HomeMy Public PortalAbout10524 DAINES DR_Plumbing__ APPLICATION FOR PERMIT
DEPARTNINT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRrO GROUP ZONE PE DMMIT�
:> O
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION –/Y-l-0
[ADDRESS �-
BUILDING_
CITY TEL NO ADDRESS����
COUNTY
LOCALITY
LICENSE NO EXPIRES
NEAREST
PERMIT FEES CROSS ST
NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
.I I WATER CLOSET (TOILET) Q O 50 I$ I ADDRESS
BATH TUB Q O 501 I CITY TEL NO
ISHOWER Q O 50I IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q O 501 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING
KITCHEN SINK Q O 50 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
GAS SYSTEM R OUTLETS Q O 50 I SIGNATURE OF
WATER HEATER Q O SOI I �_
PERMITTEE
SLOP SINK Q o Sol
INSPECTION RECORD
FLOOR SINK Q O 50
FLOOR DRAIN Q O 50
1 1
DISHWASHER Q o 501
DRINKING FOUNTAIN Q O 50
1 1—
URINAL @ O SOI -J
HOUSESEWER Q O SOI I Q
MISCELLANEOUS I I 2
0
I�
I
I I
APPROVALS
IDATE INSPECTORS NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q 1 00 I CESSPOOL _
SEPTIC TANK I_ SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1 001 I SEWER
PERMIT I 1 00 GAS TEST
TOTAL FEE
UTILITY CO NOTIFIED
$
FINAL