HomeMy Public PortalAbout10524 LIVE OAK AVE_Plumbing__ DBA667 10
T 55 APPLICAT'6®N FOR PLUMBING PERMIT
DBB.IDIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING fj
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN,,SUP'T OF BUILDING
LOCALIT
FOR APPLICANTAO FjLL IN NEAREST
CROSS ST.
OWNER DISTRICT NO. GROUP Z�NEI IREADY'FOR INSPECTION
MAIL /-+-
ADDRESS D SOOy
INDUSTRIAL
CITY NO ASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS y ,fir Y 1
CITY TEL. NO.
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1 00
BATH TUB @ $1.00
SHOWER @ $1 00
LAVATORY (WASH BASIN) @ $1 00
KITCHEN SINK @ $1 00
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $1 00
WATER HEATER @ $1 00
GAS SYSTEM @ $1 00
I
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE O GAS VENT
I HEREBY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE Aff -
OF PERMITTEE FINAL
JOHN A. LAMBIE. COUNTYj9NGINEER VALIDATION ROBERT A WOOD, CHIEF PLBG. INSPECTOR
CK N.0. CASH
LAC876 -- JM 3 3. 2.00 �
76A667-CE817 12/59 �'��=�',�✓�� � �
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY ]DIVISION BUILDING
ADDRESS -L3524 ,f e
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
Tempt Cit,,-
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
moi. W.
WATER CLOSET MAIL
ADDRESS
BATH TUB
CITY TEL. NO.
SHOWER
LAVATORY CONTRACTOR JL.IY moo w iU lbi
SINK ADDRESS 231 Cha.1 ourn Ave.
DISHWASHER CITY o v i rm TEL. NO.ED-7"5771 --',
CONTRACTOR'S r�C STATE !�
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTRICT Ng. GR9UUP_ Z N(E RgCESSED BY
VT
WATER HEATER ) ,7 / —1,
-'
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD w
0
U
04
0 ,
F
U
W
a
z
$1.00 PER ITEM /� f
OR FIXTURE $ I L/. j APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 2 100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAYS PIPING
1 HEREBY ACKNOWLEDGE THAT I 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
I
Il SIGNATURE .�.,.L1 '/ ') -
f OF PERMITTEE FINAL
OF VALIDATION ROBERT A. WOOD,
CK. M.0. CASH SUPERVISING MECHANICAL ENG'R
-) 5