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Home My Public Portal About10817 DAINES DR_Plumbing__ CE 917 IRE V,6/18) ®S APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPEI ADDRESS o BUILDINGG, NUMBER FIXTURE OR ITEM - ® FEE r_ WATER CLOSET LOCALITY !• �� 1 NEAREST BATHTUB CROSS ST. (� SHOWER OWNER LAVATORY MAIL - ADDRESS _% .SINK CITY / C e s� TEL.NO. DISHWASHER CONTRACTOR C — F 606T CLOTHES WASHER ADDRESS 7 U- "6y ple SWIMMING POOL RECEPTOR CITY TEL.NOy r LAWN SPRINKLER SYSTEM STATE UC. WATER HEATER LICENSE NO. S091 CLASS Cf GAS SYSTEM OUTLETS Qa APPROVALS - DATE INSPECTOR'5 SIGNATURE OUTLETS OVER .UNDERSLABWORK- 5PERSYSTEM ROUGH PLUMBING } GAS PIPING 6 O GAS VENT V me HOT WATER HEATER O PLUMBING FIXTURES GAS TEST N Plan check fee UTLITYCO.NOTIFIED Z PLUMBING PERMIT ISSUING FEE$ p0 TOTALFEE �d . FINAL Plan check applicant PLAN CHECK VALI DATI N Name Address City Tel.No. p '1 '1 p A J I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE • L I q4 0.4 THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY W ITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION # o O O o O rj 1 HERE BV.CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE 2 O O , 0,0 0 LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY, O O O 1 Q 0 0 is SIGNA7UE Q' _ OF PERMITTEE A' - _ 7, DISTRICT NO. PR ESSED BY 5-. 0� INDUSTRIAL .WASTE APPROVAL _ 76A667-CE� 817 10-67 APPLICATION FOR PLUMBIN6 PERMI-f COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION 1BUILDING ADDRESS �Cd/J y/NG K JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY C 0�2 FOR APPLICANT I'D FILL IN PR NT OR TYPE) NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 S U MALL IV BATH TUB 1,50 ADDRESS SHOWER 1.50 CITY TEL. NO. LAVATORY 1.50 CONTRACTOR GJC, tic SINK 1,50 ADDRESS DISHWASHER 1.50 CITY TEL. NO. - . Z /O CLOTHES WASHER 1.S0 STATELICENSE NO. (7 Cp CLASS LIC SWIMMING SWIMMING POOL RECEPTOR 1.50 DISTRICTNO. GROUP ZONE PROCESSED BY LAWN SPRINKLER SYSTEM 2.00 . 0s r •� ` O RATER HEATER 1.50 INDUSTRIAL CJ WASTE APPROVAL 0 GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD U OUTLETS OVER w 5 PER SYSTEM .30 Z Plan check fee 257 of ahove. See reverse. PLU\IBING PERMITISSUING FEE 8 2 00 TOTAL FEE 4 5V APPROVALS DATE INSPECTOR'B SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING -f j Address GAS PIPING GAS VENT City Tel. No. HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANOIOR UTILITY CO. NOTIFIED LICE HSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO RESIDE IN. THE ABOVE OES IB O RESIO AL PROPERTY. /` FINAL .- SIGNATURE Y//(/[ JACK R. ALLEN, 5JPERV1sIN HANICAL ENG' OF PERMITTEE PERMIT VALIDATION CK. M.o, cASH /.7,3" PLAN CHECK VALIDATION CK. M.O. CASH . UjC0 5 1. 1 1 JUN 19 5 D 6.50- TeAeaT n e•eo tvi APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY P L U ® 0 N COUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. z � Pr� a PLUMBE /� b✓.�1 • RECEIVED BY REAOV FOR DATE ISSUED /'-n /(111Bf)),�1I-,M1 FIRST INSPECTION ADDRESS- ✓33 // ^J' .// �.c_.Q_ ' BUILDING r /jtM/.QI /J-✓/r TEL. NO. �O,GT-O IyS/� ADDRESS44 [, COUNTYLOCALITY LICENSE NO. / EXPIRES / NEAREST PERMIT FEES cRoss IT. /0 y ,. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) 0.50 S ADDRESS BATH TUB Q 0.501 1 T CITY TEL. NO. SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 T APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK (pl 0.50 STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY O 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER GAS SYSTEM OUTLETS Q 0.50 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOV . I SIGNATURE OF L ) _J WATER HEATER �! O.SO PERMITTEE SLOPSINK @ 0.501 INSPECTION RECORD FLOOR SINK Q 0.501 FLOOR DRAIN @ 0.501 DISHWASHER @ 0.501 DRINKING FOUNTAIN 0.50 URINAL @ 0.501__ J IHOUSESEWER @ 0.501 s-v Z MISCELLANEOUS U' FE I� O I APPROVALS 1 DATC INSPECTOR'S NAME ( � ROUGH PLUMBING GAS PIPING GAS VENT ) / CESSPOOL @ 1.00 I O O CESSPOOL v SEPTIC TANK: SEPTIC TANK � DRAIN ( ) PIT ( ) (0 1.001 SEWER v PERMIT . 1,00 GAS TEST / UTILITY CO. NOTIFIED TOTAL FEE I sa Jz) FINAL �'�..QCr�c -- 76A6E7 17 9-49 ® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �,e COUNTY OF LOS ANGELES P L U BMJ 0 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUPI ZONE PERMITNO. 1146 RACTORS 099933 RECEIVED BY READY FOR DATE ISSUED PLUMBE _ ontereyPark, Calif. FIRST INSPECTION / J/ ADDREssATIantic 2•4S;d GUmbetf alltl 3'10BUILDING CITY [�'(� TEL. NO. / / ADDRESS COUNTY -LICENSE NO. /J N EXPIRES tO /.O/�S NEARELOCALST TY ' � NEAREST PERMIT FEES GROSS ST. NNM.ERI TYPE OF FIXTURE OR ITEM FEE OWNER WATER CLOSET (TOILET) Q ADDRESS M2 O.SOS JyV BATH TUB Q 0.5o CITY TEL. NO. SHOWER Q]i O.501_1 p1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) Q 0.50 _ JQ AGREEAPPLICATO COMPLY TION AND TWITH ATE HALLCOUNTYAT ABOVE ORDINANCES AND KITCHEN SINK Q 0.501 STATE LAWS REGULATING PLUMBING. _!nn I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY Q O.SOI V ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL PROP TY DESC BED ABOVE. GAS SVSTEM__*_OUTLETS Q 0.501 SIGNATURE OF WATER HEATER Q O.SOI PERMITTEE SLOP SINK Q 0.501— INSPECTION RECORD FLOOR SINK Q 0.501 1 FLOOR DRAIN @ 0.501 DISHWASHER Q 0.50111 IDRINKING FOUNTAIN Q 0.501 URINAJ HOUSESEWER Q 0.501 Q _Z MISCELLANEOUS I J 0 I� I I I I I I APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL n 1.00'1 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( 1 PIT ( ) Q 1.00I 1 SEWER PERMIT . 1.00 GAS TEST / / q _ UTILITY CO. NOTIFIED TOTAL FEE s T FINAL /{