HomeMy Public PortalAbout10424 LIVE OAK AVE_Plumbing__ 76A667 (CE-817) - 5/73
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APPLICATION .F R PLU B1'I�IG PERMII"=
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO BUILDING
_ ADDRESSI
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY'; �•- ' '
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER 'FIXTURE OR ITEM @ FEE CROSS ST
OWNER
WATER CLOSET 1.75
MAIL
BATH TUB 1.75 ADDRESS
SHOWER CITY TEL NO
LAVATORY 1.7`5 CONTRACTOR ;1
SINK 1.75 ADDRESS /�
DISHWASHER 1.75 j CITY oe
T L NO
CLOTHES WASHER 1.75 STATE" LIC
LICENSE NO- CLASS
SWIMMING POOL RECEPTOR 1.75
DIS CT NO OUP ,3p�E PRO ESSED BY
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER , 1,75 INDUSTRIAL '
WASTE APPROVAL !�
GAS SYSTEM OUTLETS 1.75
INSPECTION,RECORD'
OUTLETS OVER. Y
5 PER SYSTEM .30
a
Plan Check fee See Reverse
PLUMBING PERMIT ISSUING FEE S, 3 00`
TOTAL FEE
APPROVALS DATE INSPECTOR 5 SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
i -
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 AND/OR UTILITY CO NOTIFIED '
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 '
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPER FINAL
SIGNATURE
OF PERMITTEE
PERMIT VALIDATION cK M•O CASH
PLAN CHECK VALIDATION CK. M 0
4.7 5 ,&-%cn
a76A667-CE81712/59
TEMPLE CITY
APPLICATION FOR PLUMBiNC PERMRT
COUNTY OF LOS ANGELES
DEPARTMENT OF,yeCOUNTY 7{��ENGINEER
BUILDING iMi�IE FZTY MSIOERI ADDRESS
WILLIAM A. JENSEN, SUP••r of BUILDING -7
- /n C'e"
FOR APPLICANT TO FILL IN NEAREST
NUMBER FIXTURE OR ITEM
OWNER DI'f/ eSG to
WATER CLOSET MAIL
ADDRESS
BATH TUB
CITY TEL NO.
SHO WER -
LAVATORY CONTRACTOR ,1 ke
3
SINK ADDRESS . 1- Q J,/Y
DISHWASHER CITY /1// 0 VI-q TM NO. £` - 3 Oeq
CONTRACTOR'S / �1 STATE 4]
LAUNDRY TUB REGISTRATION NO. / 8,;Z 6 COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP ZONE ESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
I ,INSPECTION RECORD
U
d t O
F
U
W
En
a
z
$1.00 PER ITEM I �(i^ r
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING 1 'I /�/t J
_ GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ` .h
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST �i A V r" `3'�•-•
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO NOTIFIED ;1. -
SIGNATURE
OF PERMITTED'
FINAL
®r ALIDATION ROBERT A. WOOD,
cK. M.0. CASH SUPERVISING MECHANICAL ENG'R