HomeMy Public PortalAbout9333 DAINES DR_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
w DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT D. GROUP
? � ,�,,/��_ I �' `PERMIT NO,
� �'
PLUMBER . RgCEIVED BY ITS—READY FOR DATE ISSUE
ADDRESS W7 � �. FIRST IN5PECTtON I
/��fv BUILDI�'r
CITY /I��L�C TEL Na.
COUNTY / 2" LOCALITY
LICENSE NO. �` EXPIRES
NEAREST
CROSS ST.PERMIT
DIT FE S
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
,WATER CLOSET(TOILET) @ 0.60 $ ADDRESS
t-LAVATORY
BATH TUB @ 0.50CITY TEL NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
(WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 _?_ AND STATE LAWS REGULATING PLUMBING.
nn 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 G9 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
GAS SYSTEM OUTLETS @ 0.50 , ll OF THE RESIDENTIAL PE_ RZY4:D SC 21 D ABOV.E.–
SIGNATURE OF --.—
WATER HEATER @ 0.50 PERMITTEE
3
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK +�7, @ O.SO
FLOOR DRAIN ^@ 0.50
DISHWASHER @ O.SO -
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 "I
i Q
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS (7
(Y
0
APPROVALS
DA)FE INSP/CTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST
z P� UTILITY CO.NOTIFIED ,./,,& {.
TOTAL FEE $ , r
FINAL
76A667 DES.f#17 10/52