HomeMy Public PortalAbout10532 1/2 DAINES DR_Plumbing__ 78A887«CC0817 9/63
APPLICATION FOR PLUMBIN PERM[
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �)
BUILDING AND SAFETY DIVISIONBUILDING [� `,_ j)
JOHN A LAMBIE. COUNTY ENGINEER LJ Z✓ '
WILLIAM A JENSEN, SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN CROASS TT.
NUMBER FIXTURE OR ITEM EACH FEE OWNER C L,J .r C.
/ WATER CLOSET 3125 MAIL
BATH TUB 1 25 ! ADDRESS
SHOWER 125 CITY TEL NO.
` LAVATORY 125 CONTRACTOR �� ��� co
SINK 125ADDRESS 2
DISHWASHER 125 CITE' EL. Ny' 3
LAUNDRY TUB 1 25 CONTRACTOR'S STATE
REGISTRATION NO. � �j r COUNTY
CLOTHES WASHER 125 a� DISTRICT NO GROUP ZONE PROCESSED BY
WATER HEATER 1.50 SQ -457, Q R^
GAS SYSTEM OUTLETS 1 INDUSTRIAL CL
WASE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .20 INSPECTION RECORD u
ad
0
u
W
a.V
I`N'Onw P _ 7�y (JCLG.QI.t41.1A.c6' � V 1 /�L1M.
COtt
AP�sF VALS DATE INSPECTOR 5 SIGNAT
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING -�V
TOTAL FEE GAS PIPING A
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 HOT WATER HEATER
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAb PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL i•L-3
U A DATION ROBERT A WOOD
CK M O CASH SUPERVISING MECHANICAL ENG R
{ALO 38 5 6 SEP 16 5 D 1 12 5,
78A887 -CE118117 4-64
APPLICATION FOR PLUMBING PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS .Q
WILLIAM A JENSEN, SUP T OF BUILDING '
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
EARCROSS ST
44
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 TIL
/1
BATH TUB 1.25 DREG
SHOWER 1.25 CITY CA, TEL NO.
LAVATORY 1.25 CONTRACTOR i
SINK 1.25 ADDRESS
DISHWASHER 1 25 CITY TEL. NO.
ATE
LAUNDRY TUB 1.25 REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO GROUP ZONE OCESSED BY,
WATER HEATER 1.50 j
GAS SYSTEM OUTLETS 10.
S0 INDUSTRIAL
WASTE APPROVAL a
0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
�— - I-
a
h
Z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 3150GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 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 HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT I AM, PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOOEOCRIBED RESIDEyj1A ROPERTV UTILITY CO' NOTIFIED
SIGNATURE Lai4//T
if
OF PERMITTEE �q0 p.
FINAL "J
VALIDATION ROBERT A WOOD
CK M o CASH SUPERVISING MECHANICAL ENG R
6 4 3 2 DEC 3 5 0 3.50-