HomeMy Public PortalAbout10564,10600 DAINES DR_Plumbing__ 76A667C (CE-017M).-s/Ts
APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM @ FEE ADDRESS
WATER CLOSET LOCALITY TEMPLE CITY
NEAREST
BATH TUB CROSS ST.
SHOWER OWNER
LAVATORY MAIL
ADDRESS 10564 DAINES
SINK CITY TEMPLE CITY TEL. N0. -719
DISHWASHER CONTRACTOR AQUATIC POOLS
CLOTHES WASHER
SWIMMING POOL RECEPTOR ADDRESS 101 E. HUNTINGTON DRIVE
CITY ARCADLA TEL. NO. 446-4661
LAWN SPRINKLER SYSTEM
STATE LIC
WATER HEATER LICENSE NO. CLASS r
_ 2
GAS SYSTEM OUTLETS
DISTRICT NO. GROUP ZONE P OCE D BY
�' ('—(�
OUTLETS OVER
5 PER SYSTEM INDUSTRIAL
_ WASTE APPROVAL yVj
INSPECTION RECORD H
Plan check fee
PLUMBING PERMIT ISSUING FEE S
TOTAL FEE
Plan check applicant
Name APPROVALS DATE Ins PFCTOR•s swxw Tung
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel. No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I 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
LICENSED AS REQUIRED BY LO
5 ANGELES COUNTY AND STATE GP GAS TEST 140717L
CALIFORNIA OR THAT I AM LEGAL OWNER OF INTEN i0
RESIDE IN THE ABOVE D ESI AL P Y. UTILITY DO. NOTIFIED
SIGNATU RE
OF PERMITTEE FINAL
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDAT ON / CK' M,0. CASH
6 1 8�FEB 11 5 U 1 3.5 0 a=�
0
98A6O9( APPLICATION FOR PLUMBING PERMIT 1
oss-n DIVISION OF BUILDING AND SAFETY
' Department of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN,SuP T of BUILDING
. LOCALITY
FOR APPLICANT TO FILL IN I NEAREST p
/ G CROSS ST. CX�C
OWNER �✓IC�,� FDU
CT, ZO/ 7 ^'� GROUP �NE REPOY FOR INSPECTION
MAILADDRESSAL
CITY TEL. NO_ I PROVAL
PLUMBERI�� 9X7- amGrINSPECTION RECORD
ADDRESS/. AyCITY ���G /J TELN O./7/ Q sail � y j G�/S.�/ �F: �7/LICENSE NO.NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @� $1.00BATHTUB @ $I.Do �- /�� q 4�✓/ < /
SHOWER @ $1.00 _/ I ! '
/ LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1.00
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
f D qpE/ 1 ECTOR S SIG TUR
V UNDER SLAB WORK Ly
V / i
ROUGH PLUMBING —5%
F PERMIT $ 7 00
pJ GAS PIPING
TOTAL FEE .'S n
GAS VENT
1 HEREBY ACKNOWLEDGE THAT I 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. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
II LICENSED AS REQUIRED BY LOS ANGELES GO�1li A STATE OF r
CALIFORNIA THAT I AM OWN THE AedVE UTILITY CO.NOTIFIED �wvld
DESCRIBED RESIDER
SIGNATURE
OF PERM ITTE FINAL
JOHN A. LAMBIE. COUNTY ENGINEER ALIDATION ROBERT A. WOOD, CHIEF PLBG, INSPECTOR
0. CASH
Jj�S 7 7 11 oeT29 3 $;OO n
LL �