HomeMy Public PortalAbout10532 DAINES DR_Plumbing__ APPLICATION FOR PLUMBING PERMIT
DIVISION OF BUILDING AND SAFETY E=
' Deportment of County Engineer =`
County of Los Angeles BUILDING
ADDRESS
JOHN A LAMBIE, COUNTY ENGINEER ADD
CASSATT D. GRIFFIN.SUP T OF BUILDING
LOCALITY
FOR APPLICAM TO FILL IN NEAREST
CROSS ST
OWNER ` DISTRICT NO GR�)UP
ZONE I READY FOR INSPECTION
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MAIL i
ADDREINDUSTRIAL
SS `J
CITY TEL NO 5�6 � WASTE APPROVAL
PLUMBER ` �,'P �J I�NSPECTI//ON RECORD
ADDRESS
CITY TEL NO C/Gz� / At
LICENSE
/
NUMBER TYPE OF FIXTURE OR ITEM FEE ��� / ./'v`�
WATER CLOSET (TOILET) @ $1 00 $ f
BATH TUB @ $1 00
SHOWER @ $1 00
LAVATORY (WASH BASIN) @ $1 00
KITCHEN SINK @ $1 00
DISHWASHER @ $100
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $1 00
WATER HEATER @ $1 00
GAS SYSTEM @ $1 00
01
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING I
GAS PIPING A
TOTAL FEE i
GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES _
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF p-
CALIFORNIA OR THAT I AM THE LEGAL WNER OF THE ABOVE UTILITY CO NOTIFIED 6r
DESCRIBED RESIDENTI PROPERTY
SIGNATURE �I
OF PERMITTEE FINAL
JOHN A LAMBIE, COUNTY ENGINEER VALIDATIC_*L—.,,ROBERT A WOOD, CHIEF PLBG INSPECTOR
• CK m 9 CAS
,C-0 7 6 5 3 6 RPR 2 9 3 2 .0 0 to
76A667-CE817-8-58
APPLICATION FOR PLUMBING PaRKIT �. �-
COUNTY OF LOS ANGELES QS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAMBIE, CountF Engineer ADDRESS
CASSATT D. GRIFFIN,Supt of Building
LOCALITY /
FOR APPLICANT TO FILL IN NEAREST ��
CROSS ST.
NUMBER FIXTURE OR ITEM
FzUTSGfi�
WATER CLOSET OWNER _g p
BATH TUB DRESS O S ) AIAja �\
SHOWER CITY TEL. NO
LAVATORY CONTRACTOR
SINS ADDRESS
DISHWASHER CITY TEL. NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHER DISTRICT NO GROUP ZONE1 ,4—(
P CE S BY
WATER HEATER
/ GAS SYSTEM MDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
�7 APPROVALS
/ ER ITEM
OR FIXTURE $ / v
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $1 2100 ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 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.
SIGNATURE
OF PERMITTEE FINAL
ROBERT A.WOOD
®FOVA VALIDATION SUPERVISING MECHANICAL ENG'R
CK. Id 0. CASH
1 ACL)6 1 1 4 MAY 4 5 A 3.0 0