HomeMy Public PortalAbout10002 LIVE OAK AVE_Plumbing__ 76A667 ICE�817)-4/72
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO BUILDING
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75
MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1.75 CITY TEL NO
LAVATORY 1.75 CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY TEL NO
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO GROUP ZONE F CESSED BY
LAWN SPRINKLER SYSTEM 1.75 ��Z-31 ��
WATER HEATER 1,75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 5 INSPECTION RECORD V
OUTLETS OVER 30 p
5 PER SYSTEM '
Lw
' - W
Ll.
N
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR S SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNEROF, AND IN END TO
RESIDE IN THE ABOVE D SCRIBED RESP DENT L PROPERTY
FINAL ZOMV t2
SIGNATU RE
OF PERMITTEE
PERMIT VALIDATION CK M.O CASH
PLAN CHECK VALIDATION CK M D CASH -
I A�, 3 7 5 073 OCT 31 5 v D 6 .5 0 d
7eAee7 17 9-50 APPLICATION FOR PERMIT-
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT NO. GROUP ZONE PERMIT NO.
FOR APPLICANT TO FILL IN 5- - I - /'?o/ m
PLUMBER VALLEY BOULEVARD PLUMBING CO. RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS 8300 EAST VALLEY BLVD.' BUILDING
�9 •J
CITY ROSEMEAD TEL NO AT. 2-2719 ADDRESS /C/COUNTY 93M 93M 6-30-g"/ LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS sT.
-e
PERMIT
OWNER �E
NUMBER TYPE OF FIXTURE OR ITEM FEE MAIL
D ,Q
WATER CLOSET (TOILET) Q O 50 $ / ,90 ADDRESS
BATH TUB Q 0.50 V
CIT TEL. NO
SHOWER Q O 50 a0 1 HEREBY KNOWLEDGE THAT 1 HAVE READ THIS
Y 1 LAVATORY (WASH BASIN) O 50 �,a APPLICATION AN STATE THAT THE ABOVE IS CORRECT AND
V AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK O 50 Q STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUBO TRAY Q O 50 1 0 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAY15ROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS Q O 50
SIGNATURE OF A
WATER HEA ER Q O 50 1 '� PERMITT .C/
SLOP SINK @ O 501 INSPECTION RECORD
FLOOR SINK @ O 50 1
FLOOR DRAIN Q 0 Sol
DISHWASHER Q O 501
DRINKING FOUNTAIN Q O Sol
1 URINAL Q O 50I 1
HOUSESEWER Q O 501 1 Q
Z
MISCELLANEOUS 1 I C7
O
I�J
Imo_
APPROVALS
1 DATE INSPECTOR'S NAME
ROUGH PLUMBING 1
/ C� ,I
1 GAS PIPING !a d
GAS VENT
1v v,
CESSPOOL @ 1 00 CESSPOOL
1 SEPTIC TANK- 1 SEPTIC TANK
I DRAIN ( ) PIT ( ) Q 1.001 SEWER
PERMIT . . I 1 00 GAS TEST
TOTAL FEE $
UTILITY CO NOTIFIEDgo
Ir
FINAL � !�
76A667 Desi7 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
R R .
FO APPLICANT TO FIL IN
PLUMBER • RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADORE.. i
- BUILDING
-CITY TEL.ND. ADDRESS /
COUNTY ����qq i
LICENSE NO. EXPIRES �,.J(J LOCALITY
NEAREST
PERMIT FEES CROSB ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0 0.50 113 ADDRESS -
BATH TUB @ 0.50 CITY TEL. No.
SHOWER 0 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
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 LAW® REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY 0 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAS SYSTEMOUTLETB 0.60
OF THE RESIDENTIAL R0 ERTY DESCRIB AS VE.
�
SIGNATURE OF
WATER HEATER 0.50 PERMITTEE
SLOP BINK 0.50 INSPECTION RECORD
1 FLOOR SINK @ 0.90 ry /
FLOOR DRAIN 0 0.50
DISHWASHER Q,0:50
DRINKING FOUNTAIN 0 0.50
i
URINAL Q 0.50 J
Q
HOUSE SEWER 0 0.50 _Z
MISCELLANEOUS 4 _O
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAB PIPING
GAB VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1.00 GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE � f 1.6 J
FINAL i ,b-2- kza'
7OXe67 r, 13-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER L 1A 119
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
5 - /�;pO/
PLUMBER VALLEY BOULEVARD PLUMBING CO. RECEIVED BY READY.FOR DATE ISSUED
FIRST INSPECTION _
ADDRESS 5100 EAST VALLEY BLVD. A
p e 2-2719
n n7 DDRESS V 0 �
CITY ROSEM `T
COUNTY
EAD TEL NO. � • -G• �� A
L CENSE NO. 93M EXPIRES 6.30-,5-/ LOCALITY
NEAREST
PERMIT FEES CROSS ST.
OWNER e.
NUMBER TYPE OF FIXTURE OR ITEM FEE .-
_ '1 MAIL „/j)
WATER CLOSET (TOILET) @ O 50 $ 19 ADDRESS _ 7P_
BATH TUB Q O SO �� CIT f> TEL. NO.
SHOWER @ 0.501 HEREBY A KNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AN STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING.
KITCHEN SINK @ O 50
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIA PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ O 50 1 SIGNATURE OF �_
{ WATER HEATAR @ O 50
'PERM
SLOP SINK @ o 5o INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN @ O 50
DISHWASHER @ 0.501
DRINKING FOUNTAIN @ O 50 1
URINAL @ O 50 W
H
HOUSE SEWER @ O 50 Q
U_
MISCELLANEOUS -�
IL
1
1
APPROVALS
1 DATE INSPECTOR'S NAME
1 ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1 00 1 CESSPOOL
1 SEPTIC TANK 1 SEPTIC TANK
DRAIN ( ) PIT ( @ 1 001 SEWER
PERMIT . . 1.00 GAS TEST
I
TOTAL FEE $ UTILITY CO NOTIFIED
FINAL