HomeMy Public PortalAbout10534 DAINES DR_Plumbing__ APPLICATION F®R �PL.UMBING PERMIT
SION OF BUILDING AND SAFETY
j Department of County Engineer
County of Los Angeles BUILDING
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS 10514 E, Daines
CASSATT D GRIFFIN,SUP T OF BUILDING LOCALITY Temple Cit
FOR APPLICANT TO FILL IN NEAREST
CROSS ST Halifax - Lower Azusa
OWNER Zamipese & De Benedet D
ISTRICT NO GROUPI TON I R EADY FOR INSPECTION
MAIL ADDRESST ,•,.CITY TEL NO GI 44 p� OVAL
PLUMBER EARL (PAT) STANDLEYINC. INSPECTION RECO�RyDADDRESS 201/ N.Hoyt P.C® C bhec ,;/ /1CITY E1 Monte TEL NO G v .'-
LICENSE NO 149236,
NUMBER TYPE OF FIXTURE OR ITEM FEE
1 WATER CLOSET (TOILET) @ $1 00 $ CA-4 f_
1 BATHTUB - @ $1 00
SHOWER @ $1 00
1 LAVATORY (WASH BASIN) @ $1 00 .f•L-Q
KITCHEN SINK @ $1 00-
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $1 00-- _ -a�-Z)
1 CLOTHES WASHER T @ $1 00
WATER HEATER @ $1 00-r-
1 GAS SYSTEM @ $1 00
S APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING `-
GAS PIPING Z f /L/i�7 f
' TOTAL FEE 9 00 - "Ile I
GAS VENT /�,�,`
HEREBY ST TE THAT ACKNOWLEDGE
EABOVEH ST CORRECT AND AGREE I HAVE READ THIS TION
ANDCOMPLY HOT WATER HEATER '/rT V1WITH ALL
PLUMBING COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES �� �'yd
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL O NER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTI L PROPERTY
SIGNATURE
OF PERM ITTE FINAL
JOHN A LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A'WOOD, CHIEF PLBG INSPECTOR
CK Id 0 CASH
- l
LI Co 7 3 22�tu'; APR 1(g 3 9.o o M