HomeMy Public PortalAbout9707 DAINES DR_Plumbing__ 78A687�
DBS 17 I$MSION OFP LLDINGAANDOSAFETFY®R PLUMBING
I I��aPERMIT
1
Department of County Engineer g
County of Loa Angeles BUILDING
JOHN A LAMBIE. COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN,SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
OWNERDISTRI�O I G�P � E I READY FOR INSPECTION
MAIL I
ADDRESS
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBER INSPECTION,RECO D
ADDRESS ,/ =/ r
le-
CITY TEL NO C/ ,le-
LICENSE NO �'11ze /y 4 /J6112
NUMBER TYPE OF FIXTURE OR'ITEM FEE
WATER CLOSET (TOILET) @ $1 00 $
BATH TUB @ $1 00
SHOWER @ $1 00
LAVATORY (WASH BASIN) @ $1 00
KITCHEN SINK @ $1 00
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $1 00
WATER HEATER @ $1 00
GAS SYSTEM @ $1 00
APPROVALS
D TE IXkPECTOR S SIGNATURE
.s
UNDER ga; ORK
PERMIT $ 1 00 ROUGH PLUMBING 01 G"-
GAS
GAS PIPING 441 V
TOTAL FEE r
GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST r
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ry
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTI P RTY
SIGNATURE
OF PERMITTE FINAL
JOHN A LAMBIE. COUNTY ENGINEER --"VALIDATION ROBERT A WOOD, CHIEF PLBG INSPECTOR
CR m O. CASH
jr- 191 7- SEP 3 3 1 1 .0 0
76A687 CE#817 5 61 City Of Temple City '
APPLICATION FOR ,PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
B o DING AA E SAFETY DUNTYNMSION ADDRESLDIN 9707 Daines "Dr.
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY Temple, Cit
FOR APPLICANT TO FILL IN CHOP$T, RrondwnZ Re p
NUMBER FIXTURE OR ITEM OWNER
J. Koskie
WATER CLOSES
ADDRESS Same
BATH TUB
CITY TEL. NO.
SHOWER
CONTRACTOR General Installation Co.
LAVATORY
SINKADDRESS 6558 West Blvd.
DISHWASHER
CITY Los Angeles TEL, NO, PL 3-2541
TE
LARRY TUB REGISTTRATION NO. C-36 151839 787 COUNTY
CLOTHES WASHER DISTRICTT NO. GROUP ONE P B
WATER HEATER S• OR d
GAS SYSTEM INDUSTRIAL V
WASTE APPROVAL
INSPECTION RECORD
O
U
W
a
Vf
Z
t
$1.00 PER ITEM
OR FIXTURE $ APPROVALS DATE,/^ISNSPECTOR'SSIGNATURE
PERMIT $ 1 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING f 1
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION /
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT f
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER / [
PLUMBING 11
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST I
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL` .
VALIDATION ROBERT A. WOODIV
M O. CASH SUPERVISING MECHANICAL ENG'R
LAC;04 2 1 51 SEP 12 5 D 3.50- R