HomeMy Public PortalAbout9917 LIVE OAK AVE_Plumbing__ ' B7
DBS-17,f0e-BSAPPLICATION
PPLICATION F®R PLUMBING PERMIT
DIVISION OF BUILDING AND SAFETY
Depozlment of County Engineer .
County of Los Angeles BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D GRIFFIN SUPT OF BUILDING
LOCALITI�–�
FOR APPLICANT TO FILL IN NEAREST
l� �
CROSS ST.
OWNER DISTRICT[JO. I GROUP I ZONE I READY FOR INSPECTION
MAIL �H/✓— r
ADDRESS
INDUSTRIAL
CIT TEL. NO WASTE APPROVAL
PLUMBER- INSPECTION RECORD
ADDRESS �` ••` {1
CITY TEL. NO,,/(4'
O^ G
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $1.00 $
BATH TUB @ $100
SHOWER @ $1 00
LAVATORY (WASH BASIN) @ $100 -
KITCHEN SINK @ $1.00 -
DISHWASHER @ $100
LAUNDRY TUB OR TRAY @ $1.00
CLOTHES WASHER @ $1 00
WATER HEATER @ $1.00
GAS SYSTEM @ $1 00
APPROVALS
DATE INS ECTOR'S SIGNATURE
UNDER SLAB WORK t'}ru,�
PERMIT $ 7 00 ROUGH PLUMBING
GAS PIPING _U _ al
TOTAL FEE I:v d6 GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION H07 WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING. _
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 OPERTY
SIGNATURE
OF PERMITTEE FINAL
JOHN A. LAMBIE,COUNTY ENGINEER ALIDATION ROBERT A WOOD, CHIEF PLBG INSPECTOR
CK M P. CASH
� 444857Ln- FEB 6 3 10.00
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL_0508-9807300006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL FEES PAID B L- I G—AD ES
TR: 6561 LT: 422 BL: .001 9917 LIVE OAK AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP—CA7917802614
ASSESSOR -INFORMATION NUMBER: NEAREST CROSS STREET: BALDWIN
8587-029-026 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED 0 --PROCESSED IRES ON:
45 WATER CLOSET/URINAL 1.00 FIX 16.20 07/30/98 UT 07/30/ 9`
TOTAL FEES 76.35
OWNER: TEL. NO: FINAL DATE FINAL BY: ODE:
LIANG NAI Q;SHAO L (626) 285-2938-
9917 LIVE OAK AV d
21 1A
TEMP 917802614 DESCP_-. ON— — RK
PLUMBING FOR_NEW_BAT.HRO M
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR:
TEL. N0: - ®� � APPROVALS DATE INSP CTOR IGNATURE
LIC. NO UNDER SLAB WORKA'Q/t 2
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARC OR ENGINEER:
- ROUGH PLUMBING
LIC. NO:
GS PIPING
GAS GENT
U 'U �J �=/ OO ❑ ❑ ASG T E
PLUMBING FIXTURES
D 0 LAWN SPRINKLERS
❑ iQ�� GAS 1 ST
s� �y UTILITY
Service Th-a�l��a cuv
GRAT WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508