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HomeMy Public PortalAbout10243 RANDWICK DR_Plumbing__ I 8A887-CE#817 5.51. r v VGPERMIT F APPLICATION OR PLUMBI COUNTY OF LOS ANGELES DEPARTMENT OF CO ENGII�iEER B .NIlA L MB E C�o�UNI Y ENi 6f N6OERi ADDRESS WILLIAM A. JENSEN, SUPT of BUILDING LOCALITY ! FOR APPLICANT TO FI<.L IIsi NEAREST � . NUMBER FIXTURE OR ITEM OWNER ?� WATER CLOSET o MAIL / RATH TUB ADDRESS ssowEa CITY TEL NO. / y LAVATORY CONTRACTOR SINE ADDRESS 4 / DISHWASHER CITY Glendora TEL.NO. A CONTRACTOR'S LAUNDRY TUB REGNIRATION NO. COUNTY' CLOTRES WASHER DICT NO,. GROUP I ZQNIZ SED BY / WATER BEATER / d GAS SYST= INDUSTRIAL L7 WASTE APPROVAL CCT10N RECORD m Z rm --'"mmm 5 I /V � APPROVALS DATE INSPECTOR'S SIGNATURE FERmrr $ 2 00 UNDER SLAB WORK A TOTAL FEE /� ROUGH PLUMBING / z / GAS PIPING I D HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION �A ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT y a A WITH ALL. COUNTY ORDINANCES AND STATE LAWS REGULATIHCi HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURESIr �1) fA"7' LICENSED A8 REQUIRED BY LOS,ANGELES COUNTY AND STATE OF GAS TEST /�'7 U 0�- CALIFORNIA 'OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED o I �f SIGNATURE OF PERM I7 Tim ^ ~' FINAL ALIDATION ROBERT A.W66D r CK. M.0. CASH SUPERVISING MECHANICAL ENG'R L"7822% DEC .4 5 D 16.55- r -16A-567 (CE-817)-4/72 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: BUILDING IUZ,/� Z �Yt�/of/< a� ADDRESS Y HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST / ��� CROSS ST. �.1G1� NUMBER FIXTURE OR ITEM @ FEE OWNER WATER CLOSET 1,75 MAIL BATH TUB 1.75 ADDRESS 'o2T IE"!►i�l�re; SHOWER 1.75 CITY ��yA4j0j, _ TEL. NO. •!y GrproQ LAVATORY 1,75 CONTRACTOR SINK 1.75 ADDRESS DISHWASHER 1.75 CITY 0 TEL. NO. CLOTHES WASHER 1.75 STATE LIC SWIMMING POOL RECEPTOR 1.75 LICENSE NO. CLASS DISTRICT NO. GROUP ZONE PROCESSED BY LAWN SPRINKLER SYSTEM 1.75 5__e /0� qZ�� r p WATER HEATER 1.75 INDUSTRIAL /C WASTE APPROVAL nom. i GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD ' OUTLETS OVER p� 5 PER SYSTEM .30 '7 a7 F Ilk _. LN je4f n- C4 Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE Ir APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name [RGHPLUMBING Address ING City Tel. NO. NT TER HEATER J I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYNG FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING / PLUMBING. ST IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR CO. NOTIFIED LICENSED AS REQUIRED BY• LOS ANGELES COUNTY AND STATE OF ,,p CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO ,/ �� •W7 F RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY, �I} r„;_� r,• f RNAL SIGNATURES OF PERMITTEE PERMIT VAL ID1,1- N ,o. LASH PLAN CHECK VALIDATION CK. M.O. CASH /Q�/ �('„ 1 9 8 073 JUL 2 5 D 4.7 5~ CQ 76AGG7-CF#817 2-52 TEMPLE CH pl APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETYDIVISION BUILDING ;�,�jYDLvIG JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS. 1OZ WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY 4j;;: 1 T Y FOR APPLICANT TO FILL.IN NEAREST CROSS'ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET r $1.25" 1 !c IL BATH TUB 1.25 ADDRESS ".?/ SHOWER 1,25 �•• ! TEL. NO. `� �� LAVATORY 1.25 CONTRACTOR � A% L. i P 'T"OoLS SINK 1.25 ADDRESSd11�� DISHWASHER 1.25 CITYgA TEL.NO�.nZCO LAUNDRY TUB 1.?S CONTRACTOR'S L C? 2. COUNTY ❑ REGISTRATION NO. CLOTHES WASHER 1.25DIST N GROUP Z E PR C S BY WATER HEATER 1.50 © O ��/ GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL OUTLEIS OVER 5 PER SYSTEM .30 INSPECTION RECORD 06919 F 9. lid N APPROVALS ATF' INSPECTQR'S s1.gtjA URE PERMIT 5 2 00 UNDER SLAB WORK151-grArl ROUGH PLUMBING TOTAL FEE U GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIOR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF .GAS TEST CALIFORNIA OR THAT 1 THE LEGAL OWNER OR AND INTEND TO RESIDE IN,THE ABOVE D RIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED SIGNATURE I OF PERMITTEE FINAL 6;,,1J2711.' „`M/ �•:� ALIDATION ROBERT A.fVOOTD r cK. M.O. CASH SUPERVISING MECHANICAL ENG'R 5 D 3.J �. LhGO 2 7 6 5 APR