HomeMy Public PortalAbout10923 DAINES DR_Plumbing__ 7eA557 n 11.50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
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FOR
�O(R1 APPLICANT TO FILL IN DISTRICT-NO. GR P Zti fPF
% 31 N i
PLUMBER/0-N-L lI • J V/1til 17- RECEIVED BY 'READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
n;t}L. � /
EXPIRES
BU
ILENG
CITY -S TEL. NO�B ADDRD
COUNTY EXPIRESLCENSENO. r /S7.
LOCALITY
NEAREST
PERMIT FEES ceoss sT.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER 'x,
' MAIL
WATER CLOSET (TOILET) AE..50 S = DDRESS
I BATHTUB @ 0.501 1 CITY TEL. NO.
SHOWER @ 0.501 1 HEREBY ACKNOWLEDGE THAT I 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.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.501_ ANGELES COUNTY LICENSE. OIAM THE OWNER
OF THE RESIIDENT4n PROPE Y9 E CRIABOVE.
I GAS SYSTEM OUTLETS @ 0.501 SIGNATURE
OF
TE fU
-� WATER HEATER @ 0.501
SLOP SINK @ 0.501 INSPECTION RECO
FLOOR SINK @ 0.501
FLOOR DRAIN @ 0.501
DISHWASHER @ 0.501
DRINKING FOUNTAIN @ 0.50 b
URINAL @ 0.501 (61-A 1�� � ��G 04-."—yip
1 HOUSESEWER @ 0.501 Q
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MISCELLANEOUS (�
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1
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
1 SEPTIC TANK: I I SEPTIC TANK
DRAIN I I PIT ( I @ 1.00 1 SEWER
PERMIT . I 1.00 GAS TEST
TOTAL FEE 1 $
UTILITY CO. NOTIFIED
FINAL
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FO APPLICANT TO FILL IN
DISTRICT D. G OyP I �N/,
to/�7O
PLUMBER REC VED BY READY FOR DAT 19ww ED
E PE:RMIT NO.
/7 FIRST INSPECTION If'
ADDRESS (�/ '0 }- Q /
CITY �WI� BUILDING
'WTEL. No. / (/ ADDRESS , ^' 1 /"1
COUNLOCALITY
IT
NEAREST /,
EXPIRES
PERMIT FEES cease sT aQ I y
NUMUER TYPE OF FIXTLRE OR ITEM FEE OWNER
MAIL IO
WATER CLOSET(TOILET) ® O.SO 9 ADDRESS
BATH TUB ® O. 0 CITY TEL No.
SHOWER ® C.5 I HEREBY ACKNOWLE GE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ O. O APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK ® .SO AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY .50 ANGELES COUNTY 'CENSE, OR I A1.4 THE LEGAL OWNER
GAS BYSTEM_OUTLET9. @ ,50 OF THE REBIDEN IAL PROPERTYArnjp//YE9CRIBED ABOVE.
SIGNATURE OF /I r , 4�
WATER HEATER Q 0 O PERMITTE {{{"''
SLOP SINK @ D so NSPECTION RE60RD
FLOOR SINK @ .SO
FLOOR DRAIN @ tLso
OIBHWASH ERMO. D
DRINKING FOUNTAIN .50
URINAL @ .50 '1
Q
HOUSE SEWER @ ,SO Z
MI CEL ECUS E3
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APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAB VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) ® 1.00 SEWER
PERMIT1.OD
GAB TEST /
• UTILITY CO. NOTIFIED /
TOTAL FEE 9 �r �® I FINAL !4%
70A667 DHS#17 10/52
J ]6AS67-<EA81] 9/63'
APPLICATION FOR PLUMBING PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILD/NG /�
SS D eC�
BUILDING AND SAFETY DIVISION ADDRE
JOHN A. LAMSIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS BY yL t
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.25
MAIL
BATH TUB 125 ADDRESS ^q
CITY TEL. NO.
SHOWER 1.225 LSC ��z7
LAVATORY 125 CONTRACTOR -
SINK 125 ADDRESS
DISHWASHER 1.25 CITYTEL. NO. _ld
LAUNDRY TUB 1.25 CONTRACTOR nn STATE
REGISTRATION NO. oG COUNTY ❑
CLOTHES WASHER 1.25 DISTRiOCT NO. GROUP N[ PROCESSED B
WATER HEATER 1.58 d T I
GAS SYSTEM OUTLETS 3.5R INDUSTRIAL a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .$R U
INSPECTION RECORD
of
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N
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APPROVALS DATE INSPECTOR5 SIGNATURE
PERMIT 5 2 00 UNDER SLAB WORK
3 �� ROUGH PLUMBING
TOTAL FEE
GAS PIPING
HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ORDINANCES
IS CORRECT AND AGREE E COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANO $TATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE /
OF PERMITTEE � FINAL
C�LIDATION ROBERT A. WOOD
cH M.D. CASH SUPERVISING MECHANICAL ENG'R
L°LO 5 2 4 7:o OCT 2 6 5 D 3.5 0- J
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