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HomeMy Public PortalAbout5007 GOLDEN WEST AVE_Plumbing__ 76A667-CE817-8-58 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING >; Q , L 0 l�E s 7 A E JOHN A. LAMBIE, County Engineer CASSATT D. GRIFFIN,Supt of Building LOCALITY TEnQ a FOR APPLICANT TO FILL IN NEAREST n CROSS ST. LA Q-0 5 A Sal J G NUMBER FIXTURE OR ITEM � ' Q�E OWNER V WATER CLOSET MAIL BATH TUB /. ADDRESS 0l5 0 L O e N V�f F S T A v SHOWER PA C A��FiOIJ CITY TEhPt E CITY TEL. NO. T—• LAVATORY CONTRACTOR SINK ADDRESS 670;L %W-(Op► O N j C h _j A DISHWASHER CITY L06 A�,j4ELES TEL. N0. fl 0-'LL Gl b CONTRACTOR'S STATE LAUNDRY TUB REGISTRATION NO. ISS $ Ie 7/ COUNTY CLOTHES WASHER DISTRICT NO. GRg_UP ZONE -§PCESSED BY WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS ' @ $1.00 PER ITEM 0 0 OR FIXTURE $ DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ ?-100 ROUGH PLUMBING TOTAL FEE 3 100 GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE �'Q. p,,,,., FINAL OF PERMITTEE ROBERT A.WOOD. ®F ALIDATION SUPERVISING MECHANICAL ENG'R CK. M.O. CASH "' 7 f 7 <3i, Ov2n 5 A .00 fi 76A667A r CE 817(REV-6/78) • • ©5 APPLICA 1 N OR PLU I PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ADDRESS 5007 N. GOLDENWEST NUMBER FIXTURE OR ITEM ® FEE LOCALITY '�'�, IPI, CITY WATER CLOSET NEAREST BATH TUB CROSS ST. SHOWER OWNER RIEMOFER, JOSEF LAVATORY MAIL ADDRESS ADDRESS SINK CITY =LE CITY TEL.NO.286-4584 DISHWASHER CONTRACTOR TRANE HCC, CLOTHES WASHER ADDRESS 2034 N. PECK RD. SWIMMING POOL RECEPTOR CITY MMETEL.N _ LAWN SPRINKLER SYSTEM STATE Lic WATER HEATER LICENSE NO. 265094 CLASS —2 1 GAS SYSTEM OUTLETS 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING _1 I GAS PIPING 0 0 GAS VENT V GL HOT WATER HEATER O F- PLUMBING FIXTURES U Lu GAS TEST H Plan check fee UTILITY CO.NOTIFIED Z PLUMBING PERMIT ISSUING FEE$ 7 00 TOTAL FEE 10 00 FINAL Plan check applicant PLAN CHECK,,V IDATION Name Address City Tel.No. a • • I HEREBY A OWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVte IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION I HEREBY CERTIFY THAT I AM PROPERLY REGIST RED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE CAL ORNI OR THAT I AM THE LEGAL OWNER OF,AND INTEN TO RESID IN E AB E DE RIBED RESIDENTIAL — PROPERTY. SIGNATURE OF PERMITTEE T Np �ESSED INDUSTRIAL WASTE APPROVAL 7&MWA J, • CE 817(WV.11/78) 11ii APPLICAT FO PLU M PERMIT COUNTY OF LOS ANGELES RUILDING AND SAFETY FOR APPLK TO FILL IN(PRINT OR TYPiD BUILDiNG ADDRESS NUMBER FIXTURE OR ITEM FEE WATER CLOSET ' LOCALITY NEAREST BATH TUBS ST. SHOWER WNERIL LAVATORI ADDRESS SINK C]TT L �� TEL Na DISHWASHER CONTRACTOR t CLOTHES WASHER ADDRESS p-p P A 4- -vl t A. SWIMMING POOL RECEPTOR 4TE R ILII TEL NC�l�a.,d�LAWN SPRINKLER SYSTEM -` CL WATER HEATER ENSE Noc. b CCLASS GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGIIATURF P( SOW SYST DER SLAB WORK KW,,}i PLUMBING — O. CAS PIPING V GAS V ENY HOT WATER NEATiR 0 PLUMBING FIXTURES GAS TEST PFan check fee LMUTYCO,.NOTIFIED Ldd LUMBING PBMIT ISSUING FEE$ TOTAL FEE FINAL eck appI)wnl Qy r�G L S O/✓ PLAN C HKX VALIDATION s y'd d At nr e Tal.No p ,~j�'�c.7 27.3 A HEREBY ACI NOMtYWE TFJAT I HAVE WAD THLS APPLFCAT]ON AND STATE `# 0 0 0 o o.5 E ABOVE LS CORRECT AND AGREE To CawPLY*TrH ALL COUNTY ORDINANCES ATE LAWS REGULATING PL.UId8INO. PERMIT VALIDATION 2D'° 2.a00 HEREBY CERTIFY THAT I AY PROPERLY REGSrERED AND/OR LICENSED AS IM,Dl'LOS ANOELIS COUNTY AND ST/ITF OF CALP'ORNIA OR THAT I Alf THE00 0C O 0OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBETS RESIDENTIAL `•LRTY. 10 5 0 9-8 0 TUREE RAI fTTE D15TR1CT NO. B r INDUSTRIAL WASTE APPROVAL 171• ..171• • •1 71 .1'17171: ,„..:w,..:r.•.- • • • �.�r Pit IPA 1• :1-171' « t • IN A Aw 1 WIMM �V � 1.111: :1• V�1 ii � NA4i _ �`0�/� 17}b�•._ : F y ml rl i •F 1• 5 �1 . I 1•1 . M• 1 '11 I '1 1 f :1 1 I • I'll M 1 11 1.1• 1 :11• 1• M 1'1 :1 1'111 I f�■I f MI 111 11 11• 11 ■ I • 1. 1' .1 c I 1 4 ' 111 1 / .. .1 /i 1 1 J • • :i■ • �� moi. � � . i •