HomeMy Public PortalAbout6316 GOLDEN WEST AVE_Plumbing__ 76A667 - 0817 9 --i3
APPLICATION FO PLUMBIN PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS r b r
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY �-
FOR APPLICANT TO FILL IN ; NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 50 MAIL
/ BATH TUB 1.25 ADDRESS
/ SHOWER 1.25 CITY TEL. NO.
F �
LAVATORY 1.25 CONTRACTOR 4-
SINK 1.25 ADDRESS, 6 /^
DISHWASHER 1.2S CITY TEL. NO j -'
CONTRACTOR'S STATE Er
LAUNDRY TUB 1.25 REGISTRATION NO. 3 COUNTY ❑
CLOTHES WASHER 1.25 DIS TRI T NO. GROUP ZONE P SSED BY
-4--WATER HEATER 1.50 / S�
1.50 s INDUSTRIAL CL
GAS SYSTEM OUTLETS d
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
O.
I-
U
W
Z
LDAsoAPPROVALS DATE INSPECT R'S SIGNATUff
PERMIT 5 2 00 UNDER SLAB WORK ]
ROUGH PLUMBING
TOTAL FEE -50 GAS PIPING
BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
ANDTE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
LL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
G.
EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFGAS TEST
NIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
N,THE AS DES R EU RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED tI}URERMITTEE '-
FINAL R sv
,---V'fLLIDATION ROBERT A. WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
IN
jj- 2 �. 3 r# Y 4 1 7.5
C76A867-C Eil617 4-64 � C G��%%�
APPLICATIO FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNEAREST
JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING FOR APPLICANT TO FILL IN CROS
T.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1. t NAIL
BATH TUB 1, ADDRESS
SHOWER 1 CITY TEL.
u
LAVATORY I CONTRACTOR
SING 1, ADDRESS/Q g Q
DISHWASHER 1.25 CIT p/ TEL. NO.�p�'�Q 70
CONTRACTORtLAUNDRY TUB 1
REGISTRATION ON NO. �4 7 COUNTY STATE p
CLOTHES WASHER 1 DISTRICT NO- GR MP Z PRqpES ED BY
WATER HEATER 1.501 ^ i
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL a
WASTE APPROVAL 0
OUT ETS OVER PER SYSTEM .30 INSPECTION RECORD V
O
H
V
W
a-
z Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE - !� GAS PIPING
1 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
LICE
NSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE D CRIB RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTE .q FINAL
OALIDATION ROBERT A. WOOD
M.O. CASH SUPERVISING MECHANICAL ENG'R
LAW b 9 -- t uu 13 5 D 3.5 0-
7GA667 (CE-817( - 1/75 / _ -�
`APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING / I
MAKE CHECKS PAYABLE TO: ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY � '; 1�j}i 0,4
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST 11
NUMBER FIXTURE OR ITEM @ FEE CROSS ST.
2.00 OWNER v
WATER CLOSET MAIL /
BATH TUB 2.00 ADDRESS
CITY- / TEL. NO._' r'" t°
SHOWER 2.00 t"�.r i '�J
LAVATORY 2.00 CONTRACTO _
SINK 2.00 ADDRESS
DISHWASHER 2.00 <5(� CITY-j__ % TEL. NO.
CLOTHES WASHER 2.00 STATE �+ LIC
!_/�l,
SWIMMING POOL RECEPTOR 2.00 LICENSE NO. CLASS
DISTRICT NO.GROUP NE C PRO ESS BY.
LAWN SPRINKLER SYSTEM 2,00 ��!
WATER HEATER 2.00 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD V
OUTLETS OVER
5 PER SYSTEM .30
O
U
W
a
VJ
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ (0
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
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.
[ HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATU RE / ` �l
OF PERMITTEE l r -
PERMIT VALIDATION M.0. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
5 2 2 i;lAN U 7.5 (7 ♦-
Q 1