HomeMy Public PortalAbout10050 LIVE OAK AVE_Plumbing__ 0/ 'YBAee7 17 5-80 KD APPLICATION FOR PERMIT
? DEPARTMENT OF BUILDING AND SAFETY
1�1COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
f� FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
VALLEYBOULEVARD PLUMBING CO. 5 17 9 - Z
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION u
ADDRESS 8300 EAST VALLEY BLVD. I - 7 - s/
ROSEMEADAT. 2-2719 BUILDING
CITY TEL. NO ADDRESS
COUNTY 913 m 6.30.,5-/ LOCALITY
LICENSE NO EXPIRES -
• NEAREST
PERMIT FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) Q 0.50 $ ADDRESS /�1�q//. A
BATH TUB Q O 50 �a CITY6--�t"/l/'G/l�L/y TEL. NO.�tl'
1 SHOWER Q O 50 y 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) Q 0 50 / 00 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
(J STATE LAWS REGULATING PLUMBING.
KITCHEN SINK Q O.50 I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUBO TRAY Q O 50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
1 GAS SYSTEM OUTLETS Q O 50 1 O OF THE RESIDENTIA PERTY DESCRIBED ABOVE!
�. SIGNATURE OF �1 ��A.ta.�✓
WATER HEA ER Q O 50 1 PERMITTE
SLOP SINK Q o Sol INSPECTION RECORD
FLOOR SINK Q O 50 1
FLOOR DRAIN Q O 50
DISHWASHER Q O 501
DRINKING FOUNTAIN Q O 501
URINAL Q 0.501 •,J
HOUSESEWER Q O 501Q
Z
MISCELLANEOUS
1
1
APPROVALS
1 JRATE INSPECTOR'S NAME
1 ROUGH PLUMBING
1� GAS PIPING I d..�"i.�♦'���
1 GAS VENT
CESSPOOL Q 1 001__ ___ CESSPOOL
1 SEPTIC TANK- 1 SEPTIC TANK
I DRAIN ( ) PIT ( ) Q 1 00 SEWER _
PERMIT . I 1 00 GAS TEST
TOTAL FEE IS
UTILITY CO NOTIFIED
FINAL
76A667- CE=EI17 5-61
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS f G'C/_'�Q LfU'C GA It -/jyj
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
ST.
"x ( �
NUMBER FIXTURE OR ITEM ER
OWN .j�✓ ._
WATER CLOSET buUL
BATH TUB ADDRESS f'
}� CITY TEL NO. -Ale
SHOWER J l�'�V
LAVATORY CONTRACTOR�z��"'v -/i e—
ADDRES36JZ. G;E ' / --I LS
SINN
DISHWASHER
CITY t G '
CONTRACTOR'SA 8
LAUNDRY TUB REGISTRATION NO. -1.-- 2-G'R Z--COUNTY
CLOTHES WASHER DISTRICT NO. I GROUP ZONE 1, PRO¢ESSED BY
WATER HEATER (� C C `L
INDUSTRIAL n-
GAS SYSTEM WASTE APPROVAL V
INSPECTION RECORD 0
F
U
W
CL
In
Z
Q $1.00 PER ITEM
OR FIXTURE APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ,) ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THI 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.
I HEREBY CERTIFY T 1 AM PR PERLY REGIS ED AND/OR PLUMBING FIXTURES
LICENSED AS REQ IR OS A S COUNTY D STATE OF
CALIFORNIA OR THA i THE G OWNE F THE ABOVE GAS TEST
DESCRIBED RESIDEN OPER UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTE
FINAL
i` ALIDATION ROBERT A. WOOD
M.O. CASH SUPERVISING MECHANICAL ENG'R
5U6U:o
u`U.o OCT 2 5 G 15.% 5