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HomeMy Public PortalAbout5812 GOLDEN WEST AVE_Plumbing__ 76A607-CE817 10-60 2 Z APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING E JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS WILLIAM A. JENSEN, SUPT OF-BUILDING LOCALITY T_L FOR APPLICANT TO FILL IN NEAREST CROSS ST. L G Al-c d NUMBER FIXTURE OR ITEM OWNER � L�1 WATER CLOSET MAEL /rte/ DRESS BATH TOB CITY TEL.NO. SHOWER CONTRACTOR LAVATORY ADDRESS d 2 2 6U SINK DISHWASIM CITY TEL. NO. CONTRACTOR'S STATE ❑ LAUNDRY TOB REGISTRATION NO. 1 CI ��c? 2— COUNTY CLOTHES WASHER DISTRICT NO. GROUP JONE PRO,9:E�S,S_E_D BAY, WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD o_ Q V W OOj LY.I N Z $1.00 PER ITEM OR FIXTURE $ APPROVALS DATE INSPECTjO R'S SIGNATURE PERMIT S 2 00 UNDER SLAB WORK TOTAL FEE ROUGH PLUMBING GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERE D/OR PLUMBING FIXTURES - LICENSED A9 REQUIRED BY LOS ANGELES COUNTY AND ATE OF, GAS TEST CALIFORNIA OR THAT I R B LEGAL OWNEOF AOVE DESCRIBED RESIDENTIAL P UTILITY CO NOTIFIED SIGNATURE / OF PERMITTE FINAL 0AIMATION ROBERT A. WOOD M.0. -CASH SUPERVISING MECHANICAL.ENG'R Ufin 2 5.3 a sLP 5 D 3 .00 � . 76A667-C.E#817 2-66 APPLICATION F R PLU ING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FNEAREST L�'�Q /�, ,(/ JOHN A. LAMBIE. COUNTY ENGINEER % O / Ac, COLEMAN W JENKINS SUPT OF BUILDING 11 FOR APPLICANT TO FILL IN NUMBER FIXTURE OR ITEM EACH FEEVof _ OWNER , WATER CLOSET $1.25 IL BATH TUB 1.25 ADDRESS SHOWER 1.25 L CITY ,j '� TEL. NO. LAVATORY 1.25 U CONTRACTOR- ' jVx SINN 1.25 ADDRESS v DISHWASHER 1 25 CITY l EL. NO-f7 LAUNDRY TUB 1.25 STATE % LIC " LICENSE NO d CLASS CLOTHES WASHER 1.25 DISCTONO� GROUP ZONE PROCESSED BY WATER HEATER 1.50 p/ GAS SYSTEM OUTLETS r 1.50 INDUSTRIAL D_ WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .30 v INSPECTION RECORD � L -G O U .�`h(3 /rr ,eco Ate. N ,� APPROVALS DATE INSPECTOR S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK _v/T?6 ROUGH PLUMBING _ TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT r PLU Me WITH ALL CoUNTY ORDINANCES AND STATE LAWS REGULATINGHOT WATER HEATER ING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST �. RESIDE IN, THE AZSCRIBED RESIDENT I PROPERTY UTILITY CO NOTIFIED SIGNATURE ,/D OF PERMITTE lok FINAL VALIDATION JACK R. ALLEN _ M O CASH SUPERVISING MECHANICAL ENG'R. L 0 6 nU 21 5 D 1 2-50— 76A667A CE 817 IREV 6%78) ©s APPLICATION FOR PLUMBING PERMIT- COUNTY ERMIT-COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO�FILL IN(PRINT OR TYPE) BUILDING ADDRESS NUMBER FIXTURE OR ITEM ® FEE LOCALITY WATER CLOSET "NEAREST BATHTUB CROSS ST SHOWER OWNER LAVATORY MAIL 'ADDRESS A � SINK CITY ' / L TEL N DISHWASHER CONTRACTOR v ` �t CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL NO 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 0 GAS VENT HOT WATER HEATER PLUMBING FIXTURES GAS TEST `"^ Plan Check fee UTILITY CO NOTIFIED PLUMBING PERMIT ISSUING FEE$ TOTAL FEE FINAL PLAN CHECK VALIDAT N Plan check applicant ) 1 Name Address City Tel No ' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE =4 �F�J G 0 Z lh /� f'1!1 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES CC , AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS •# O O O O O 5, REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA Off THAT I AM THE Z LEGAL OWNER OF AND INTEND_TO RESIDE IN THE ABOVE DESCRIBED RE ID TIAL 2,o O 1 3;00 PROPERTY 0001300x SIGNATURE OF PERM ITT SA�Jj�-A-N-\ff OdaO-79 DISTRICT NOO _/ Cj4CESSED BY INDUSTRIAL WASTE APPROVAL