HomeMy Public PortalAbout10160 DAINES DR_Plumbing__ D7DBS-176A6 . { APPLICATION 11 O 9PLUMBING PERMIT
DBS-17 1 O 55
DIVISION OF 'BUILDING AND SAFETY
Department of County Engineer AW
County of Los Angeles BUILDING L
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 10160 EoDa.ineS=Dr.
CASSATT D..GRIFFIN,SUPT OF BUILDING Temple City
-' LOCALITY
FOR APPLICANT TO FILL IN NEAREST
yy CROSS ST.
MEWIOWNER filen Williams DISTRI O. G P I Z' E I READY FOR INSPECTION
MAIL 5430 Cloverly �`''
ADDRESS
INDUSTRIAL
CITY Temple City TEL. NO. AT 7-37
7
WASTE APPROVAL
PLUMBER Parker Plumbing ;NSPTION RE ORD
ADDRESS 14617 E® Ramon. kfv /
CITY Baldwin Park TEL. NO. ED 5-1127
LICENSE NO. 114538
NUMBER TYPE OF FIXTURE OR ITEM FEE
2 WATER CLOSET (TOILET) @ $1.00
1 BATH TUB @ $1.00 1 00
1 SHOWER @ $1.00 1 00 '
2 LAVATORY (WASH BASIN) @ $1.00 2 '00
1 KITCHEN SINK @ $1.00 1 00
1 DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @. $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @' $1.00 '
GAS SYSTEM @ $1.00
F
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
is ROUGH PLUMBING
PERMIT $ 1 00
GAS PIPING
TOTAL FEE 12 CC ` GAS VENT
I HEREBY ACKNOWLEDGE THAT I 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 HE CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST �� va•.��i<v
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE /L`��ald- I? 91/1�
OF PERMITTEE W FINAL
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD,CHIEF PLBG. INSPECTOR
CK. M.®. CASH
I W h 5 6 3- mn29 3 �_ 2.0 0 In
F,p �
11
76A667 -CE#817 2-62 - yy rL,A )
APPLICATION r FOR PLUMBING PERMIT
MIT
ti COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS ®/ O /
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY ��/�'f &
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.25
MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.An IOD
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS P- 0 .�
DISHWASHER 1.25 CITY /y a TEL. NO.4 t, L
LAUNDRY TUB 1.25 REGISTRAT ON NO. 1"�_3 rl d COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP Z NE PROCE W D�Y
J
WATER HEATER 1.50 � �� -
GAS SYSTEMOUTLETS 1.50 �Q INDUSTRIAL
z WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 x INSPECTION RECORD
j 1s 0
+� 1�
eta
APPROVALS DATE d INSPECTIOR'S SIG-ATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE
GAS PIPING �7i�7 J;j 2f,w1,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATS;
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF /q )
CALIFORNIA OR THAT I .THE L AL OWNER OF,AND INTEND TO GAS TEST
L�: R.ESIDE IN,THE ABOV ESC IBED SIDEIAL�ROP Tv. UTILITY CO. NOTIFIED
IGNAr OF PER FINAL
VALIDATION ROBERT A.WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
ll l,o 0 4 0 8"10" SEP 20 5 D 4.7 5"