HomeMy Public PortalAbout9969 DAINES DR_Plumbing__ D.B.S.17 25M SETS 1147 APPLICATION
s* �T R � 9
DEPARTMENT OF BUILDING AND SAFETY , ® T
COUNTY OF LOS ANGELES PLUMBING 7
Wm. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRI Ivo. OU ZONE- PERFAITNO.
ROUGH FIXTURESCOMPLETE '5' ��- " 7T'/ 5; a
HEATER CESSPOOL I�SEPTIC TANK RECE�IVEQD�,H� r�
Y READY FOR DAE TISSUED
AS MISCELLANEOUS •
e'`o` FIRST INSPECTION /-_�;1
.141P1rF FIN HEAVILY OUTLINED P/ORTItON ONLY
JOB
0: _NAME t 2312 AE ( AS D NAS DR ADDRESSr-
® ADDRESS TEMPLE CITY-, CALI , LOCALITY
� yy,� T
D _M2 A f o ?4 NEAREST
'I CITY TEL.No. CROBS ST.
IL '
COUNTY"'
CERT.No. 774 3 EXPIRES 6-30'7u W NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
I *AM THE LEGAL POSSIESSOR OF THE ABOVE LOO
ANGELES COUNTY CERTIFICATE QUALIPI TION.
i PLUii
I AM THE LEGAL OWNER OF THE PROPERstsR DESCRIBED
ABOVE.
, ty .
OWNER
CORRECTIONS.
SOUTH J
DESCRIPTION OF WORK z_
BATH TUB . FURNACE
--SHOWER DISHWASHER O
AVATORY REFRIGERATOR
: KITCHEN SINK WATER SOFTENER
FLOOR BINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
_ _WATER CLOSET DRINKING FOUNTAIN
DATE INSr�ECTOR'0 NAIL
_WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER d+ GAS - RODA FOUNTAIN
OUTL GAS PIPING
GAS VENT
CESSPOOL II
TOTAL NUMBER OF FIXTURES SEPTIC TANK +
CE 8SPOOL EPTICTANK - SEWER
$
TOTAL FEE UTILITY CO.NOTIFIED I -31 11
FINAL
D.B.&17 25M 8"8 1-48 APPLICATION FOR PERMIT
Dt''PARTMENT OF BUILDING AND SAFETY mr"LUMBING
COUNTY OF LOS ANGELES
WM.J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUPIZONE -PERMIT O.
ROUGH FIXTURES COMPLETE
RECEIVED BY READY FOR DATE ISSUED
HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION
S- MISCELLANEOUS ,
A� JOB
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
C NAME X C. lr 0/� a 11V ITTrA m� ADDRESS .( �� „ G..
ADDRESS 2� Nom. CIrO�e �yvo�
LOCALITY
COUNTY �+i--c+*T �p ,� NEAREST
.d(
CITY T�14�P� (' EL(ta j CROSS ST
.v
CERT.No. EXPIRES NAME
LOCATION OF SEPTIC TANS, OR CESSPOOL z MAIL
ADDRESS
NORTH O 01
CI TEL.No.
I AM THE LEGAL POSSESS OF T ABOVE LOS
ANGELE�COUN RT�FI
ol
,/Gl PLU RR
THE LEGAL OWNER OF THE PROPERTY DESCRIBED
A E.
m �
i OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK a
Z_
BATH TUB FURNACE O
ROWER DISHWASHER Q
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
BOOR BINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE IN1sPGCTOR'!NAME
WATER HEATER DENTAL LAVATORY I
ROUGH,PLUMBING
METER GAS *SODA FOUNTAIN
OUTL GAS PIPING I
GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURESSEPTIC TANK,_ I I
CESSPOOL SEPTICTANK �) SEWER I
$ UTILITY CO.NOTIFIED I I
.TOTAL FEE / 7
FINAL.