HomeMy Public PortalAbout10635 DAINES DR_Plumbing__ TSASST -CERSIT 12-64 _ a
APPLICATION FOR PLUMBING PER
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BVI RING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS (�
COLEMAN W. JENKINS, SUPT OF BUILDING yOCALITY _
1 l
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE Y
WATER CLOSET $1.25 OWNER
MAIL
BATH TUB 1,25 ADDRESS �V), C IN LQ
CITY1 N TEL. NO.
SHOWER 1.25
LAVATORY 1,25 CONTRACTOR
SINK 1,25 ADDRESS G ('r• F'
DISHWASHER 1.25 CITY (i - �• SEL. NO. �3' (0�7
LAUNDRY TUB 1.25 CONTRACTOR'S STATE �{
REGISTRATION NO. �- `n� COUNTY �]
CLOTHES WASHER 1.25 DISTRICT NO - GROt1P- Z E P Jf ES O BY
WATER HEATER 1.50 _- )
CAS SYSTEM OUTLETS 1.50 INDUSTRIAL _ Y
WASTE APPROVAL O.
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD V
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE _ GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIOR PLUMBING FIXTURES
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LICENSED AS REQUIRED BY L05 NGELES COUNTY AND STATE OF GAS TEST U
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
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SIGNATURE '/ n
OFPERMITTEE �-v� "i,(
FINAL •� 'L, 0 C JAA �
/-V LIDATION ROBERT A. WOOD U
CK. 1 M.0. CASH SUPERVISING MECHANICAL ENG'R
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76A667A ICE 8I7BI- 11/76 �
APPLICAT ON IF R PING PERMIT
READY FOR RAL A � �°�Fn (Eyy FRI
BUILDING AND SAFETY DIVISION �STP(E`�u L1(ON
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
ADDRESS IIJ�O � J lr l t��1.F rJ:`
NUMBER FIXTUREORITEM ® FEE
WATER CLOSET LOCALITY l E GlT
NEAREST
BATH TUB CROSS ST. v
SHOWER OWNER
LAVATORY MAIL
ADDRESS 1 ( 7
SINK CITY TEL `N U s: I
DISHWASHER CO
FpC
CLOTHES WASHER
AD R � .N! A\(r
SWIMMING POOL RECEPTOR20 E 1 +0+ ' s_.
CITY t TEL•N -floe u (�
LAWN SPRINKLER SYSTEM
STA L11 . LIC.
WATERHEATER T LICENSE NO, CLASS
l V
GAS SYSTEMOUTLETS D RIC�N Gy Z PRO
NE CSSED BY
t([ u.�tj.r-�
OUTLETS OVER N
5 PER SYSTEM INDUSTRIAL G
WASTE APPROVAL V
INSPECTION RECORD V
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Plan check fee _
PLUMBING PERMIT ISSUING FEE$
TOTALFEE
Plan check applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name
UNDERSLABWORK .
Address ROUGH PLUMBING
City Tel.No. GAS PIPING
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED�AS PLUMBING FIXTURES
REDDI RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AMT GAS TEST
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE OE SCRIBED RESIDENTIA
PROPERTY. - UTILITY CO.NOTIFIED
SIGNATURE [// , n
OFPERMITTEE ` FINAL �+ p �_ /�`-•—C
PLAN CHECK VALIDATION CK. M.o, CASH PERMIT VALIDATION. CK. m.o. CASH
.,L - u ,.� r 5 3'-3 ffEB i 5. o
7.50
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CITY
76AGO7 •CEURIT 10.62 c MID
APPLICATION FOR PLU=NG PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER LDING / C
BUILDING AND SAFETY DIVISION ADBUIDRESS 6 �J
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN. SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN. NEAREST 9 0
CROSS ST. ate(
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 51.25 MAR
HATH TUB 1,25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1$5 CONTRACTOR
SINE 1,25 ASSESS
�S A
DISHWASHER 1.25 CITY TCONTRAdTOR'SEL.
�NO. 00 /�
LAUNDRY TUB 1.25 STATE
REGISTRATION NO. ` — / T/ COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP I ZONE PPWYCESSED BY
WATER HEATER 1.50 D .
50 INDUSTRIAL WASTE APPROVAL
GAS SYSTEM OUTLETS 1. O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
Z
A
1
f
APPROVALS DATE INSPECTOR 5 SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 3 oZ5
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS E APPLICATION GAS VENT
WANDITH
STATE THAT THE ORDINANCES
IE CORRECT AND AGREE E COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANDSTATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AND INTEND TO
RESIDE IN,THE ABOVE SCRI ED RESIDENTIAL PROPERTY, UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE FINAL .F
VALIDATION ROBERT A. WOOD ✓
cK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
4�0 0 7 B O U AP11 21 5 D 3.2 5
CANCELLED PST R f k cRi11IITTEE
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IGA667 -CE98I7 4-64
APPLICATION FOR PLUMBING PER IT
`COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
_ JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST �G
CROSS ST.
NUMBER FillXTURE OR ITEM EACH FEE 1
� OWNER
WATER CLOSET $1.25 Q MAIL �y
BATH TUB 1,25 s ADDRESS
SHOWER 1.25 CITY
LAVATORY 1,25 U CONTRACTOR 1
SINE 1.25 - ADDRESS
\ DISHWASHER 1.25 CITY TEL. NO
CONTRACTOR'S J STATE
LAUNDRY TUB 1,25
�1 REGISTRATION NO. / COUNTY
CLOTHES WASHER 1.25 yJ� DISTRICT NO. I GROUP ZONE CESSED BY
WATER HEATER 1.50 V
GAS SYSTEMOUTLETS 1.50 (J INDUSTRIAL a
—a -- WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
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as NOTBret MAQ4 -, .•, 4 _.`
APPROVALS DATE INSPIic OR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK I-L--& G ,
ROUGH PLUMBING ,. /�
TOTAL FEE tj
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS PPLICATION GAS VENT
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER.HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES Z ,A,
LICENSED AS REQUIRED BY LOS ANGELES CO AND ST T4)OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OW OF.AND 1 TO
RESIDE IN,THE ABOVE DESCRIB ES EN AL PRO ERT UTILITY CO. NOTIFIED v
SIGNATURE 3t
OF PERMITTEE
FINAL --7
r I ,(
�}LLIDATION ROBERT A. WOOD 1/
(::K // M.D. CASH SUPERVISING MECHANICAL ENG'R
L',UD 7 3 4 7—� JAN 7 5 D 1 5.00-