HomeMy Public PortalAbout9920 DAINES DR_Plumbing__ 76A667 nes 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND"SAFETY ��� �� � � "
COUNTY OF LOS ANGELES
WILLIAM J. FDX, CHIEF ENGINEER DISTRTCT r
E PERMIT NLI.
FOR APPLICANT TO FILL IN O, - a
a t
PLUMBERVED BY READY FOR DATE
Q r
SUED
FIRST INSPECTION
ADDRESS
BUILDING D A ,A(OS j>Q C,
CITY TEL. No. ADDRESS
COUNTY LOCALITY
LICENSE N - EXPIRES
NEAREST Z>A`W5S DOL
_ )d ME
PERMIT FEES -CROSS BT. .�L.///�7 4! A' /Gr T
NUMSER TYPE OF FIXTURE OR ITEM FEE GWNER�/ 4 /� Aus-rid
MAIL
WATER CLOSET(TOILET) @ 0.50 ,� ADDRESS ig� o ] p
BATH TUB @ 0.50 CITY �� If-Ir
TEL. Na.
SHOWER @ 0.50 1 HEREBY ACKNO LEDGE THAT 1 HAVE READ ,�T.HIS
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.
'1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LIC
GAS SYSTEMOUTLETS 0.50 SE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL OPERTY DEBCRIB ABO
@ D
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTEE
BLOP SINK @ 0.50 INSPECTION RECORD;
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER _ @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL - @ 0.50 J
_ Q
HOUSE SEWER @ 0.50 Z_
MISCELLANEOUS
O
ith
APPROVALS
D TE INSPECTOR'9 NAME
ROUGH PLUMBING
- GAS PIPING
GAS VENT
7
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ) PIT ) @ 1.00 SEWER
PERMIT A I 1.00 GAS TEST
UTILITY CO. NOTIFIED /
TOTAL FEE s
1 � � FINAL
/ D.B.H.17 25M SETH 2-47 APPLICATION qhs LICATION FOR PERMIT
. -,DEPARTMENT OF BUILDING AND SAFETY Y PLUMBING�(j�
COUNTY OF LOS ANGELES
} WM. J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZO PERMIT NO.
ROUGH _ FIXTURES COMPLETE I �!~RECEIVED Y Z DATB ISSUED READY FOR
HEATER CESSPOOL —I SEPTIC TANK ' FIRST INSPECTION i `/�j
AS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
E NAME M_ C. NOTTINGTIAM CO ADDRESS ,j 41 � pp�(/)'1�� ft
W Nn lnvprly vP LOCALITY f�
ADDRESS 12 No- Cl�T Tom—
NEAREST /��.
6 CITY T_ MITY
r r1 (} ►.►�A T T� CROSB ST.c1
COUNTY *zy�v —o�A l-11!
CERT.No. EXPIRES m NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
3 ADDRESS
NORTH O ;CITY�7 �fTEL.No.
I AM THE L[iGAL POSSESSOR OF THE ABOVE LOS
'ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
CPLUMBBR
IJAM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
D
OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK Q
z
BATH TUB FURNACE
SHOWER DISHWASHER p
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE IN9P9CT0R'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
ETER GA8 SODA FOUNTAIN
OUTL GAS PIPING I I
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOI SEPTIC TANK :o-0 SEWER
TOTAL FEE UTILITY CO.NOTIFIED
FINAL
D.13.er17 25M SETS 11 X46 (`�
APFLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY '
COUNTY OF LOS ANGELES PLUMBING 1h "
WM.J. FOX.CHIEF ENGINEER
-� NATURE O STALLATION �»� O. GRO O E PgRMIT NO.
ROUGH 1101::FIXTURES COMPLETE
HEATER CESSPOOL h SEPTIC RECEIVED//// BY READY FIRST IN8PFOR ECTION DATB 168UED`
AS Z.1 16CELLANEOUB �/�1-�' ; 7
.,,APPLICANT,194,L IN HEAVILY O,TLINED PORTION ONLY
JOB 'C
Ir NAME "1 1 - ADDREW -
m ADDRHBH ' � LOCALITY
DNEAREST / /^f '-I' 1
L CITY TEL.No. I CROSS 9T. h f/�'✓
COUNT 77
/ -7 EXPIRES
CERT.No. _ _ (Q / EXPIRES m NAME / '
77
LOCATION OF SEPTIC TANS, OR CESSPOOL Z MAIL
ADDRESS
,NORTH � O
` CITY TEL.No.
_
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICAM,112DFIOUALIFICATIbbl.
I UMBER//�
I AM THE LEGAL OWNER'OF THE ROPERTY?DE8CRIBED
ABOVE.
3 V/ OWNER
_1 CORRECTIONS
SOUTH
J •
DESCRIPTION •OF WORK z '
BATH TUB - FURNACE
SHOWER DISHWASHER O
LAVATORY REFRIGERATOR ,
KITCHEN SINK WATER SOFTENER -
FLOOR SINK SAND TRAP
GLOP SINK- FLOOR DRAIN
WASH TRAY URINAL APPROVALS
r WATER CLOSET DRINKING FOUNTAIN DATE �p INSPECTOR'S
/NAME
Ae •
WATER HEATIR DENTAL LAVATORY • ROUGH PLUMBING I f✓� P ff I �c,v L4
�d METE 4� GAS aODA FOUNTAIN GAS PIPING.
OUTL
GAS VENT
'CESSPOOL
TOTAL NUMBER OF FIXTURES �" O SEPTIC TANK I I
CESSPOOI aEPTICTANK SEWER-
UTILITY// D D UTILITY CO.NOTIFIED I ��3 v v�I bl
TOTAL FEE f]�
FINAL