HomeMy Public PortalAbout10627 DAINES DR_Plumbing__ 76A667-CE017 12/59
APPLICATION FOR PLUMBING PERMIT-
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER / I/'BUILDSION BUILDING
ING A. AMBIE,AND COUNTY EN`G NEEER ADDRESS ItG G g /
WILLIAM A. JENSEN. SUPT OF BUILDING
- LOCALITY G ,
FOR APPLICANT TO FILL IN NEAREST
CROSS ST,
NUMBER FIXTURE OR ITEM - OWNER
f�
WATER CLOSET MAIL
ADD ESS BATH NH
SHOWER CITY TEL. NO. -
CONTRACTEK
LAVATORY
SINK ADDRESS �:-
DISHWASHER CITY TEL. NO.
CONTRACTOR'S E Li }
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHER DISTRCT N I GROUP ZONE P CESSED
WATER HEATER S
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD y
0
1 0
V
W
O
F
U
W
a
W
z
SLOG PER ITEM
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00kHOT
R SLAB WORK
TOTAL FEE H PLUMBING
21-1 � , IPING
I
HEREBY ACKNOWLEDGE THAT I CHAVEORRECT
READ THIS ATO CO TIDYENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO REGULATING
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ATER HEATER
UMBIN1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ORBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFESCALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVEDESCRIBED RESIDENTIAL PROPERTY. TY CO.NOTIFIED
SIGNATUREOF PERMITTE y p
®. VALIDATIOOROBERT A. WOOD,
Cc. M.0. cnsN SSUPERVISING MECHANICAL ENG'R
;P _; U 7 4 E Au5 1
I 6 5 D 3 .00
70A667-CE817 3.59 /
APPLICATION FOR PLUMBING PERMIT �]
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING Q +'Z s I_
JOHN A. LAMBIE, County Engineer
ADDRESS 2
CASSATT D. GRIFFIN, Supt of Building LOCALITY
FO;LAUNDRY
CANT TO FILL IN NEAREST
CROSS ST.
NUMBERFIXTURE OR ITEM /
OWNER
If CLOSET MAIL
UB ADDRESS "
CITY TEL. NO.
R
RYCONTRACTOR Alert Plb & HtUVATADDRESS 13933 S. Crenshaw Blvd.SHER GITT Hawthorne T� NO• Os - 6 1
CONTILACTOR'Y TUB REGISTRAAT ONSNO. 168479 C-36 COS WASHER DISTRIGTNO. GROUE ZONE PRO SED BY HEATERSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
,�=3/—A'O AIO
/ 51.00 PER ITEM y
OR FIXTURE $ WLARK'
PROVALS DATEE. INSPECTOR'S SIGNATURE
PERMIT $ 2 00 LAB WORK4,170`44
TOTAL FEE PLUMBING tp ING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIONTAND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLYWITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATINGTER HEATERPLUMBING.1 HEREBY CERTIFY THAT 1'AM PROPERLY REGISTERED AND/ORNG FIXTURESLICENSED AS REQUIRED BY LOSANGELESCOU Y ANO STATE OFTCALIFORNIA OR THAT I AM THE LEGAL OW OF THE ABOVE
DESCRIBED RESIDENTIAL OPE T CO. NOTIFIEDSIGNATURE
OF PERMITTE '' � "mfr>
®r
VALIDATION ROBERT A. WOOD.
' B.o. GSH SUPERVISING MECHANICAL.ENG'R
ff ACO,9 +5 0,45- APR 19 5 A 9.0 0