HomeMy Public PortalAbout9431 DAINES DR_Plumbing__ 76A667 17 5-49® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING �
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
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PLUMBER ✓✓ RECEIVED BY READY FOR DATE ISSUED
/ FIRST INSPECTION
ADDRESS ,
CITY ✓(UIL'[.OU(. g,L4f.
ADDREISS `��_�
LT
COUNTY LOCALITY
LICENSE NO. EXPIRES NEAREST
PERMIT FEES FEES CROSS ST.
f ,
i
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ 0.50 S ADDRESS
BATH TUB @ 0.50 CI �� - TEL. NO.
SHOWER @ 0.50 I 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 COUNT -ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REG ULA G PLUMBING. ;
VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 A GAL OWNER
OF THE-RESP
GAS SYSTEM OUTLETS @ 0.50 _7 "
SIGNATURE OFA s 3•• ''
WATER HEATER @ 0.50 PERMITTE j ` ` "
SLOP SINK @ 0.50 INSPECTIOM;RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50I
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 � aJ
HOUSESEWER @ 0.50I Z
MISCELLANEOUS
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: I SEPTIC TANK
I DRAIN ( ) PIT ( @ 1.00 I SEWER
PERMIT 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE `' FINAL ",'',
D.B.S.17 25M SETS 2-47 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
Wm. J. FOX.CHIEF ENGINEER PLUMBING
NATURE OF 'INSTALLATION DISTRICT-NO. GRo P[zO E PgRMIT No.
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL 1-1
SEPTIC YANK RECEIVED BY READY FOR DATR ISSUED
FIRST INSPECTION q
GAS MISCELLANEOU
APPLICANT FILL IN HEAVILY OUTLINEID PORTION ONLY
JOB
a. NAME ,��Q ,, ,� �(.n,,.�i� ,,,, ADDRESS •���• I tiJnX
® ADDRESS ��2D LOCALITY
f
3 NEAREST cr
J CITY TEL.No. L V �„b g CROSS ST.
a
COUNTY ( _ \
CERT.No. �p EXPIRES A �O W NAM
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
3 ADDRESS
NORTH O
CITY TE o.
1 AM THE LEGAL POSSESSOR T E ABOVP-LOS
ANGELES COUNTY CERTIFI O.�q ICATIO
PLUMBER
I AM THE LEGAL OW ER OF THE PROPERTY DESCRIBED
ABOVE.
3 OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK a
z_
BATH TUB FURNACE E3
. Q.
-SHOWER DISHWASHER Q
I LAVATORY REFRIGERATOR
_KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
_WASH TRAY URINAL APPROVALS
_1—WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY l �fI
ROUGH PLUMBING
METER-2t—GAS SODA FOUNTAIN
OUTL 6A8 PIPING
GAS VENT ! f
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK I I
CESSPOOL SEPTIC TANK SEWER
S UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer 1
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer PLUm
LDISTR[OTNO. GROUP ZONE .
FOR APPLICANT TO FILL IN A-PLUMSER r-+. BYREADY FOR DATE ISSUEDADDRESSr, '-v �� � FIRST INSPECTION
BUILDING
CITY EL N o.1Y` � 11sCC�� ,. ADDRESS �"✓ � �/C� (.�`�,��', 'a K
COUNTY
LICENSE NO. EXPIRES LOCALITY
NEAREST
PERMIT FEES cRass ST. J -
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL o
WATER CLOSET(TOILET) 0.50 S ADDRESS 9ZI. - ,4
...,._.f�1
BATH TUB 0.50 L i
CITY NO. s} ZY
- _.�_� 't'1=L. �o
SHOWER 0.50 1 HEREBY ACK13WLED13E 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
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR ,I AM THE LEGAL OWNER
O OF THE RESIDEN IAL PROPERTY DE8CRIBED ABCI�V E.
GAS SYSTEM_ OUTLETS @ 0.50
BIONATURE Of '
WATER HEATER @ 0.50 PERM..TE %' -�'/1�/.'AR! .•C/f�;e'./'-`
SLOP SINK O.sO INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN @D O.SO
DISHWASHER 0.90
DRINKING FOUNTAIN 0.50
URINAL 0.50 Q
HOUSE SEWER 0.50 _Z
MISCELLANEOUS
Q'
(7
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
OAS PIPING
GAS VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK _
DRAIN ( ) PIT ( ) Q 1.00 SEWER
PERMIT . . I 1.00 GAS TEST Z
_ UTILITY CO.NOTIFIED _
TOTAL FEE � _
O FINAL
7GA667 DBS##17 6-52