HomeMy Public PortalAbout9604 LIVE OAK AVE_Plumbing__ 76AE87 17 U-ISO ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTR��D10- GROUP ZONE PERMIT O.
f GJ.IS e� I'J
PLUMBER RECEIVED BY READY FOR D IS �
l Vt.
Ply FIRST INSPECTION
ADDRESS /J/v
BUILDING �D jam'
CITY TEL NO. ADDRESS rFG�
i
COUNTY LOCALITY .amu
LICENSE NO. EXPIRES NEARESTL�
PERMIT FEES CROSS ST. �u h S'�
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER B ��
MAIL
WATER CLOSET (TOILET) O 50 $ ADDRESS
1 BATH TUB [Qi O Sol CITY TEL NO.
SHOWER Q 0.50 1 1 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK Q O 50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS Q O 501 !r
SIGNATURE OF
WATER HEATER Q O Sol PERMITTE •f' J (��
SLOP SINK @ O 501 1INSPECTION RECORD
FLOOR SINK Q O 50
FLOOR DRAIN Q O 50
DISHWASHER Q O 501
DRINKING FOUNTAIN @ O 501
URINAL @ O 50 1
Q
1 HOUSE SEWER @ O 50 1 Z
MISCELLANEOUS 1 �_
1� O
1�
1
1
1
1 APPROVALS
1 D E INSPECTOR'S NAME
ROUGH PLUMBING -/ -P!
GAS PIPING
1 GAS VENT
1. CESSPOOL Q 1 00 I CESSPOOL
1 SEPTIC TANK: SEPTIC TANK
I DRAIN ( ) PIT ( ) Q 1.00 I SEWER
PERMIT . . I 1 00 GAS TEST
irf'1 UTILITY CO NOTIFIED
TOTAL FEE $ �1 �/ J
FINAL
Y