HomeMy Public PortalAbout10927 DAINES DR_Plumbing__ 78AaG7 IT a-„a KD APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTR15C_T-NO.. GROUP ZONE PERMITNO.
BURKE-HOWARD RECEIVED BY READY FOR DATE ISSUED
L.
2436 PLUMBER O /��
N. ROSEMEAD BLVD. FIRST INSPECTION o (
ADDRESS &L AIG,+T9
BUILDING /019',e-
COUNTY
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CITY TEL. NO. ADDRESS
COUNTY LOCALITY .iJttF�Wq
LICENSE NO. EXPIRES
ST
PERMIT FEES CROSSCROS6 ST. w� l•T
NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER A. ✓ .
MAIL G-CD ;j B� ,,
WATER CLOSET (TOILET) Q 0.50 S ADDRESS rJ d OS /� /
BATH TUB Q 0.50 CIT 0 .L1 TEL. NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q 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.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q 0.501 ANGELES COUNTY LIC NSE. OR 1 AM THE LEGAL OWNER
OF THE REST DENTIA ROPERT.Y DESCRIBED ABOVE.
GAS SYSTEM—OUTLETS Q 0.50 u
SIGNATURE OF / (�• G
WATER HEATER Q 0.50 PERMITTE
SLOP SINK Q O.So INSPECTION O
FLOOR SINK Q 0.501
FLOOR DRAIN Q 0.501
1. DISHWASHER @ 0.501
DRINKING FOUNTAIN Q O.SOI
URINAL Q 0.501 ,J
I HOUSESEWER Q 0.50I
Z_
MISCELLANEOUS I U'
I— 0
I
I
�— APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q 1.00 CESSPOOL A
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1.00 SEWER
PERMIT 1.00 GAS TEST e
I1 -- UTILITY CO. NOTIFIED
TOTAL FEE
FINAL 1
IV
,BAGGY w .. APPLICATION FOR PERMT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR
AQ APPLICANT
�TO� FILL IN DISTRICTIV O. GRO%P I ZONE PERMIT NO.
T PLUMBER R/�x 71 • W vV/L�/V RECEIIVVED BY READY FOR I DATE ISSUES/Do
FIRST INSPECTION
ADDRESSBUILDING�/1 �'^ � _`�—•W'l� -�•
\M _ �_ 11 C' ADDRESS
J o9 a 7
CITY F_P • ")^�'�✓� TEL. NO'1>O -O-J']Sf�/
COUNTY Y S'-0 EXPIRES GI �o/vl� LOCALITY
_LICENSE NO. NEAREST
PERMIT FEES CR, ,
ST.
NVMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ 0.50 5 ADDRESS
BATH TUB @ 0.50 1 CITY TEL. NO.
VIKITCHEN
ER @ 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
[El ORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
SINK @ 0.50 1 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
1 LAUNSDRY TUB OR TRAY @ 0.50 ANGELES COUNTY (CENSE. OR I AM THE LEGAL OWNER
GAS VSTEM�OUTLETS {ni O.SOI OF THE RESIDENT PROPE V E CR ABOVE.OF
WATER HEATER @ 0.501 SIGNATURE
ER M IT"E E
Ir'✓/'
SLOPSINK @ o.so INSPECTION RECORD
J FLOOR SI NK @ 0.50
FLOOR DRAIN a 0.50
DISHWASHER @ 0.30
DRINKING FOUNTAIN @ 0.501
URINAL @ 0.50 TI J
HOUSESEWER @ 0.50 Q
Z
MISCELLANEOUS O
O
1
1
APPROVALS
DATE INSPECTOR'S NAME
l
ROUGH PLUMBING
GAS PIPING
GAS VENT d
CESSPOOL @ 1.00 ( CESSPOOL
SEPTIC TANK: SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1.001 SEWER
PERMIT . 1.00 GAS TEST
TOTAL FEE
UTILITY CO. NOTIFIED
I Sq I ! �(�•
cif" FINAL P