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HomeMy Public PortalAbout5718 GOLDEN WEST AVE_Plumbing__ DBS-17 BS-17 APPLICATION FOR ,PLUMBIIVO PERMIT oBS.,�'DVISION OF BUILDING AND SAFETY Department of County-Engineer County of Los Angeles BUILDING 5722 S. o d e JOHN A LAMBIE, COUNTY ENGINEER ADDRESS a CASSATT D GRIFFIN,SUPT OF BUILDING m- LOCALITY .Le�7. ZE City FOR APPLICANT TO FILL IN I NEAREST 'p Copeland - v CROSS ST. 11 OWNER R. VC eland - DISTRICT NO. � GROUP I ZONE I READY FOR INSPECTION MAIL ADDRESS 5722' S. Golden- West Ave INDUSTRIAL CITY TEL- NO WASTE APPROVAL PLUMBER INSPECTION RECORD • It DENNER4 ADDRESS CITY t109 NORTHTALLINF1V AVENUE LICENSE NO. SYaa44 PASADENA 7, CALIF. NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00 BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1 00 DISHWASHER @ $1 00 LAUNDRY TUB OR TRAY @ $1 00 CLOTHES WASHER @ $100 WATER HEATER @ $1 00 i GAS SYSTEM @ $1 00 ` APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK & c� PERMIT $ 1 00 ROUGH PLUMBING i > GAS PIPING TOTAL FEE GAS VENT I 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 t PLUMBING PLUMBING FIXTURES IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANG LES COUNTY AND STATE OF - CALIFORNIA OR T I AN HE AL OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIBED RESID NTN L T SIGNATURE OF PERMlTT FINAL JOHN A. LA BI , COUNTY ENGINEER VALIDATION ROBERT A WOOD, CHIEF PLBG. INSPECTOR CK, 6I.B. C SH �g ,o 8 2 A1jc 3 3.00 F - 76A667-CE#817 10-82 - APPLICATION FOR PLUMBING' PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDINGADDRESS JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY ' FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER, FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS 70? a T SHOWER 1.25 CITY �T TEL. NO. LAVATORY 1.25 CONTRACTOR SINK: 1.25 � ADDRESS DISHWASHER 1.25 CITY TEL. NO./7 LAUNDRY ?UB 1.25 CONTRACTOR'S / ��� STATE REGISTRATION NO. / J COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO.© GROUP ZONE PR ES ED BY WATER HEATER 1.50 L_ o p T GAS SYSTEM OUTLETS 1.50 INDUSTRIAL per, WASTE APPROVAL o, OUTLETS OVER 5 PER SYSTEM, .30U,RECORD U, W APPROVALS DATE IN P CTOR'S SIGNATURE PERMIT $ Z QO UNDER SLAB WORK J d. n ROUGH PLUMBING vvv , TOTAL FEE GAS PIPING _ " 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 - 0 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES t ' LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I M THE LEGAL OWNER OF, INTEND TO GAS TEST RESIDE IN,THE Al SCRIBED RESIDE IAL PRO Y ' UTILITY CO NOTIFIED SIGNATURE - OF PERM I � , Y FINAL U ALIDATION ROBERT A WOOD CK M o CASH SUPERVISING MECHANICAL ENG'R V 9.6,0:8 G. 'AUG29 5 ID -.7.25- �