HomeMy Public PortalAbout5321 GOLDEN WEST AVE_Plumbing__ 78A857 -CF-4817 4.64
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
• DEPARTMENT OF COUNTY ENGINEER 1 f
BUILDING AND SAFETY DMSION ADDRESS ; f /
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY e
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
_� OWNER
WATER CLOSET $1.25
'
-BATH TUB 1.25 ADDRESS Cj L ' aq
CITY TEL. NO.
SHOWER 1.25
LAVATORY 1.25 A so CONTRACTOR 1�
SINK 1.25 � ADDRESS &t
1 DISHWASHER 1.25 CITY -� �' TEL. NO.3,1,S to�TE I
CONTRACTOR'S ST
LAUNDRY TUB 1.25 REGISTRATION NO. COU ❑
CLOTHES WASHER 1.25 DIST NO. GROUP ZONE PR E88ED BY
WATER HEATER 1.50 (j
GAS SYSTEM OUTLETS 1'� INDUSTRIAL a
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INNSPECTION RECORD
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APPROVALS DATE, INSPECTORIS SIGNA,RE�
UNDER SLAB WORK.,
PERMIT $ 2 Ou
1_ ROUGH PLUMBING �„ ek,`�
TOTAL FEE Ili' GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY r�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER A74 14
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ��
LICENSED AS REQUIRED BY L S ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DE RI D ESIDENTIAL PROPERTY UTILITY CO NOTIFIED /
SIGNATURE
OF PERMITTEE hLale /��/.•q
FINAL
- V AIJDATION ROBERT A wO'OD
cK M o CASH SUPERVISING MECHANICAL ENG R
Ao 9 7 2 8 MAR 19 5 D 16.25-
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING ANP SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING j j
ADDRESS 'S /
NUMBER FIXTURE OR ITEM @ FEE'
LOCALITY t
WATER CLOSET
NEAREST I----
BATH TUB 'CROSS ST OWNER•
G
ry
SHOWER
LAVATORY MAIL
ADDRESS_ � LJ C: C'.•' LJ�, '
SINK i CITY f .,• TEL NO
y
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS
-6o
SWIMMING POOL RECEPTOR
CITY C I TEL NO
LAWN SPRINKLER SYSTEM j
STATE �) LIC /
WATER HEATER LICENSE NO ,— S CLASS C J
` GAS SYSTEM OUTLETS -31
APPROVALS DATE INSPECTOR S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING
IGAS'VENT v
BS
HOT WATER HEATER 0
PLUMBING FIXTURES
GAS TESTZC .5, -, W05,61
Plan check fee UTILITYCO NOTIFIED
PLUMBING PERMIT ISSUING FEE$ 1 71
TOTAL FEE r-- FINAL
Plan check applicant PLAN CHECK VALIDATION
Name '
Address
City Tel No
THEREBY ACKNOWLEDGE THAT•I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT-AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION. ,
2296'8A
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 O O O 5
LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY 2 0 0 1 00 0
SIGNATURE
OF PERMITTE _ r O O O 1,00 05
DISTRI T NO CESSED BY
� - 0228-79
INDUSTRIAL
WASTE APPROVAL
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CE�17,,IREY�6!781 � K
APPLICATION FOR PLUMBING PERMIT' - ` 4
COUNTY OF LOS ANGELES BUILDING AND.SAFETY
FOR,APPLICANT TO FILL IN(PRINT OR TYPED BUILDING .-�'
'ADDRESS �JU,*,)`�J
NUMBER FIXTURE OR ITEM ® FEE
W (
'r
LOCALITY,WATER CLOSET '
NEAREST NA
BATHTUB CROSSST
SHOWER OWNER
MAIL
LAVATORY ADDRESS
SINK CITY- 11,111)DC7 C/ TEL NO
DISHWASHER CONTRACTORCrl�AUC
CLOTHES WASHER ADDRESS
05 C� CII- J
SWIMMING POOL RECEPTOR
r CITY 11!y�
TEL NO /L?
LAWN SPRINKLER SYSTEM STATE \/ LIC
WATER HEATER LICENSE NO CLASS
GAS SYSTEM OUTLETS 'APPROVALS DATE INSPECTOR S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING
GAS VENT �!
HOT WATER HEATER
PLUMBING FIXTURES ��yy
i GAS TEST, M.
Plan check fee" ut
UTILITY CO NOTIFIED
PLUMBING PERMIT ISSUING FEE$
TOTAL FEEFINAL
10
Plan check applicant FLAN CHECK VALIDATION
Name
Address
City Tel No
I HEREBY ACKNOWLEDGE THAT I HAVE READ.THIS APPLICATION AND STATE ;PA412.4 A „
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES fb C
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION'- FY B4O OHO.O J .'
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS Q 2 O O 1, a'0•0
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE ,
LEGAL OWNER OF AND INTEND TO RESIDE I THE ABOVE DESCRIBED RESIDENTIALO O O u O,O0
PROP -
OF PERM ITTEE -
DISTRICT NO ZCE
SSE BY
INDUSTRIAL
WASTE APPROVAL