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HomeMy Public PortalAbout5802 GOLDEN WEST AVE_Plumbing__ D.8.8.17 25M SETS 12.44 - APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ' COUNTY OF,LOS ANGELES PLUMBING , 'WM. J. FOX. CHIEF ENGINEER NATURE OF,INSTALLATION DISTRICT NO. GROUPJ ZONE PERMIT NO. ROUGH FIXTURES COMPLETE `-� 7 �J a_ HEATER CESSPOOL -I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION GAS MISCELLANEOUS APPPLICAN(/AT/�-FILL IN HEAVILY OUTLINEED PORTION, ONLY-- _E NAME LI.LdJ�IJ f►3 /�"9.X� 7 d/Y'-'-�r-1',O F-.P� __ ADDRESS / � W 9� LOCALITY M ADDRESSIf NEAREST J CITY /U/_r�i1�.+�5tG TEL.No. / J CROSSST a � COUNTY CERT.No. % EXPIRES '� W NAME LOCATION OF SEPTIC TANK, OR CESSPOOL- = MAIL 3 ADDRESS NORTH O CITY TEL.No.- I AM THE LEGAL POSSESSOR OF THE ABOVK 'LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. - • - _ ,,�r�-tet- ��� ���"=� �'—�t'��� PLUMBaR I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. OWNaR CORRECTIONS SOUTH - d DESCRIPTION OF WORK ATH TUB GURNACE ~ 0 HOWER DISHWASHER VATORY REFRIGERATOR :-KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP - - - SLOP SINK -FLOOR DRAIN WASH TRAY: URINAL APPROVALS- ` WATER CLOSET DRINKING FOUNTAIN DATE INeracroR's NwMs WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I• METER GAS - _ SODA FOUNTAIN GAS PIPING i -•_I OU_TL GAS VENT I _ - - CESSPOOL I L �a - TOTAL NUMBER OF FIXTURES SEPTIC TANK ~CESSPOOL SEPTIC TANK SEWER - IL4­J / 1�/f /� /r $ UTILITY CO.NOTIFIED Ta z' // - TOTAL FEE FINAL /� i" DEPARTMENT OF COUNTY ENGINEER PLUMBING T DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING WILLIAM J. FOX, COUNTY ENGINEER ADDRESSLOCALI FORBUILDpAPPLICA ,�®TO ILL IN NEARETY < C'. ST ADDRESSING DDREISS S-O Q Z "` CROSS ST • DISTRICT NO. GROUP ZONE PERMIT NO. LOCALITYNEAREST CROSS ST. I -,. REcJlEIVE Y Rea Inspects I �D OWNERMAIL7J J ADDRESS ���y �. , mJ o-ee6ell-"""1..��i' WASTE TADUS7TAPPROVAL CITY <' . TEL.NO. /J INSPECTION RECORD PLUMBER y- K+ ADDRESS /'/.�J• }� � y CITY_fe4 1t e-iZ'rr� C TEL. ! 7-q d[:]STATE LICENSE NO �� M OUNTY J PERMIT FEES Q z VJMF3ER TYPE OF FIXTURE OR ITEM FEE IJ WATER CLOSET(TOILET) p @ 080 $ 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 FLOOR SINK @ 080 FLOOR DRAIN @ 080 DISHWASHER @ 0.80 DRINKING FOUNTAIN @ 080 URINAL @ 080 GAS SYSTEM--------------OUTLETS @ 1.00 WATER HEATER @ 1 00 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ I 00 ROUGH PLUMBING TOTAL FEE GAS PIPING l a? I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT CATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBINGPLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST , '� Xy AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN- ER OF THE ABOVE DESCRIBEDRESIDENTIALPROPMTY. UTILITY CO.NOTIFIED �v SIGNATURE � a OF PERMITTEE - : -..... - �-2 _......_..-•----•. FINAL 76A667 DBS 17 1/53 7BABB7 ,7 9-49 ® APPLICATION FOR PERNUT DEPARTMENT OF BUILDING AND SAFETY ; COUNTY OF LOS ANGELES PLU WILLIAM J. FOX, CHIEF ENGINEER g--OR APPLICANT TO�FILL�IN DISTR O. GROUP ZONE PERMIT NO. REC D BY READY FOR . ISS�D e PLUMBERI ""`"`� V S/ is � FIRS.'F4N6PECTION ADDRESS 1 Q^v „ (t y { // /y��,, `/, /J yr/fie. BUILDING /�,gq/ CITY�/s�/['�'I'� -Lrl'T TEL NOWtfV ADDRESS �j g�,.�/� ��l,,� 'J �•L-�L�~ COUNTY �+- c� th.¢��I LOCALITY LICENSE NOV �.,L /Vl EXPIRESJLy'� 0 " NEAREST c%/l PERMIT FEES cRosS ST ///�/ life NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER /�'G7'L- "- MAIL ADDRESS WATER CLOSET (TOILET) Q O 50 $ I /gyp ,; BATH TUB Q O Sol CITY,C*'� F�I .r4-4 1 TEL NO. SHOWERQ O 50 I 1 HE@EBY ACKNOWLEDGE THAT 1 HAVE READ- THIS '- APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND. LAVATORY (WASH BASIN) Q O 5o AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ O So I STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS, LAUNDRY TUB OR TRAY Q O 50 ANGELES COUNTY LICENSE OR I AM THE LEGAL OWNER GAS SYSTEM OUTLETS Q O 50 I i OF THE RES IDENTIAL�/PROPERTY'DESCRI B ED ABOVE. ! IWATER HEATER' Q O 50 I PERMITTEE SIGNATURE OF '_'vyyr� SLOP SINK _a_o so I 11 INSPECTION RECORD FLOOR SINK @ O 5o I 1 FLOOR DRAIN @ O 50 DISHWASHER Q O 50I DRINKING FOUNTAIN @ O 50, URINAL a O Sol I .J HOUSE SEWER Q O Sol I Z MISCELLANEOUS I 0 _ a I I � I� APPROVALS DA E INSPECTOR'S NAME IROUGH PLUMBING IIGAS PIPING ' GAS VENT CESSPOOL @ 1 00 I CESSPOOL SEPTIC TANK I �— SEPTIC TANK DRAIN ( ) PIT ( ) 1=1 1 OOI SEWER PERMIT 1 0o GAS TEST UTILITY CO NOTIFIED Ji E TOTAL FE $ FINAL � /// 76A667-CE817-8-57 COUNTY OF LOS APPLICATION FOR PLUMBING PERMIT ,ANGELES 1 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION 4BUILDING DDRESS JOHN A LAMBIE COUNTY ENGINEER CASSATT D GRIFFIN SUP T OF BUILDING OCALITY FOR APPLICANT TO FILL IN ROSS ST.EAREST NUMBER FIXTURE OR ITEM' - OWNERGy WATER CLOSET MAIL' BATH TUB ADDRESS G �i f SHOWER CITY Z• p TEL.NO f--,L LAVATORY CONTR TOR l4lc- SINK ADDRESS D DISHWASHER _'CITY TEL.1404y��"615-16 LAUNDRY TUB CONTRA OR' le�l- 77 STATE REGIST TION NO / �' ❑ CLOTHES WASHER FINDUS7TRIAL GROUP ZONE READY FOR INSPECTION WATER HEATER GAS SYSTEM _ VAL INSPECTION RECORD APPROVALS a @ $1.00 PER ITEM DATE INSPECTOR S SIGNATURE ` OR FIXTURE $ 9d UNDER SLAB WORK JAND/ORGAS UGH PLUMBING PERMIT' 8` AS PIPING ' TOTALFEE AS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGUMBING FIXTURES PLUMBING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTEREDAS TEST LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND SCALIFORNIA OR THAT I T E LEGAL OWNER OF THILITYCO NOTIFIEDDESCRIBED RESIDENTIAL OP TY SIGNATURE OF PERMITTEE' -� INAL © ROBERT A , ooD. 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