HomeMy Public PortalAbout5347 GOLDEN WEST AVE_Plumbing__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY ` � - BINGTWILLIAM J. FOX, County Enghieer
DISTRICT NO. 13ROUP ONE PERMIT
FOR•APPLICANT Ta FILL IN /
PLUMBER RRR EIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADORE
BUILDING
CITY TEL NO. ADDRESS
/17 vc-
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSSST
'f
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER AA p� /�
MAIL
WATER CLOSET(TOILET) Q O.s $
ADDRESS 4 p�O Rj(�D �9'& (/ v-e
J.
BATHTUB (@ D.s _
CITY _ TEL. No. _►-�-
SHOWER Q O.S 1 HEREBY 9ACKNOWLE GE THAT I HAVE READ THIS
J LAVATORY (WASH BASIN) O. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK (@ p, AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY (@ D. O ANGCLES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
GA9 SYSTEM�y_O UTLETS O. D- OF THE RESIDENTIAL PROPE TY DES C BED ABOVE.
SIGNATURE OF
WATER HEATER @ D. O PERMITTEE
SLOP SINK @ 0.60 INSPECTION RECORD
FLOOR SINK @ 0. ❑ -
FLOOR DRAIN @ O. O
DISHWASHER @ O a�,��•'�'� ' '°L`� �d'D
DRINKING FOUNTAIN - @ 0.5
URINAL O 5,!1
HOUSE SEWER @ O.sO -/� _ Y
MISCELLANEOUS
Q'
0
APPROVA S
D +fE INSPECTOR'S NAMEt/,,
ROUGH PLUMBING
' GAS PIPING
GAS VENT
CESSPOOL 1,OD CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER
PERMITS -,ea,,_
1.00 GATEST ►' ae�
TOTAL•FEE UTILITY CO.NOTIFIED _ I2 �Yr
FINALu.
k
76A087 DBS.#17 10/52 ,
76A 667-CE#817 10-62
APPLICATION FOR PLUMB, G PERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER -
BUILDING AND SAFETY DIVISION rNEA7REST
JOHN A LAMBIE. COUNTY ENGINEER S -
WILLIAM A JENSEN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN
Y
NUMBER FIXTURE OR ITEM EACH FEE '
OWNER �'c o c� �a L
WATER CLOSET $1.25 MAIL
BATH TUB_ 1.25 ` DDRESS,$ � V "
SHOWER 1.25 ` CITY T'fy /9 Z e,,q,;*'EL. NO.
LAVATORY 1.25 J CONTRACTOR
SINK 1.25 ADDRESS ��f l: l-fdlbi F.
DISHWASHER 125• CITY f7 TEL. NO. 6- 9
CONTRACTOR'S STATE )C
LAUNDRY TUB 125 REGISTRATION NO. L�_'tr COUNTRY E
CLOTHES WASHER 1.25 f DICT NO/ GR� Z NE P OCE`'v`._1G.i
WATER HEATER 1.50 o II
1.50 s INDUSTRIAL d
GAS SYSTEMOUTLETS f WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
mo
z
A
APPROVALS � fSj DATE INSPECTOR'S SIGNATU E
UNDER SLAB WORK"
PERMIT $ 2 00 _
ROUGH PLUMBING f�
TOTAL FEE &D
'� V GAS PIPING l �
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 I 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 -,.�,r �'��✓
SIGNATURE
OF PERMITTEE FINAL
_ VALIDATIO ROBERT A WOOD
CK M O CASH SUPERVISING MECHANICAL ENG R
fico 0 7 3 5 ll ffi 2 5 D 1 0.0 v