HomeMy Public PortalAbout10566 LIVE OAK AVE_Plumbing__ 76A6t7=CE 817468 le _
APPLICATION FOR PLUMBING PERMIT
CdUNTY .OF LOS ANGELES
DEPARTMENT OF COUNT ENGINEER BUILDING `[
BUILDING AND SAFETY DIVISION ADDRESS I O J Q b V
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING 17 1 1 LOCALITY
FOR APPLICANT TO FILL IN(PR NT OR TY E) NEAREST
CROSS ST.
RAW
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET 1"50 Qd OWNER
141
MAIL
BATH TUB 1.50 i 5 a ADDRESS
SHOWER 1.50 50 CITY 90 TEL. NO.
3 LAVATORY 1 50 5f SQ CONTRACTOR ^
SINK 1 50 S 0 ADDRESS O�5
i
DISHWASHER 1.50
SO CITY TEL. NO. LCL 3_00
CLOTHES WASHER 1 50 STATELIC
b LICENSE NO �-3 1-'�y I CLASS C-'
SWIMMING POOL RECEPTOR 1 50 - >
DISTRICT NO GROUP ONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00 �i a'$!�
WATER HEATER 1.50 SQ W� �gOVAL
GAS SYSTEM OUTLETS 1.50 5O _ INSPECTION RE ORD O
OUTLETS OVER l -
5 PER SYSTEM 30
d
Vf
4
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE `+ v APPROVALS DATE IN TORS S1A7,6rE
Plan check applicant . UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST G L
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOV ESC IBED RESIDENT I PROPERTY FINAL
SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL E R
OF PERMITTEE
PERMIT VALIDATION CK M o CASH
PLAN CHECK VALIDATION CK M o CASH
LAC, 8 n 1 :170" ,-MR 11 5 D 2 0 Q 0 w
��i��
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0404090025
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
BK: 17 PG: 18 PC: 1 10566 LIVE OAK AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917800000
ASSESSOR NFOR BER: NEAREST CROSS STREET: LONGLEY WAY
8586-012-028 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: GRID: LOCALITY: TEMPLE CITY, C
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95SAN: PROCESSED P EXPIRES ON:
04/09/04 VG 10/06/04
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
HARTZ PAULINE M TRUSTEE;MINICK ETTA (760) 985-1257-
10566 LIVEIOAK AV �-`//�
TEMP 917800000 D C ION OF WORK
WATER HEATER CHANGE OUT
APPLICANT: EL. NO:
ACTION CONTRACTORS (310) 515-1311-
SPECIAL
15-1311-
SP C AL CONDITIONS:
CONTRACTOR: EL. NO: APPROVALS DATE INSPECTOR SIGNATURE
ACTION CONTRACTORS (310) 515-1311-
17111 SOUTH BROADWAY LIC. NO UNDER SLABWORK
GARDENA CA 90248 B/L 27953
WATER SERVICE
ARCHITECT OR ENGINE R: TEL. N0: PLASTIC Y/N METAL Y/N
ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER EATER
PLUMBING FIXTURES
LAWN S RSI NIRS
GAS TEST
UTILITY COMPANY NOTIF
CWV
A SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508