HomeMy Public PortalAbout10216 LIVE OAK AVE_Plumbing__ 7GA667 17 8-190 APPLICATION FOR PERMIT
a I DEPARTMENT OF BUILDING AND SAFETY �;
COUNTY OF LOS ANGELES L
t WILLIAM J.'FOX,,CHIEF ENGINEER
FOR APPLICANT TO FILL IN ' ' DISTRICT NO. GROUP `` ZONE- •,t PERMIT NO.
PLUMBER VALLEY BOULEVARD PLUMBING CO. RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION -0-1:!F4ADDRESS 8300 EAST VALLEY BLVD.
CITY ROSEMEAD TEL NO AT. 2-2719 BUILDING /Q
6-30
ADDRESS
COUNTY s LOCALITY
LICENSE NO. 93M EXPIRES -
NEAREST
PERMIT FEES CROSS ST.
OWNER /1
NUMBER TYPE OF FIXTURE OR ITEM FEE -
MAIL
WATER CLOSET (TOILET) @ O 50I DO ADDRESS,
/
BATHTUB @ O 50 CIT TEL. NO.v Jr
r
SHOWER @ O 50 1 HEREBY A KNOWLEDGE THAT 1 HAVE READ THIS
N LAVATORY (WASH BASIN) @ O 50 I APPLICATION AND STATE THAT THE ABOVEIS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O 50 ® STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 I ANGELES COUNTY LIC S OR
DESCRIBED THE LEGAL BED ABOVE. OWNER
OF THE RESIDENTIA R ERT
GAS SYSTEM OUTLETS @ O 50
.. SIGNATURE OF (�
WATER HEATER @ O 50 PERM ITTE
SLOP SINK @ 0.501 INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN @ O Sol ,
DISHWASHER @ O SO
DRINKING FOUNTAIN @ O 50
URINAL @ O $01 ..I
HOUSESEWER @ O 501 77- Z. r
MISCELLANEOUS _
Hi -
O
I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING /- P 1-1�'T
s' �
GAS PIPING . Il yI � 111
GAS VENT
CESSPOOL @ 1 00 I CESSPOOL ,
SEPTIC TANK: I SEPTIC TANK
I DRAIN ( ) PIT ( @ 1 00 SEWER /
PERMIT . I 1 oo GAS TEST S..._ B` 3c,
v _
UTILITY CO NOTIFIED
TOTAL FEE
is
dI'
FINAL
ti
76A667 (CE-817)-4/72
APPLICATION R PL FEBING PERMIT
COUNTY OF LOS ANGELES PAGE 8D2
DEPARTMENT OF COUNTY ENGINEER 3
BUILDING AND SAFETY DIVISION '
MAKE CHECKS PAYABLE TO BUILDING
N10216 LIVE OAK AVE.
ADDRESSHARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY TEMPLE CITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
ST.
NUMBER FIXTURE OR ITEM @ FEE CROSS
WATER CLOSET 1.75 OWNER W. DOWEY
BATH TUB 1.75 MAIL
ADDRESS .10216 LIVE OAK AVE.
1 SHOWER PAN 1.75 1 75 CITY'TFrAp, TEL NO
LAVATORY_ 1,75 CONTRACTOR L. M. HAMMY INC.
SINK 1,75 ADDRESS 425 W. MAIN ST. '
DISHWASHER 1.75 CITY ALHAM13RA • TEL. NO 282-2151
CLOTHES WASHER 1.75 STATE LC
LICENSE NO 171598 CI
ILASS C-36
SWIMMING POOL RECEPTOR 1.75 -
DISTRICT NO GROUP ZONE FR ESS BY
LAWN SPRINKLER SYSTEM 1.75 j
l !
WATER HEATER 1,75 INDUSTRIAL
WASTE APPROVAL a
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V
OUTLETS OVER ,30
5 PER SYSTEM
CD
F--
U
W
a
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE 75
APPROVALS DATE INSPECTOR 5 51.NATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel No GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR UTILITY CO NOTIFIED
LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL O ER OF, AND INTEND TO
RESIDE IN THE ABOVE D PESID IAL PROPERTY FINAL
SIGNATURE
OF PERMITTE
PERMIT VALI T ON CK M,o CASH
PLAN CHECK AIZATION CK M O CASH '
i � .� 2 2 0 713 JUL 13 5 D 4,754