HomeMy Public PortalAbout10106 RANDWICK DR_Plumbing__ 76A6Q7;-CE#�#10.62
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEAREST
BUILDING AND SAFETY DIVISION 10106 Randwick
JOHN A. LAMBIE, COUNTY ENGINEERWILLIAM A.JENSEN, SUP'T OF BUILDING Temple City
FOR APPLICANT TO FILL IN Q
NUMBER FIXTURE OR ITEM EACH FEE OWNER Dnal Corp,
2 WATER CLOSET $1.25 2. 0 MAIL
JL BATH TOB 1.25 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
2 LAVATORY 1.25 2.50 CONTRACTOR Owen Bros. Plumbing, Inc.
1 SINK 1.25 1.25 ADDRESS 4265 No- Baldwin Avp-
1 DISHWASHER 1.25 1025 CITY El Monte TEL. NO. 443_0078
LAUNDRY TUB 1.25EGINS�TRAT ON NO. 231741 COUATE
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1 ICLOTHES WASHER 1.25 1.25 DISTRICT NO. GROUP ZONE PR E SED BY
1 WATER HEATER 1.50 1.50 L �'
1 1.50 INDUSTRIAL
GAS SYSTEM OUTLETS I Bim.
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT 5 2 00 UNDER SLAB WORK - u 1�+
ROUGH PLUMBING
TOTAL FEE 16.29 GAS PIPING ~
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS 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 SCRIBED RE IDENTIAL PROPERTY. UTILITY CO.NOTIFIED Q rn� LJ A .A, 1a�
SIGNATURE r
OF PERMITTE FINAL I 'I I r QA4.) ,A uAM`,IvT
VALIDATION ROBERT A.WOOD
cK M.O. CASH SUPERVISING MECHANICAL ENG•R
LGo9 3 4 0AM 8 ' 5 D 1 6.25N a