HomeMy Public PortalAbout10530 LIVE OAK AVE_Plumbing__ 76A667-CE817-8-58
APPLICATION FOR -PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING D o� Z
JOHN A. LAMBIE, CountEngineer
CASSATT D. GRIFFIN,Supt. of Building LOCALITY
X., L
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET
BATH TUB ADDRESS f `d `� � / C/P
SHOWER CITY c �[ TEL. NO./y-
LAVATORY CONTRACTOR
_ r
SINE{ ADDRESS / / P�.
DISHWASHER CITY e, TEL. NO. S'77J
CONTRACTO L S
' TATE
LAUNDRY TUB REGISTRATION NO. U P 7 COUNTY ❑
57-97x
CLOTHES WASHER DISTRICT N0. RD-6 ,ZONE, P#OCESSEQ BY
WATER HEATER I
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
" APPROVALS
OS PER ITEM
FIXTURE s / 00
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ ?-100 ROUGH PLUMBING
TOTAL FEE GAS PIPING 3 (p S
a
! HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
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 ANGELESOUNTY AND STATE OF
CALIFORNIA OR THAT I 2f THE EGA OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL OPER
SIGNATURE
OF PERMITTEE FINAL
ROBERT A.WOOD.
®R V ATION SUPERVISING MECHANICAL ENG'R
CR. M.0. CASH
3 1 9 0 v; WA 9 5 A
3.0 0 �
76A667-CE817-11-57
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ABUILDING
DDRESS / Z
JOHN A. LAMBIE, County. Engineer d
CASSATT D. GRIFFIN, Sup t of Building LOCALITY /
FOR APPLICANT TO FILL IN NEAREST
NUMBER FIXTURE OR ITEM CROSS ST.
` D a
l WATER CLOSET OWNER
BATH TUB ADDRESS /U b e QC I
SHOWER CITY P �� TEL. NO.
LAVATORY CONTRACTOR N
SINK ADDRESS i ( d
DISHWASHER CITY 7—e- /e ti TEL. NO.P Y,7 j3 b
CONTRACTOR-,G rSTATE
_
LAUNDRY TUB REGISTRATION NO. QQ C, COUNTY ❑
CLOTHES WASHER DISTRICT O GROSJ� Zw NE READY FOR INSPECTION
WATER HEATER l�ljj.
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD y
/ tie /tel J '1 ,ts-
jv
x
011
t APPROVALS
S
$1.00 PER ITEM DATE INSPECTOR'S SIGNATURE
/ OR FIRTITBE $ / 06 ' UNDER SLAB WORK
PERMIT $ 00 ROUGH PLUMBING
TOTAL FEE a GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES C UNTY AND STATE OF GAS TEST �VFF, �, - f f• �1����,....�t�,,
CALIFORNIA OR THAT 1 , THE EGAL NER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIA OPERT
i
SIGNATURE
OFPERMITTE FINAL
ROBERTA.WOOD.
®F - VALIDATION SUPERVISING MECHANICAL ENG'R
U.-
M.0. CASH
M5474 -u" OCT 3 5 A 3.00