HomeMy Public PortalAbout9554 DAINES DR_Plumbing__ C"17(REV 1;/7'8) i •I
.APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM @ FEE ADDRESS 9_5_14 Eo Daines Dr. ,
LOCALITY
WATER CLOSET QQ
NEAREST cc,,,�J /) a
BATH TUB CROSS ST Q/" r �
SHOWER QQ OWNER Jack (Milds
LAV ATO RY AIL
QQ ADDRESS Ea Daines Dr.I
SINK CITY Temple Cit TEL NO 286-2 2
DISHWASHER CONTRACTOR
CLOTHES WASHER QQ ADDRESS
9125 E. Las Tunas Dr.
SWIMMING POOL RECEPTOR`
CITYDjgCityoCaliTEL NO
LAWN SPRINKLER SYSTEM STATE LIC
WATER HEATER LICE CLASS
' GAS SYSTEM OUTLETS A OV�LS DATE INSPECTOR S SIGNATURE
OUTLETS OVER UNDER ORK JI w/Z(S Aafz
S PER SYSTEM ROUGH PLUMBING 7,A7 19
GAS PIPING Q
GAS VENT V
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST
Plan check fee UTILITY CO NOTIFIED _
PLUMBING PERMIT ISSUING FEE$ 7100
TOTAL FEE FINAL 0
Plan check applicant PLAN CHECK VALIDATION"Mt V 1 '`, 7 ''�t� .Q��
Name Johnny/,•s Plumbing Service � y /"'
Address 2 E Las TnnasDre Z•Z S �'— 7 /
Gty Tamp]A City, an Tel No $ 4
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE '
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION @'7 1 1. 6 A
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES CO TY AND ST OF CALIFORNIA OR THAT I AM THE
LEGAL OWNER OF AND INTEND RESIDE HE ABO S RIBED RESIDENTIAL #�O O O O O 5
PROPERTY
2,0 02500
SIGNATURE
OF PERMITTEE - '
'O O 025,Q0�
DISTRI T PR SSED BY
0,09-79
INDUSTRIAL
WASTE APPROVAL
76A667A ICE 8178) -4/77
` APPLI TION FOR PL�M.BING PERMIT IUI
ILDING AND SAFETY ION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
`./✓i S
NUMBER FIXTURE OR ITEM @ FEE ADDRESS
7V !9�577V 90WATER CLOSET LOCALITYNEAREST
BATH TUB CROSS ST C'�
SHOWER OWNER
::5&
MAIL .3
LAVATORY
:, ADDRESS �� .
SINK CITY /T'%/TEL NO
IfXr—
DISHWASHER CONTRACTOR
I CLOTHES WASHER
ADDRESS 6 'Z.- ��,-� p,�✓G � I
SWIMMING POOL RECEPTOR
• CITY �� TEL NO
LAWN SPRINKLER SYSTEM STATELIC
[�
WATER HEATER LICENSE NO ?'�Z / CLASS
GAS SYSTEM OUTLETS DISTRICT NO UP NE PR CESSED Y
r
OUTLETS OVER INDUSTRIAL C
5 PER SYSTEM
WASTE APPROVAL
INSPECTION RECORD 01
U
W
a
f/!
Z
Plan check fee
PLUMBING PERMIT ISSUING FEE$ 7 p V
TOTAL FEE oQ
Plan checi appllca
Name J� I� - APPROVALS DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
Address 7a Z GC l'.—oc. , ROUGH PLUMBING
CityNo �� GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER �J
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST ,.
LEGAL OWNER OF AND INTEND RESIDE THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY UTILITY CO NOTIFIED
SIGNATURE//
OF FINAL
OF
PLAN CHECK VALIDATION M o CASH PERMIT VALIDATION cK M o CASH
264,'oJUN 29 5 D 25.0QAU