HomeMy Public PortalAbout10520 LIVE OAK AVE_Plumbing__ 96A657-CEU7 6-60
APPLICATION FOR PLUMEI C PER �
DEPARTMENT OF COUNTTANGELES
ENGINEER
BUILDING AND SAFETY DMSION BUILDING t Jr a
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN. SUPT OF BUILDING � � A
LOCALITY h
FOR APPLICANT TO FILL IN NEARESTCROSS T. ]� i /t
NUMBER FIXTURE OR ITEM -y OWNER
WATER CLOSET _ MAIL �,ly.,,.- —• - _,, , 1I e
BATH TUB j ADDRESS — i• lay ,
I CITY
TEL. NO.
SHOWER 7-0
7 y CONTRACTOR
'�.',I C.• ,;
7LAVATORY
' Sm 3,J ADDRESS
DISHWASHER i J CITY TEL NO.
CONTRACTOR'S )' STATE
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHER DISTRICT(NO I GRr ZONE D BY
WATER HEATER
GAS SYSTEM ,r INDUSTRIAL
WASTE APPROVAL
/ INSPECTION RECORD
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0 ER ITEM
M6RE 3 APPROVALS DATE INSPECTOR'S SIGNATURE
ER
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PERMIT $ 2 00 UNDER SI_P.'B WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING �� I /J�"/T �B 1
1 HEREBY ACKNOWLEDGE THAT t 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 HOT WATER HEATER
PLUMBING. _
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST j ��, � !/� }, _/•-
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY
UTILITY CO NOTIFIED
SIGNATURE
OF PERM ITTE FINAL
OF ALIDATION ROBERT A'WOOD,
C6. N.O. CAIIH SUPERVISING MECHANICAL ENG'R
X 1 17, 6% JUL 5 5 D 1 6.2 5 N 'V
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76A667-CE#817 10-62
APPLICATION FOR PLUMIBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION 'uILDING -0, IC
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN, SUPT OF BUILDING s LOCALITY ;
FOR APPLICANT TO FILL IN NEAREST
EARECROSS ST . L
NUMBER FIXTURE OR ITEM EACH FEE OWNER w
WATER CLOSET $1.25 MAIL
a BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY mnNITFPFV pApt(TF+I_NO_ptsur_ rn h
LAVATORY 1.25 CONTRACTOR 410 uC. GARFIELD - AT 2-2604"
SINK 1.25 ADDRESS MONTEREY PARK, CALIFORNIA
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DIST ICT N(;. GROUP - Z NE PR SSED BY
WATER HEATER a 1.50
50 INDUSTRIAL
GAS SYSTEM OUTLETS 1. WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION,RECORD V
0
Vf
z
�d
APPROVALS -- DATE _INSPECTOR S SIGNATURE
PERMIT 2 O UNDER SLAB WORK _ �•'�� `�
ROUGH PLUMBING �-
TOTAL FEE GAS PIPING
IH
ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
I
' g
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER ^1;j�rRf
_ �v
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES 17
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST \
CALIFORNIA OR THAT I AM E LEGAL OWNER OF,AND INTEND TO
4 RESIDE IN,THE ABOVE DESC BED RESIDENTIAL PROPERTY . UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE �,/��W ,�
FINAL
A
VALIDATION ROBERTA WOOD
+ cK M O CASH SUPERVISING MECHANICAL ENG'R
L,jCo 5 5 5 8- FEB 7 5 D 'y 3.5 0-