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Home My Public Portal About5934 GOLDEN WEST AVE_Plumbing__ 76A687-CE817 M9 / AP L_ICATION FOR PL,LJ RING PERMIT, � COUNTY OF LOS ANGELES DEPARTIu1EN OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, County. En neer ADDRESS CASSATT D. GRIFFIN, Supof Buildiag LOCALITY 'D FOR'APPLICANT TO FILL IN NEAREST CROSS S - NUMBER •FIXTURE OR ITEM - OWNER Q WATER CLOSET MAILADDRESS ti BATH TUB CITY SHOWER TEL NO , , Q LAVATORY CONTRACTOR SIN$ ADDRESS DISHWASHER CITY EL.TN -,,-Y--311 CO CTO 'S STATE LAUNDRY TUB REGISTRATION NO. S COUNTY ❑ CLOTHES WASHER DISTRICT NO. GRO P I Z NE I P SSED BY WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD a $1.88 PER ITEM A 41.S 7'9,&cJ 7' •fA!"1,44 ,f-:PMY 61i�'Z OR FIXTURE $ APPROVALSDATE INSPECTOR'S SIGNATURE PERMIT $ Z 00 UNDER S WORK Cf—A.1 TOTAL FEE—H I ROUGH PLUMBING / i v ICATIN GAS PIPING -----�. �7 AND HSTATE THAT EREBY NTHE EABOVE DGE HIS CORRECT AND AGREE 7T I HAVE READ THIS ATOLCOMPLY GAS VENTS ZiF//` y WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. 1�., __� e I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES I—I--"6 t7 J�Sf�Ldi7�%f` 6'/ LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO NOTIFI D SIGNATURE OF PERMITTE rC FINAL ®� ALMATION ROBERT A WOOD, CK. H.O. CASH SUPERVISING MECHANICAL ENG'R L%%1 LAC,0 3 7 7 8 1 JUL 19 5 D 6 6.0 ,e,) � 76A667 Des 17 7-51 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER F❑ APPLICANT TO FILL IN I ro i PLUMBER READY FOR G� R EIVED BY DATE ISSUED FIRST INBPECTI0t4OoVq ADDRESS vG- aa BUILDING �J O/TY TEL.N i�j(/ ADDRESS cJ COUNTY ,LOCALITY �• WQKNSE O. D/ EXPIRE -340 v v o 'NEAREST PERMIT FEES CROSS ST HUM®ER TYPE OF FIXTURE OR ITEM FEE OWNER , MAIL WATER CLOSET(TOILET) @ 0.50 $ 'ADDRESBr-- BATH TUB 0 0.50 CITY-I�WJZAA! TEL. ND SHOWER Q 0.50 I HER AQKNO DOE THAT I HAVE READ THIS LAVATORY (WASH BASIN) 0.50 APPLICAT ON AND S E THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK 0 0.50 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LI NSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIA PROPERTY DESCRIBE ABOV OAS SYSTEM OUTLETS ! O.SO SIGNATURE OF WATER HEATER @ 0.50 PERMITTEIr SLOP SINK a 0.50 INSPECTION RECORD FLOOR BINK Q 13.50 FLOOR DRAIN 0 0.60 DISHWASHER 0 0.50 DRINKING FOUWrAIN 0.60 URINAL 13.50 Q HOUSE SEWER O.Bo _Z MISCELLANEOUS C7 IY O APPROVALS DATE INSPECTOR•B NAME ROUGH PLUMBING GAB PIPING GAS VENT CESSPOOL @ 1,00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT I 1.0o GAS TEST UTILITY CO.NOTIFIED i1!AA TOTAL FEE Q � FINAL 76A67 Beb, :';$, 5; APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ' COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FO APPLICANT TO FILL IN Q NE JEZ PMIT '0"'�_ PLUMBERREIV•, READY FOR BY DATE 1 U D FIRSTINSPECTIO ADORE ' I r LC#TY / TEL. N /!- �„t aADDRESSNTY /f NBE 1 EXPIRE -20�-3 LOCALITY IX NEAREST PERMIT FEES CROSS ST. NUMBER TYPg OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) @ 0:50 ADDRES BATH TUB @ O.50s CITY ;;� "� �)�p TEL. No SHOWER 0.50I HE ACKNOW DGE THAT 1 ,HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATYON AND' E THAT THE ABOVE IS CORRECT AND AGREE TO,COMPLY'WITH ALL COUNTY ORDINANCES KITCHEN SINK 0.50 AND STATE LAWS REGULATING PLUMBING. t CERTIFY,THAT I POSSESS THE ABOVE VALID Los LAUNDRY TUB OR TRAY 0 O.SO ANGELES COUNTY LICENSE OR i AM THE LEGAL OWNER DAB sY3TEM nUTLETs ® 0.50-- OF THE RBSIDENTIA ''PROPERTY DESCRIBE ABOVE. WATER HEATER SIGNATURE(fa ❑.50 PERMI9TEF SLOP BINK @ D.So INSPECTION RECORD FLOOR BINK 0 0.50 FLOOR DRAIN 0 0.50 DISHWASHER 0 13.50 DRINKING FOUNTAIN 10 0.50 ' W URINAL Q 0.50 (- HOUSE SEWER a 0.50 La] MISCELLANEOUS J „ a .:r ot APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAB PIPING GAB VENT CESSPOOL 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ) PIT 1.00 SEWER PERMIT 1.00 GAS TEST TOTAL FEE UTILITY CO.NOTIFIED � (`� FINAL t.