HomeMy Public PortalAbout9710 1/2 LIVE OAK AVE_Plumbing__ DBS-17 10-55 ,ARRLi(�,A`IM
ON FOR PERMIT
.�.
DBS-17
DIVISION OF BUILDING AND SAFETY
Depm'tment of County Engineer
County of Los Angeles BUILDING' 1
JOHN A. LAMBIE,'COUNTY ENGINEER ADDRESS �.
CASSATT D..GRIFFIN SUPT OF BUILDING
LOCALITY 6
FOR APPLICANT TO FILL IN NEAREST
a CROSS ST. 4
OWER ` /�JJ rr 'DISTRICT DFff GROUP q�\�J�p'NE READY FOR INSPECTION
MAIN
.�Q� %1 6
JJ - - INDUSTRIAL
CITY Xjp'!l' .TEL. NO. WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS
CITY -TEL. NO.
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $1.00 -
SHOWER @ $1.00
'-' LAVATORY (WASH BASIN) "@ $1.00 -
KITCHEN SINK @ $1.00 r
DISHWASHER @ $1.00
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER ,@ $1.00
WATER HEATER @ $1.00
GAS SYSTEM @ $1.00
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 OO ROUGH PLUMBING
(� GAS PIPING -
TOTAL FEE (3t (JTJ
�- '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
.. WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES !1 l4°7Cca
r:
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 PROPERTY
a SIGNATURE
OF PERMITTEE FINAL
JOHN A. LAMBIE. COUNTY ENGINEER ALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR
CH. m.0. CASH
ar ;2. 2 3 '2' MOV 9 3 2.0 0 m