HomeMy Public PortalAbout4970 LOMA AVE_Plumbing__ 76A667 -CE#817 2-62
1
AY PL CATION FOR PLUM IMV PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
FADDRES
J JOHN A LAMBIE, COUNTY ENGINEER
�LL�/6 WILLIAM A JENSEN, SUP T OF BUILDING TY
r�TT v /1.
FOR APPLICANT TO FILL IN NEAREST
ROs sr .
NUMBER FIXTURE OR ITEM EACH FEE "
OWNER
2 WATER CLOSET $1.25 rj�'
BATH TUB 1.25 JfQ ADDREMAIL SS
SHOWER 1,25 Z CITY TEL. NO.
ail
LAVATORY 1.2 CONTRACTOR l e 1.t D l u ni Ding & is ca t 1,11,
SINN 1, ADDRESS 13933 So . Crenshaw Blvd.
DISHWASHER 1.25 CITY Haw vhorne TEL. NCOS 93691
CONTRACTOR'S 193017 C-36 STATE ❑
LAUNDRY TUB 1.25 REGISTRATION NO. COUNTY ❑
I CLOTHES WASHER 1.25 S DISTRICT NO GROUP ?NE P OC SED BY
WATER HEATER 1.50 //�I
GAS SYSTEM OUTLETS 1.50 rU INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30
INSPECTION RECORD IL
LuAPPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING /
TOTAL FEE67
j oo GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT I
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
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 DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTE FINAL
LIDATION ROBERT A WOOD
CK M o CASH SUPERVISING MECHANICAL ENG R
�r1�cl
6 i 3 2:; JUS! 22 6 5 D Jc-.c.'�.� ,
0.9.9.17 SBM acre 1-48
DEPARTMENT OF BUILDING AND SAFETY APPLICATIONPERMIT 7
COUNTY OF LOS ANGELES �L���'��
WM.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT . GROUP oE PERMIT NO.
_ _ '4 z -
ROUGH FIXTURES COMPLETE � -TI
-
ROUGH
CESSPOOL —I SEPTIC TANK RECE1V���DDD 0Y -READY FOR DATE ISSU
��TC FIRST - 7 1
AS
MISCELLANEOUS L
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
B NAME ADDRESS !O' .�►' �C�'� I aZ S
m ADDRESS LOCALITY
g
D NEAREST
'1 CITY .No. CROSS ST.
6
COUNTY ��
CERT.NO. EXPIRES NAME �/Y/'�`•
LOCATION O DTIC TANK, OR CESSPOOL 3 ADDREI9 `Z D ll �� �S (1✓l� C!.moi
NORTH O
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
1 AM THE LEGAL OWNER OFTHE PROPERTY DESCRMED
ABOVE. c.�. O .-va
OWNER
C&RECTIONS/
SOUTH
J
DESCRIPTION OF WORK a
z_
BATH TUB FURNACE _n
-SHOWER DISHWASHER Q
/ LAVATORY REFRIGERATOR _
_KITCHEN SINK WATER SOFTENER
FLOOR SINK ' SAND TRAP
*%LOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
—_WATER CLOSET DRINKING FOUNTAIN
DATE INSPECTOR'S NAME
_WATER HEATER DENTAL LAVATORY n
ROUGH PLUMBING I��_�d" - ��,� -
METER—r—SOAS ODA FOUNTAIN GAS PIPING
OUTL a j SC4.#j e l I
GAS VENT
CESSPOOL I i
TOTAL NUMBER OF FIXTURES qq// t,,
^Oyu SEPTIC TANK /d�J '/
- .CESSPOOEPTICTANK G/ SEWER
UTILITY CO.NOTIFIED
/� TOTAL FEE i FINAL ILIR A-, /
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENTAOF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0108230017
BUILDING AAD SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING AD R S :
ON FILE 4970 LOMA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803018
ASSESSORNEAREST CROSS STREET: SERENO
5388-013-004 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H5 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
TOTAL FEES 43.95 L N:
08/23/01 JK 02/19/02
OWNER: TEL. N0: FIb[AL DATE F CODE:
WENZLER CURTIS;ROSEMARY TRS ( � = —{�l
4970 LOMA AV
TEMP 917803018 MURIPTION
WATER HEATER C/O
N :
ACTION CONTRACTORS (310) 515-1311-
17111 S. BROADWAY _ SPECIAL CONDITIONS:
GARDENA 90248 _=
CONTRACTOR: TE 0: ®� ��9� APPROVALS DATE INSPECTOR SIGNATUR
ACTION CONTRACTORS (310) 515-1311- �y
17111 S. BROADWAY LIC. NO UNDER SLAB WORK
GARDENA CA 90248 652535BC36 WATER
\ARCHITECT OR ENGINEER: TEL. NO: PLASTIC EY/NCEMETAL Y/N
ROUGH PL
LIC. N0: -_-- 1111;11 111
GAS PIPING
GAS VENT
_-U �)Lim L�� ���''���J 11 Zl�� ���� WATER HEATER
�
--- -- - - -- _ - --- J� P-MSING FIXTURES
r
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY 0
GRAY WATER SYSTEM
i
REPORT ID: DPR263 ROUTE TO: BS0508
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