HomeMy Public PortalAbout10619 DAINES DR_Plumbing__ 76A667 -CE#81 7 10-62 �
APPLICATION FOR P&MBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMSIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN. SUPT OF BUILDING -
LOCALITY
FOA APPLICANT TO FILL_ IN - NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM' EACH FEE
OWNER
a.L WATER CLOSET $1.25 MAIL
/ BATH TUB 1.25 / n ADDRESS
/ SHOWER- 1.25 / �J CITY TEL. NO.
LAVATORY L25 � S CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO. _UrQ
LAUNDRY TUB 1,25 CONTRACTOR'S STATE
REGISTRATION NO. / COUNTY ❑
CLOTHES WASHER 1.25 DISJCT'NO. GROUP ZONE P CESSED BY
/ WATER'HEATEA 1.50
1.50 INDUSTRIAL 1 y
GAS SYSTEM�OUTLETS WASTE APPROVAL
OUTLETS OVER 5 PER.SYSTEM .30 ../ INSPECTION RECORD {J
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APPROVALS DATE
//"� INSPECTOR S SIGNATURE
PERMIT •2 00 UNDER SLAB WORK Z�Y� W `` '' ' L/
ROUGH PLUMBING 4f� q.l.[ yyT•j 4
- TOTAL FEE L , r
GAS PIPING V
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY
WITH ALL COUNTY ORDINANCE. AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED 'ANOIOR PLUMBING FIXTURES41
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 1
CALIFORNIA'OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST ��+ 0
RESIDE IN..THE ERTY. UTILITY CO. NOTIFIED tea/
SIGNATURE ABOV .0 EO RESIDENTIAL PROP
OF PERMITTEE _ FINALL} iz / o6 A
cKOALIDATION ROBERT A. WOOD �J
M,0. CASH SUPERVISING MECHANICAL ENG'R '
LAC08 14 5FEB 2 5 D 1 7.50~ V
• D.B.S. 17 25M SETS 12.44 ' APPLICATION FOR PERMIT '
DEPARTMENT OF BUILDING AND SAFETY .
COUNTY OF LOS ANGELES
Wm. J. FOX. CHIEF ENGINEER.
NATURE OF INSTALLATION GISTRIC=NO. GROUP ZONE PERMIT NO. ,
ROUGH FIXTURES _ COMPLETE Al
, RECEIVED BY READY FOR (DATE ISSUED--
HEATER CESSPOOL I SEPTIC TANK /VE FIR READ P TION
GAS MISCELLANCOUB '//}- • /i,o• ,Y' —ao , ys'
APPPLICA�pNT FALL IN HEAVILY OUTLINED PORTION ONLYJOB
fin•
H NAME t.l.l. /t'7 OM.wY/l. ut/VY '( ADDRESS
m ADDRESS .I�Aw /J .A.417_cls t LOCALITY
Y
ONEAREST
p CITY TEL.No. ,CROSS ST. F
COUNTY — -
.CERT.No. - 7 1 EXPIRES - m NA_ M� jµp�,..�a�•�
LOCATION OF SEPTIC TANK, OR CESSPOOL' z
NORTH O ADDREBB �Q�1. "� A=i ten.fd uW.'r
— CITY n V TIL.No.
1 AM THE LEGAL POSE OR OF. THE ABOVE LOB
ANGELES COUNTY CERTIFIC T P GU IFICATION.
Pt:ureER _
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE. .
OWNER
CORRECTIONS
i
Sours -
a
DESCRIPTION.OF WORK a,
BATH TUB' FURNACE - -
ti
SHOWER DISHWASHER - 0r-.
IAVATORY REFRIGERATOR
KITCHEN SINK • .WATER SOFTHNeR - -
FLOOR SINK BAND TRAP
SLOP BINK - FLOOR DRAIN
WASH TRAY URINAL _ ' APPROVALS
WATER CLOSET DRINKING FOUNTAIN.
DATE INSPECTOR'S NAME'
• WATER HEATER DENTAL LAVATORY ROUGH PLUMBING ' -
STEN OAS BOOA FOUNTAIN 1
OUTL - GAS PIPING' I
- I GAB VENT
. - CEgBPOOL
TOTAL NUMBER OF FIXTURES
SEPTIC TANK
CESSPOOL QEP,TIC TANK SEWER
a
TOTAL FEE I. � UTILITY CO.NOTIFIED
' FINAL
D.B.S.n 2F,�sErs 12.63 - - APPLICATION FOR PERMIT
DEPARTMENT OFOS NG' LE SAFETY°
M
I
NTY OFF LOS ANGELES
_ WM:J. FOX, CHIEF ENGINEER
ATURE OF"INSTALLATION T DISTRIcrMO: GROUP ZONE PERMIT O.
a
ROUGH - _I FIXTURES COMPLETE .I` ��.�. aI •I I / 3
READY FOR
HEATER CESSPOOL SEPTIC TANK REC81V® BY DAT6.IBBUED�
w/y}� FIRBTOINBPECTION : ,
GAB MISCELLANEOUS "-�+'• �~ 7.d
APPLICANT FILL IN HEAVILY OUTLINED
t"PORTION Y
ONL
NAME I ADDRESB�•3VII /n� ...,p
F
'ADDRESS LOCALITY` 2IL J. J7. - e✓l(j
7
' _'�. NEAREST'1
A
CITY- �T , TEL.'NO., CROSS BT. -
COUNTY , I.
CERT."NO. - ". r EXPIRES C NAME _ "1 µ /7�/YVO•(Jy�
LOCATION OF. SEPTIC TANK, OR CESSPOOL,' z.' MAIL
ADDRESS. '
NORTH -
.. I; CITY.. TEL.No.
• - ' 1 AM',THE '.LEGAL POSSESSOR 'OF' THE ABOVE L68
ANGELES,COUNTY CERTIFICATE OF QUALIFICATION. "
PW MBRR
1 LAMTHE LEGAL OWNER O�H PERTY DEBC BED
F _ t: ABOVE:..
R
yp CORRECTIONS .
7--
SOUTH
DESCRIPTION OF WORK z
ATH TUB _ FURNACE
y
rA::T:�KITCHEN
HOWER - DISHWASHERAVATORY REFRIGERATOR
BIKNK WATER SOFTENERLOOR BINK - vANDTRAP . . ,
LOP'BINK' FLOOR DRAINr - .
WASH TRAY URINAL.. '[ •`Y - APPROVALS
_I'. WATER CLOSET DRINKING FOUNTAIN - DATE_ .INBPBciOR'BMAM¢
J WATER HEATER DENTAL LAVATORY,• ROUGH PLUMBING I�-I :• H•. Y'II 'I S \'% ,(�/1�YI
GAB ODA FOUNTAIN �.
OU TL - -GAS PIPING.
.. GAS VENT: . . I .1
CESSPOOL
TOTAL NUMBER OF FIXTURES ✓ 9
SEPTIC TANK I,
CESSPOOL vEPTICTANK SEWER I
ov
TOTAL FEE
' f - B 'Z UTILITY CO.NOTIFIED
I '
- ✓ -
I I 'FINAL