HomeMy Public PortalAbout10936 DAINES DR_Plumbing__ 76 A66 7-CE'811 6-65 _72Gj I�
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES -a
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 7 4 4r1
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS G. p(y�
COLEMAN W. JENKINS. SUPT. OF BUILDING
LOCALITY �.
FOR APPLICANT TO FILL IN NEARESSCROSS T. 99-
.NUMBER FIXTURE OR ITEM EACH FEE
O
WR'fEft CLOSET $1.25 MAIL
BATH TUB 1.25
ADDRESS C
SHOWER 1.25 CITY 1 TEL. NO.
LAVATORY 1.25 CONTRA
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY ��/' TEL NO.
LAUNDRY TUB 1.25 LICENSE NO. Q 7 CLASS
CLOTHES WASHER 1.25 /� DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER 1.50 ({ %CJeq
S
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL }
WASTE APPROVAL D'
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD O
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APPROVALS DATE INSPECTOR5 SIGNATURE
PERMIT 3 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE ICORRECT AND AGREE EO COMPLY GAS VENT
WITHWN ALL couNir ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AN OIOR PLUMBING FIXTURES
LICENSED PS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I A TH LEGAL OWNER OF, AND INTEND TO
RESIDE IN, THE ABOVE D CRI O RESIDE ALP E v. UTILITY CO. NOTIFIED
SIGNATURE ,
OF PERMITTE
FINAL
VALIDATION
CK. M.O. CASH
1
LACO 5 1 5 3-u aUN 19 5 D 3.5 0, G
76 A 667 - CE 817 7'69
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DNISION suILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDINGyOCAitTY
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER ' FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1.50 MAIL'
BATH TUB 1.50 ADDRESS
SHOWER 1,50 CITY TEL. NO. .+ bi,'
LAVATORY 1.S0 CONTRACT /%
SINKl.So ADDRESS j �VOZOV
DISHWASHER 1:50 CITY TEL. N0,jy",--2937
CLOTHES'W'ASHER 1.50 STATE' LIC
LICENSE CLASS
SWIMMING POOL RECEPTOR 1.50
DISTRICT NO, GR'OUP ZONE ROCES ED BY
LAWN SPRINKLER SYSTEM 2.00 E'
WATER HEATER -1.50 INDUSTRIAL
WASTE APPROVAL
GAS.S YST EM `OUTLETS 1.50 INSPECTION RECORD .L
OUTLETS OVER
5 PER SYSTEhf '30 0
N
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City - Tel. Na. /�
HOT WATER HEATER 1 X V
1 HEREBY THAT 1 HAVE READ THIS APPLICATION
ANO STATE THATHAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES ()
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS.TEST V _ LAOYJ
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR UTILITY CO. NOTIFIED �` /f W/a3T�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF /` ` y
CA UI
FORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO / I 1� Lw
RESIDE IN,THE ABOVE OE CRIB RESIDENTIAL PROPERTY. FINAL' P
SIGNATURE _
OF PERMITTEE 7EN-T JACK'R. ALLEN, suPERVISING MECHANICPERMIT VALIDATION -c X. M.O.
PLAN CHECK VALIDATION CR. M.D. CASH '
AP _ 0 3 4 'HiF-' AUG17
76A667 ICE-8171-4/72
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APPLICATION FOR PLUMBING PERMIT �1
COUNTY OF LOS ANGELES �J
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING 7 /
ADDRESS 3
HARVEY T. BRANDT, COUNTY ENGINEER LOC A LIT
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST •��
CROSS ST.
NUMBER FIXTURE OR ITEM Q FEE
WATER CLOSET 1.75 OWNER .
MAIL
BATH TUB 1.75 ADDRES�'
SHOWER 1,75 CITY I TEL. N
LAVATORY 1,75 CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY �' TEL. NO. y
CLOTHES WASHER 1.75 STATE LID
LICENSE N /� CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GPUVP FRO $SED Y
LAWN SPRINKLER SYSTEM 1,75 pi �C./
7 ,i
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL i
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD U
OUTLETS OVER
5 PER SYSTEM .30 Q
F-
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w
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N
Z
Plan check fee See Revere
PLUMBING PERMIT ISSUING FEE S c(�
TOTAL FEE
APPROVALS DATE INSPECTOR-9 5 LT{1TE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City
Tel. No. GAS VENT
HOT WATER HEATER
HEREBY EDGE THAT I HAVE READ THIS APPLICATION
AND STATE THATBATTHE
ABOVE IS CORRECT TE LAGR EAWS E COMPLY PLUMBING FIXTURES / _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING -;j
PLUM SING. GAS TEST 1'r
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REOUIREO NGELE5 COUNTY AND STATE OF
CALIFORNIA OR THAT AM THE L AL .HER
OF, ANO INTEND TO
RE51 DE IN THE AB DES CRIBEO P IpEN 4L PROPERT FINAL
SIGNATURE
OF PERMI E
P RMITV LIDATION crc. M.o. CASH
PLAN CHECK VALIDATION CR. M.O. CASH
9 3.5 g.kw ,✓� D 7.5 0 A-U
]6A66] ICE-BI]) - 1/75
APPLICATION FOR PLUMBING PERMIT {�
COUNTY OF LOS ANGELES LJ
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: Sul LD WG
ADDRESS { O
HARVEY T. BRANDT, COUNTY, ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
a/ OWNER
WATER CLOSET �j C/v
MAIL
BATH TUB ADDRESS 10 936 Daines 5t
—SHOWER 300 079 c'Tv em 1e City TEL. No. 4484877
/ LAVATORY U� CONTRACTOR ECOnDfW Plumbing & Hdw. Sup
SINK 2.00 ADDRESS 1580 E. Walnut St-
6
DISHWASHER 2.00 CITYPasadena TEL. NO. 681 7522
CLOTHES WASHER 2.00 STATE1' LIC
LICENSE NO. 247190 CLASS
SWIMMING POOL RECEPTOR 2.00
DISTRICT NO.GROUP ZONE PROCESSED B
LAWN SPRINKLER SYSTEM 2.00 5 j 1
WATER HEATER 2:00 INDUSTRIAL 1� �J
WASTE APPROVAL
GAS SYSTEM OUTLETS 2.00P INSPECTION RECORD U
OUTLETS OVER ,30 O
5 PER SYSTEM
H
W
d
N
Z
Plan check fee See ReverseSO ,
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
n�
APPROVALS DATE INS PEQTO R'S SIGNATURE
Plan check applicant D UNDER 'WORK 47-23-
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
HEREBY ACKNOWLEDGE THAT MOT WATER HEATER HAVE READ .THIS APPLICATION t.
AND STATE THAT THE ORDINANCES
CORRECT AND LAWS E COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES ANO STATE LAWS REGULATING GAS TEST _
PLUMB NG.
I.HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICE N SEG AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CAL(FOflN IA OR THAT IAM THE LEGAL OWNER OP, NNG IN END TO
RESI OE IN THE ABOVE DESC BE ESIDE TIALPROP TT. FINAL _
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION CR. .oi CASH
PLAN CHECK VALIDATION Ce. M.O. ASH
5 µ!o ur Fs s o 1 3.5 0 A%