HomeMy Public PortalAbout5111 GOLDEN WEST AVE_Plumbing__ 76A667-CE#8'7 10-62
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS 111 N. Golden West
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
Temple Cit
FOR APPLICANT TO FILL IN NEARESTCROSS ST. lower Azusa
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET $1.25 OWNER E. Smith
BATH TUB 1.25 ADDRESS 111 N. Golden West
SHOWER 1.25 CITY TEL. NOAt,68839
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS10920 E. Grand
DISHWASHER 1.25 CITY Te=le City TEL. NO. 443-6905
LAUNDRY TUB 1.25
REGISTRAT ON NO. 211898 COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT lil O. GROUP ONE PRICES ED BY
WATER HEATER 1.50
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GAS SYSTEM OUTLETS 1.50 INDUSTRIAL d
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT s 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 3.25 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESSCRI ED RESIDENTIAL PROPERT/Y�. UTILITY CO. NOTIFIED
SIGNATURE /.✓'�Yy�
OF PERMITTEE
FINAL
ALIDATION ROBERT A. WOOD
c, M.0. CASH SUPERVISING MECHANICAL ENG'R
8586t' AUG 7 5 D 3.25~ a
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78A 867•C E#817 9/63
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST S
CROSS ST. 10 hig.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER �
WATER CLOSET 31.2S MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CI rlyM 0TEL. NO.
LAVATORY 1.25 CONTRACTOR G
SINK 1.25 ADDRES D
DISHWASHER 1.25 CIT NO.
LAUNDRY TUB 1.25 CONTRACTOR' STATE
REGISTRATION NO. t � COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER 1.50
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GAS SYSTEM OUTLETS 1.50 INDUSTRIAL d
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
TOTAL FEE L .1122
ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER -
L
CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFGAS TESOR THAT I AM THE LEGAO NER OF,AND INTENT, TOTHE ABOVE DESC D RESIDE TIALPROPERTY^ UTILITY CO. NOTIFIED
EITTEE
FINAL
DATION ROBERT A. WOOD
CK. M.0. CASH SUPERVISING MECHANICAL ENG'R
U"2201W AUG 4 5D 3.50- V
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78A X67-CE#817 10-62
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION [NEAREST
UILDING
DDRESS G
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING
OCALITY Te Cil
FOR APPLICANT TO FILL IN
ROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER E. Slrilt$
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS 111 N. Golden West
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR Pacific Installers
SINK 1.25 ADDRESS 10920 E Grand
DISHWASHER 1.25 CITY Te le City
p Q TEL. NO-442-12A
LAUNDRY 'fUB 1.25 CONTRACTOR'S 2110 S
REGISTRATION NO.
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P01;:ESSEP BY
WATER HEATER 1.50 Ci /
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GAS SYSTEM OUTLETS 1.50 INDUSTRIAL O
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD fJ
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O
replacement u
W
a
Vf
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST
RESIDE IN, THE ABOVE DESCRIBED RESID LP OPE R!TYy UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
�LIDATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
0s735t2 AUG 9 5 a 3.25w Al'