Loading...
HomeMy Public PortalAbout9450 DAINES DR_Plumbing__ D.B.S.17 25M SETS 12.44 •I APPLICATIOld FOR PERMIT - DEPARTMENT OF BUILDING AND SAFES COUNTY OF LOS ANGELES' . PLUMB Wm,. FOX,CHIEF UNGINEER _ ING NATURE OF INSTALLATION DISTRICT NO. GROUPI ZONE PERMIT NO. ROUGH FIXTURES ,_sIr COMPLETE_ HEATER CESSPOOL (d9 1 SEPTIC'TANK RECEIVED Y READY FOR DATE ISSUED (d,, 1 j'} FIRST INSPECTION GASMISCELLANEOUS' ► APPLICANT FILL IN. HEAVILY OUTLINED PORTION ONLY F / JOB :.NAME j/1�_11 ADDRESS 9"/J l In ADDRESS�1Ly/ d •.�.J�.O/�f - LOCALITY J �_ / � `� / -NEAREST, o. CITY //�,ry1_ /`���`!1 �°s�,TEL.No. CROSS ST. - COUNTY - V - �syB CERT..No. !r EXPIRLE�S�r C+-C. .m NAME. p �s1,//.�"-a �"-tl - LOCATION-OF SEPTIC TANK.' OR CESSPOOL. •2 MAIL - 3 ADDRESS NORTH i O.. CITY - .'TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS- ANGELES COUNTY CERTIFICATE OF QUALIFICATION. I PLUMBER 1 AM THE LEGAL OWNER OF THE PROPERTY•DESCRIBHD ABOVE. ' _•�I - - OWNER ` CORRECTIONS i - SOUTH DESCRIPTION OF WORK z BATH TUB aURNAC6 ~ SHOWER ^ISHWASHER" • LAVATORY, REFRIGERATOR - - KITCHEN SINK WATER SOFTENER FLOOR SINK -- SAND TRAP . SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS • WATER CLOSET RINKING FOUNTAIN DATE 1NSPECT0p•9 NAME WATER HEATER DENTAL LAVATORY. ROUGH PLUMBING I I METER GAS -- SODA FOUNTAIN - GAS PIPING OUTL GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES I SEPTIC TANK ._CESSPOOL SEPTIC TANK SEWER S UTILITY CO.NOTIFIED I TOTAL FEE Gam. I FINAL pp- D.B.S..1.7_2yf4,SXTS 12-44 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAPRrY • COUNTY -OP LOS ANGELES WM.J:FOX. CHIEF ENGINEER y" NATURE OF INSTALLATION, DISTRICT NO. GROUP ZONE PERMIT NO: ROUGH "FIXTURES COMPLETE _1 ' -7 Q' I-I REG6IVED BY. READY FOR ATRISSUED HEATER CESSPOOL SEPTIC TANK / ; •%J -�) FIRST INSPECTION GAS MISCELLANEOUS - fY/! lc1f �ALPP/LLII/CANTTj FILL IN HEAVILY OUTLINED PORTION,,ONLY JOB • NAME ADDRESS m ADDRESS - ' „rr�h� -;LOCALITY ' g j _ - ,U� . yam .� NEAREST - LL CITY.� �9R✓ TEL.No. CROSS ST. /j,,-.�`•' COUNTY © - CERT.No. / tl EXPIRES_4• ' K .NAME LOCATION OF SEPTIC TANK, OR CESSPOOL 3. MAIL ADDRESS NORTH O CITY` - - TEL.No. 1 AM THE LEGAL POSSESSOR'OF .THE ABOVE LOS ANGELED COUNTY CERTIFI �UUAJLQFICATION. i, - I!A P.ALUMBQRI _ 1 AMTHE LEGAL OWNER OFuT.Hfd�R�PERT CRIBED ABOVE. (f`� OWNER CORRECTIONS -SOUTH DESCRIPTION OF WORE z BATH TUB' FURNACE ~ HOWER DISHWASHER' O `LAVATORY REFRIGERATOR / KITCHEN SINK WATER SOFTENER LOOR SINK SAND TRAP LOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTO,{R'B NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I ( !Y METER J GAS f+ODA FOUNTAIN I� I OUTL GAS PIPING GAS-VENT - I .• I . t, CESSPOOL . TOTAL NUMBER OF FIXTURES J V SEPTIC TANK CESSPOOL SEPTIC TANK SEWER S UTILITY CO.NOTIFIED I TOTAL FEE 15,17 UTILITY I -0. FINAL , /��d / i� � COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer bIVISION OF BUILDING & SAFETY � Ra m WILLIAM J. FOX, County Engineer DISTRICT NO. GROUP ZONE ERM . FOR APPLICANT TO FILL IN 1 "It5i�3 PLUMBER EIVED BY READY FOR DAT ISS EDS FIRST INSPECTION. 71 „ ADDRESS BUILDING f CITY TEL.No. ADDRESS 7,_1 ,(.r / J/ CS COUNTY LOCALITY LICENSE NO. EXPIRES w NEARESTG / /1 t//"' 4 PERMIT FEES CROSS ST: 6�']C�//V,..G/O f H NUMBER TYPE OF rIXTURE OR ITEM FEE _OWNER MAIL t/ WATER CLOSET(TOILET) a O. O B ( ADDRESBy 9y,,�/J_ TC. Ley-iN+6-_5 lol f- BATH TUB 0 O O -9CITY / TEL. No. SHOWER 50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS Z-� LAVATORY (WASH BASIN) Q 50 �� APPLICATION AND STATE THAT THE ABOVE IS CORRECT --FF-- AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES' r� KITCHEN SINK @ ck5o S?0 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.5 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER ® OF THE RESIDENTIAL PROPERTY DE4CR��ABOVE. OAS SYSTEM O OUTLETS @ O. SIGNATURE OF WATER HEATER (E7 Of 50 `p� 7. SLOP SINK @ P.50INSPECTION RECORD FLOOR SINK 50 FLOOR DRAIN @ 0.5 DISHWASHER a O. O f ��-c X'f..,& F/ DRINKING FOUNTAIN @ . O / O v URINAL (aJ CAPO J HOUSE SEWER Q DID Z MISCELLANEOUS O i APPROVA D,AATE INSPECCTOOR'B` N�A^MEE ROUGHPLUMBING GAS PIPING GAS VENT CESSPOOL 1,00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER b PERMIT 1.00 GAS TEST UTILITY CO.NOTIFIED �. 4 TOTAL FEE Its71001 FINAL K y 76A667 DBS$ 17 10/52 , 76A647Af • CE 817(REV.11/78) APPLOCATOON FOR PLUIIVIIB0NG PERnMO COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING [/( O NUMBER FIXTURE OR ITEM @ FEE ADDRESS 7 J WATER CLOSET LOCALITY L G ; NEAREST BATH TUB CROSS ST. SHOWER OWNER U x LAVATORY MAIADDL Cq - RESS / SINK CITY G TEL.NO DISHWASHER CONTRACTOR L L6 CCo CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY N 2 EL.NO�� LAWN SPRINKLER SYSTEM STATE LIC. WATER HEATER LICENSE NO. (� CLASS GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING GAS PIPING 0 GAS VENT HOT WATER HEATER PLUMBING FIXTURES GAS TEST/ Z�,7y IIA ®' Plan check fee UTILITY CO.NOTIFIED PLUMBING PERMIT ISSUING FEE$ TOTAL FEE /0 FINAL Plan check applicant PLAN CHECK VALIDATI N Name Address City Tel.No. _ qq Q /, p 8 (t A I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE G 7-18 4. THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION O O•O O O 5 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED LICENSED AS .,µµ REQUIRED BY LOS ANGELES COUNTY AND STATE OF CAL RNIA ORT AT I AM THE #.O O O'O O 5 LEGAL OWNER OF.AND INTEND RESIDE IN THE AB E DESCRIBE AT PROPERTY. 2 0 0 1 00 0 SIGNATURE - OF PERMITTEE 10 O O 1 0,0 OI- �� TRICT O. PROCESSED BY 1, 1 9.779 INDUSTRIAL WASTE APPROVAL D.B.S.-17 25M SETS 12-45 APPLICATION FOR, PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE �^ Imo- HEATER CESSPOOL I SEPTIC TANK RECEIVED BAY..- READY FOR DATE I68UED FIRST INSPECTION GAS MISCELLANEOUSmmimmommm C� APPLICANT FILL IN HEAVILY OUTLINED PORTION QNLY NAME cif. _X T `y- /��E,._ ADDRESS A W r� pp yQ [0 ADDRESS Gd� C..�lsl:2;,� t' `LOCALITY �J ` f D NEAREST IL CITY [X,h., TEL.No. CROSS ST. COUNTY CERT.NO. EXPIRES lz III NAME LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL 3 ADDRESS NORTH O CITY TEL.No. ' 1 AM THE LEGAL POSE OR 'OF THE ABOVE LOS ANGELES COUNTY CERTIFICOF QUA IF��.►.TI,ON. l PLUMBER .1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. N a i OWNER CORRECTIONS SOUTH a a , DESCRIPTION OF WORD BATH TUB FURNACE *+HOWER DISHWASHER LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN ' WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN ° DATE INSPECTOR'S NAME WATEWHEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS - SODA FOUNTAIN OUTL - GAS PIPING GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOI- SEPTIC TANK , Q O SEWER TOTAL FEE UTILITY CO.NOTIFIED FINAL WORKERS'COMPENSATION DECLARATION APPLE CA 11 MN FOR P LUl1VI1ONG PERMPT I hereby affirm that I .have a certificate of consent to self 20-0026 DPW 6/87 insure, or a certificate of Workers' Compensation Insurance, 76A667A or a certif' cop thereof (Se 00, L C ) COUNTY OF,LOS ANGELES DEPT. OF PUBLIC WORKS Policy N � ` ny. ❑ " w Ac Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspec- ADDRESS " �S �► tion department. NUMBER FIXTURE OR ITEM Q FEE LOCALITY -I! � G Sf Date V-.21 WATER CLOSET pplicant NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. / COMPENSATION INSURANCE OWNER (This section need not be completed if the work involved by SHOWER the permit is for one hundred dollars,($100)or less.) LAVATORY MAIL r ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL. NO, so as to become subject to the Workers'Compensation Laws. r ` DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of ADDRESS Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- LAWN`SPRINKLER SYSTEM CITY / ,� TEL. NO G with comply with such provisions or .this permit shall,.be STATE LIC. deemed revoked. WATER HEATERLICENSE NO. � CLASS l�6- LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby offirm•that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,,and my license is in full force and effect. 5 PER SYSTEM FINALCLI �lo�7b J DA ECL �� V�►LIDATIOR� License Number Lic. Class Contractd� X169� '7`o��'_`� FINAL. NE7e 0, ❑ I am exempt un er Sec: u B.BP.C. for this reason " Plan check fee Cl) Date: PLUMBING PERMIT ISSUING FEE$ 1 Signature TOTAL FEE 3 Q Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name ) I hereby affirm that I am exempt from the,Contractor's License Add Law for the following reason (Section 7031.5, Business and Address 1'+_€>. Professions Code): City Tel. No. I, as owner of the property,.will do the work and the structure is not intended or offered for sale (Section .': 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued _ (Sec. 3097, Civ. C.). Lender's Name $^ t *x Lender's Address I certify that I have read this application and state that the above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above- ntioned property for in Pection purposes. SEE REVERSE.FOR EXPLANATORY LANGUAGE Signature of Permittee Date