HomeMy Public PortalAbout10532 LIVE OAK AVE_Plumbing__ DA APPLICATION FOR PLUMBING PERMIT' 1
DBS-17' VISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDINGSc
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING /
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
OWNER DISTRICT NO GROUP ZONE READY FOR INSPECTION
MAIL N
ADDRESS d �•
INDUSTRIAL
CITY 4 &i&- TEL NO. WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS we✓
CITYY- TEL. NO
LICENSE NO. DO 5�1/
NUMBER TYPE OF FIXTURE OR ITEM FEE / c c- 1110 T n
WATER CLOSET (TOILET) @ $100 $ O 4 �/.A, o �� `Q C30"-r p
BATH TUB @ $1 00
SHOWER @ $100
LAVATORY (WASH BASIN) @ $1.00 B 0 60>
KITCHEN SINK @ $100 B
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $100
1 WATER HEATER @ $1 00
GAS SYSTEM @ $1 00 [�
APPROVALS
DATE INS�P—ECCTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 00 ROUGH PLUMBING :--3 -�71
GAS PIPING
TOTAL FEE d GAS VENT �-'-G
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP ICATION 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 -Lo
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THATI AM THE GAL WNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PERT .
SIGNATURE
OF PERM T. c.--� �.` /1 FINAL
JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG INSPECTOR
CASH
L&,5 S-5 9 1. JN 2,6 5 A 9.0 0