HomeMy Public PortalAbout10559 DAINES DR_Plumbing__ UB9.IJ 2.54 'Y �APPLICATION FOR PLUMBING PERMIT
1GI
DIVISION OF BUILDING AND SAFETY �11'If
Department of County Engineer _
County of Los Angeles
WM. J. FOX. COUNTY ENGINEER BUILDING �1 /
ADDRESS �J
CASSATT D. GRIFFIN. SUPT OF BUILDING
LOCALITY t
FOR *PLICANT TO ILL IN NEAREST o-u�
CROSS ST.
OWNER DISTRICT O. IUP I EON I NEflOY FOR INSPECTION
MAIL L�}rf.-
ADORE4rll CC)
/` INDUSTRIAL
C1 7-Y (� TEL. NO. WASTE APPROVAL '
PLUMBER ,i/ INSPECTION RECORD
ADDRESS
CITY TEL. NO.
LI NSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $ _
BATH TUB
SHOWER
LAVATORY (WASH BASIN) _
KITCHEN SINK
DISHWASHER _
LAUNDRY TUB OR TRAY _
CLOTHESWASHER
TOTAL NO. @� APPROVALS
-- DATE INSPECTORS SIGNATURE
GAS SYSTEM-OUTLETS
L 1.00 CIy 4 /
-- NDER SLAB WORK /I �2, / MALvY-�Y
WATER HEATER @ 1.00 /
ROUGH PLUMBING _
PERMIT S ��_ GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER_ _
i AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE T7,/1/�^ ^
FINAL PERMIT
WILLIAM J. FOX. COUNTY VNGINEER VALIDATION
6224 My21 3 2.00
BY
`}r^(_ DEPUTY
76AG67 17 11-+9 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES �� :p
WILLIAM J. FOX. CHIEF ENGINEER
•FOR APPLICANT TO FILL IN
DISTRICT�PI'O. GROUP ZO P
PLUMBER � y�n� �J'�C.I�-fie//P,/ {,F/ R IVED BY READY FOR DATE ISSUED
FIRST I NSPECTI ON
ADDRESS ] rLV 4"•
clTv TEL. No. j-1 ADDREfiS t7(COUNTY
1�
LICENSE NO. 4; 11 `' EXPIRES
� NEAREST
PERMIT FEES CROSS ST.. /J �J
NUMBER TYPE OF FIXTURE CR ITEM FEE OWNER Z 1/I/
MAIL
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS
T BATH TUB (Lb O.SO I
CITY TEL. No.
SHOWER @ 0.50 -I HEREBY ACKNOWLEDGE/THAT I HAVE READ THIS
I LAVATORY (WASH BASIN) @ 0.50I APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
1 KITCHEN SINK @ 0.501 AND STATE LAWS REGULATING PLUMBING.
CERIFY THAT I POSSESS THE A30VE VALID LOS
LAUNDRY TUB OR TRAY @ 0.501 I ANGELES TCOUNTY LICENSE, OR ) AM THE LEGAL OWNER
SI THE RESIDENTIAL PROPERTY, DESCRIBED
_LIWGAS SYSTEM _OUTLETS @ 0.501 I
SIGNATURE OF A
ATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ DSD 1 INSPECTION RECORD
FLOOR SINK @ 0.50 I l.�hA��i(Ar L,sel,✓ a //'
FLOOR DRAIN @ 0.501 - -
DISHWASHER @ 0.501
IORINKING FOUNTAIN @ 0.501_
URINAL @ 0.501 I J
Q
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS I 9
a
I
APPROVALS
DATE / INSPECTOR'S NAME
ROUGH PLUMBING /.II
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.001 SEWER
PERMIT I 1.00 GAS TEST
UTILITY CO,NOTIFIED
TOTAL FEE S /// '/
"r FiNAL ` / �(Y
V
78pB" 17 9-49 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES L U °M S 0 N
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT ))TO FILL IN DISTRICTNO. GROUP '�Z/Oy1-NE
PLUMBER �A / .•f/� t�.�, RECEIVED 6 I /READY FOR ' I GATE ISSUED
/ q ['yam �'✓ I/�r i ]�-�L. ` FIRST INSPECTION
ADDRESS / l! 7Tr �"-/Tq'�Y'"I. .>.O.0 ( F
BUILDING L� F //�/l
CITY �-(� _ TEL. NO. AODR ESS J 1/ 't
COUNTY LOCALITY ;A-7
LICENSE NO. EXPIRES - �TP
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
• _ _
MAIL
WATER CLOSET (TOILET) C 0.50 I S ADDRESS
BATHTUB Q 0.50 CITY TEL, NO.
1 SHOWER Q 0.501 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY !WASH BASIN) Q O.GO AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING.
KITCHEN SINK Q 0.50 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q 0.501 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS Q 0.50 /
SIGNgTU RE OF
WATER HEATER Q 0.50 PERMITTEE ` wldi -/.�•� .• L/e % ? 1 IJ/' (y,
SLOPS[NK Q 0.So T INSPECTION RECORD
FLOOR SINK Q 0.501
' I FLOOR DRAIN Q 0.501
J DISHWASHER Q 0.501
DRINKING FOUNTAIN Q 0.501_
URINAL Q O.SOI J
IHOUSESEWER Q 0.501 Q
Z
MISCELLANEOUS
0
1
1
1
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q I.001_ CESSPOOL ///
SEPTIC TANK: SEPTIC TANK �jI II/ 411d
DRAIN
DRAIN I ) PIT ( ) Q 1.001 SEWERr
PERMIT , I 1,00 GAS TEST V _
TOTAL FEE $
UTILITY CO. NOTIFIED /
�� FINAL /'-lf-"7i�.�///.S'•rc � L�1/)'ll�