HomeMy Public PortalAbout9236 SPARKLETT ST_Plumbing__ 7"A D®17 11-w - - APPLICATION FOR PERE=
DEPARTMENT OFF LOS NG AND SAFETY U I�G I I�G
COUNTY F LOS ANGELES
� WILLIAM J.. FOX, oN1Er ENGINEER
APPLICANT TO 1 IN - i p)-CO
` 9
PLUMBER R[O[IY�D YY ^ READY MR
FIST INSPECTION DATE ISSUED
1 /T' - x
ADDRESS
1 BUILDING
CITY
TEL.N Z ADDRESS •..7 H
BOUNTY O OALITY
LICENSE1
NEAREST
PERMIT FEES CROSS ST
HUMBER Trr[or rl%TYRC on ITEM rR OWNER
MAIL
WATER CLOSET(TOILET) @ O BO p ADDR L
BATH TUB a O BO CITY �T[L No
SHOWER a O.BO 1 NER[BY AOKM D[ THAT 1 NAV[ R[AD TNIB
LAVATORY (WARN BASIN) ECT
a Coo %jDL1AGREE ottTO DOM W WITH ALL CTHAT IO NTY ORDINANABOVE to ROM
KITCHEN BINK @ 080 AND STAT[ LAWS R[G LATINO PWM d
VAUD LOS
LAUNDRY TUB OR TRAY a D.BO ANGEL O COUNTY LERTIFY THATIO[NS[C,OR A [ LEGAL OWNER
Or THE RESIDE 1 PR RIB[D ABOVL
SAS GYBTEM UTL[TB a 050
SIGNATURE OF
WATER HGT[R a O 60 P[RMITT[
I OLDP SINK a OBD INSPECTION RECORD
MOOR SINK a 0.50
MOOR DRAIN a coo
DISHWASHER a 050
DRINKING FOUNTAIN @ O.BO
URINAL a Goo J
t
NOUS[ B[W[R a O BO =_
MISCELLANEOUS F3
0
APPROVALS
DATE INIIrECTGR'[ HAM[
ROUGH PLUMBING
SAB PIPING
GAS VENT
CESBPOCL @ ICO CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) a I OO BEWER
PERMIT I.00 NAB TEST
UTILITY CO NOTIraD /)L
TOTAL FEE p31
FINAL
961115194A ICK 81761-11/76
APPLICATION FOR PLUMBING PERM T
BUILDING AND SAFETY DIVISION
FOR APPUCW TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM O FEE ADDRESS
WATER CLOSET LOCALITY
BATH TUB NEAREST
CROSS ST
SHOWER OWNER
LAVATORY DORESS G $ fY—
SINK CITYTEL NO
DISHWASHER CONTRACTOR
CLOTHES WASHER
ADDRESS RdA2
SWIMMING R7OL RECEPTOR
CITY At: TEL NO
LAWN SPRINKLER SYSTEM
STATE LIC
WATER HEATER LICENSE NO c-c CLASS C,�
GAS SYSTEM OUTLETS DISTRICT NO GROUP ZONE SY
?AE
UTLETS pL
5 PER SYSTEMW INDUSTRIAL
WASTE APPROVAL O
INSPECTION RECORD axV
r�0
0.
Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE '�
Plan check applicont
APPROVALS DATE INSPECTOR 5 SIGNATURE
Nome
UNDER SLAB WORT(
Address ROUGH PLUMBING
City Tel No GAS PIPING -7-# 7
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND A011EE TO COMPLY WITH ALL CW IfiY ORDINAMCLS
AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER
I HERESY CERTIFY THAT I AY MPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REWIRED BY LOS LES C TY AND STATE ORNIA OR THAT I AM THE GAS TEST 7
LEGAL
pYNEA OF AX IIfTE O RE510 IN TX! O OESCRIBlD RESIOEMTML
PROPERTY UTILITYCO NOTIFIED
SIGNATURE
OFPERMr E FINAL"`�py",�//,,���
PLAN CH K ALIDATION CK MD CASH
161���R( UT VjAr'LIDBATION �� O -cJd wH
ms
76A%67 (GE-117)-4/72 `
' APPLICATION POR PLU BING PERMIT
COUNTY OF'LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO ADDRESS (p ALGL1
HARVEY T BRANDT, COUNTY ENGINEER LOCALITY
LG
FOR APPLICANT TO FILL IN IPRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM ® FEE CROSS ST
WATER CLOSET 1 75 OWNER
MAIL
BATH TUB 1 75 ADDRESS
SHOWER 1 75 CITY TEL NO
LAVATORY 1 75 CONTRACTOR
SINK 1 75 ADDRESS
DISHWASHER 1 75 CITY A TEL NO��,yp1N
CLOTHES WASHER 1 75 STATE LIC
LICENSE NO CLASS G—h1
SWIMMING POOL RECEPTOR 1 75
DISTRICT NO GROUP Z FRO ESSED BY
LAWN SPRINKLER SYSTEM 1 75
WATER HEATER 1 75 WAS T��AAOVAL
GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM 30 O
O.
i
Plan check fee See Revere
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE Iva craw 5 SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ IS APPLICATION HOT WATER HEATER
AND !TATE THAHATHE ABT THE m CORRECT AND AORCOMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAW!S REGULATING
nuMelxo GAS TEST
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICEN3 ED AS RCOU I RED BY LOS ANGELES COUNTY AND !TATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER F AND INTEND TO
RESIDE IN THE ABOVE DESC BED RESIDE OPERTY FINAL 0
SIGNATU RE
OF PERMITTEE
PERMIT VALIDATION CK M 0 CASH
PLAN CHECK VALIDATION CK M O clr- 2 3 8 773 JUL 24 5 D / 1 0,0 O s
- I J