HomeMy Public PortalAbout10843 DAINES DR_Plumbing__ ti DEPARTMENT OF COUNTY ENGINEER -
f 4 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING ,,// /��
WILLIAM J. FOX. COUNTY ENGINEER AD DRESS�O T� L(JC�- —�.�s� &;7
FOR APPLICANT TO FILL IN LrR
Y a�E:AA `F .,ADDRESS �Q ,7 �I7��W p&. ICT NO. GGj'lP ZONE PE,R{MIT NO.
LOCALITY Tli4�JG$ G/T� ,5 L1 NEAREST
CROSS ST. 66"4-L AA-0,/ IVED BY Reatly for IniOecionDATEISSUED
OWNER // . BOFW' dwMAIL IALADDRESSPPROVALCITY TEL.NO. INSPECTIONRECORD
- IQ 1jLri.T 1 e -C L_ sMC � O alt Ii1ADDRESS 4624 AA �A-WaVeZOVrCITY j59GDZ✓iiJ oTELNO:LSD /3`II/IICENSE�4-0 COUNTY / J
PERMIT FEES a
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NUMBER TYPE OF FIXTURE O0. ITEM FEERAI
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-WATER CLOSET(TOILET) @ 0.80 $ 7
.BATHTUB @ 0.80 �.. ,/ I( �' "�• RCIO ••� '�' a
SHOWER @ 0.60 A L1'tJ'eN
'LAVATORY(WASH BASIN) @ 0-80 I -
KITCHEN SINK @ 0.80 0
LAUNDRY TUB OR TRAY @ 0.80
SLOPSINK @ 0.80 _
FLOORSINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
- URINAL @ 0.80
GAS SYSTEM._ -.....OUTLETS @ 1.00 Q.
�'WATER HEATER @ 1.00 N'm
MISCELLANEOUS' _
APPROVALS
DATE INSPECT R'S SIGNATURE
r - UNDER SLAB WORK
.PERMIT $ 1 00 '. ROUGH PLUMBING i/.t/S✓ xSL•,Ge�.. -,._._.
TOTAL FEE 7 OBD GAS PIPING GAS VENT Lyy
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI. - -1
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS 9
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED �{ /
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST b�T �yiM.mess
AND STATE OF CALIFORNIA ORT ATI AM THE LEGAL OWN. i
ER OF THE ABOVE DESCRIBED RI
IDE NTIAL PROPERTY. UTILITY CO..NOTIFIED
SIGNATURE -
OF PERMITTEE...... .. ...�..._. .. .......
_. _ - .... FINAL L
76A667 DBS 17 1/53