HomeMy WebLinkAboutOC_294685 - PermitsREGIONAL OFFICE APPLICATION FOR PLUMBING PERMIT MAw'OFFICE
COUNTY OF ORANGE BUILDING AND SAFETY 400 CIVIC CENTER DRIVE WEST
-26052 GETTY DRIVE -"MAILING- ADDRESS -
,.LAGUNA NIGUEL, CALIF -92677 P,O BOX 418 - SANTA ANA, CALIFORNIA 82701
714-831-2610 SANTA ANA, CALIFORNIA 92702 714-834-2626
BUILDING J 0
ADDRESS J M
TRACT LOT NO' r;
ORAREA ',.
/�01
(�/-
CONTRACTOR-]`'�tp7 c,A _.
NEAREST -
CROSS STREET
OWNER .
ADDRESsZ
CITY '. NOL��
PROPOSED; PRESENT
USE - USE',
State Compensation
Ins. Policy.No. Exp;°Date
- f
"I Certify that the following StateContr and Classificatione%sInfull forceamleffect".
._�!'I HerebY Certify I arp exempt from Sec -031.5 of�the eusiBATH
mess & professional Cone, DIv.3, Chap., Contractors'License
(Lawudder the following sect ion Owner-�ec 7044 ( );Minor Work Under $100-Sec.7048LAVATORY
nor employee wdrking for Wages Only See.7p53(OtherKIT
PERMIT FEES
TYPEOF FIXTURE OR ITEM FEE
WATER CLOSET (TOI'LET).
TUB -
FNO
SHOWERSTALE
(WASH BASIN)i
HEN SINKE] GARBAGE DISROSAL❑ -"-KITCHEN
..❑
I'I Certify that In the performance of the work forlwhich this
(permit is issued, I shall not employ any person in ahy manner '
so as to became su4ject to the Wopkmen�s compensation
',Laws of California".
1 Hereby acknowledge and state thatithe-into rmation I have
(provided is cornett and Ct0 comply with 11 County Ortli- '
1 l -
Inances �-d Sfse aww as tag ti'ullding 4d%struction'".
S19 atur ��a Datell
fJORV TRAVOAUTO.WAS H.MACH ❑
DISFIWASH4R
SERVICE SINK I'. I
'` 1
I OR SINK - I
FLO l
-
FLOOR DRAIN -I
URI AL I i
INSPECTION RECO FID
-I DRI-NKING FOU'NTlifN
� I
SANG TRAP ❑ INTERCEPTOR 0
if I
' SWIMMING POOL RI CTER !
gpPROVAL,S -DATE •I nsPector's Signature...
:
GROUND WORK -SOIL ONLY
t
a :.
� 1
..:
i WATER HEATER I,I
- I
y WATER SOFTENER
GROUND WORK WITH
WATERPIPE❑ GASPIPE❑
' LAWNSPRINKLERS (RES ❑COMM.❑ i
ROUGH PLUMBING
TRAILER HOOK-UP - j
GASIPIPING TO
"' NO. OF -OUTLETS NATO ';
WATER HEATER
AUTO.'FI RE SPR. S:V5TEM'
SEPTIC TANK i
s
MAIN DRAIN
SEEPAGE FIT i
I I
SEWER
GAS TEST '-
7�.�24
--
F.
OUSESEWER(VALUATION)
-
- SEPTIC TANK
SPRINKLER SYSTEM
1
' SEEP -AGE PITS) , I
1 I
FINAL
j
'Z 76
' LEACHING FIELD -
UTILITY CO NOTIFIED
PERMIT ISSUANCE 3 00
9 BILDIN ERMITNUMBE
(TOTAL FEE $
REC'iD BY OWNER PLAN, i
I CHECKED BY; ;
1 AUL 1'76 294,685 VHLIUH i9.00+ v 13 JA /V 9.00*
I i & lq7
I
•CASHIER DATE PERMIT NO.. PIERMITIFEE -. CODE. PLAN'CHECK -. .TOTAL