HomeMy Public PortalAbout4978 LOMA AVE_Plumbing__ 76^667 17 3-50 APPLICATION FOR PERMIT
` DEPARTMENT OF BUILDING AND SAFETY PLUMBING
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COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
BUILDING G?
CITY TEL. NO. ADDRESS I;►' i' _ - '
COUNTY
LICENSE NO. EXPIRES LOCALITY �...
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER _
MAIL
WATER CLOSET (TOILET) Q0-506 I ADDRESS
BATH TUB Q 0.50.1. 1 CITY �.. iTEL. NO. ..r
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR IDEAM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY SCRIBED ABOVE.
„-I GAS SYSTEM OUTLETS @ 0.501
SIGNATURE OF
WATER HEATER Q 0.50 PERMITTEE
SLOP SINK @ o.so I INSPECTION RECORD
FLOOR SINK @ 0.501
FLOOR DRAIN @ 0.501
DISHWASHER @ 0.501
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.501 1
HOUSE SEWER @ 0.501 1 z
MISCELLANEOUS
I� O
I
J
I 1
I 1
I 1
I 1
APPROVALS
1 DATE INSPECTOR'S NAME
I
ROUGH PLUMBING
I1
GAS PIPING
GAS VENT
CESSPOOL @ 1.00ICESSPOOL
SEPTIC TANK: I SEPTIC TANK
I DRAIN ( ) PIT ( ) Q 1.001 I SEWER
i
PERMIT . . I 1.00 GAS TEST
r�
TOTAL FEE UTILITY CO. NOTIFIED �r
I ��
.� FINAL
76A667 DGS 17 11-SO APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT O. GROUP ZONE
FOR APPLICANT TO FILL IN
PLUMBER / RECE BY READY FOR DATE ISSUED
p /7 FIRST INSPECTION
• ADDRESS f _ S
BUILDING
CITY TEL. No. ADDRESS
COUNTY LOCALITY
LICENSE NO. EXPIRES I
NEAREST
PERMIT FEES CROSS ST.
NUMBE TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER.CLOSET(TOILET) _@-0.50. $ ADDRESS �¢`/ I
BATHTUB @ 0.50 ,.n/ J o
_ CITY TEL. No.
O
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.S13 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @'0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS,BYSTEM-�OUTLETS @ 0.50 '
- SIGNATURE Of �Ij,
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.SO
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 J
Q
HOUSE SEWER @ 0.50 Z_
MISCELLANEOUS
(Y
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
OAS PIPING
GAS VENT �qJ
`CESSPOOL @ 1;013 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT . . I 1,130 oAs TEST
TOTAL FEE
�� UTILITY CO.NOTIFIED
$
FINAL
76A667 DBS 17 7-51 APPLICATION FOR PERMIT.
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DIST-R-TICT NO. GROUP ZONE PERMIT NEI.
FOR APPLICANT TO FILL IN _/ 3-),t I
PLUMBER (t� R IVSD BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS o w�
BUILDING
CITY TEL. No. ADDRESS O ht/ne -
N
TY LOCALITY T
LI NSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0.50 $
ADDRESS
BATH TUB @ 0.50 CITY 9./126'? A 0, StO IEL.
/N.."�-
7-1fdo
SHOWER @ 0.50 1 HEREBYIf ACKNOWLEDISTHAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETB @ 0.50 L
SI®NFERURE MI'PTEF /f'/•� 6'
WATER HEATER @ 0.50
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR BINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.513
DRINKING FOUNTAIN @ 0.50
URINAL 0.50 J
a
HOUSE SEWER @ 13.80 Z
MISCELLANEOUS 0
O
APPROVALS
DATE INSPEOTOR•S NAME
ROUGH PLUMBING
GAP PIPING
GAS VENT
CESSPOOL @ 1,p0 CESSPOOL
SEPTIC TANKL SEPTIC TANK /
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT 1,1313 GAS TEST
UTILITY CO.NOTIFIED l
TOTAL FEE
FINAL
'COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0507070036
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 4978 LOMA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803018
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5388-013-002 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H5 LOCALITY: TEMPLE CITY, C
49 WATER TREATING EQUIP 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
07/07/05 JK 01/03/06
OWNER: TEL. NO: FINAL DATE ITALkL BY: CODE:
MCCULLOUGH ELEANOR L TR (626) 287-7534- �`,��pppggq�
4978 LOMA AV � r
r
TEMP 917803018 DESCRIPTfi• W
WATER SOFTENER CHANGE OUT
APPLICANT: TEL. NO:
JORDAN (909) 623-2502-
309 E. COMMERCIAL ST SPECIAL CONDITIONS:
POMONA, CA 91767
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
H B COVEY (909) 623-2502-
309 E COMMERCIAL LIC. NO UNDER SLAB WORK
POMONA CA 91767 BUS LIC
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: - TEL. NO:
ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
I
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508