HomeMy Public PortalAbout5139 GOLDEN WEST AVE_Plumbing__ 7GA667 -CE#817 4-64
APPLICATION FOR PLUMBIN PERM T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING �I /YGli�57
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS I
WILLIAM A JENSEN, SUP T OF BUILDING
LOCALITY "� L Z !
FOR APPLICANT TO FILL IN NEAREST
CROSS Si.
NUMBER FIXTURE OR ITEM EACH FEE
OWNERZs <<r
WATER CLOSET ;<1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY �' I TEL NO. _
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS !!es l✓
DISHWASHER 1.25 CITY — TEL. NO.`26f —jZ6/
CONTRACTOR'S STATE
LAUNDRY TUB 1.25
REGISTRATION NO. Z COUNTY
CLOTHES WASHER 1•u DISTRICT NO. GROUP ZONE PR SEED BY 1
WATER HEATER 1.50 :5—. 0
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GAS SYSTEM OUTLETS 1'50 INDUSTRIAL CL
0
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
o
y _
V
W
4
h
Z
APPROVALS DATE SPE R 5 SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK c p2
ROUGH PLUMBING
TOTAL FEE _ GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
I 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 DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE �7' �_ I
OF PERMITTEE , v'��
FINAL
LIDATION ROBERT A WOOD
CK 1Z M O CASH SUPERVISING MECHANICAL ENG R
iALO9 7 9 6"'oo FEB 18 5 D 5,00N-
76A667-CE4817 6-65 -
• APPLICATION FOR PLUMBNG PER
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION fNEARZST
ILDING �°^
JOHN A LAMBIE. COUNTY ENGINEER DRESS �J �A
COLEMAN W JENKINS SUPT of BUILDING CALITY T K-2 (I/
FOR APPLICANT TO FILL IN OSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINE 1.25 ADDRESS ��
DISHWASHER 1.25 CITY •l % TEL. NO.STATE I LIC
8
LAUNDRY TUB 1.25 LICENSE NO -�tp CLASS �to
CLOTHES WASHER 1.25 Di CT NGR Z P D BY
177
WATER HEATER 1.50 b (p/�
7
GAS SYSTEM 1.50 INDUSTRIAL SYSTEM—OUTLETS— WASTE APPROVAL a
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD O
W
D.
N
Z
APPROVALS DATE INSPECIGNATU RE
UNDER SLAB WORK
PERMIT $ 2 00
ROUGH PLUMBING C+
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 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 BYVLEG
ES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM OWN R OF,AND INTEND TORESIDE IN, THE ABOVE DESCRN PROP TY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL � v .�
�ALIDATION
CK M O CASH
LHL,o 9 2 2 8 JUN 2 2 5 D 5.75-
0.
76A667A' -
CE 817 IREV 6/78)
0�S
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY;
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING v
ADDRESS
NUMBER FIXTURE OR ITEM ® FEE
- LOCALITY
WATER CLOSET
NEAREST
BATH TUB CROSS ST CL-
SHOWER OWNER
MAIL
LAVATORY ADDRESS
SINK CITY TEL NO
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CITY ���� TEL NO
LAWN SPRINKLER SYSTEM STATE LIC /f �l
WATER HEATER LICENSE �OG oLLi CLASS
GAS SYSTEM OUTLETS }o APPROVALS DATE INSPECTOR S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
@S
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST
Pian Check fee UTILITY CO NOTIFIED
PLUMBING PERMIT ISSUING FEE$ uo � FINAL y�, 9 ej 2� �G✓L'°�
TOTAL FEE
PLAN CHECK VALIDATION
Plan check applicant l�
Name (/v
Address
City Tel No
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES Q
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION ' �5 3 Q 6 A
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS -
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE # O O 0 O�O 5
LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL '
PROPERTY 2,-.-o 1. /l 0 O
r l/
SIGNATURE (�
OF PERMITTEE �0 O O 1,(10 O O V
DISTRICT NO PRO S ED BY 0 ', 1 1 7 9
INDUSTRIAL
WASTE APPROVAL