HomeMy Public PortalAbout10823 DAINES DR_Plumbing__ 7SA6ST tT 9-49 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
E.^AOT IAP-�PLICANT TO FILL IN DISTCT NO. GROUP ZONEPERMITNO.
W NO CONTRACTORS ' ��3'�O
PLUMBES44 W !` RECEIVED BY READY FOR DATE ISSUED
�-tUT l FIRST aINSPECTION
e onterey Park, r- 2 --x
ADDRESYT1a BIIC 2-4864 _ li"L --
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um Brand 3-1040 Ao REI55 S�•3 �• l '6v,
CITY TEL. NO.
COUNTY LOCALITY
LICENSE NO. �wl /J EXPIRES ��3 /(�/ p /r'���,,/
NEAREST / � i
PERMIT FEES cRoss ST. CT
NUM 6ER TYPE OF FIXTURE OR ITEM FEE OWNER �i(_C• /TAC�A•tl�`7�
MAIL
WATER CLOSET (TOILET) Cw 0.50 5 J.. ADDRESS
BATH TUB Q 0.501 I � CITY TEL. NO.
SHOWER Q 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q 0.501 APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINKQ 0.50 �� STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q 0.501 ,5' ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
�.I GASSYSTE. OF THE RESIDENT BED ABOVE.
OUTLETS trU 0.50 �� SIGNATURE OF
WATER HEATER Q 0.501 � PERMITTE
SLOP SI NK Q 0.s0 INSPECTION RECORD
FLOORSINK Q 0.501
FLOOR DRAIN Q 0.501
DISHWASHER Q 0.501 Zb
DRINKING FOUNTAIN Q 0.501
I URINAL Q 0.501 _� � NAC,CQ /r,o,LC LJ(.FQ t=.0/] Q
HOUSESEWER Q 0.501 _ (� �T��. Z
MISCELLANEOUS
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APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING ./ _- ,
�— GAS PIPING /' 1 '11 g./!
GAS VENT
1 CESSPOOL Q 1.001 CESSPOOL
I SEPTIC TANI': I SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.00 1SEWER
PERMIT . . I' 1.00 GAS TEST //
TOTAL FEE I S !o UTILITY CO. NOTIFIED —7
R
,
J FINAL /v T�
V
70AC" n 5 W ID APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY a
COUNTY OF LOS ANGELES (�y"
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRI��NO. GROUP I ZONE PERMITNO.
U
PLUMB / / 2d RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS_ 0 11 3
G A LNGBUILD-ADDRESS
D
TEL. NO. OXO/n.T 9 /J
COUNTY LOCA] 'TllCLCC '�J I
LICENSE N/ / EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER A
MAIL
WATER CLOSET (TOILET) @ 0.501 S ADDRESS
BATH TUB @ 0.50 CITY TEL, NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
LAUNDRY TUB OR TRAY @ 0.50 I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
GAS SYSTEM-OUTLETS OF THE RESIDENTI PROPERTY DESCRIBE ABOVE.
SIGNATURE OF �,t/i
WATER HEATER @ 0.501 PERM ITTE
SLOP SINK @ 0.501 INSPECTION RECORD
I FLOOR SINK @ 0.501
FLOOR DRAIN @ O.SOI //!r%
DISHWASHER @ O.50I L 71 G�ST�O.G Vy Ly 4Z.'I
DRI LAKING FOUNTAIN rril O.SOI
URINAL @ 0.501 I it7 Tp Rel lir> " w Q
HOUSE SEWER @ 0.50J Z
MISCELLANEOUS �h/ l
Ix
I n GF s r ons L rc� B� °
46
I
APPROVALS
IDATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
F-� CESSPOOL @ 1.00111 Q Q CESSPOOL Oy
SEPTIC TANK: 4 SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.001 I SEWER 7^ j
PERMIT . Loo GAS TEST q II l� I1Y
UTILITY CO. NOTIFIED
J^� q 1 f�_ ;��
TOTAL FEE 1 5 7 I ,
�C FINAL