HomeMy Public PortalAbout10134 LIVE OAK AVE_Plumbing__ 0 f 7eAee7 17 11-50 = APPLICATION FOR PERMT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
PLUMBER RECEIVED BY READY FOR DATE ISSUED
CO FIRST INSPECTION _
ADDRESS 8100 FAST VALLEY BLVD l v
BUILDING x
CITY ROSEMEAD TEL. NO AT. 2.2719 ADDRESS
COUNTYs� la C9
LICENSE NO. 93M EXPIRES S' LOCALITY
NEAREST
PERMIT FEES cRcss sT
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ O 50 $ 0 ADDRES
la
BATH TUB @ O 50 CI /-&TEL NO. s-vq SV
/ SHOWER @ O 50 1 HEREBY AC OWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) @ O 50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
/ I KITCHEN SINK @ O 50 STATE LAWS REGULATING PLUMBING.
aa I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 I V ANGELES COUNTY LI ENSE OR I AM THE LEGAL OWNER
y� OF THE RESIDENTIA PERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ O 50 vl SIGNATURE OF
WATER HEATER @ O 50 ^�(/ PERMITTE
SLOP SINK @ 0 50 INSPECTION RECORD
FLOOR SINK @ O 5o
FLOOR DRAIN @ O 50
DISHWASHER @ O 50I
DRINKING FOUNTAIN @ O Sol
URINAL @ O 50I J
HOUSESEWER @ 0.50I Z
MISCELLANEOUS
O
I�
I
APPROVALS
/DATE INSPECTOR'S NAME 1
ROUGH PLUMBING
� ll
GAS PIPING
1/
GAS VENT
CESSPOOL @ 1 OOI CESSPOOL
SEPTIC TANK: I SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1 00I SEWER
PERMIT I 1 00 GAS resr
7�
$�I UTILITY CO NOTIFIED
TOTAL FEE II¢ir/
FINAL