HomeMy Public PortalAbout10835 DAINES DR_Plumbing__ 'DEPARTMENT OF COUNTY ENGINEER IPL um BON G I
-*IVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING /� ��� //l-
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS LG •�—`-•�O VX�T
FOR APPLICANT.TO FILL IN LOCALITY J�� f
NEAREST
BUILDING %O Off' `� ' , t � Q�, CROSS ST. �`••'
ADDRESS Q�7V N
DISTRICT N0. GRTOUP ZONE n PERMIT N0.
LOCALITY .T C-I T� - r —I l5��-
NEAREST
CROSSST. /,4j`eL.LAi1.�R/ RE EIVED BY Ready for Inspection • DATE ISSUED
OWNER • / Iyl//'/�'•'�•— _-- _ /h-_.�-�D�J� .
MAIL INOUSTRIAL L
ADDRESS WASTE APPROVAL
CITY ,�yyam� TELL.NO. {�INSPEC�T1 Ne RECORD
PLUMBER /rJ• 0,I/4-ei e,)7— A.D�/ R- -LL+--
ADDRESS iZ4 Al. .G441141E•elf f z STP�v SAS 4� In,,G
t. CITU TEL.N0.jEdD73 2-if
LI STATE
LICENSE NO. -
�Q COUNTY J
PERMIT FEES a
_z
Nl1MRER TYPE OF FIXTURE OR ITEM FEE u,
WATER CLOSET(TOILET) @ 0.80 Ii -.
T BATH TUB @ 0.80 O
-SHOWER @ 0.80
LAVATORY (WASH BASIN) @ 0.80 Q
KITCHEN SINK @ 0.80 Q .
LAUNDRY TUB OR TRAY @ 0.80 _
SLOPSINK @ 0.80
FLOOR SINK @ 0.80
r
FLOOR BRAIN @ 0.80 _
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.00
URINAL @ 0.80 _
GAS SYSTEM-.3.._OUTLETS @. 1.00 0 v
WATER HEATER @ 1.00 �QO p..
MISCELLANEOUS r
AUTO. WAS ftR APPROVALS
_ DATE INSPECTOR'S SIGIIATURE
UNDER SLAB WORK
PERMIT $ I. 00 ROUGH PLUMBING f
OO GAS PIPING
I HEREBY ACKNOWLEDGE THATHAVEHAVE READ THIS A�0 GASVENT
CATION AN
STATE THAT THE ABOVE IS CORRECT AND AGREE F HOT WATER HEATER Y'
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS f
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY. CERTIFY THAT I AM PROPERLY REGISTERED C
ANO/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GASTEST
AND STATE OF CALIFORNIA OR THAT AM THE LEGAL OWN. - -
ER OF THE ABOVE DESCRIBED RESI NTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE'
OF PERMITTEE......... .. ..r<_.. ._........ ----------------------_...........
FINAL
70A667 DBS 17 1/53