HomeMy Public PortalAbout10406 DAINES DR_Plumbing__ D s.S.-17 25M SETS 12-45 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY'
COUNTY OF LOS ANGELES
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE ✓ /6 v �g^/
HEATER CESSPOOL I-I SEPTIC TANK RE LVED B/y READY FOR DATE ISSUED
FIRST INSPECTION
CTAS MISCELLANEOUS / 6
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
HAM CO. JOB �5`a flt -L" 1�
� NAMEM. C. NDDRESS S% /J
11 ADDRESS 123 +�o. Cloverly Ave.AveLOCALITY t�h'
J CITY TEMPLE CIM.CALIF. oe$e
COUNTY /f / E
CERT.NO. EXPIRES OW: NAME /„Jif• fir" �, .�� �L��
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY TEL.NO.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CEEa�RTIF/IICAI�TEEp.OF QUALIFICATION.
/�`yt� 717
� PLUMBER
1 AM=THE LEGAL OWNER OF THE'PROPERTY DESCRIBED
ABOVE.
R
.i OWNER
CORRECTIONS
SOUTH ►a
d
DESCRIPTION OF WORK
BATH TUB FURNACE H
0
SHOWER DISHWASHER
►AVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I
METER GAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT •
CESSPOOL 11 f t I t Y
TOTAL NUMBER OF FIXTURES
SEPTIC TANK
®
CESSPOOL SEPTIC TANK SEWER fI
$ UTILITY CO.NOTIFIED + /
TOTAL FEE FINAL
76A667 (CE-817)-4/72 !
-APPLICATION EtcRPLABING PERMIT
L ANGELES
COUNTY OF OS
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
b1AKE ,CHECKS PAYABLE TO ADIDLREDING
SS
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY r� ✓ (tel,
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM @ FEE - CROSS ST
OWNER
WATER CLOSET 1.75
MAIL
BATH TUB 1.75 ADDRESS
I
SHOWER 1.75 CITY TEL NO
LAVATORY 1.75 CONTRACT r
SINK 1.75 ADDRESS
DISHWASHER 1.75 ,C T
CLOTHES WASHER 1.75 STA E �• / LIC
SWIMMING POOL RECEPTOR 1.75 LICENSE N 4 l' / CLASS
DISTRICT NO GROUP ZONE CESS D BY
LAWN SPRINKLER SYSTEM 1.75 �� � .•T
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL pyop
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD
OUTLETS OVER' _
5 PER.SYSTEM .30 CD
W
O..
N
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR 5 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO 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 PLUMBING FIXTURES
1 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING - GAS TEST 7
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR'THAT I AM THE LEGAL OWNER OF, AND INJjND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL RO PER TY/ FINAL
SIGNATURE ./
OF PERMITT f�
PERMIT VA IDATI" N CI::;) M o CASH
—2
PLAN CHECK VALIDATION CK •M O CASH
E 0 3 5 ? APR 3 5 D 6 .50-
D.B.S.-17 25M SETS 12-45' APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES , PLUMBING ,
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
Sp,
ROUGH FIXTURES _I COMPLETE ``,/
HEATER CESSPOOL SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
GAS MISCELLANEOUS (fi
APPLICANT FILL IN HEA LY OUTLINED PORTION ONLYJOB
a, �@
NAME 0)Q 4eN .J \[ A ADDRESS �wQ -�3 69
W /m ADDRESS J t!/ LOCALITY
NEAREST
JJ �p
. CITY TEL.NO. CROSS ST. C..
COUNTY �r a
CERT.No. EXPIRES ✓ NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH_ O
CITY TEL.No.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLuasaR
IvAM THE LEGAL OWNER OF TL411 PROPERTY DESCRIBED
ABOVE.
• e
owmot
CORRECTIONS
SOUTH "a
. Q
DESCRIPTION OF WORK
.,
BATH TUB FURNACE a+
O
SHOWER DISHWASHER
LAVATORY REFRIGERATOR
KITCHEN.SINK WATER SOFTENER
oLOOR SINK SAND TRAP
LOP SINK FLOOR DRAIN [1
WASH TRAY URINAL APPROVALS . ^.
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I t
METER GAS aODA FOUNTAIN GAS PIPING
OUTL
GAS VENT
,I CESSPOOL I f
TOTAL NUMBER OF FIXTURES ,C SEPTIC TANK I ! I
CESSPOOI SEPTIC TANK SEWER
UTILITY CO.NOTIFIED
TOTAL FEETx��'�t
FINAL F
D B.S.-17 25M SETS 12-45, APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS' ANGELES • L
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP /Z`7ONE PERMIT NO. "
ROUGH FIXTURES COMPLETE '�`
HEATER CESSPOOL SEPTIC TANK RECEIVED BY M FOR DATE ISSUE
' -� �- FIRST INSPECTION � ��
GAS MISCELLANEOUS
APPLICANT FILL,IN HEAVILY OUTLINED PORTION ONLY
JOB
q Q�
K NAME ADDRESS - r"+ p 'IV E 1
W � � b
ADDRESS �� LOCALITY KE 1
NEAREST JI ►a1r� / 1
"I CITY ToEL. .0 CROSS ST. V yY{,�L.(e
0.
COUNTY
CERT.No. PI S IZ W NAM
LOCATIOF SEPTIC TANK,'OR CESSPOOL Z MAIL
?i ADDRESS
NORTH O .
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOB
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
1'AM THE LEGAL OWNER OF THE R PER DESCRIBED
ABOVE.
m oWNGR
-I
CORRECTIONS '
SOUTH
DESCRIPTION OF WORK
ATN TUB FURNACE a+
✓//HOWER - DISHWASHER
r ATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK 1zAND TRAP.
SLOP SINK FLOOR DRAIN
BH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
r�METEo GAS SODA FOUNTAIN 6A6 PIPING
OUTL
o GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES '9<�/ -0 SEPTIC TANK
f CESSPOOL-SEPTIC TANK A01 '1 e) SEWER I `R
UTILITY CO.NOTIFIED
T07AL FEE `�/(
O FINAL