HomeMy WebLinkAboutN/ANUMBER
FIXTURE OR ITEM
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FEE
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LOCALITY Diamond -aar-i-,California
WATER CLOSET
BATH TUB
NEAREST
CROSS ST. Diamond Bar Blvd.
SHOWER
OWNER Diamond Ridcfe AJT Venture
LAVATORY
MAIL ADDRESS 2130 E. 4th St. -Suite 110
SINK
CITY Santa Ana Ca. TEL-NO-547-3987
DISHWASHER
CONTRACTOR Industrial Turf Inc (714 )
CLOTHES WASHER
ADDRESS P.O. BOX 2247
SWIMMING POOL RECEPTOR
CITY Laguna Hills CaT.L-NO- 837-1231
LAWN SPRINKLER SYSTEM
300
STATE LIC.
LICENSE NO.' 204588 CLASS C-2 7 A
DISTRICT NO. , GROUP ZONE PYOCESSED �Y
Z-f--391
WATER HEATER
GAS SYSTEM OUTLETS
OUTLETS OVER
5 FER SYSTEM
INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
Plan check fee
PLUMBING PERMIT ISSUING FEE $
6
00
TOTAL FEE
9
00
Plan check applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name
UNDER SLAB WORK
Address
ROUGH PLUMBING
City Tel. No.
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE
LEGAL OWNER OF, AND INTEND TO R S E IN THE ABOVE D CRIBED RESIDENTIAL
PROPERTY.
l,
SIGNATURE
OF PERMITTI
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST
UTILITY CO. NOTIFIED
FINAL
PLAN CHECK VALIDATION CK. M.O. CASH
0
0
z
PERMIT VALIDATION CK. M.O. CASH