HomeMy Public PortalAbout5944 GOLDEN WEST AVE_Plumbing__ 76A667-CE817-11-57
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION ABUILDINGj-5P el
DDRESS
JOHN A. LAMBIE, County.Engineer
C ATT D. GRIFFIN, Sup t of Building LOCALITY
FOR APPLICANT TO FILL IN NEAREST �y
NUMBER FIXTURE OR ITEM CROSS ST.
WATER CLOSET OWNER
MAIL
BATH TUB ADDRESS
SHOWER CITY TEL. NO
LAVATORY CONTRACTOR
SINS ADDRESS s
DISHWASHER CITY Ct-4p
LAUNDRY TUB
CONTRACTOR'S / STATE El
REGISTRATION NO. COUNTY El
CLOTHES WASHER DISTRIC O. GROUP ZONE I READY FOR INSPECTION
WATER HEATER --�
INDUSTRIAL
GAS SYSTEM WASTE APPROVAL
INSPECTION RECORD
APPROVALS
@ $1.00 PER ITEM
OR FIXTURE $ DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OW R OF T ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERM ITTEE;2:;;�� FINAL -S
ROBERT A.WOOD.
OF, ALIDATION SUPERVISING MECHANICALENG'R
CR.
M.0. CASH
' •e
M'26-90'?; FEB 24 5 A. 3.00 M'
76A 887-CE#817 10-82
34:.1
APPLICATION FOR PLUMBING ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 5944 N. Golden West
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN, SUPT OF BUILDING
LOCALITYIIIIIIIZIIIIIIIII T C
itk
FOR APPLICANT TO FILL IN RAS ST. L Tunas
NUMBER FIXTURE OR ITEM EACH FEE OWNER J C
onovr
WATER CLOSET $1.25 s _ e
BATH TUB 1.25 7 ADDRESS 110 LaS Tunas
SHOWER 1.25 CITY Temple City TEL. NO. EB_ 1 27 ,
LAVATORY 1.25 A CONTRACTOR Parker Plumbing
SINK 1.25 Q ADDRESS -- 1461 .E Ramona Blvd.
DISHWASHER 1.25 crryBaldwin Park TEL. NO. ED-$1127
LAUNDRY TUB 125 CONTRACTOR'S STATE
REGISTRATION NO. 197747 COUNTY
CLOTHES WASHER 1.25 (J DISTRICT NO GR UE P SSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL d
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 + INSPECTION RECORD, d V
W
AA e
APPROV:4`LSDAT INSPECT 'S SIGNAT�tRE
PERMIT $ 2 00 UNDE WORK
ROUGH PLUMBING
TOTAL FEE S Sri GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT 1 Vim" qq
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY �+ D ,R
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATERS V'/,A4W4
PLUMBING
I HEREBY NSED ASCERTIFY THAT I AM PROPERLY REGISTERED -AT
PLUMBING FIXTURESLIC
CALF FOR OR REQUIRED
EID AM THE EBY S LE GAL LOWNER OF,AN AES COUNTY ND INTEND TSTATE OO GAS TEST Q /,f`p �j �J',Q�� �,,.• v,f/ %�O�•�
LRESIDE IN, THE ABOVE DESCRIBED R IDENTIAL PROPERTY UTILITY CO NOTIFIED ��,,�
TUREERMITTEE FINAL
�LIDATION ROBERT A WOOD
M o CASH SUPERVISING MECHANICAL ENG R
L,s 7 1 3 :U i;i1R 3 0 5 D
57.50-
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