HomeMy Public PortalAbout10206 LIVE OAK AVE_Plumbing__ 7eAGO7 17 8-50 APPLICATION FOR -PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
` WILLIAM J. FOX, CHIEF ENGINEER
i FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
MING CO. r /7.25 -/G
PLUMBER RECEIVED BY READY FOR DATE ISSUED
8300 EAST VALLEY BtVLj. 11�� FIRST INSPECTION 17 5-
ADDRESS
ADDRESS ROSEMEAD AT. 2-2719 /
BUILDING
CITY TEL. NO ADDRESS I"
COUNTY LOCALITY
LICENSE NO EXPIRES
NEAREST
PERMIT FEES CROSS ST. ✓L�
NUMBE TYPE OF FIXTURE OR ITEM FEE OWNERMAIL
^/
WATER CLOSET (TOILET) Q O 50 $ ADDRESS IO�
BATH TUB @ 0.50 I �1 CIT TEL NQ�,J
SHOWER @ O soil (/ 1 HEREBY A NOWLEDGE THAT 1 HAVE READ THIS
q APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) @ O 50 f� STATE
/ AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
LAWS REGULATING PLUMBING.
KITCHEN SINK @ O 50 D 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB 9R TRAY Q O 50 1 o ANGELES COUNTY LI ENSE OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL ft PERTY DESCRIBED ABOVE.
1 GAS SYSTEM OUTLETS AOL (ai 0 50 I O r
SIGNATURE OF
WATER HEA ER @ O 50 PERMITTE _
SLOP SINK @ O 50 INSPECTION RECORD
FLOOR SINK @ O 50
l I FLOOR DRAIN Q O Sol
DISHWASHER @ O 501
DRINKING FOUNTAIN @ O 501
1 URINAL @ O 501 1
HOUSESEWER @ O 501 Q
MISCELLANEOUS
O
1-1
1�
1 1
i
APPROVALS
1 DATE INSPECTOR'S NAME
1 ROUGH PLUMBING 1 -J
1 GAS PIPING
1 1�1 GAS VENT .� 4-fp 7 e
CESSPOOL @ 1 OOI _ CESSPOOL
1 SEPTIC TANK 1 1 SEPTIC TANK
DRAIN ( ) PIT ( ) Q 1 00 SEWER
PERMIT_ . , I 1 OO GAS TEST �fJ
$ UTILITY CO NOTIFIED
TOTAL FEE '
FINAL