HomeMy Public PortalAbout9542 LIVE OAK AVE_Plumbing__ 76A667 (CE-617) - 1/73 r C 1 C.) Tery)pLC-7 CITY/ /
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION _
MAKE CHECKS PAYABLE TO BUILDINSS
G
ADDRE " oC
HARVEY-T. BRANDT, COUNTY ENGINEER LOCALITY T -
FWATER
APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST. 7I.0 Cly `aL.0
FIXTURE OR ITEM @ FEE
2 00 OWNER u cH
CLOSET MAIL ^ ��uCO��
H TUB 200 ADDRESS o
-SHOWER 200 CITY ZE G'lT TEL. NO 86_aK0
'LAVATORY 2 00 CONTRACTOR P C ) Pi C I nSTR LFRS
'SINK 200 ADDRESS )C)920 PO Je �7
1 DISHWASHER 200 C,p CITY-T,'m Pj
87Cg1 p� TEL NO
CLOTHES WASHER 2 00 I
L CENSE NO Q 0p /Q_ CLASS
SWIMMING POOL RECEPTOR 2.00
DISTRICT NO GROUP ZONE - PROCESSED BY
LAWN SPRINKLER SYSTEM 200 S{ F
WATER HEATER 200 INDUSTRIAL
WASTE APPROVAL'
GAS SYSTEM OUTLETS 200 INSPECTION RECORD V
OUTLETS OVER
5 PER SYSTEM •30 O
H
U
' W
a-
C/)
z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE S 00
APPROVALS DATE INSPECTOR S SIGNATURE
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 �9 7� dJr.
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST Y
PLUMBING 1
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. ryVA=I�r' e
FINAL l�f h^Ld�rw✓
SIGNA TU RE
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK M.O. CASH
5.0.0 e
76A667-CU17 3-59
APPLICATION[ FOR PLUMBING PERMIT 9
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County En neer ADDRESS
CASSATT D. GRIFFIN, Supt of Building
LOCALITY T&M �!
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. N ® 5 e
NUMBER FIXTURE OR ITEM OWNER t P h D N
3 WATER CLOSET MAIL p
.t BATH TUB ADDRESS oZ p V0WJr
CITY C. Je et ,, TEL NO.
SHOWER C N
LAVATORY CONTRACTOR 5'
I SINS ADDRESSI ! I /,vaj _
I DISHWASHER
CITY�e /LI IC Co, TEL NO. 7 7
CONTRACTO S ` STATE
LAUNDRY TUB REGISTRATION NO. l G O a / COUNTY El
CLOTHES WASHER DISTRICT NO. GFRU�PNEEj P OCESSED SY
WATER HEATER � -j— R
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
$1.00 PER ITEM
OR FIXTURE 040 APPROVALSr0 DATE INSPECTOR'S SIGNATURE
PERMIT $H44p
00 UNDER S WORK -
TOTAL FEE , ROUGH PLUMBING -
GAS PIPING
4HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ASTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT n
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER '2.Z
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST IL-/-
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL OPER .d¢ UTILITY CO NOTIFIED - rG0 17&kl
SIGNATURE
OF PERM I'll h
FINAL -ZZ40Q
OF VALIDATION ROBERT A. WOOD,
Cc.
H.0. C"m SUPERVISING MECHANICAL ENG'R
LTo 7 2.:3, CfiAR 4 5 A 16,0 U K .