HomeMy Public PortalAbout10903 WILDFLOWER RD_Plumbing__ • r ,
817 APPLICATION FOR PLUMBING PERMIT 1
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f ' UILDING-AND SAFETY DMSION
Deportment of County Engineer
County of Los Angeles BUILDING
JOHN A.LAMBIE.COUNTY ENGINEER ADDRESoqlj.7S
CASSATT D.GRIFFIN.SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL+ IN NEAREST
CROSS ST.
OWNER DISTRICT NO. GROUP ZONE I READY FOR INSPECT.ION
MAIL
ADDRESS
INDUSTRIAL
CITY TEL,NO, WASTE APPROVAL
PLUMBER Valley uin ing ua. INSPECTION RECORD
• 442 W. Fleetwood FI.
• ADDRE
andora Ed m
CITY TEL.NO.
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00
A
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYST9M @ $1.00
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
Y �
ROUGH PLUMBING
PERMIT $ I 7 00 r
GAS PIPING
TOTAL FEE GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THISr APPLICATION r
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER ��/,s/ �/1 �fr I•'t�!+-:t•.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST �•��s /u�r i
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I THE LEGAL OWNER. OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL OPER
SIGNATURE
OF PERMIT T r FINAL /ate w;qi'v
ROBERT A.WOOD,
JOHN A.LAIVMBIE.COUNTY ENGINEER ALIDATION SUPERVISING MECHANICAL ENG'R
N.O. CASH
- - L 3 5 1 7 EN OU 18 3 1 0.0 0 2
7GA667A (CE 61781 -4/77
APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ) 4`/ J, /
NUMBER FIXTURE OR ITEM ® FEE ADDRESS / / / b
WATER CLOSET LOCALITY C3.
NEAREST
BATH TUB CROSS ST.
SHOWER OWNER
LAVATORY MAIL
ADDRESS
SINK CITY TEL.NO. YJ f j
DISHWASHER CONTRACTORQ - C 17 y1
CLOTHES WASHER ADDRESS f Q �� &--y- .4-cl
SWIMMING POOL RECEPTOR
CITY p ) Ci TEL NO. '�-
LAWN SPRINKLER SYSTEM
STATE / ¢ LIC.
WATER HEATER LICENSE NO. / Q CLASS
GAS SYSTEM OUTLETS DISTRICT NO.Q GROUP ZOLVE RID ED BY
OUTLETS OVER O 8 L_ '3 � C7
5 PER SYSTEM INDUSTRIAL v
/ WASTE APPROVAL C
INSPECTION RECORD v
W
ti
Z
Plan check fee
PLUMBING PERMIT ISSUING FEE$ ID
TOTALFEE Q
Plan check applicant
Name APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel.No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES �djJ `'[c'-; - :Ij:,,,fl���=�;�'•;
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE D CRIBED RESIDENTIAL
PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
556to-3Y 22 5 0 10.00ASZ