HomeMy Public PortalAbout9565 DAINES DR_Plumbing__ 76AG67 17 11-49 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FDX, CHIEF ENGINEER PLUMBIN
DISTRICT O. GROUP ZDPLHMil NO.
FOR APPLICANT TO FILL IN i �
PLUMBER ,Q 1 I RECEIVED BY READY FOR DAT ISSUED
FIRST INSPECTION
ADDRESS
BUILDING
CITYTEL. —ADDRESS' �� � p
I CEN LOCALITY
LICENSE NO. EXPIRES NEAREST
PERMIT FEES
NUM9ER TYPE OF FIXTURE OR ITEM FEE OWNER ILl.A�►�s�� j `� �� t�i�b�..ya_. !
MAIL
WATER CLOSET(TOILET) @ O 5O $ ADDRESS
z 4-
BATH TUB @ O 50CITY P i TE -76
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE TKIAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0501 1 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSE, OMI AM THE LEGAL OWN R
I OF THE RESIDENTIAL PR E DESCRIBE ABOVE.
GAS SYSTEM OUTLETS @ 0501
SIGNATURE OF �..
WATER HEATER @ 0.50 I PERMITTE
SLOP SINK @ 0.501 INSPECTION RE RD
FLOOR SINK @ 0.50
FLOOR DRAIN @ O 50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.501
HOUSE SEWER @ 0.50 Z
( MISCELLANEOUS J_
� I D
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
OAS PIPING
GAS VENT
be CESSPOOL @ 1,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 I SEWER
PERMIT • I 1.00 GAB TEST v
,y..5 UTILITY CO. NOTIFIED
TOTAL FEE $
FINAL
7SA667 n 5-49 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL 1N DISTRICT rNO. GROUP ZOO E PERMIT NO.
PLUMBER 1,7"/ tiL RECEIVED Y / READY FOR DATE ISSUED
ADDRESS /�f I��'�, �/ FIRST INSPECTION /-_-�'�
t 6 BUILDING
CITY
TEL. NO, T✓Q p� / � ADDRESS I
COUNTY LOCALITY
LICENSE NO EXPIRES / li
NEAREST
PERMIT FEES cRoss ST.
OWNER ,O
NUMBER TYPE OF FIXTURE OR ITEM FEE
MAIL
WATER CLOSET (TOILET) @ O 50 ADDRESS
BATH TUB @ O 50 CITY TEL. NO.
SHOWER @ O 50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) @ O 50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O 50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Cay O 50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
' OF THE RESIDENTIAL PROERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ O 50
' SIGNATURE OF
WATER HEATER @ O 50 PERMITTE ��
SLOP SINK @ O 50 INSPECTION REC66
FLOOR SINK @ O 50
FLOOR DRAIN @ O 50 ,
DISHWASHER @ O 50
DRINKING FOUNTAIN @ O 50
URINAL @ O 50 ,J
HOUSE SEWER @ O 50 Q
Z
MISCELLANEOUS
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING /7
GAS VENT
CESSPOOL @ 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 SEWER
PERMIT 1 00 GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE ffi I 4�
FINAL