HomeMy Public PortalAbout6267 GOLDEN WEST AVE_Plumbing__ 76A667 -CE#817 4-64Xu
APPLICATION FOR SING ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS /
WILLIAM A. JENSEN, SUPT OF BUILDING 1-
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. f
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25
MAIL
DASH TUB 1.25
ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINE 1.25 ADDRESS
DISHWASHER 1.25CITY TEL. O.
CONTRACTOR'S ATE LAUNDRY TUB 1.25 REGISTRATION NO. COUNTY p
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CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PR ESSED BY
/ WATER HEATER 1.50 d
� 1.50 INDUSTRIAL �
GAS SYSTEM OUTLETS WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30
INSPECTION RECORD V
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE19 1 �U GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEAT ER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
I LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
I CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESgRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE ' �O
OF PERMITTEE C� FINAL
VALIDATICI ROBERT A. WOOD
CK. M.O. l//CASH / SUPERVISING MECHANICAL ENG'R
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76A667-CE9617 4-64 \';_' �
APPLICATIONFOR PLUMBINPERMIT
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 2 1
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST % r
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE '
OWNER
WATER CLOSET $1.25
MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25
CITY TEL. NO.
,
LAVATORY 1,25 CONTRACTOR
ct
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO -2.Z6
LAUNDRY TUB 1.25 CONTRACTOR'S STATE ❑
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZO PRD S BY
WATER HEATER 1.50 [/
1.50 INDUSTRIAL a
GAS SYSTEM�OUTLETS WASTE APPROVAL O
OUTLETS OVER S PER SYSTEM $0 INSPECTION RECORD V
U
W
d
N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF r
GAS TEST
CALIFORNIA OR THAT 1 AM THF_LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE gE5�iyl
L PR PERTY. 7 UTILITY CO. NOTIFIED
SIGNATURE /�G
OF PERMITTE FINAL t
VALIDATION ROBERT A. WOOD
CK. M.o. CASH SUPERVISING MECHANICAL ENG'R
LhL,o 9 3 3 0 FEB 2 5 D 3.50- IN
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76A667 -CE#1817 12-84
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Kr'PLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER �.
BUILDING AND SAFETY DIVISION BUILDING
FNEAREST
O�O�S/�
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT OF BUILDING "1 ..
FOR APPLICANT TO FILL IN .
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
7T-WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
/ SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR / r� L r 1"f 16
SINK 1.25 ADDRESS 0 /f� _L
DISHWASHER 1.25 CITY J�J M�� �. TEL. NO.fy�T-�j 1 1
LAUNDRY TUB 1.25 CONTRACTOR'S STATE ❑
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DIST ICT NO. GROUP ZONE P SSED BY
WATER HEATER 1.50 CL JG�
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
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APP „ A DATE INSPECTOR'S SIG RE
PERMIT $ 2 00 UNDER Vt'W`B WORK x
ROUGH PLUMBING i
TOTAL FEE f GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTUR S
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST^ii,j ^"-r
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO ,/ JJ
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE lLVV
FINAL
VA DATION ROBERT A. WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R