUNTY LICENSE, OR 1 AM THE LEGA, OWNER
OF THE R[SIDENTIA PROPERTY DESCRIBED E
GAB OYST[M pLITLCTB @ O BO Q i
SIGNATURE OF _
WATER HEATER @ CBO � P[RNITT[
GLOP BINK @ 050 INSPECTION RECORD
FLOOR BINK @ O SO
MOOR DRAIN @ 050
DISHWASHER @ a SD
DRINKING FOUNTAIN @ O SD
URINAL @ 050 -1
Q
HOUR[ B[W[q @ ago _2
MISCELLANEOUS a
a'
APPROVALS
DATE IM8FC0TCI!; AMCP
ROUGH PLUMBING
OAS PIPING
BAB VENT
CESSPOOL @ lanal I CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 OO SEWER 1
PERMIT 1 DO BAB TEST
TOTAL FEE
UTILITY CO NOTIFIED
B
FINAL
T6A66T DDS#17 6-6E