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HomeMy Public PortalAbout10270 LIVE OAK AVE_Plumbing__ 76A667/w O, g ni CE 817(REV 6/781 LII IIS APPLICA'T'ION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING /O� ADDRESS /L J NUMBER FIXTURE OR ITEM @ FEE _ LOCALITY WATER CLOSET NEAREST' BATH TUB CROSS ST OWNER SHOWER C, LAVATORY MAIL r ADDRESS SINK CITY CA TEL NO _ DISHWASHERCONTRACTORS CLOTHES WASHER ADDRESS 2,10 SWIMMING POOL RECEPTOR O CITY TEL NO LAWN SPRINKLER SYSTEM STAT LIC WATER HEATER LICENSE NO CLASS GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING �► �. A. 094AjeLfM _ 'GAS PIPING �" 0 GAS VENT- w u dn HOT WATER HEATER'- (O� PLUMBING FIXTURES GAS TEST N Plan check fee UTILITYCO NOTIFIED PLUMBING PERMIT ISSUING FEE$ — 77COW _ TOTAL FEE FINAL Plan check applicant PLAN CHECK VALIDATE N �• Name r Address City Tel No I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND,STATE ' _ 93 56,9 A - L T THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES STATE LAWS REGULATING PLUMBING PERMIT VALIDATION # O O O O OI HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED ASUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE 2 O O 1 3.AL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PERTY 00 0 1 0NATUREF PERMITTEE 0405-79 DISTRICT NO CESSED BY INDUSTRIAL WASTE APPROVAL S. r 76A667-CE817 12/59 TEMI"F--'LE C 9 T Y APPLICATION FOR PLUMBING PERMIT � COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND—$AFETY QPASION BUILDING J'' JOHN A. BI 74?OUNTY NGINEER ADDRESS SOL � / ��U N. ©.- � WILLIAM A JENSEN. SUPT OF BUILDING LOCALITY 'f--e---y e 1y O 1 y FOR APPLICANT TO FILL IN NEAREST � CROSS ST. �i c e W.4 0 NUMBER FIXTURE OR ITEM OWNER � Oq^//� MAIL WATER CLOSET BATH TUB ADDRESS (o D. dv e` ID 41 CITY 5 4,1/ 67 SHOWER b�o, � TEL. NO. -- LAVATORY CONTRACTOR _S /UC SINS ADDRESS ),/C>{ DISHWASHER CITY TEL. NO. u 3 Z S 7 CONTRACTOR'SSTATE LAUNDRY TUB REGISTRATION NO. 1 2 4 5_ COUNTY ❑ CLOTHES WASHER DISTRICT 0. ZONE E P OCESSED BY WATER HEATER !�l) GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD14 ou 0 U W a z t $1.00 PER ITEM OR FIXTURE $ I r APPROVALS DATE INSPECT R'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK TOTAL FEE I �_ ROUGH PLUMBING if / �/�.L / q GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER 14 It I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES _QA LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIA OPERTY. UTILITY CO NOTIFIED AI SIGNATURE fid OF PERMITTE INAL 4i11 OF VALIDATION ROBERT A. OOD, CK. M.O. CASH SUPERVISING MECHANICAL ENG'R (; 773 4 i";IY ? y 5 D 5 .0U ;a D.B.S.17 2SM SETS 7-47 APPLICATION FOR PERBHT DEPARTMENT OF BUILDING AND SAFETY 1COUNTY OF LOS ANGELES WM. J. FOX.CHIEF ENGINEER PLUMBING NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE -PERMITNO. ROUGH FIXTURESCOMPLETE x, s HEATER CESSPOOL -I SEPTIC TANK RECEIVED BY READY FOR DATH ISSUED �//� FIRST INSPECTION a AS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION,ONLY JOB / / / .,lam r a. NAME \� ate-{`1 H f .',a:"(f-4 j3 -`• ADDRESS X / CJ _,(...ate W � - EI ' / 7 g ADDRESS � c? e- r. l _� 1 l ,� ,._� LOCALITY J NEAREST I CITY , ,�E.a,�U} t�r-�' ^TEL.No. CROSS ST. COUNTY ,} r_S t� •/� CERT.No. - EXPIRES ,m NAME , LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL -" ADDRESS NORTH O '/G CITY .�C - TEL.No. I AM 'THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. r PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. / D OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK z BATH TUB FURNACE - 9 SHOWER DISHWASHER O LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'G NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS 90DA FOUNTAIN OUTL GAS PIPING GAS VENT- I•' CESSPOOL I �/ �✓ TOTAL NUMBER OF FIXTURES SEPTIC TANK / CESSPOOL\ SEPTIC TANK SEWER I �' TOTAL FEE UTILITY co.NOTIFIED I ( I� f ` FINAL �� DfB.S.-17 25M SETS 6-46 \ (DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT .COUNTY OFLOS ANGELES I �`���I � WM.J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT . GROUP ZONE PERMIT ROUGH FIXTURES COMPLETE HEATER CESSPOOL —I SEPTIC TANK RECEIVED BY. READY FOR - FIRST INSPECTION DATE.198UED, _ AS 18CELLANEOUS J APPLICANT FILL IN HEAVILY OUTLINED PORTION ONL E NAME JOB ADDR689 ,1� hl c ' m ADDRES5 J`� Jl.. ,� / ,4� LOCALITY n s.r h��r� [r�L , J CITY �'�/ ` ` TEL.No.*3� A+a 4�:� CZOS9 8T. COUNTY CERT.No. d 2 L��Y EXPIRES/ w NAME LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL ADDRESS NORTH O CITY TEL.No. IAM THE LEGAL POSSESSOR OF THE_.A8M2—LOS ANGELES COUNTY CERTIFICATE OF UA ATION. PLUMBER 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. ,� I�.•.r'���•" Vj - OWNER CORRECTIONS A/ .!• N/ +-r� I t F. e� t�-•!.-�.*:A•tet�"L• SOUTH J . IS I�O /Yst��Ayfn rr�aPk^t'rt2 l)e �� Yi'� Q DESCRIPTION OF WORK BATH TUB FURNACE E9 4V7"E/r'L°°9 m GiIS�//�Ji✓ca7 r SHOWER DISHWASHER D LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER '-FLOOR BINK - BAND TRAP , LOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET' DRINKING FOUNTAIN DATE INSPECTOR'S NAME' _WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I i METER GAS aODA FOUNTAIN _ OUTL - GAS PIPING GAS VENT I J` CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOI SEPTIC TANK �' SEWER S / UTILITY CO.NOTIFIED TOTAL FEE —� - FINAL I