HomeMy Public PortalAbout5341 GOLDEN WEST AVE_Plumbing__ 76AGG7 APPLICATION1='CI� -PLt1MBING 'PIERMIT _
DBS-17 fo-B5�
'DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of LOS Angeles BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 534.1 N. Golden West Bl
vd`•
CASSATTD. GRIFFIN,SUP'TOFBUILDING Tem le Cit calif.
LOCALITY P Y!
nA
FOR APPLICANT TO FILL IN 0 CROSS S Olive St
OWNER Mr. TCtl• Duke Ogawa, DISTRICT GROUP � I READY FOR INSPECTION
ADDRESS 5317 N. Bartlett Ave
INDURIAL
CITY1��ells le, V it J 6@14 NOAt 7--6942 WASTE APPROVAL
PLUMBER San Gabri el PLumbi - INSPECTION RECORD
ADDRESS 1731 ,San Gabriel--Blvd. 1-51 k r--:!l°�
CIT Gabriel CaEL. NaAt 4--4049 ���g`� ((� '��
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM FEE -Zz) +q'�� '�{�4 ra* \m pg,
`�v
WATER CLOSET (TOILET) @ '$1 00 $
BATH TUB @ $1 00 1
SHOWER @ $1.00 '
LAVATORY (WASH BASIN) @ $1 00
KITCHEN SINK @ $1.00
DISHWASHER @ $1 00 -
LAUNDRY TUB OR TRAY @ $1 00 '1
CLOTHES WASHER _ @ $
' WATER HEATER @ $1 00
GAS SYSTEM @ $1 00
APPROVALS
DATE INSPECTOR'S SIGNATURE'
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING /
TOTAL FEE 9
OO GAS PIPING
GAS VENT
,1 HEREBY ACKNOWLEDGE THAT I HAVE.READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO'COMPLY
WITH ALL COUNTY ORDINANCES AND' STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
I 'HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL
SIGNATURE
OF PERMITTEE '~' FINAL
JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
m O CASH
LAC
6 9 b,8-� APR 5 3 �� n
r•"••"" J.F
76A667 — CE817 5/70
APPLICATION� FOR' POOMBINO PERMIT
COUNTY OF LOS ANGELES b _
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND'SAFETY DIVISION , NIL SS
JOHN A. LAMB,IE. COUNTY ENGINEER ADDRESS I S ,L
COLEMAN W. JENKINS SUPT-OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST
CROSS ST. ,7 _
NUMBER, - FIXTURE OR.ITEM s EACH
IFEE
OWNER ¢"
f WATER CLOSET .- 1 0 f MAIL
BATH
�t �✓ ADDRESS
TUB 10. 1
s � _
f SHOWER i 1. 0 CITY TEL. NO:
LAVATORY F�1 1 0 t' {� ;�j, CONTRACTOR /i
_ SINK 1: 0 ADDRESS
DISHWASHER '1, 0 CITY TEL. N6;'
CLOTHES WASHER 160 STATE LIC '
LICENSE NO CLASS
SWIMMING POOL.RECEPTORS 1. 0
DISTRICT NO GROUP _,ZONE' '-PROCESSED BY,
` � I , ( is /' ®',
LAWN SPRINKLER SYSTEM 2. 0 ✓6— [ ..r t �� ' t !/
WATER HEATER I. O / "fe`•-• INDUSTRLAL I . " ' - /r C�
s WASTE APPROVAL
GASSYSTEM OUTLETS10 tri INSPECTION RECORD
CUTLETS OVER " - -
'5 PER SYSTEM ' 30
Plan check fee 257. of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 -. 00
' TOTAL FEE o APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING,
Address GAS PIPING -
GAS VENT '
City Tel. No. = HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT I HAVE 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
PLUMBING
"I HEREBY CERTIFY THAT i ,AM PROPERLY• REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ,
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO -
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL
.SIGNATURE "
�� y1 JACK R. ALLEN, SUPERVISING MECFiANICAL'ENG'R .
OF PERMITTEE
PERMIT VALIDATION '' CK K� O -CASH
PLAN CHECK VALIDATION cK M 0 CASH
76A667 (CE-817)-4/72 '
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO BUILDING
_ ADDRESS C—,`,weuWeair Au .
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY Ci!rtc
FOR APPLICANT TO FILL IN'(PRINT OR TYPE) NEAREST
CROSS ST •
NUMBER FIXTURE OR ITEM @ FEE -
OWNER •I
WATER CLOSET 1.75
MAIL r
BATH TUB 1.75 ADDRESS •�
SHOWER- 1,75' CITY TEL NO
LAVATORY i 1.75 CONTRACTOR
SINK * M 1.75 / .� ADDRESS
DISHWASHER 1.75 CITY TEL NO
C LOTHES WASHER 1.75 STATE LIC
LICENSE NO CLASS _ p
SWIMMING POOL RECEPTOR 1.75
Td DISTRICT NO GROUP �ONEI--PROCESSED BY ```LAWN SPRINKLER SYSTEM 1,75 - 0 •„7. fI •,,,,,.+ I `(f ;'
WATER HEATER 1.75 INDUSTRIAL
✓ �'
- p
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD
O
UTLETS OVER
R5 PER SYSTEM .30 Li
CD
a
' - W
Plan Check fee. See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 .00
TOTAL FEE
7 APPROVALS DATE - INSPECTOR S SIGNATURE
Plan,Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT-'
City Tel No
HOT WATER HEATER
I HEREBY_ ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING ; GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA 0R THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL Akj/PROPERTY ( FINAL
SIGNATU RE ,p.,�
OF PERMIT?EE
f r PERMIT VALIDATION CK M 0 ' CASH
PLAN CHECK VALIDATION CK j V CASH
' r