HomeMy Public PortalAbout9936 LIVE OAK AVE_Plumbing__ 7BA667 17 9-49 @ APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
PLUMBER RECEIVED BY READY FOR DATE ISSUED
LFIRST INSPECTION
ADDRESS Ci arvey b4nntP[� Pn ark. Calif. /
C��1
(��� BUILDING �
CITY 2.4654 : P30
rEL ���3-1 ADDRESS 3 i
COUNTY gyp/ 4'L
�, s ,
LICENSE NO /�/� EXPIRES 4' SAO S�� LOCALITY
NEAREST
PERMIT FEES CROSS ST
i
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
QCT WATER CLOSET (TOILET) MAIL
@ O 50 ISI 00 ADDRESS
BATH TUB @ O 50 IIgy- CITY TEL. NO
n I SHOWER Q O 50) -!OD_ I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
GC.•1 LAVATORY (WASH BASIN) @ O 50 I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING
KITCHEN SINK Q O 50 I CERTIFY THAT 1 P ABOVE VALID LOS
1 LAUNDRY TUB OR TRAY @ O 50I <<i0 OF THE ANGELES RESOI UENTI ALC R OR ,A HE LEGAL ABOVE. OWNER
GAS SYSTEM---'V—OUTLETS Q O 501 ® SIGNATURE OF
WATER HEATER @ O 501 PERMITTE
SLOP SINK @ 0.50-1 1 INSPECTION RECORD
FLOOR SINK @ O 501
FLOOR DRAIN @ O Sol _
1 DISHWASHER @ O 501
DRINKING FOUNTAIN Q O 501
URINAL @ O SOI J
1 HOUSE SEWER @ O 50 1 Q
MISCELLANEOUS 1 (�
O
� I �
I� APPROVALS
ID TE INSPECTOR'S NAME
ROUGH PLUMBING 5 Zi
1 GAS PIPING
1 1 I GAS VENT
CESSPOOL @ 1 00I CESSPOOL
SEPTIC TANK- 1 I SEPTIC TANK
I DRAIN ( ) PIT ( ) Q 1 001 I SEWER
PERMIT . I 1 00 GAS TEST
I UTILITY CO NOTIFIED
TOTAL FEE $ '��f
FINAL
I
76 J 667,((C E-8177,E-8-71
APPL.tCATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING
BUILDING AND SAFETY DIVISION
ADDRESS to
LOCALITY ,
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
@ FEE
CROSS ST
NUMBER FIXTURE OR ITEM
OWNER Z2yL�
WATER CLOSET 1 75
MAIL
BATH TUB 1 75 ADDRESS `
SHOWER 1 75 CITEL. N Oc
LAVATORY 1 75 CONTRACTOR r
SINK 1 75 ADDRESS
DISHWASHER 1 75 CITY TEL NO f jj7
CLOTHES WASHER 1 75 STATE / / CLASS
LICENSE NO (9 F
SWIMMING POOL RECEPTOR 1 75
DIST�RI aN0/pj Sj�P NE-1 ESSED BY
LAWN SPRINKLER SYSTEM 1 75 d
WATER HEATER 1 75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD 0
OUTLETS OVER
5 PER SYSTEM .30 z
O
4!
Vf
g
Plan check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE ,
APPROVALS ,DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO. 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 PLUMBING FIXTURES ( A
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSEDIAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE D RIBED RESIDENTIAL PROPERTY FINAL
SIGNATURE
OF PERM I TTE
PERMIT VALIDATION C� MO /CASH
PLAN CHECK VALIDATION CK M 0 CASH Y `�
, ('� 2 6 1 9 13 AUG 6 5 0 4.7 5 4