HomeMy Public PortalAbout9921 DAINES DR_Plumbing__ O.S.S,17 25M BETS 2-47 APPLICATION FOR PERMIT
DEPARTMENT-OF BUILDING AND SAFETY I APPLICATION PERMIT
1
COUNTY OF LOS ANGELES
• V `�
WN. J. FOX,CHIEF ENGINEER PLUMBING
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE P RMIT NO.
ROUGH FIXTURES - COMPLETE I s T"•- `
HEATER CESSPOOL I SEPTIC TANK RECEIVED=BY READY FOR DATE-IBSUgggo-)
` ('� FIRST INSPECTION I `}
AB MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
E NAME M._-C. NOTTINGHAM CO. ADDRESS2_S v r
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t0 ADDRESS 123 No. Cloverly Ave. LOCALITYNEARf
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IL pT 4'f� CROSS
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OJ. CITY TFM � P ,NCAU , CR089 8T. SD
COUNTY
CERT.No. EXPIRES W NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL 47
- ADDRESS
NORTH O r
CITY TEL.No.
't AM THE LEGAL POSSESSOR OF THE-ABOVE LOS
ANGELES COUNTY CERTIFIC415 J2P UALIFICATION.
If PLUMBER
M THE LEGAL OWNER OF THE PROPERTY DESCRIBED
A kV E.
a
4) OWNER
_I CORRECTIONS
SOUTH -
- J
DESCRIPTION OF WORK _Z
BATH TUB FURNACE
SHOWER DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
LOP SINK -FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPacrOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I
METER GAB SODA FOUNTAIN
OUTL GAS PIPING I I
GAS VENT /�
CESSPOOL I S/ 4 �s
TOTAL NUMBER OF FIXTURES 'tea SEPTIC TANK
CESSPOOL SEPTIC TANK 6-or SEWER
$ UTILITY CO.NOTIFIED I
TOTAL FEE FINAL
D.B.13r17 25M BETH 11-46 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFE3'Y � �1n®�
ti COUNTY OF LOS ANGELES
Witt.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION D18TR1 O. GROUPO P RMI .
ROUGH FIXTURES I_I COMPLETE'
I RECEIVED BY \READY FOR D E 1 U
HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION
AS MISCELLANEOUS 1IfTv
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
E NAME, �ADDRESS C2( fI JOB a-14t&I
W '
m ADDRESS iA' I LOCALITY
74
NEAREST
d CITY �^/y�/}Q(1 � TEL_._NO�/ h y •yq1 CRO SST.
COUNTY '—�-
CERT.No. EXPIRES �.-� m NAME /
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL v`
3 ADDRESS
NORTH O
CITY TEL.NO.
• 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
P MBER
I AM THE LEGAL OWNER OF TH ERTY DESCRIBED
ABOVE.
OW ER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK a
z
/ BATH TUB FURNACE
SHOWER E3
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
/ WASH TRAY URINAL APPROVALS
I WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING 3' p I V 't n S
METER GAS SODA FOUNTAIN GAS PIPING I ,
OUTL
GAS VENT
C&—POOL
1117 TOTAL NUMBEL�T
XTURES
SEPTIC TANK
CESSPOOIPTIC TA ` SEWER I A
\UTILITY CO.NOTIPlED - g / /TOTAL FEE (� � �--
FINAL
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY L
WILLIAM J. FOX, County Engineer
D TRI D. GROUP .
FOR APPLICANT TO FILL IN __-w +
PLUMBER !(READY FOR
/�E EIVED BY DATE ISSUED
Y s6�f FIRST INSPECTION
ADDRESS
BUILDING
CITY TEL.No. ADDRESS
COUNTY LOCALITY
LICENSE NO. EXPIRESNEAREST
�yQ �, /�✓
CROSS ST
PERMIT FEES
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0.50 ADDRESS
BATH TUB IQ 0.50
CITY ,!'_t.�r.f� �T.�IG:�TEL. No. �'y
SHOWER (� 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
_ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK Q 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS 0.50
SIGNATURE OF ry ��
WATER HEATER 0.50 PERMITTED-
SLOP SINK 0.50 INSPECTION
FLOOR SINK @ 0.50
FLOOR DRAIN 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN 0.50
URINAL Q 0.50 J
Q
HOUSE SEWER 0.50 _Z
MISCELLANEOUS
(7
A
APPROVALS
DATE INSPECTOR'9 NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 1,DO CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) ® 1.00 SEWER
PERMIT GAS TEST
TOTAL FEE
UTILITY CO.NOTIFIED
S � O d,
INAL Y
76x667 DBS#17 10/52
76A '7�CE81710-60
APPLICATION FOR PLUMBING PERMIT-
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS Z, S
WILLIAM A. JENSEN, SUPT OF BUILDING ^�
LOCALITY
FOR APPLICANT TO FILL IN NEARESTCROSS T.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAIL -21
ADDRESS BATH TUB
CITY NO.
SHOWER
CONTRACTOR s
LAVATORY
ADDRESS
SINS
DISHWASHER CITY . NO. - _ ✓�
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHER DIST ICT GROUP ZONE P $ED_BYl
WATER HEATER G 9j ,Y✓�
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL }
INSPECTION RECORD a
O
V
O
H
• Z
$EBB SER ITEM
OR FIXTURE $ j D APPROVALS DATE INSPECTOR'S SIGNATURE
i ts/
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING "
GAS PIPING - t,x
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR AT 1 AM THE L L OWNER OF, THE ABOVE GAS TEST
DESCRIBED REBID IAL ROP RTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL -
�VALIDATION ROBERT A. WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
CQ
LAC�4 SEP 6 5 'D 3.50N
76A�-C-C #�
APPLICATION FOR PLUMBING PER IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 9921 Daines Drive
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY Temple City, Calif.
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
$1.215OWNERr• H. Zofchak
WATER CLOSET ;1,
MAIL
BATH TUB 1,25 ADDRESS 9921 Daines Drive
SHOWER 1.25 CITY Temple City TEL. NO. 287-4584
LAVATORY 1.25 CONTRACTOR Bryant :.Ztg. �, Air Cond.
SINK 1.25 ADDRESS 1350 E. Las Tunas Drive
DISHWASHER 1.25 CITY San Gabriel'9/7 TEL• NO. 286-1141
CONTRACTOR'S STATE
LAUNDRY TUB 1.25 REGISTRATION NO. COUNTY
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZO PRO E, B
WATER HEATER 1.50 V ,
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL a
WASTE APPROVAL O
OUTLETS O R 5 PER SYSTEM .30 INSPECTION RECORD V
On 24" gas lines 9w
0
V
W
a
h
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT s 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 3 50 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
ISCER IFY HA 1 AM O RLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS RE UIRE Y UDS NG ES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR T A R/y(! E OWNER OF,AN INTEND TO
RESIDE IN, THE AS E G IB I ENTIAL PROPE Y UTILITY CO NOTIFIED
SIGNATURE `
OF PERMIT T E
FINAL
V/---YAJIDATION
ROBERT A wooD
M o I CASH SUPERVISING MECHANICAL ENG'R
8' . JAN 7 5, ® 3::5, c