HomeMy Public PortalAbout10108 LIVE OAK AVE_Plumbing__ 7eAe67 117 5-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ti
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
r' FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE /PERMIT
RMIT NO.
15 V
PLUMBERREC ED BY READY FOR DATE ISSUED
VALLEY
.' PLUMBING. FIRST INSPECTION
ADDRESS8300 nr T
I L I Bit-VD.
BUILDING
CITY ADDRESS lel y
ROSE E D TEL. NO. ATZ 2719
O
COUNTY 7l LOCALITY
LICENSE NO. EXPIRES .r -
NEAREST
PERMIT FEES cRoss sr.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ 0.50 $ O ADDRESS
1 BATH TUB Q 0.50 1 -40 CIT TEL. NO.
SHOWER Q 0.50 V
I HEREBY CKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) Q 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING.
KITCHEN SINK @ 0.50 �A 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q. 0.50 I V ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
1 OF THE RESIDENTIA 7P OPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS Q O.SO
SIGNATURE OF
WATER HEA ER - Q 0.50PERMITTE !/i/'�✓
SLOP SINK @ 0.50 _ INSPECTION RECORD
FLOOR SINK @ 0.501
FLOOR DRAIN Q 0.50 1
DISHWASHER @ 0.501
DRINKING FOUNTAIN Q 0.501
URINAL Q O.501
HOUSESEWER @ O 501 Z
MISCELLANEOUS
1� 0
1�
1�
1 1
1 APPROVALS
DATE INSPECTOR'S NAME
P
1 ROUGH PLUMBING
1 GAS PIPING
1 1Ai
GAS VENT
1 CESSPOOL Q I.00 1 CESSPOCL
1 SEPTIC TANK: I SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1.001 SEWER 1
PERMIT . I 1.00 GAS TEST `Zt�
/ UTILITY CO. NOTIFIED v
TOTAL FEE $ 6FINAL I ✓ "I I { b����'