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HomeMy Public PortalAbout10228 RANDWICK DR_Plumbing__ 1w8 A667=C E#817 10-67 12 APPLICATION FOR PLUMBING PER T COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING OZZd' JOHN A. LAMBIE. COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL.IN(PRINT OR TYPE) NEAREST CROSS ST. G L«_ m/r-a) NUMBER FIXTURE OR ITEM EACH FEE OWNER A ,� , .S"TQ L'�N'4 .3 G141WATER CLOSET 1.50 _ BATH TUB 1.50 ADDRESS © w I O�- DA . _ SHOWER 1..50 CITY rFMpLI% 01Ty TEL. NO. Wp-M LAVATORY 1.50 CONTRACTORGI L o0 lS SINK 1.50 ADDRESS 8'p .[3A4" W1 A/&E DISHWASHER 1.5.0 CITY (_II A-�1 A TEL. NO. *(A. LK46P.- CLOTHES.WASHER 1.50 STATE LIC LICENSE NO. SLK Z 9 CLASS C-r SWIMMING POOL.RECEPTOR 1.50 DISTRICT NO. GR UP I ZONE PROCESSED BY LAWN SPRINKLER SYSTEM 2.00 V WATER HEATER 1.50 INDUSTRIAL WASTE APPROVAL _ O GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD C~.7 OUTLETS OVER LU 5 PER SYSTEM 30 119, OL. 1 LumdjAJ�} Plan check fee 25%of above. See reverse. PLUMBING PERMIT ISSUING FEE S 2 0.0 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE. Plan check applicant UNDER SLAB WORK Mame ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No. HOT WATER HEATER 1 HEREBY ACKNOWLEDGE THAT 1 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 5 PLUMBING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDICR UTILITY CO..NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I A THE LEGA NER OF AND INTEND TO RESIDE IN,THE ABOVE DES BED R ENTIAL PROPERTY. FINAL r - SIGNATURE JACK R. ALLEN, SUPERVISI M CHA.NICAL EN'G.'�t. OF PERMITTEE PERMIT VALIDATION C K. M.O. C.ASH PLAN CHECK VALIDATION CK. M.O. CASH ?,9 5 9 APR. 5 D 6.50^' -4- 76AG67-CE#817 5.61• I APPLICATION FOR- PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGII�iEE1� BUILDING AND SAFETY DMSION 11ILD1310 JOHN A. -AMBIE.,COUNTY ENGINEER ADDRESS /0 a,gI eltloaa"I& WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY 7 �, FFOR APPLICANT TO FILL IN NUMBER FIXTURE OR ITEM OWNER i F/ WATER CLOSE! mm / BATS TUB ADDRESS / SHOWER CITY TEL NO.. CONTRACTOR Valley Plumbing Co. LAVATORY ADDRESS 442 W. Fleetwood Pl. f SINS J DISHWASHER cITY Gleandora' • TEL.No. Ed 51293 Cr LAMORY TOS 8 IS RATION Na60847 COUNTY CLOTHES WASHER DISTRICT NO. GROUP ZONE PR qE BED BY 1 WATER FBIATER ! INDUSTRIAL CAS SYSTMA WASTE APPROVAL V INVECrION RECORD .� �s�> . _777 _ 77 A O lu Z O DCTIIAB 5 I / �3 APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT i2 00 UNDER SLAB.WORK TOTAL FEE ROUGH PLUMBING v v d GAS PIPING I HEREBY ACKNOWLEDGE THAT'I HAVE READ THIS APPLICATION pp e AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT A"` I.6S / .,,,.-,'�4�'Jd WITH ALL dOUNT:Y ORDINANCES AND STATELAWS REGULATING PLUMBING. HOT WATER HEATER A I 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 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY.CO.NOTIFIED /,�-- SIGNATURE �J�,,//{�lIAA ppA ✓'� as2�'I OF PERMITTE FINAL ALMATION ROBERT A.WOOD v 6.44 C M.c.'_ CASH SUPERVISING'MECHANICAL ENG'R 6 Uj;o 7 8 1 2% DEC 4 5 D 1 6.5 5 -