HomeMy Public PortalAbout10018 DAINES DR_Plumbing__ `,eAPPLICATION F•OR , PLUMBING PERMIT 1
IDBS-17.17 9.55
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles
•;
WM.J. FOX, COUNTY ENBUILDING-'/
GINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING r
LOCALITY
FOR APPLICANT TO FILL IN . CRASS sT , �'..�,•a,
OWNER DISTRICyNOGROUP �E READY FOR INSPECTION
MAIL a� �f-/
_ADDRESS - V/
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBER ' O ct� t.�...� INSPECTION RECORD
ADDRESS �Q ••% /
CITY r TEL NO O Q�O•�' L
LICENSE NO. 0 ✓�`�
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) '
BATH-TUB 1
SHOWER ,
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER -
TOTAL NO @ o so �b APPROVALS
• DATE INSPECTOR'S SIGNATURE
GAS SYSTEM OUTLETS @ 1 00
/ UNDER SLAB WORK -
WATER HEATER @- 1 00
PERMIT S
ROUGH PLUMBING I
• -1 00 q
GAS PIPING
TOTAL FEE GAS VENT
I,HEREBY, ACKNOWLEDGE THAT I"HAVE READ-THIS APPLICATION ' HOT WATER HEATER
AND STATE THAT THE ABOVEJS•CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES, AND STATE LAWS REGULATING PLUMBING FIXTURES ".
PLUMBING
i R HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/O
GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY. S✓� -
SIGNATURE /
dFPERM ITTEE' ���YYY �R'1i FINAL .
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION R. A.WOOD, CHIEF PLBG. INSPECTOR
: ACOS' 24 i ' _SEP21 3 8.6 0 `�