HomeMy Public PortalAbout10302, 2826 DAINES DR_Plumbing__ D.P.4117 25M SETS 10.47 APPLICATION FOR SYli `
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 7
WM.J. FOX.CHIEF ENGINEER
NATURE OP INSTA TION DISTRI NO. OR_ u_ o s= PERMIT o.
ROUGH FIXTURES COMPLETEI. j / - � r 3 )4
HEATER CESSPOOL I-I SEPTIC TANK RECEIVED I3Y READY FOR .I DATE ISSUED
FIRST INSPECTION
GAS- MISCELLANEOUS
APPLICANT TWILL IN HEAVILY OUTLINED PORTION ONLY
NAME O Y C1 .� JOB
1/t/a Y 4 ADDRESS �„ 1 `}�ryry� y 'Y
1 _ADDRESS �. R �.�,,.!`�7 �_ 1 W.�. \) e LOCALITY
NEAREST
"'I CITY x_ ' 31 C.? l..". t daTEL.No. "��y`F'� 0 CR
O68 ST. /L-
6
COUNTY
CERT.No. / '�• �- ;✓JEXPIRES m NAME (g
LOCATION OF SEPTIC TANS, OR CESSPOOL z MAIL
NORTH _--�"� 3ADDRESS
0
r
fCITY � TELNo. �� ��`.ielI AM THE LEGALN POSSESSOR OF THEBOVE LOS
k 9� ANGELES COUNTY CERTIFICATE OR QUALIFICATION.'
_rn
PLUMBER
l 1 AM THE LEGAL OWNER THE PROPERTY.DESCRIBED
ABOVE.
y � i
c
1 CORRECTIONS
SOUTH J
DESCRIPTION OF FORK z
BATH TUB, eD_ / FURNACE
1 Jj WctL6y �
` SHOWER DISHWASHER O
� AVATORY REFRIGERATOR
jl� ITCHEN
SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
1 WATER CLOSET DRINKING FOUNTAIN
�)DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
-METER*GAS
GAS ------SODA FOUNTAIN GAS PIPING I I
GAS VENT I I
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOI f4EPTICTANK, SEWER I I
S � I
UTILITY CO.NOTIFIED
TOTAL FEE 1
1 1 FINAL
.D.B.S.17 25M SETS 2=47 - APPLICATION
9 ATFON FOR PERMIT
,
(DEPARTMENT OF BUILDING AND SAFETY t"<sLJH9J6S1Y 1V 86 LL HJJLOlY9
'COUNTY OF LOS ANGELES
WM.J. FOX.CHIEF'ENGINEER PLUMBING
NATURE OF INSTALLATION- DISTRICea0. GRou, ao PERMIT NO.ROUGH FIXTURES tI COMPLETE -
HEATER CESSPOOL ISI SEPTIC TANKRECEINEWDY READY FOR DA E ISSU
l % FIRST INSPECTION
AS MISCELLANEOUS -�
APPLICANT FILL IN—HEI ILY OUTLINED PORTION ONLY
Joe
C NAME �D n S.i�`� - `.ADDRESS•... D$ .1'�6.��
g ADDRESS' L�fi i mow+. LOCAL ITY .fo/kL
NEAREST //�� !_
CITY ,� IttO TEL.No. CROSS ST_ �/✓C 677—k
-
COUNTY //J�
CERT.No.-. EXPIRES ,'0: NAME 4&
I:OCATIO' OF _ , OR CESSPOOL Z MAIL' -
'� ADDRE868.5• /x.^
NORTH , 0 s�- /J
CITY / 1-e� Ll/ TEL.No.
I AM THE LEGAL POSSESSCAR OF, THE ABOVE LOB
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
z
" - PLUMBER
'Lo� I.AM THE LEGAL OWNER OF THE PROPERTY'DESCRIBED
ABOVE.
1. OWNER
J CORRECTIONS .
�'{ ,•r ' Fes- r e ._ - ��
3S
-J,
SOUTH J
(DESCRIPTION OF WORD z
BATH TUB FURNACE L7
SHOWER DISHWASHER O
LAVATORY REFRIGERATOR,
KITCHEN SINK WATER SOFTENER
J
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
�\{ WWATER CLOSET DRINKING FOUNTAIN DATE IN'spec'roR'B NAME
F ATER HEATER DENTAL LAVATORY "
_ ROUGH PLUMBING, ��f 1 .. I
METER GAB SODA FOUNTAIN
OUTL GAS PIPING
GA9 VENT I
CE88PC
C'® TOTAL NUMBER OF FIXTURES ge- SEPTIC TANK I I
, X CESSPOOL SEPTIC TANK SEWER I/
`
UTILITY CO.NOTIFIED I� rf
i
TOTAL FEE 'FINAL
X
i
@� {� q ,�:..p FOR
I,�. pq p p pp/p Ip�g p,�/qA�I� I��p•�p-��-2,9z
DBS-17 10.55
IT
DIVISION OF BUILDING AND SAFETY '
Depoxtinent of County Engineer
County of Los Angeles !OIA .S I LD i NG
JOHN A. LAMBIE, COUNTY ENGINEER DRE
CASSATT D. GRIFFIN�•SUP'T OF BUILDING
LITY
FOR APPLICANT TO FILLIN pp NEAREST
i
CROSS ST.
OWNER DISTRICT NO. GROUP'" ZON READY FOR INSPECTION
MAIL � A
ADDRESS I
INDUSTRIAL
CIT — 24Zt o WASTE A APPROVAL
PLUMBER �,� INSPECTION.
RECORD
ADDRESS` - 7 "J ���
CITY t TEL. No. �d - � �_�Td,w�/.i�'1/P i'" /�/r✓.J s./
E
LICENSE NO.' . . � I I-Y.I� Jc.GJL .,r I,
NUMBER TYP OF FIXTURE OR ITEM FEE � X r t e `1."'�.•{�(1 l
s /
WATER CLOSET (TOILET) @ $1.00 $ - -
BATH TUB @ v.Oo 1 ! -
(,/ /i /h..'y "
Za
SHOWER @ $1.00 ,� v.
/C./.i f teG-t !.�isL At ep eta i
LAVATORY (WASH BASIN) - @ .$1.00 - -
KITCHEN SINK @. $1.00
DISHWASHER @ $1•.00
LAUNDRY TUB OR TRAY. _ @ $1.00
CLOTHES WASHER - @-'$t..00.
WATER HEATER @ $1.00
GAS SYSTEM @ $.1.00cc
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK-
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE GAS VENT
I 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. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST -�
LICENSED AS REQUIRED BY S ANGELES COU Y AND/STATE OF _
CALIFORNIA OR THAT I 'THE.EEGAL 0 - IF TFFFyyyE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAERTY.SIGNATUREOF PERMITTEE FINAL
JOHN A: BIE, COUNTY ENGINEER VALIDATION----)ROBERT A. WOOD. CHIEF PLBG. INSPECTOR
CK. N.0. CAS
0 0 5
.5's.-JAN- 2. 3' A
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