HomeMy Public PortalAbout10528 1/2 LIVE OAK AVE_Plumbing__ 76A667 (CE-817)-8-71 �S� ¢ Q•-� /G/��V,�"i
APPLICATION FOR FfLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER / )
BUILDING AND SAFETY DIVISION App°Ess
LOCALITY L C
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
_L 6 /✓i
NUMBER FIXTURE OR ITEM @ FEE CROSS ST.
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WATER CLOSET 1.75 OWNER /17L, j
MAIL
BATH TUB 1 75
ADDRESS
SHOWER 1 75 CITY j L TEL. NO. 7 J
LAVATORY 1 75 CONTRACTORA D//F/ �t
SINK 1 75 ADDRESS L zn C �O O
DISHWASHER 1 75 CITY TEL NOL'/(/3-7�,)66
CLOTHES WASHER 1 75 STATE LIC
LICENSE NO Q CLASS (i
SWIMMING POOL RECEPTOR 1 75
DIS�j`Q;CT NO ��UP E P C�E�S,SE,D,(BJY
LAWN SPRINKLER SYSTEM 1 75 J - 0:rJ j�/ / ��� �/✓ !/_Tr
WATER HEATER 1 75 INDUSTRIAL ®.
WASTE APPROVAL
GAS SYSTEM OUTLETS 1 75
INSPECTION RECORD u
OUTLETS OVER 30 g
5 PER SYSTEM
Lu
96
Vf
z
Plan'check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. NO. 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 PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGIS ED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGE COUNTY A D STATE OF
CALIFORNIA OR THAT I AM HE AL O NER OF, A D INTEND TO
RESIDE IN THE ABOVE DE C I ED RESIDE TIAL ROP RTY I FINAL
SIGNATURE /
OF PERMITTEE
PERMIT VALIDATION CK M O CASH
PLAN CHECK VALIDATION CK M D CASH
706e? JUL109 50 4/75N
DBS-17 10.55APPLICATION FOR PLUMBING PE MIT
DBS-17 . ,
NDIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of LOB Angeles BUILDING
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D,GRIFFIN SUPT OF BUILDING
LOCALITY
FOR APPLIC TO FILL IN NEAREST
CROSS ST
OWNE DISTF�ICT N GROUP NE READY FOR INSPECTION
DDRESS
MAIL �•/_ -5-00,
A
INDUSTRIAL
CITY TEL, NO WASTE APPROVAL
PLUMBER AAo6.a A INSPECTION REC RD
ADDRESS ,.J
CITY
t
LICENSE NO
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $ Od
BATH TUB @ S100
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $100 !lam
KITCHEN SINK @ $100
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $100 —jjQ D °
WATER HEATER @ $100 0 O
GAS SYSTEM @ $1 00 Ud
APPROVALS
' ,,,, DATE INSPECTOR'S SIGNATURE
x
UNDER SLAB WORK " '' ,C,y�Z'�.t
PERMIT $ T 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE Od GAS VENT
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
D
ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
PWITH ALL LUMBING. COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST v 7 ���;,,,,,� •�j� ,_
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF e
CALIFORNIA OR THAT I AMTHE LEG OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIA PROP TY. yv
SIGNATURE i
OF PERMITTEE FINAL 4/1- '/1 11742->�1
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG INSPECTOR
C Y.0. CASH
too 6 9 5 9 1 APR 8 3 8.0 0 0
78S•17 5.17 10.88
DB . APPLICATION FOR PLUMBING PERMIT 1
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING O��
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN a NEAREST
CROSS ST.
OWNER Bruno Pet erman DISTRIMAIL IO. I GR I j�N J READY FOR INSPECTION
ADDRESS 10524 East Live Oaks
CITY Arcadia TEL. NO INDUSTRIALWASTE APPROVAL
t PLUMBER DUCE PLUMBING & DATING INSPECTION RECORD
ADDRESS 3232 N. San Gabriol Blvd.
CITY S. San GabriOl TEL No. AT-04931
LICENSE NO.No. 104978
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 S
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASHBASIN) @ $100
KITCHEN SINK @ $1.00
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $100
CLOTHES WASHER @ $1 00
WATER HEATER _ @ $100
1 GAS SYSTEM @ S100 1 00
APPROVALS
DATE INSPECTORS SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE 2 1 OQ GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 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 PR P RTY.
SIGNATURE
OF PERMITTEE FINAL
i
JOHN A. LAMBIE, COUNTY LZGINEER VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
CK EA.0. CASH
!J CO 8 7 6 5 JUN 3 3 2, 0 1n