HomeMy Public PortalAbout10647 DAINES DR_Plumbing__ 76R667 -CE#817 2-62
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APPLICATION FOR PLUMBING P `RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBI E. COUNTY ENGINEER ADDRESS 106 1/
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
"L WATER CLOSET $1.25 Z 6) MAIL
BATH TUB 1.25 yJ/ ADDRESS
SHOWER .1.25 lCITY TEL. NO.
'L LAVATORY '1.25 7 ' O C 0 N T R A C O t '
SINK 1.25 A DRE H /l I V
DISHWASHER 1.25 CITY 193017 C_3 J SEL. NO.
-CONTRACTOR'S STATE ❑
LAUNDRY TUB 1.25 REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 'y O15TR1 CT NO. GROUP 7,ONE 6€SSED BY
WATER HEATER L50 Q '- \
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .00 INSPECTIONS RECORD.
APPROVALS ATE INSPECTOR'S SIS�GNO;IURE
PERMIT S 2 00 UNDER SLAB WORK /I i I //.:���" �y�.
ROUGH PLUMBING /11 J/ 1A 1
TOTAL, FEE -/
GAS PIPING
L HEREBY THAT
TH ABODGE THAT I CORRECT
READ THISGRE APPLICATION GAS V ENT
AND STATE THAT THE ABOVE IS CORRECT ANO AGREE E COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER .w
PLUMBING.
.I...
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIoR PLUMBING FIXTURES 9
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST )A.0 q
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO /pp. FFqq
RESIDE IN.THE ABOVE DESCR ED REST NTIAL PROP iT. UTILITY CO. NOTIFIED
SIGNATURE YA rr /� // 1,
OF PERMtTT
FINAL
/VALIDATION ROBERT A. WOOD
M.o. CASH SUPERVISING MECHANICAL ENG'R
L o b 9 5 5 NOY 14 _ 5 D 1 3.75- VN
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7GA667 -CE#BIT 262
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FADDRESSNG i S
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAMA. JENSEN. SuP'T DF BUILDINGITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 lie
MAIL
BATH TUB 1,25 ADDRESS
SHOWER 1.25 CITY1 � „ TEL. NO.
LAVATORY 135 -CONTAAC OR ♦
SIN% 1.25
ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 135 CONT CTOR' - STATE.�A
REGISTRATION NO. ';fi�� COUNTYlp
CLOTHES WASHER 1.25 DI�RICT NO,� GR P Z NE P OCESS/EpD�BY
WATER HEATER 1.50 , U
GAS SYSTEM OUTLETS 1'50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .00
INSPECTION RECORD
O
U
G' �
O
' U
W
a
N
Z
APPROVALS DAT,E/� INSPECTOR S SIG H ATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING -
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT J '
AN 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 AND/OR PLUMBING FIXTURES t
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST \
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.ANOiNTEND TO
RESIDE IN, THE ABOVE DESCRIBED ESI,E IL PROPERT UTILITY CO. NOTIFIED
'f
510E PERMITE h /' � ~
FINAL
OAIJDATION / '
ROBERT A. WOOD
M.0. CASH SUPERVISING MECHANICAL ENG'R
UG.9 6 0 4 Go JFlti 15 5 D 3.5 0-