HomeMy Public PortalAbout6433 LIVIA AVE_Plumbing__ 76A667 (CE-817)-4/72
APPLICATIOf�I R PL GING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
I
MAKE CHECKS PAYABLE TO BUILDNG
BUIUD
ADORES
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPEI NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1.75 OWNER
MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1.75 CITY TEL NO
LAVATORY 1.75 CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY TEL rio
CLOTHES WASHER 1.75 STATELIC
LICENSE NOrv/ CLASS
SWIMMING POOL RECEPTOR 1.75
TRICT NO GROUP IZRNE CESt EQ BY
LAWN SPRINKLER SYSTEM 1.75
c
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL y'
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V
OUTLETS OVER
5 PER SYSTEM .30 _ p
' W
C4
y
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 00
TOTAL FEE
APPROVALS DATE INSPECTOR S SIGNATJRE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE is CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST
I HEREBY CERTIFY THAT PROPERLY REGI RED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY, L ANGELES COUNTY N STA E OF
CALIFORNIA OR THAT I AM E LEGAL O 0 IN D TO
RESIDE IN THE ABOVE D IBED RESIDE eER
OPER TY FI AL
Lj�GNATUREF PERMIT
PERMIT VALIDATION CK M.o CASH
PLAN CHECK VALID ION CK M Q CA
4 .8 4.'r�-"JAN 16 5 D 4.7 5 ®y6
76A%?-CES17-11-57
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES 1
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 5.
JOHN A. LAMBIE, County Engineer ADDRESS q V[`
CASSATT D. GRIFFIN, Supt of BuildingED LOCALITY
jN
FOR APPLICANT TO FILL IN NEAREST-CROSS ST.NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSETMAIL
BATH TUB ADDRESSSHOWER CITY TEL.LAVATORYCONTRACTORs>NgADDRESSDISHWASHER CITY , TEL
LAUNDRY TUB CONTRACTOR'S �^ STATE ❑
REGISTRATION NO. J COUNTY El
CLOTHES WASHER DISTRIC O` GROUP ZONE READY FOR INSPECTION
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
LPERMITTEE
$1.00 PER ITEM DATE INSPECTOR'S SIGNATURE
OS FIE $ UNDER SLAB WORKtiiERMIT 00 ROUGH PLUMBING TOTAL FEE r3 GAS PIPING , 0rePF /A Vivd tim'DBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONGASVENTTE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
LL COUNTY ORDINANCES AND STATE LAWS REGULATING
G. PLUMBING FIXTURES
EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TESTD AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
NIA OR THAT 1 AM THE LEGAL FR OF THE ABOVE UTILITY CO NOTIFIED
ED RESIDENTIAL PROPERTY
URERMITTE �� ' WFINAL
ROBERTA.WOOD.
®� ALIDATION SUPERVISING_ MECHANICAL ENG'R
CK. M.0. CASH `
t
I To 3 1 3 a MAR 6 5 A 3.0 0 �