HomeMy Public PortalAbout5802 OAK AVE_Plumbing__ DEP"TIVIQMM OF COMM ENGINEER PLUMBING I
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNW OF LOS ANGELES BUILDING j1 0
WILLIAM .L FOX COUNTY ENGINEER ADDRESS v V
FOR APPLICANT TO FILL IN LOCALITY
CST
BUILDING A, ROS S
ADDRESS D� /y
DISTRICT NO GROUP ZONE PERMIT HO
LOCALITY
NEAREST
CROSS STOR.f f 1V _RECEIVED BY Ready for IaaaeeUon DATEISSUED
OWNER CL. d; O / ! /� P Al fie)"
MAIL ��r INDUSTRIAL
ADDRESS ' p D 1� N @ WASTE APPROVAL
CI /, TEL NO7.-,zINSPECTION RECORD
PLUMBER k1 Vn p
ADDRESS
CITY TEL NO
O STATE
LICENSE NO ❑COUNTY J
PERMIT FEES _Z
i1JMBER TYPE OF rixTURv OR ITEM FEE ('
WATER CLOSET(TOILET) 0 080 3 1C
O
BATH TUB 0) 080
SHOWER 0 080
LAVATORY(WASH BASIN) 0) 080
KITCHEN SINK 0 080
LAUNDRY TUB OR TRAY 0 080
SLOP SINK 0 080
FLOORSINK 0 080
FLOOR DRAIN 0 080
DISHWASHER 0) 080
DRINKING FOUNTAIN ! 080
URINAL 0 080
GAS SYSTEM OUTLETS 0 100
WATER HEATER 01 100
MISCIFLLANEOUS
s APPROVALS
DATE INSPECTOR 8 SIGNATURE
UNDER SLAB WORK
PERMIT 1 00 ROUGH PLUMBING
TOTAL FEE r GAS PIPING
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLI GASYENT
CATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY OAS TEST
AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN
ER OF THE ABOVE DESCRIBED RESIDER IAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE 4f&h yl.—k-64—e — FINAL +fit
76A667 DBS 17 rd 6 1 r