HomeMy Public PortalAbout10150 DAINES DR_Plumbing__ 76A667-CES17 12/59 ' TEMPLE CRTC'
r /
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BJoiING AFnB E cNrYrIVISEON ADDRESSBUILDING/�d'�01.C�//!!
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY-
FOR APPLICANT TO'FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
BUILDING
WATER CLOSET
ADDRESS 47 `S Z>
BATH TUB
CITY Zy,%c TEL. NO.
SHOWER
LAVATORY C 0 N T R A C T,4c
,-f//ra-�,iivG
SINS ADDRESS ��
DISHWASHER CITY " TEL. NO.
CONTRACTOR'S STATE rjtr
LAUNDRY TUB REGISTRATION NO. ( COUNTY ❑
CLOTHES WASHER DIST ICT(N,O. OUP ONE P CESSED BY
WATER HEATER G a l
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
,,., �// o
W
67
PER ITEM
OR RE $ I 12 0-0
APPROVALS DATE INSPECTOR'S SIGNATURE
-H PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
I GAS PIPING '
1 -HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ,O I
LICENSED AS REQUIR OS ANGELES NTY AND STATE OF GAS TEST
CALIFORNIA OR TH I A THE LE/L_ OWNER OF 7HE ABOVE
DESCRIBED RESIDE TI L PR PER7Y. J L%A� UTILITY CO.NOTIFIED L_
SIGNATURE �<C� y
OF PERMITTEE
FINAL
®r )VALIDATION ROBERT A. WOOD,
Cs. N.O, CASH SUPERVISING MECHANICAL ENG'R
L y 417 — APR 1 2 5 D 5 .(-; 0
S-1 APPLICATION FOR PLUMBING PERMIT
+� (DIVISION OF BUILDING AND SAFETY
Depaxtment of County Engineer
County of Los Angeles BUILDING Q �
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN,SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN I NEAREST
CROSS ST.
MAILOWNER DISTRICT NO GROUP I ON I READY FOR INSPECTION
ADDRESS �O I�j
CITY TEL NO 'o3~J/ INDUSTRIAL
WASTE APPROVAL
PLUMBER /� — �- INSPECTION RECORD
ADDRESS / ✓V f p.. p
CITY � TEL. N0440 O -��x
LICENSE NO. IL.ICENSE NO. I�ur.3 3
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 �! /' / elid d6 en.�
BATH TUB - @ $1.00 A
GL
^� SHOWER @ $1.00
1 LAVATORY (WASH BASIN) @ $100
KITCHEN SINK @ $100
DISHWASHER @ $100
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1 00
WATER HEATER @ $1 00 '
GAS SYSTEM @ $1 00
o 1& 00
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SZ*E WORK p
PERMIT, $ 1100 ROUGH PLUMBING
lI
TOTAL FEE OD GAS PIPING
1
GAS VENT
I HEREBY ACKNOWLEDGE THAT f HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF v /�
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY. / jJ /
SIGNATURE 04V4 &
OF PERMITTEE p'-"-- FINAL
JOHN A. LAMBIE, COUNTY ENGINEERALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
6I.0 CASH
" Lj%0 51 47-v) FEB 14 3 1 1 .0 0