HomeMy Public PortalAbout9451 DAINES DR_Plumbing__ 76AS67 DBB 17 11-50 - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES N
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT NO. RO P ZO .
F❑ APPLIDANT TO F• L i
6' 7' � - / 4A31 Ll'
PLUMBER i RECEIVED BY READY FOR DATE ISSUED
per/ VE B FIRST INSPECTION GT ¢ 5-04--
ADDRESS i$ (j �,s�,�i� C� 40J'r""�'e' / r U V ��
BUILDING A.9P
CITY EL. NO..Oq r ADDRESS d w
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST � -V
CROS
PERMIT FEES S ST. (v�l') ,f//
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER �rpy"'�•' ,
d
MAIL �e��P
WATER CLOSET(TOILET) @ 0.50 I$ f b d ADDRESS 944.4
Q BATH TUB @ O.SD J-0
CITY s rTEL. NO. a , /!
SHOWER @ O.SO SB I HEREB ACKNDIVI EDGE9 THAT I H VE READ THIS
LAVATORY (WASH BASIN) @ 0.50 d O AABOVE 18 CORRECT
ND AGREEPPLICATIO A COMPLY WITH ALLND STATE THATHCOUNTY ORDINANCES
Q KITCHEN SINK @ 0.50 �j 0 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICSE, OR I AM THE LEGAL OWNER
GAS SYSTEM- _OUTLETS @ o.so ,� OF THE RES IDENTIAL RCPERTY DESCR BLED ABOVE.
SIGNATURE E ! ) J{� �r�_,,� �
WATER HEATER @ 0.50 SO PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ O.SO
FLOOR DRAIN @ 0.50
DISHWASHER @ O.BO
DRINKING FOUNTAIN @ 0.50 -�
URINAL @ 0.50 J
Q
HOUSE SEWER @ O.SO Z_
MISCELLANEOUS 5
Ir
O
APPROVALS
E- DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT /
tZ
i
CESSPOOL @ 1;00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 1 SEWER
PERMIT .
I 1.00 GAS TEST 1 ,S
p� UTILITY CO. NOTIFIED
TOTAL FEE `b � D V
FINAL (/ /