HomeMy Public PortalAbout10052 RANDWICK DR_Plumbing__ 76A667-r�,E#817 2-66
APPLICATI FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRES
COLEMAN W. JENKINS. SUPT. OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIYTURE OR ITEM EACH FEE
OWNS
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1,25 CONTRACTOR
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
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LAUNDRY TUB 1.25 STATE LIC
LICENSE NO. .r CLASS �
CLOTHES WASHER 1.25 DISTRICT NO. GROUP r
PR ESS D BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1'50 INDUSWASTE APROVAL `. a
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD v
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APPROVALS DATE INSPECT 'S SIGNATURE
PERMIT 5 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 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 GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTi LITY CO.NOTIFIED
SIGNATURE lell- `�'
OF PERMITTEE FINAL
LIDATION JACK R. ALLEN
CK. M.0. CASH SUPERVISING MECHANICAL ENG'R.
870 .5% MAY23 5D 6.50^'
78A6671:c 817 10.52
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION nnn�ss 10048 P ndwi clf
JOHN A. LAMBIE. COUNTY ENGINEER 'a
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
Ten,12le City
FOR APPLICANT TO FILL IN NEARESTCROSS T. Degas
NUMBER FIXTURE OR ITEM EACH FEE
OWNER Dnal Cor
2 WATER CLOSET lI1.25 2. 0 MAIL
1 BATH TUB 1.25 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
2 LAVATORY 1.25 2.50 CONTRACTOROwen Bros. Plumbing, Inc.
1 SINK 1.75 1.25 ADDRESS 4265 No. Baldwin Ave.
DISHWASHER 1.25 1.29 CITY El Monte TEL. NO. 443-0078
ATE [2
LAUNDRY TUB 1.25 REGISTRATION ON NO. 231741 COUNTY ❑
1 CLOTHES WASHER 1.25 1.25 DISTRICT NO. GROUP ZONE I PROC SED BY
WATER HEATER 1.50
GAS SYSTEM r OUTLETS
1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING fjit`.J p f /
TOTAL FEE 16 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
L
COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER.Y CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING'FIXTURES vAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
A OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO THE ABOVE D CRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIEDREMITTEE
FINAL k .�/•�f'l.C,!/I/If..�N/L�-
VALIDATION ROBERT A.WOOD
GK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
L&O9333'%"0' WiR 8 5 D 1. 6.25 Q