HomeMy Public PortalAbout9845 DAINES DR_Plumbing__ 76A887-CE4817 10-67 �� Q -
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING LOCAL
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
t
SHOWER 1.50 C
LAVATORY 1 50 CONTRACTOf
SINK 1.50 ADDRESS
I -
DISHWASHER 1.50 L. N
CLOTHES WASHER 1.50 STATE - LIC `
LICENSE CLASS
SWIMMING POOL RECEPTOR 1.50 � DISTRICT NO GRO NE PR SED BY
LAWN SPRINKLER SYSTEM 2.00 t LCL
O
WATER HEATER 1.50 INDUSTRIAL C.)
WASTE APPROVAL O
GAS SYSTEM S OUTLETS 7.50 / INSPECTION RECORD U
OUTLETS OVER 3U / C. �� -- -
Lu
5 PER SYSTEM 4' N
r
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE APPROVALS, DATE INSPECTOR S SIGNATURE
Plan Check applicant 'UNDER SLAB WORK
Nalne ROUGH PLUMBING
Address f GAS PIPING
GAS VENT
City Tel. No IHOT WATER HEATER
IH
ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING-FIXTURES -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING :GAS TEST '
PLUMBING
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 'UTILITY CO NOTIFIED
LICENSEDAS REQUIRED BY LOS�ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL
SIGNATUREJACK R. ALLEN, SUPERVISI HANICAL ENG'R
OF PERMITTEE -
PERMIT VALIDATION CK . M O CASH - .v
PLAN CHECK VALIDATION CK M O CASH
I ,,