HomeMy Public PortalAbout10152 LIVE OAK AVE_Plumbing__ i 7GA887 17 3-50 19 APPLICATION FOR PERMIT
I0� DEPARTMENT OF BUILDING AND SAFETY A's mm
.,� COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
s - - 771q - 9
PLUMBER VALLEYBOULEVARD PLUMBING CO. RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS X300 EAST VALLEY BLVD. T y ^ /,
NG
CITY NOSEMEAD TEL. NO AT. 2-2719 ADDRESSCOUNTY
LICENSE EXPIRES
ENSE NO. 93M 6-30-5 LOCALITY
NEAREST
PERMIT FEES cRoss sr.
NUMB TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ O 50 $ /090 ADDR9,6$ y
BATH TUB @ O 50 I CI TEL. NO. S- 1/•
SHOWER @ O 50 0 i HEREBY A NOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q 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 Q O 50 5 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY LICE�NSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIA F2 ERTY DESC IBED ABOVE.
GAS SYSTEM OUTLETS @ O 50 V
SIGNATURE OF
WATER HEATER @ O 50 PERMITT
SLOP SINK Q o Sol INSPECTION RECORD
FLOOR SINK Q O 50
FLOOR DRAIN @ O 5o
DISHWASHER Q O Sol
DRINKING FOUNTAIN @ O Sol
URINAL @ O 50I ZQ —. ..r ,�,.,,�� Q
HOUSE SEWER Q O 5011
MISCELLANEOUS
O
I
I�
APPROVALS
DATE INSPECTOR S NAME
ROUGH PLUMBING
GAS PIPING m
GAS VENT
s
CESSPOOL Q 1 00I� CESSPOOL
I_SEPTIC TANK- I SEPTIC TANK
I DRAIN ( ) PIT ( Q 100 I SEWER
PERMIT . I 1.oo GAS TEST
TOTAL FEE $ UTILITY CO NOTIFIED
G/ FINAL I G,/Y/:1