HomeMy Public PortalAbout10040 LIVE OAK AVE_Plumbing__ 76A667 (CE-817)-4/72 l /
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO BUILDING ADDRESS s
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY ,,11
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FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
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NUMBER FIXTURE OR ITEM @ FEE CROSS ST
OWNER
WATER CLOSET 1.75
MAIL p
BATH TUB 1,76 ADDRESS
SHOWER 1,75 TEL NO.
d
LAVATORY 1.75
CONTRACT
SINK 1.75 ADDRESS/O
DISHWASHER 1.75
CITEL NO.
CLOTHES WASHER 1.75 STATE LIC
NO
SWIMMING POOL RECEPTOR 1,75 LICENSE CLASS
-
DISTRICT NO GROUP N FRO SS BY
LAWN SPRINKLER SYSTEM 1.75 1— T J
- r
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 7.75 INSPECTION RECORD v
OUTLETS OVER
5 PER SYSTEM .30 p
CD
U
W
N
Z
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 OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. J FINAL
SIGNATURE tr /
OF PERMITTEE C
PERMIT VALIDATION cK M.0 CASH
PLAN CHECK VALIDATION CK. M 0 CASH J
V
jjjCO n 66 JAN 5 D 4.75- a
76ASS7 rn $•80 '® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
P°� COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLU N %7
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
t s �79
VALLEY BOULEVARD PLUMBING CO. p- °L
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION p
ADDRESS 8300 EAST VALLEY BLVD.
ROSEMEAD AT. ABUILDING
DDRESS D O
CITY TEL, NO.
COUNTY 93M LOCALITY
LICENSE NO EXPIRES I
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CROSS ST ,e,-, �
PERMIT FEES
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL �/ /
WATER CLOSET (TOILET) @ 0.50 $ •0-'a ADDRESS /J Y '/
BATH TUB @ O 50 1 CITY TEL. NO.
SHOWER @ O 50 1 HEREBY A KNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 Q APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O 501 STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUBO TRAY Q O 50 I A ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS Q O Sol SIGNATURE OF �/,J
WATER HEATER Q O 50 PERMITTE
SLOP SINK Q O $01 INSPECTION RECORD
FLOOR SINK @ O Sol
FLOOR DRAIN @ O 50
DISHWASHER @ O 50I
DRINKING FOUNTAIN Q O 501
URINAL @ O 50I •,J
HOUSESEWER @ O 50I Q
Z
MISCELLANEOUS I - 0
I O
I�
APPROVALS
IDATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL Q 1 00 I CESSPOOL
SEPTIC TANK I SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1 001 I SEWER
PERMIT . I 1 00 GAS TEST
TOTAL FEE $
UTILITY CO NOTIFIED iy
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FINAL S�