HomeMy Public PortalAbout10237 RANDWICK DR_Plumbing__ 76/,667 - CE 817 7-69
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APPLICATION FOR PLUMBING ,.PERMIT
COUNTY OF LOS'ANGELES
DEPARTMENT OF.COUNTY ENGINEER
BUILDING AND. SAFETY DIVISION FNEAREST
DING. . 23
JOHN A. LAMBIE. COUNTY ENGINEER RESS W Ic/L
COLEMAN W. JENKINS. SUPT. OF BUILDING ALIT
FOR APPLICANT TO FILL IN PR IVT OR TYPE, SS ST.. /0-
NUMBER
/ •NUMBER FIXTURE OR ITEM EACH FEE
OWNER O� .
WATER CLOSET 1..50 _.
BATH TUB 1.50 ADDRESS 129 A C~`
SHOWER 1.50. CITY L. NO: L_
CONTRALTO$ }�
LAVATORY 1.50 Q�y,J' �L�• �+ '.
SINK 1.50 ADD 0` /` ///
DISHWASHER 1:.50 CITY f TEL.NO. G(1 �
CLOTHES WASHER 1:50 PTATE LIC LICENSE NO:2�irr ,� CLASS �u
SWIMMING POOL RECEPTOR 1.50 / �� DISTRICT NO. .GROUP ZONE CESSED BY
LAWN SPRINKLER SYSTEM 2.00 �Q /fid l 140 /
WATER.HEATER 1.50 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.5007 n[SPECTION RECORD
OUTLETSOVER y
5 PER SYSTEM .30 li:A "749 V-ri
Plan check fee 25%of above. See reverse.
PLUMBING PERMIT.ISSUING FEE 8 : 2 '/10�0
TOTAL TEE •✓ APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant" UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS:PIPING
OAS-VENT
City. Tel:. No. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT1 .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.
1 HEREBY CERTIFY 'THAT 'I AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AS RE.. IRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR TH 'AI* THE LE L WNER.OF,AND INTEND TO '� o •'
RESIDE IN,THE ABO R TTRZPROPERTY: FINAL ft6621 .1r
SIGNATURE .TACK R. A.L.LEN, SUPERVISI CHANICAL ENG'R.
OF PERMITTE
PERMIT VALIDAI CK. M.O. CASH,
PLAN CHECK VALIDATION CK. M.O. CASH
5-0469 ' 2-1 5 D 5.0O�'-W
-76A667 (CE-817)-8-71 G� ar J
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY PL�
FOR APPLICANT TO FILL IN (PRINT OR TYPE) CROSS ST.
NUMBER FIXTURE OR ITEM FEE
OWNER
WATER CLOSET 1.75
MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1.75 CITY G <f�jyZEL. NO. 74-
LAVATORY 1.75 CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY 6 ' TEL. NO. a-7876
CLOTHES WASHER 1.75 STATE LIC
SWIMMING POOL RECEPTOR 1.75 LICENSE NO. C ASS
DIySr��RICT 1y . RO NE PRO ED Y
AWN SPRINKLER SYSTEM 1.75
d /V��O[
WATER HEATER 1.75
INDUSTRIAL
WASTE APPROVAL o
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V
OUTLETS OVER
5 PER SYSTEM .30 Z
V
6i9
h
z
Plan check fee See reverse.
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE. INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. NO. GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIALp�,yJOPE�RTYY.. FINAL
SIGNATURE
OF PERMITTEE V(
PERMIT VALIDATION K M.O. CASH
PLAN CHECK VALIDATION CK. M.O. k
dLo 7 7 6 9 N AUG 2 8 5 D 4.: 5 �
16A667-CE#•617 5-51-
APPLICATION ' FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGIl�iEEIt
B IaTG�A E co'E ENNLNEON FJWDWMB /G a 7
WILLIAM A. JENSEN, SUPT OF BUILDING .CALITY
FOR APPLICANT TO FML IN NEAREST
NUMBER FIXTURE OR ITEM ROSS OWNER
yWATER.CLOSET KAM
ADDRESS
RATE TOB
CITY TEL NO.
SHOWER comucroR Valley Plumbing Co.
y LAVATORY
t SINSADDRESS 442 W. Fleetwood P1.
DlsHvvASHER r cITY Glendora TEL.No. Ed 5-129
LAMWRY TOB CONTRACTOWS
8 ZEl8A1'io No. 20'94 CovNTx 8
CLOTHES WASHER DISTRICT NO. 713 ZONE P O MED BY
WATER HEATER � 0
INDUSTRIAL
GAS SYSTEM WASTE APPROVAL V
IIiSPE=ON RECORD.
� Z
OR FDLTUSE $ / API!f 01/i4LS DATE) INSPECTOR'H'SIGNATO)d
PERMIT $ 2 00 UNDER`SM8 WORK ���� '•e :-`� l:a."%;�'' %�
ROUGH PLUMBING.
TOTAL FEE'
GAS PIPING A R
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION !v
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. AA _
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED A8 REQUIRED BY LOS•ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RF-81DENTIAL-PROPICRTY. UTILITY CO.NOTIFIED
SIGNATURE .
OF PERMITTERf y
FINAL A
ATION ROBERT A.
7.iw6c;b
EK. M.0. CASH SUPERVISING MECHANICAL ENG'R
' 7823V- DEC 4 5 D 16.5557