HomeMy Public PortalAbout10649 DAINES DR_Plumbing__ 76A667 -0E hB IT 2-62
APPLICATION FOR 'PLUMBING PERMI V u
COUNTY OF LOS ANGELES 1.
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEERWILLIAM A. JENSEN. SUPT OF BUILDING
ALISY L
FOR APPLICANT TO FILL IN CROSSSt
CAOSS ST. '
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 51.25 MAIL
BATH TUB 1.25 ADDRESS 71 . .17 0147
SHOWER 1.25
-
iCITY TEL. NO.
-
LAVATORY 1.25 CONTRACTOR C
SINK 1,25 ADDRESS d
DISHWASHER 1.25 CIN TEL. NO.
LAUNDRY TUB 1,25 -CONTRACTOR'S STATE,Q
,REGISTRATION NO. COUNTY Q
CLOTHES WASHER - 1.25 . OCE HDi)GBY
WATER HEATER LSO PZ
7jNO -,Grp
N
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL:
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD �-
V
O
F
V
6
N
Z
APPROVALS DATE INSPECTOR'SSI`GNATUHE
PERMIT S 2 00 UNDER SLAB WORK `
�J ROUGH PLUMBING I
TOTAL FEE T ® GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT f
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANOJOR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF.AND INTEND TO 1 \
RESIOE IN. THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED I ��
1
SIGNATURE *.4"
L
OF PERMITTEE FINAL 1/",9 I' J/ a?
.» �/ VALIDATION ROBERT A./WOOD F
(\_c- M.O. CASH SUPERVISING MECHANICAL ENG'R
LlaCo 9 6 0 5 JAN 1 5 5 D 3.5 0,
4
7GA667A ICE B 1%BI- 11/76
;w'APPLICATION FOR'PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS 10649 Da i nes Drive
WATERCLOSET LOCALITY Temple City.
BATHTUB NEAREST
cROSSST. Mr. G. D. McDonald Sc-"l-10A17-15-
SHOWER OWNER 1
0649 Dairies Drive
MAIL
LAVATORY ADDRESS Mr. C. D. McDonald
SINK CITY Temple City TEL.NO.442-5728
DISHWASHER CONTRACTOR E. L. PAYNE COMPANY
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CITY Arcadia TEL.No, 446-6118
LAWN SPRINKLER SYSTEM
TATE LIC.
WATER HEATER SCENSE NO. 120228 CLASS C-20
1 GASSYSTEM OUTLETS 3 00 DISTRICT NO GROUP ZONE PROC ED B�
OUTLETS OVERQ(/
5 PER SYSTEM INDUSTRIAL IL
WASTE APPROVAL O
INSPECTION RECORD V
of
u
W
6
N
Z
Plan check fee -
PLUMBING PERMIT ISSUING FEE$ 7 00
TOTAL FEE 1 0 00
Plan check applicant
APPROVALS DATE INSPECTORS SIGNATURE
Name
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel, No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THI5 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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNM OR THAT I AM THE GAS TEST
LEGAL OWNER OF,AND INTENpq RESIDE IN THE ABOV 'SCRIBED RESIDENTIAL
PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE yf "/1�./"
OFPER BE '^�J FINAL �— o No 1:01
S✓ 0 0 0/ Ab
PLAAN� ,a VALLIIDATION CK.. M.O. CASH PERMIT VALIDATION Q v CK. M.O. CASH
C%" `- -',j
a3 / a779 10 00 o Ln a es
TL
2.x
76A661 -CE6172.62 /�
/
APPLICATION FOR `PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER OGH4WILLIAM A. JENSEN. SUPT of BWLDINGITY
FOR APPLICANT TO FILL IN NEAREST `A //
{—
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET 51.25 - -MAIL
BATH TUB 1,25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
.umoing m Ing
LAVATORY 1.25 CONTRACTOR
/ ADp RESS
SINK 1.25 'I 2'!:-LAarnnn (;c
DISHWASHER ].25 CITY - -•6 .7 TEL. NO.
LAUNDRY TUB 1,25
CONTRACTOR'S
STATE ❑
REGISTRATION NO. COUNTY ❑
'CLOTHES WASHER 1.25 Z DISTRI T1 NO. GROUP ZONE P OCSSSEO BY
f WATER HEATER. 1.50 �J ( _J -� ,
GAS 5Y57EM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .00
- ( INSPECTION RECORD
�c
u
O
l3/G Al
I/Z2 4/m n ic;i '4 "&_- lr7
{{ �
/
ARPROVALSCJATE�J INSPECTOR'$$1 !S TYRE
PERMIT $ 2 OO UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO GAS VENT STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY /:o. y Ae
LRESIDE
H ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER }�j
MBING. I
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES �/w/LI /j
NSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
]
FORNIA OR'THAT I AM THE LEGAL OWNER OF.AND INTEND TO �y pJJ
IN, THE RBOVE DEBCRIBEO RE$IOENTIAL PROPS UTILITY CO. NOTIFIED � • �:yvy�NATURE _ Sr PERM ITTE �y 03
FINAL D
/V(ALIDATION ROBERT A. WOOD
M.O. CASH SUPERVISING MECHANICAL ENG'R
Lf1l06 9 5 6:' I101t1 4 5 D 1 3.75 c