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HomeMy Public PortalAbout5489 GOLDEN WEST AVE_Plumbing__ D.B S.-17 25M SETS 6-48 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES �L���� WM.J. FOX. CHIEF HNGINHER NG NATURE OF INSTALLATION DISTRICT . GROUP ZONE PERMIT ROUGH FIXTURES COMPL,HTH HEATER CESSPOOL h SEPTIC TANK ;mm READY FOR DATB ISSUED FIRST INSPECTION A& MISCELLANEOUS• �• APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB NAMEMs Co NOTTINGHAM CO. DDRE88 303.�1a I OF TEMPLE CITY �.�'2- _bl it -� , Z ADDRESS LOCALITY c NEAREST 49D^ 1 _(f, 3 12:3 N. CCOVEHLY 'i CITY AVE. C ICISS 8T. (-♦ 4J /rl d CERT.COUNTNo. - EXPIRES g NAME LOCATION OF SEPTIC TANK, OR CESSPOOL, mZ MAIL 3 ADDRESS �d Cl• ( _,1 5en.`� &�_='!�..+A>'S� NORTH O y, CITY :.o f, 1 t ti; TEL.No. I ( THE LEGAL P088HBSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. { PLUMBHR IA'�'HE LEGAL OWNER OF THE PROPERTY DESCRIBED ABO�V E. .3 V/ OWNER _i CORRECTIONS SOUTH J DESCRIPTION OF WORK z BATH TUB FURNACE O ROWER DISHWASHER - ` O 1AVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR BINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY - URINAL APPROVALS WATER CLOSET - DRINKING FOUNTAIN - DATE INSPECTOR'S NAME WATER HEATER ' DENTAL LAVATORY ROUGH PLUMBING _______METER_- GAS __CODA FOUNTAIN " OUn GAS PIPING GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK __LCESSPOOL__BSEPTIC TANK SEWER mot 8 UTILITY CO.NOTIFIED TOTAL FEE FINAL D.B.S.-17 25M SETS 6-46 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE 1 3 9 7 97 HEATER CESSPOOL I—I SEPTIC TANK RECEIVED BY READY FOR D/jTB 188UED FIRST INSPECTION GAS- MISCELLANEOUS �f�,. APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB NAME ADDRESS w N ADDRESS LOCALITY 2 O NEAREST CITY TEL.No. CROSS ST. C _ COUNTY CERT.No. _ EXPIRES w NAME LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL 3 ADDRESS NORTH O CITY TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. li D � OWNER CORRECTIONS H SOUTH J DESCRIPTION OF WORK z BATH TUB FURNACE C7 C: SHOWER DISHWASHER O LAVATORY REFRIGERATOR KITCHEN SINK - WATER SOFTENER FLOOR SINK SANDTRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS ALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING [3-11 METER GA8 SODA FOUNTAIN GAS PIPING OUTL GAS VENT 11 y, CESSPOOL TOTAL NUMBER OF FIXTURES l J l° ggpTSC 7gNK I I CESSPOOI SEPTIC TANK SEWER I �/ UTILITY CO.NOTIFIED I / - E� TOTAL FEE FINAL DEPARTMENT OF COUNTY ENGINEER PLUMBING DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING WILLIAM J. FOX, COUNTY ENGINEER ADDRESS A PLI Abil T ILL I LOCALITY BUILDING NEAREST ADDRESS CROSS ST DISTRLCT NO. GROUP ZONE PERMIT NO. LOCALITY �� NEAREST CROSS ST RECEIVED BY Ready for Inspection DATE SS OWNER MAIL INDUSTRIAL OV ADDRESS WASTE APPRL CITY TEL.N0. SPECTION RECORD PLUMBER ADDRESS CITY TEL.N0.A2z/— 9 LICENSE N0. T J PERMIT FEES _z NUMBER TYPE OF FIXTURE OR ITEM FEE u, WATER CLOSET(TOILET) @ 0.80 $ Ex 0 BATH TUB @ 080 SHOWER @ 0.80 LAVATORY(WASH BASIN) @ 0 80 KITCHEN SINK @ 0 80 LAUNDRY TUB OR TRAY @ 0 80 SLOP SINK @ 0 80 FLOORSINK @ 080 FLOOR DRAIN @ 0.80 DISHWASHER @ 0.80 DRINKING FOUNTAIN @ 080 URINAL @ 080 GAS SYSTEM--------------OUTLETS @ 1.00 WATER HEATER @ -.1.00 WCELLANEOUS I Q� • APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE 2- 4z) GAS PIPING HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELFS COUNTY GAS TEST AND STATE OF CALIFORNLA OR TH 1 M TH LEGAL WN- ER OF THE ABOVE DES RE EN IAL P ERT UTILITY CO.NOTIFIED SIGNATURE Ae OF PERMITTEE-- --- FINAL76A667 DBS DBS 17 1/53 ti's" 7 76A667A 1r� CE 81715EV•6/7e, , os APPLICATION FOR PLUMB-ING PERMIT COUNTY OF LOS ANGELES a BUILDING AND SAFETY,,,, FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING /•� / /��-.{- NUMBER FIXTURE OR ITEM' ® FEE ADDRESS LOCALITY WATER CLOSET - � NEAREST / �\IJ /fl"J !J.t> BATH TUB CROSS,ST SHOWER OWNER t Wt MAIL - LAVATORY ADDRESS,I a,310 h0Q40Q1.0T Q . 1 n C i SINK CITY 09 L L pr DISHWASHER CONTRACTOR L G ' CLOTHES WASHER ADDRESS F �j1-47,7 SWIMMING POOL RECEPTOR - CITY �^� ,�.` TEL NO Wi 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 GAS TEST N Plan check fee UTILITY CO NOTIFIED PLUMBING PERMIT ISSUING FEE$ _ TOTAL FEE FINAL /Z/ %�D*I Plan check applicant PLLjANN'CHECK VALIDATI�N -Name Address= Clty Tel No 2.74a9A HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND•STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES # O.O 1 O O 05 AND STATE LAWS REGULATING PLUMBING' PERMIT VALIDATION ' IHEREBY CERTIFY"THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS 2 O O '� Q.Q O• REOU IR BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE a ' LEGAL OWNER OF AND INTEND-TO RESIDE NWTHE/, OVFD CR BED RESIDENTIAL _ O O O 1 Q O 0 PROPERTY v t SIGNATURE I l'l,3 O 7 OFPERMITTEE - DISTRICT NO 0CESSED BY lJ/ INDUSTRIAL WASTE APPROVAL . • •,oma G'3� P�,�'/�,.K ;, .. M COUNTY OF Los ANGELES APPLICATION FOR PERMIT , Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer _ INN G 'DISTRICT NO. GROUP I ZO ERMIT NO. FOR APPLICANT TO FILL IN / Pe — O.O W REC iD BY READY FOR INSPECTION gUE P FIRST INSPECTION ADDRESS �i�O .(T /1 (y S b ✓ BUILDING CITY / G TEL. No. _ADDRESS COUNTY LOCALITY C LICENSE N.D. 3 EXPIRES NEAREST i CROSS T. OA IZ G/h - - PERMIT FEES NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER /G\ i 4 l A T Z a �. MAIL WATER CLOSET(TOILET) 0.50 $ ADDRESS BATH TUB @ O.SO CITY TEL. No. SHOWER 0 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0,50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH-ALL COUNTY OR©INANCES KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. ICERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 AN13CLES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL P PERT ED ABOVE. OAS SYSTEM OUTLETS 0.50 SIGNATURE OF WATER HEATER 0.50 PERMITTEE SLOP SINK @ 0.50 IN PECTION RECORD FLOOR SINK ® 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 URINAL 0.50 , J Q HOUSE SEWER 0.50 - - _Z MISCELLANEOUS L7 7-a 0 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING OAS PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) 1.00 SEWER PPERMIT 11.00 GAB TEST UTILITY CO.NOTIFIED i TOTAL FEE Z OO FINAL /z-G/�S �GCe..Ct«✓ 76A667 DBS.#17 10/52