HomeMy Public PortalAbout5226 GOLDEN WEST AVE_Plumbing__ 76A667 - CE817 5/70
'. APPLICATION FOR PLUMBING PER T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION 7BD
2 ZJOHN A. LAMBIE. COUNTY ENGINEERCOLEMAN W. JENKINS SUPT OF BUILDING FOR APPLICANT TO FILL IN PR NT OR TYPE)NUMBER FIXTURE OR ITEM EACH FEE Ci��bc.�
WATER CLOSET 1 0 ' 7� YY�`
BATH TUB 1/50 ADDRESS 25 t�
SHOWER 1.50 CITY TEL. NO.2 P-7--7 s
LAVATORY 1.50 O CONTRACTOR
SINK 1.50 ADDRESS
DISHWASHER 1 50 CITY TEL. NO.
CLOTHES WASHER 1 50 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 50 DISTRICT NO. GROUP ZONE P ro50SSqDSV
LAWN SPRINKLER SYSTEM +0 a f �+
WATER HEATER 1 50 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM Z OUTLETS 1 0 INSPECTION RECORD
OUTLETS OVER
5 PER SYSTEM 30
N
Pian check fee 25% of above. See reverse
PLUMBING PERMIT ISSUING FEE 3 00
TOTAL FEE APPROVALS DATE INSP TOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING !i lG
Address GAS PIPING
GAS VENT
City Tel. No.
HOT WATER HEATER �
1 HEREBY ACKNOWLEDGE THAT 1 NAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST I/ V/
PLUMBING
IED
CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED Jj III „"0 S 'nLICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF A �//
CALIFORNIA OR THAT I AM T LEG WNER OF,AND INTEND TO •/ 1rI
RESIDE IN,THE ABOVE DE I D S NTIAL PROPERTY FINAL
SOF PERMITT JACK R. ALLEN, SU PERVISIN CH ANI4C AL EN G'R
PERMIT VALIDATION c K M O CASH
PLAN CHECK VALIDA ION CK M o CASH
I X69 5 5 0 15.2'5,-