HomeMy Public PortalAbout10230 DAINES DR_Plumbing__ 7GA667 Des 17 11-30 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY �'
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT NO. GR PERMIT NU.
FOR APPLICANT TO FILL IN
V(! I A� J ��
PLUMBER G ", RED BY READY FOR DATE ISSUED
FIRST INSPECTION
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ADDRE
(I BUILDING
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CIT / /�yr�/�/� //d TEI NO.'AoiY,Ddfd ADDREBS 1OZ/� T 1 ,4
COUNTY I /J LOCALITY /1p 't b 4 /7'
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LICENSE NO. D C_ EXPIRES � —✓ NEAREST
PERMIT FEES -CROSS BT. /99 - -,-1 A?141pi
Y�
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER e /d//;17
J MAIL
/ WATER CLOSET(TOILET) a 0.50 111 0 ADDRESS
BATH TUB @ 0.50 ,er0 CITY TEL No.
SHOWER 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK 0.50 (� AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
��OAS SYSTEM OUTLETS 0.50 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
SIGNATURE OF
WATER HEATER 0.50 PERMITTEE
SLOP SINK @ 0.50 PECTION REpRD
FLOOR BINK @ 0.50
n
FLOOR DRAIN Q 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL - _j 0.50 J
Q
HOUSE SEWER 0.50 Z
MISCELLANEOUS CJ
Q'
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
OAS PIPING
GAS VENT
CESSPOOL Q 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN L ) PIT C ) @ 1.00 SEWER
PERMIT I 1.00 GAS TEST
UTILITY CO.NOTIFIED n
TOTAL FEE
FINAL
76A667 D2917 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
RMT
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP -ON
PLUMBE ()fREGgIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS 5933 N. CLOVERLY AVE. /�
CITY TEMPLE CITY,TEPLU L.O. ADDRESS O2 cS V � ,,L
COUNYENTE NO."f 3�,.` -sY EXPIRE ..X a ,...� .�, LOCALITY
NEAREST
CROSST. L�
PERMIT FEES J
OW
NUMBER TYPE OF FIXTURE OR ITEM FEE
MAIL
WATER CLOSET(TOILET) @ 0.50 ?a ADDRESS �A
BATH TUB @ 0.50 CITY TEL. No.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND TATE THAT THE ABOVE I8 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENBE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PRO ER Y DESCRIBED ABOVE.
OAS SYSTEM OUTLETS @ 0.50 R ,'J �,+��
SIG'ATURE OFA
WATER HEATER @ 0.50 ( PERMEdddddd
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50
Q
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS 0
Q'
O
APPROVALS
DATE INSPECTOR-9 NAME
ROUGH PLUMBING
OAS PIPING
OAS VENT
CESSPOOL @ 1.00 CESSPOOL
® SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( O ) @ 1.00 SEWER
PERMIT . . 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE >$ AL
FIN
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