HomeMy Public PortalAbout10322 DAINES DR_Plumbing__ 76A667-CM17 8S9
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES L 3
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County Enginor ADDRE �+
CASSATT D. GRIFFIN, Supt o4 Building
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH,PIIS ADDRESS
CITY TEL NO.
SHOWER
LAVATORY CONTRACTORtZtta, ,
SINK -
ADDRESS c� �
DISHWASHER CITY TEL NO. STATE
LAUNDRY TUB REGISTRATION NO. e?-31C �L /LCOUNTY El
CLOTHES WASHER DISTRICT NO. G�ROU P ZONE I P CESSED BY
WATER HEATER J4
—�
GAS SYSTEM INDUSTRIAL:
WASTE APPROVAL
INSPECTION RECORD
$1.00 PER ITEM ��}}
OR FIXTURE $ C/� APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING 1. --t_
1 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
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST -'v� O /"✓:---t
CALIFORNIA OR THAT 1 AM THE $GAL OWNER OF THE ABOVE —
DESCRIBED RESIDENTI PROPERTY UTILITY CO NOTIFIED
SIGNATURE //L ` �f� `t
OF PERMITTE FINAL
®r VALIDATION 'ROBERT- WOOD,
CQ` ®.0. CASH SUPERVISING MECHANICAL ENG'R
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76A667-CE817 8-59 f
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES 3
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING d
TOHN A. LAMBIE, County Engineer ADDRES
CASSATT D. GRIFFIN, Supt of wilding LOCALITY �a
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL. NO.
SHOWER
L
•
LAVATORY CONTRACTOR
SINK ADDRESS L
DISHWASHER CITEL NO.
1Y
CONTRACTOR'S JSTATE ElLAUNDRY TUB REGISTRATION NO. �c—,- -/COIINTY
CLOTHES WASHER DISTRICT NO. GROUP ZONE PRqCESSED BY
.WATER,HUM
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
�RA -
PER ITEM I
FIXTURE $
0APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK v
TOTAL FEEROUGH PLUMBING
GAS PIPING
1 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
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS .REQUIRED BY LOS ANGELES COUNTY AND STATE OF 'GAS TEST '"y� d /— ✓':'-----�� _
CALIFORNIA OR THAT 1 AM .THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTI PROP RTY _
UTILITY CO NOTIFIED
SIGNATURE
OF PERMIT pr
FINAL
OF
VALIDATION 'ROBE RTOA. WOOD,
cs. M.o. CASH SUPERVISING MECHANICAL• ENG'R