HomeMy Public PortalAbout10112 DAINES DR_Plumbing__ 76A667 DBB 17 I1-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT P PERMIT NEI.
FOR APPLICANT TO FILL IN
PLUMBER Consolidated Plumbin GO READY FOR 12 �� ,
REC IVED BY FIRST INSPECTION DATE ISSUED
ADDRESS 923 Huntington Dr. BUILD
CITY Monrovialld TEL.NZ1-86878 AD RE188 10112 E. Daines Dr.
COUNTY
LICENSE NO. 6799M EXPIRES 6/30/52 LOCALITY Temple Cit
CROSS ST. Baldwin
PERMIT FEES .j
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER vre tive -bldg,
JL MAIL 3106 Live Oak
2 WATER CLOSET(TOILET) @ 0.50 I$ ADDRESS .i
1 BATH TUB @ 0.50 50 CITY Temple a it TEL NO.Do 73527
1 SHOWER @ 0.50 5O I HEREBY ACKNOWLEDGE THAT 1, HAVE READ THIS
2 LAVATORY (WASH BASIN) @ 0.50 1 OO AT THE ABOVE IS CORRECT
ANDI-AGREE TO COMPLY W ICATION AND STATE THRALL COUNTY ORDINANCES
1 KITCHEN SINK @ 0.50 50 AND STATE LAWS REGULATING PLUMBING.
f CERTIFY THAT I POS ESS HE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICE ' 0 A HE LEGAL OWNER
OAS SYSTEM OUTLETS @ 0.50
50 OF THE RESIDE OPE CRIS APOVE.
SIGNATURE OF
1 WATER HEATER @ 0.50 50 PERMITTEE–
SLOP SINK @ 0.50 INSPECTION,ARECOR
FLOOR SINK @ 0.50 Q,.�G .V'f o 7
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
r
DRINKING FOUNTAIN @ 0.50
URINAL Q 0.50
Q
HOUSE HEWERr @ 0.50
U'
MISCELLANEOUS O as '� /-'—'c 9
O
. r
APPROVALS
DATE INBPECTOR•9 NAME
ROUGH PLUMBING -- 7 1 L y�`rti
GAS PIPING
GAS VENT
CESSPOOL @ 1.130 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1.00
GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE s 6 00
FINAL