HomeMy Public PortalAbout10538 DAINES DR_Plumbing__ Z' 3 53
76A687 APPLICATION FOR PLUMBING PERMIT 1
DBS-17 10 SS
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING �j R
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS 10 538 E. Daines Dr.
CASSATT D GRIFFIN,SUPT OF BUILDING r�
LOCALITY Te n P Citv
FOR APPLICANT TO FILL INI NEAREST
CROSS ST
OWNER Carl Knei er DISTRICT NO GROUP ZONE READY FOR INSPECTION
MAIL _ 1 'A
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ADDRESS
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBER EARL, (PAT) STAT\MD EY INC. 2—,-- --7' INS ECTION RECORD
ADDRESS 2019 N. Hoyt P.O. 408 0
i
CITY El Monte TEL NODI 41559
LICENSE NO 149236
NUMBER TYPE OF FIXTURE OR ITEM FEE XT—146-v jN 2—,0'-r7 jl�vir
WATER CLOSET (TOILET) @ $1 00 $
BATH TUB- @ $1 00
SHOWER @ $1 00
1 LAVATORY (WASHBASIN) @ $100
KITCHEN SINK @ $1 00
DISHWASHER @ $1 00
1 LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $1 00
WATER HEATER @ $1 00
GAS SYSTEM @ $100
APPROVALS
DATE IN TORS SIG ATURE
UNDER SLAB WORK
ROUGH PLUMBING
PERMIT $ 1 00
OO GAS PIPING A/ry_/ �= !f.�e�t.F1
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES ��J
PLUMBING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST y �
LICENSED 5
CALIFORNIAORREQUIRED
OIDB
THATI ALO ANGELES
MAND A
HE L AL OWN
OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESID �.L PRO T
IGNATURE
SOF PERM TT ` FINAL
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A WOOD, CHIEF PLBG INSPECTOR
`K 3 5 5 4 LSRDEG 20 3 8.0 0 to