HomeMy Public PortalAbout9564 DAINES DR_Plumbing__ 7GA667 17 5-49(b APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO.
GROUP ZONE PERMIT NO
! IOi
PLUMBER P r A h k- D'lRECEIVED BY READY FOR DATE ISSUED
/ tn� FIRST INSPECTION
ADDRESS I G �1 C� L/),A /T i O`.? U
CIT17,. /�' BUILDING A Cq
13 ). e r i 1 TEL. NO , , 1 ADDRESS rC O !/
COUNTY ,/ LOCALITY���7,
LICENSE N !6I G/ EXPIRES Q'� N
NEAREST'
PERMIT FEES CRO��w��N ?L
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER U J` S bL I-� al 7N
�� MAIL
WATER CLOSET (TOILET) O 50 ADDRESS
BATH TUB @ O 50 S D CITY TEL. NO.
I
SHOWER @ O 50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY WASH BASIN) O 50 s O APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O 50 JC STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 SO ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTI L P OPERTY DESCRIBED ABOVE.
GAS SYSTEM-2y--OUTLETS @ O 50 5 U SIGNATURE OF
WATER HEATER @ O 50 S D PERMITTE
SLOP SINK @ O 50 INSPECTION RidORDV
FLOOR SINK @ O 50
FLOOR DRAIN @ O 50
DISHWASHER Q O 50
DRINKING FOUNTAIN @ O 50
URINAL Q O 50 J
HOUSE SEWER @ O 50 I Z
MISCELLANEOUS
0'
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING 2Asm,
GAS PIPING
GAS VENT
CESSPOOL @ 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
I DRAIN ( ) PIT ( ) Q 1 00 SEWER /
PERMIT I 1 60 GAS TEST
UTILITY CO NOTIFIED
//�
TOTAL FEE $ I� Q Q
V FINAL
76A667 17 11-49 APPLICATION FOR PERMIT
DEPARTMENT OF BIIILDING AND SAFETY PLUMBING
�� � �� ICOUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT NO. GROUP Z P .
FOR APPLICANT TO FILL IN
tip"- 73/C!F�
PLUMBER l ��,/ RECEIVED BY READY FOR DATE ISSUED
/' )/` FIRST INSPECTION
AD DR ESB
BUILDING
CITY TEL A � ADDRESS
COON w
LOCALITYf A7�
b
LICENSE NO. EXPIRES ;�
NEAREST
PERMIT FEES CROSS ST.
NUMBER, TYPE OF FIXTURE OR ITEM FEE DWNER JI�'
MAIL
WATER CLOSET(TOILET) @ o so $ ADDRESS
BATH TUB @ 0.50 CITY TEL. No
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ O 50 I 1 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.501 ( ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAS SYSTEM OUTLETS @ 0.501 OF THE RESIDENTIAL PR P RTY DESCRIBED ABOVE.
SIGNATURE OF /!
WATER HEATER @ 0.501 PERMITTEE — l
SLOP SINK @ 0.501 INSPECTION ECORD'
FLOOR SINK @ 0.501
FLOOR DRAIN @ O 50
DISHWASHER @ O 50
DRINKING FOUNTAIN @ 0.501
URINAL @ 0.501 J
Q
HOUSE SEWER @ 0.501 ^D Z
(MISCELLANEOUS i p
I �
O
I
I
1
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
p p GAS VENT
CESSPOOL @ I. CESSPOOL Ar
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER ` ~,
PERMIT I 1.013 GAS TEST
TOTAL FEE $ UTILITY CO.NOTIFIED
/
FINAL
t PLl1BING 1
DEPARTMENT OF COUNTY ENGINEER ,
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS
_ 1 t=S n t
FOR APPLICANT,TO FILL dN LOCALITY
BUILDNEARES I
ADDREISS � NQS' CROSS ST I F t
�'/� p� + DISTRICT NO GRO P ZONE PER^ IT NO.
LOCALITY
CROSS ST lid 0 'b LR CEIVED BY Ready for Inspection DATEISSUED
OWNER /G�►�d � 1 S ti �tLfl
/ INDUSTRIAL 1
"�CyL
MAIL WASTE APPROVAL
ADDRESS S
CITYr_7r"'� TELINSPECTION RECORD
,I .NO ^—
PLUMBER ') T� 'PL�y4„ps,4 N a (fid
ADDRESS 7 S .0 75 CO / �'�' r� -
CITY ` TEL.NO
�^ [I STATE _
LICENSE NO e) Q66UNTY J
PERMIT FEES a
_Z
`UMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) @ 080 $
O
BATH TUB @ 080
SHOWER @ 0.80
LAVATORY,(WASH BASIN) @ 0 80
KITCHEN SINK @ 080
LAUNDRY TUB OR TRAY @ 0 80
SLOP SINK @ 0 80
FLOORSINK @ 080
FLOOR DRAIN @ 080
DISHWASHER @ 080
DRINKING FOUNTAIN @ 080
URINAL @ 080
GAS SYSTEM___. ___._OUTLETS @ 1.00 !
WATER HEATER @ 1 00
MISCELLANEOUS
1<5,11,0 ;p APPROVALS
t DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
�J /10 GAS PIPING
TOTAL FEE oGr t�
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE BOVE DESCWBED ESIDENTIAL POPERTY. UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE _ ._.__CSS__ _ •_._.•._ _
FINAL
76A667 DBS 1/53