HomeMy Public PortalAbout10114 RANDWICK DR_Plumbing__ 78A887-CE#817 10-82
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDINGADDRESS 10114 Randwi ck
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY Temple City _
FOR APPLICANT TO FILL IN NaosTST. Degas
NUMBER FIXTURE OR ITEM EACH FEE
2 WATER CLOSET' $1.25 2 OWNER Dnal Corp.
0 MAIL
1 BATH TUB 1.75 1.25 ADDRESS
1 SHOWER 1.25 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 Ave.
DISHWASHER 1.25 1.29 CITY El 'Monte TEL. NO. 443-0078
LAUNDRY TUB 1.25 CX
REGISTRATION ON NO. 231741 COUNTY p
1 CLOTHES WASHER 1.25 1.25 DISTRICT NO. GROUP 79NPR C SSED BY
1 WATER HEATER 1.50 1.50
GAS SYSTEMOUTLETS 1.50 INDUSTRIAL
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- - WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION( RECORD AIV yjV
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APP OVAL . DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB W RK
ROUGH PLUMBING
TOTAL FEE 16 2 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
PLUMBING. HOT WATER HEATER
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 I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE ESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
CC
VALIDATION ROBERT A. WOOD
K. M.0. CASH SUPERVISING MECHANICAL ENG'R
LAUD 9 3 4 1 LIAR 8 5 D 16.25-
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76AG67(CE-817)- 5/73. "2a
APPLICATION WOR•PLU ING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: FDRESS
10 Raridwick
HARVEY T. BRANDY, COUNTY ENGINEERTe a City
FOR APPLICANT TO FILL IN (PRINT OR TYPE)
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NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1,75 mitBade onstructi.on
I, MAIL
BATH TUB 1.75 l
20 B1rchcroft
SHOWER 1.75 Arcadia TEL. NO. _16
LAVATORY 1,75 CONTRACTOR Owen Elm Plumbing, Inc*
SINK 1.75 J D ADDRESS 4265 N. Badwin Ave.
/ DISHWASHER 1.75 CITY I. Monte TEL. NO. 3-007$
/ CLOTHES WASHER 1.75 '� STATE 231 741 LIC C36-20
LICENSE NO. CLASS -
SWIMMING POOL RECEPTOR 1.75
LAWN SPRINKLER SYSTEM 1.75
DISTRICT NO. GROUP ZONE PR CESS E BY
2-15,12
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WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL >:
GAS SYSTEM OUTLETS 1.757
INSPECTION RECORD v
OUTLETS OVER
5 PER SYSTEM .30 o
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. N
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Plan check fee See Reverse
PLUMBINGRERMIT ISSUING FEE $ 3' 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK c
Name ROUGH PLUMBING
Address GAS PIPING
7-4
City Tel. No. GAS VENT
HOT WATER HEATER
1 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
PLUMBING. GAS TEST --r,�.^�� V-2 "�v tr_r�
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS RErJUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DrwRIBR ESIDENTIAL P ER TY. ,/�•
FINAL '2
SIGNATU RE
OF PERMITTEE _
PERMIT VALIDATION CK. M.O. . CASH
PLAN CHECK VALIDATION CK. M.O. C SH
�/ 9 3 9i;JUN 23 5 0 2 2.5 5 end