HomeMy Public PortalAbout6029 GOLDEN WEST AVE_Plumbing__ 76A667 APPLICATION FOR PLUMBING PERMIT
CE 817 B BUILDING AND SAFETY DIVISION
Department of County Engineer
County of Los Angeles BUILDING 6029 Goldenwest Ave .
JOHN A. LAMBIE.COUNTY ENGINEER ADDRESS
CASSATT 0.GRIFFIN'.SUP'T OF BUILDING LOCALITY Temple City
FOR APPLICANT TO FILL IN I NEARECROSSST. Woodruff
OWNER Irma Elliott DISTRIC O. GROUP ZONE R
ADDRESS 6029
FOR INSPECTION
MAIL 6 A Goldenwest Ave .
INDUSTRIAL
CITY Tem le City TEL. NO WA TEAPPROVAL
PLUMBERCa.lif• Appl. Instlrs. Inc. INSPECTION RECORD
ADDRESS 1420Griffith Ave.
L
CITY L.A• �0,L [� TEL. NO.Ri— — 66
LICENSE NO. 158149 ,
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) @ $i 00 $
BATH TUB @ $1 00
SHOWER @ $1 00
LAVATORY (WASH BASIN) @ $1.00
KITCHEN SINK @ $1 00
DISHWASHER @ $100
LAUNDRY TUB OR TRAY @ $1.00 '
CLOTHES WASHER @ $1 00
1 WATER HEATER @ $100 OO
GAS SYSTEM @ $100
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE 21 00 GAS PIPING
GAS VENT
I ,HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WALTER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
IHEREBY CERTIFY THAT I AM PRO ERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY NG ES COU AND STATE OF
CALIFORNIA OR THAT M T AL E TH OVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTI P RT
SIGNATURE rxOF PERM TTEE FINAL I "ZZ-Y yy
ROBERTA.WOOD.
JOHN A. LAMBIE. COUNTY ENGINEER VALIDATION SUPERVISING MECHANICAL ENG'R
CK. M 0 CASH
L0 4 8 E- JUL 22 15 2.0 0
76A667-CES17-B-56 „
APPLICATION FOR PLUMBING PERMIT-
` COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING Q 9
))OHN A. LAMBIE, CountF Engineer ADDRESS per,
CASSATT D. GRIFFIN.Sup t of Building LOCALITY ,
FOR APPLICANT TO FILL IN NEAREST' ~
CROSS ST.
NUMBER FIXTURE OR ITEM'
WATER CLOSET OWNER
MAIL
SHOWER ��iCiC�OL✓�
BATH TUB ADDRESS
CITY NO.
LAVATORY CONTRACTOR
SINK ADDRESS -7
DISHWASHER CITY TEL NO -7- 7 S7
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. COIINTY
CLOTHES WASHER DISTRICT GROUP ZONE P OCESSED Y
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
',r-�'I
9 APPROVALS
OR O PFI7 UR� a / 6(/
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $1 2100 ROUGH PLUMBING
TOTAL FEE GAS PIPING
JHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE FINAL
OF PERMITTE
ROBERT A.WOOD.
OF VALIDATIONS SUPERVISING MECHANICAL ENG'R
CK. M.O.
U'ICo 4 '$ 0 5 U—; APR .l 0 5 A 3.0 0
76A667-CE9817 6-65
APPLICATION FOR PLUMB NG PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNEAREST
JOHN A LAMBIE. COUNTY ENGINEER (y DL
COLEMAN W JENKINS SUP T OF BUILDING ,
FOR APPLICANT TO FILL IN .
NUMBER FIXTURE ORITEM EACH FEE OWNER
WATER CLOSET $1.25
MAIL
BATH TUB 1.25 r ADDRESS
SHOWER 1.25 CITY TEL. NO ��f(
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITYiEL. NO. 09�,4j -,9
LAUNDRY TUB 1.25 STATE � tlj7l�/ LIC ��`
LICENSE NO T'77 �� CLASS (�
CLOTHES WASHER 1.25 DISTRICT N:y GRO NFA P BY
WATER HEATER 1.50 Q pL
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL d
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
w
O
I-
U
III
EL
N
Z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE ✓ GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY RE ER AND/OR PLUMBING FIXTURES
LICENSED AS RE ED BY S ANGELES CO TY AN STATE OF GAS TEST
CALIFORNIA OR A I A T LE OWN AN INTEND TO
RESIDE IN, THE A OV D C BED ENTI OP r UTILITY CO NOTIFIED
SIGNATURE
OF PERM ITT
FINAL ler2
�LIDATION
CK M O CASH
l:ALO,5=4 _g 8Z8 OCT 2 5 5 D 4450-
Aid
:50~ ciG