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HomeMy Public PortalAbout6043 GOLDEN WEST AVE_Plumbing__ 76A667 - CE817 5/70 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST / CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER_CLOSET 1.50 JU BATH TUB 1.50 ADDRESS 4plelv SHOWER 1.50 CI TEL. NO.;eq 72 LAVATORY 1.50 CONTRACTOR - SINK 1.50 ADDRESS DISHWASHER 1.50 CITY TEL. NO. / Q CLOTHES WASHER 1 5o STATE LIC LICENSE N CLASS — SWIMMING POOL RECEPTOR '1.50 DISTRICT NO GROUP ZONE PROCESSED BY LAWN SPRINKLER SYSTEM 2.00 WATER HEATER 1 5o INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1.50 ' INSPECTION RECORD OUTLETS OVER 30 O 5 PER SYSTEM ILUN z Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 3 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check a pllcant UNDER SLAB WORK Name ROUGH PLUMBING Address "GAS PIPING GAS VENT Clty7--(, Tel. No. —2I HOT WATER HEATER IH ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING I• HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR, UTILITY CO NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRID D RESIDENTIAL►ROPERTY- FINAL 1111-711 llregCZZ�.. SIGNATURE JACK R. ALLEN, SUPERVISI M HANIQAL ENG'R OF PERMITTEE 01`7PERMIT VALIDATION CK CASH PLAN CHECK VALIDATION ' CK M O CA'_H } ' 2.16 6�5 2 5 D 8.2 76A667 - CE 817 7-69 APPLICATION FOR ,PL MBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING /J JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS (/ y COLEMAN W JENKINS SUP T OF BUILDING LOCAL FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST CROSS ST NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 IL BATH TUB 1.50 DD 01 SHOWER - 1.50 'C TEL. NO. LAVATORY 1.50 .CONTRACTOR SINK 1. ADDRESS DISHWASHER 1 50 CITE f 61 TEL. NO. —; ' CLOTHES WASHER 1.50 STATE LIC LICENSE NO / CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GR P ONE ryf2pCESSED BY LAWN SPRINKLER SYSTEM .2 00 ^J_`_ -� ¢= d WATER HEATER 1 50 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD OUTLETS OVER - .30 - - - 0 5 PER SYSTEM N z Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE S 00 TOTAL FEE APPROVALS DATE INSPECTOR S SIGNATURE , Plan.check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel:No HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES ' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING ' 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY,AND STATE OF CALIFORNIA OR THAT.1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE R ED RESIDEN AL PROPERTY. n FINAL � / A /A �I SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R OF PERMITTE ' PERMIT VALIDATION CK M o CASH PLAN CHECK VALIDATION CK M O CASH ` ,AC-.2 2-s-A� 4.7 5N 8 0 76466T°,CEB17 5/70 y J APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION nnDM © t� JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUP T OF BUILDING LOCALITY = FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST CROSS 3T. NUMBER FIXTURE OR ITEM EACH FEE / �In WATER CLOSET OWNER6LJ(L/!Ce/C BATH TUB 1. 0 ADDRESS O /moi ZA / SHOWER 1 0 CITY_ TEL.NO. LAVATORY 1 50 CONTRACTOR t SINK 1150 ADDRESS i DISHWASHER .50 CITY TEL. NO. CLOTHES WASHER .50 STATE _ LIC LICENSE NO 2 CLASS SWHAUNG,POOL-RECEPTOR .SO DISTRICT NO. GROU Y P O S Day LAWN SPRINKLER SYSTEM 2100 WATER HEATER 1 50 INDUSTRIAL a WASTE APPROVAL GAS-SYSTEM OUTLETS 1 0 1NWCTION RECORDOUTLETS 5 PER SYSTEMR 1—ko V Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 00 TOTAL FEE Z3D APPROVALS AT 1 PECTOR 5 SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No. HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE" LAWS REGULATING GAS TEST PLUMBING - 1 HERE13Y CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES'COUNTY AND STATE OF -91+0 W lPA-A/ CALIFORNIA OR THAT 1 AM TWO? GAL OWNER OF,AND INTEND TO _ RESIDE IN,THE ABOVE RESIDEMTI ROPE FINAL / a SIGNATURE JACK R. ALLEN, SUPERVISIN CHANICAL'ENG'R OF PERMITTEE PERMIT VALIDATION CK. - M O CASH PLAN CHECK VALIDATI N CK CASH � Y8> aL7