HomeMy Public PortalAbout5733 GOLDEN WEST AVE_Plumbing__ 76A867 •CE*817 4-64 b ' -
APPLICATION FOR PLUMBI PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 001,
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN, SUP T 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, ADDRESS
SHOWER 1.25 CITY O•
LAVATORY 1.25 CONTRACTOR
SIN%
1.25 ADDRESS
DISHWA'IIER 1.25 CITY kNjCl
LAUNDRY TUB 1.25 CONTRACTOR'S ST TE
REGISTRATION COUNTY
CLOTHES WASHER 1.25 DISTRICT NO GROUP ZONE P OC ED BY
WATER HEATER 1.50 f
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GAS SYSTEM OUTLETS 1.50 INDUSTRIAL a
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 5 2 00 UNDER SLAB WORK
ROUGH PLUMBING ��� � � �
TOTAL FEE L. GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
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WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER %� A
PLUMBING /
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED A5 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
'SIGNATURE 1 ► A,w'
OF PERMITTEEA!19� FINAL � �
VALIDATI ROBERT A WOOD
CK M O CASH SUPERVISING MECHANICAL ENG R
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APPLICATION FOR PLUMBI PERMIT ZA
COUNTY OF LOS ANGELES
DEPARTMENT COUNTY ENGINEER
BUILDING AND
SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN, SUPT OF BUILDING 4 LOCALITY
FOR APPLICANT TO FILL IN NEAREST r
CROSS ST. 44
NUMBER FIXTURE OR ITEM EACH FEE —OWNER r
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS f
CITY TEL. NO.
SHOWER 1.25
LAVATORY 1.25 CONTRACTOR
SINS 1.25 ADDRESS ✓//
DISHWASHER 1.25 CITY
CONCTORSTATE El
LAUNDRY TUB 1.25 EGIS AAT ON N COUNTY El
CLOTHES WASHUPERSYSTEM
1.25 DISTRICT NO GR Z E E BY
WATER HEATER1.50 /J e
D �
GAS SYSTEM CL
1.50 INDUSTRIAL '
WASTE APPROVAL O
OUTLETS OVER .30 INSPECTIONRECORD / V
o
J
APPROVALS �` DATE INSPEC OTOT R'S SIGNATU E
PERMIT $ 2 00 UNDER SLAB WORK
L ROUGH PLUMBING
Y q
TOTAL FEE v GAS PIPING �
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATI N 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 DE�EENTIAL PROPERTY UTILITY CO NOTIFIED 1
SIGNATURE / F
OF PERMITTEE--VFINAL
VALIDATI ROBERT A WOOD
CK M O CASH SUPERVISING MECHANICAL ENG R
E:Go2 6 9 6LI110-1 juN21 5 D 7.25
t-D.B. 17 25M SETS 12-43 APPLICATIONFOR PERYff
DEPARTMENT OF ]BUILDING AND SAFETY � � 1
` COUNTY OF LOS ANGELES
WM. J. FOX. CHIEF ENGINEER
NG
NATURE OF INSTALLATION DISTRICT NO.�v GROUP ZONE PERMIT O.
ROUGH FIXTURES COMPLETE Z�l rJ��
RECEIVED 0 READY FOR DATE ISSUED
HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION
AS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
W NAME/: 6jf 7/7�/ �s/�EIIIS ADDRESS
ADDRESS L V k-Ls/ LOCALITY
0 NEAREST
A CITY TEL.N ,Z CROSS ST.
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COUNTY
CERT.No. EXPIRE6, .3� W NAME
LOCATION OF SEPTIC TANK, OR C SS OOL z MAIL
NORTH, O ADDRESS
0!?5�4' CITY TEL.No.
�G I AM THE LEGAL P0886880R OF THE ABOVE L08
ANGELES COUNTY CERTIFICATE OF qU IFICATION.-' _
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LM
PUBHR
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
N
y
1 OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z_
BATH TUB _FURNACE 9
(Y
HOWER -DISHWASHER
-LAVATORY REFRIGERATOR
lz -KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
/ WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DAATEE �q INSPKCTOR'S NAM¢
_/--WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I / %0 I v u "Y
lz METERJ�_eGAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT I
CESSPOOL
TOTAL NUMBER OF FIXTURES 5� SEPTIC TANK
CESSPOOI SEPTIC TANK SEWER
S UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
D.B.S.77 ZSM SETS 7-47 APPLICATION FOR PERMIT
`
IIEPAR.TMENT OF BUILDING AND SAFETY ®
- `, COUNTY OF LOS ANGELES �"L
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE; PERMIT
ERMI O.
ROUGH FIXTURES COMPLETE 9 / �;'S
CEIVD BY READY POR DATE 188UED
HEATER CESSPOOL -I SEPTIC TANK E Y FIRST INSPECTION
AS MiSCELLA EOUS /"`�•` !,
APPLICANT gFILL IN'HEAVIUTLIN/ED PORTION ONLYJOB
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lC NAME �'1 .t/� \ a� Ea {�� _ ADDRESS 173
S 6� a r dp� r 7 C,(� e .3T7
g ADDRESS �� 4d jg-4 da ebA 1 jyA IQ `j// g LOCALITY
d CITY r� TEL.No. � € t-I�tk I CROSS ST.COUNTY
CERT.NO. ,Y O 1d EXPIRES J L Va NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL III
= MAIL _ , @ / }
3 ADDRESS od t3ej
NORTH O t� r
CITY q 1-�O 4-. vo Plr,- C, G UTEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER _
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
OWNER
CORRECTIONS
SOUTH
-J
DESCRIPTION OF WORK a
Z_
BATH TUB FURNACE 9
SHOWER DISHWASHER. p
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP ,
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY DOUGH PLUMBING
METER. GA8 SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT I 9 a} �/
CESSPOOL A
I / -e 4'7
TOTAL NUMBER OF FIXTURES SEPTIC TANK
_'o"CESSPOO,- SEPTIC TANK SEWER
I I
UTILITY CO.NOTIFIED
TOTAL FEE $ -
FINAL