HomeMy Public PortalAbout9678 LIVE OAK AVE_Plumbing__ 76A667.. " P P 7 I V C 11 I O CI FOR -tl L U M B I D tl G PE II 6 R V tl I T
DBS-17 10-55 ki
DIVISION OF BUILDING.AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN,,SUP'T OF BUILDING -
;,..,.,�, LOCALITY
FOR APPLICANT TO FILL IN CROSS ST . - � +
OWNER
ADDRESS 79DISTRICT NO. GP I ZON
MREADY FOR INSPECTION
AIL �\®q
p ;vr 4k..
f TEL. NO. �� �� INDUSTRIAL
WASTE APPROVAL .
PLUMBER INSPECTION RECORD
ADDRESS ! XK�Cy��,F � p��'�✓Jfi' 'Tb
„. CITY L. NO. VG�k..T� C'Q'yL�+
LICENSE NO. �•-{ �J
NUMBER TYPE OF FIXTURE OR ITEM FEE ^ V^ V�• �, --;11�..h. 40-1--4-al—
WATER CLOSET (TOILET) @ .$1.00 ✓ `�" ;� ) ''^►G'1.�. 'i.0 n
BATH TUB @ $1.00 y; ,
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 @ 31.00 - a
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK.
PERMIT $ 1 00 ROUGH PLUMBING .
GAS PIPING C 4!t-Q.0 I % Ise. .�
TOTAL FEE `
GAS V ENT
1 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 ( G"'y„"-iL,
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST � vs 7 'e
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 PRPERTY,
SIGNATURE G ' •�'!n ,� JI {'V' 0- „ 1
OF PERMITTEE •d'�' f r.+� ted== 1 .,. FINAL
JOHN'A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A.WOOD,•CHIEF PLBG. INSPECTOR
CK. M.®. CASH
e12 G '7'
0
76A66
OBS-17 I0-55 AiII PLoaICATI.TIO FOR PLUMBING 11ERR@/DI 9 q
DBS'-17 JA6
DIVISION OF BUILDING AND SAFETY
Depcatxnent of County Engineer
County of Los Angeles BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS (U
r CASSATT,D GRIFFIN SUPT OF BUILDING v /
•,_-..,t ,.�•,,, s : 1•tia,.ro•- mat:,. w.;,a. •v.- `..;:e., LOCALITY .2/LI ! !T
FOR APPLICANT TO FILL IN NEAREST
CROSS.ST.
OWNER D1CT NO. GMQUP ZONE/ I READY FOR INSPECTION
MAIL.,
• ADDESS
INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
PLUMBER rp i, .. INSPECTION RECORD
. �� F. Zi-rr�177'
ADDRESS Z� s
�T-
`w CITY 'QM u1,7 EL. NO.`! T 3' a -�� Jai+ 'tr t '.` •tiIi®
LICENSE NO. 1 411 T
e NUMBER YYPE OF FIXTURE OR ITEM FEEpo
WATER CLOSET (TOILET) @ $1.00 $ ,� 6C.Lla.1 � t r 'A .
BATH TUB @ $1.00
SHOWER @ $1.00
LAVATORY (WASH BASIN) @ $1.00 old y{Y✓/l
d(r..(:'+� A If .,''1 F i eri �.d.t
KITCHEN SINK @' $J'.00 ��, � "
DISHWASHER @ $1.00 _ r
LAUNDRY TUB OR TRAY ,@ $1.00 OC
CLOTHES WASHER @ $1.00
,4 WATER HEATER @ $1.00 O{I ¢
GAS SYSTEM @ $1.00 0
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE
- GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ.THIS APPLICATION HOTWATER HEATER
AND STATE THAT THE-ABOVE IS CORRECT ANDAGREETO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
-
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED.AND/OR GAS TEST ;Z(�
LICENSED AS REQUIRED BY LOS. ANGELES COUNTY AND STATE OF.
4LIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE x UTILITY CO.NOTIFIED f
.CRIBED RESIDENTIAL PRYPE _ t
ATURE E -
PERMITTEE FINAL
LAMBIE, COUNTY NGINEER VALIDATION ROBERT A. WOOD, CHIEF PLSG. INSPECTOR
CASH _ 1
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