HomeMy Public PortalAbout5304 LOMA AVE_Plumbing__ ' 76A667 (CE-817) - 5/73
APPLICATION FOR PLUI BI G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE,TO: BUILDING � y�
ADDRESS (/
HARVEY T. BRANDT, COUNTY ENGINEER
_ 'LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) - NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75
MAIL
BATH TUB 1,75 ADDRESS' :5:26 ,ec-M
SHOWER 1.75 CITY p� (, T •L'. NO. Z —,5-3 Ye9
LAVATORY - 1,75 CONTRACTOR
SINK 1,75 ADDRESS
DISHWASHER 1.75
CITY'. - TEL.'N0.
CLOTHES WASHER 1,75 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP ZONE OCESSE.QBY
LAWN SPRINKLER SYSTEM 1.75 of
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL d
GAS SYSTEM OUTLETS 1.75INSPECTION'f2ECORDO
C�
OUTLETS OVER I
5 PER SYSTEM 30 1-,�7,Rrda V. O
F-
- I-i1/f
W
CAIZ
I '
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE X0
APPROVALS DATE INSPECTOR 5 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. NO. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I 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
' PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REOUI RED BY LOS ANGELES COUNTY-AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE OESCR IBED RESIDENTIAL PROPERTY. FINAL
SIGNATU REJy�J^ "`�✓ikK�-"r•'�
OF PERMITTEE '_I ,
PERMIT VALIDATION cK. O. CASH
PLAN CHECK VAL DATION CK. M.O. CASH
0 0 5C17-MAY 15 5 0 4.5 0 098
76A667-CE481 7 6-66
APPL�CATION FOR PLUMBING PERWT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 5 (J� • '�otl�l� 49e,
COLEMAN W. JENKINS. SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEARS ST . Li Lll=
NUMBER FIXTURE OR ITEM EACH FEE OWNER L_L3C
WATER CLOSET $1.25
MAILA 1��� �.
BATH TUB 1.25 ADDRESS V
t SHOWER 1.25 CI �� TEL. O. — Q 1
2 LAVATORY 1.25 CONTRACTOR
' SINS 1.25 ADDRESS
P DISHWASHER 1.25, j CITY TEL. NO.
STATE LIC
LAUNDRY TUB 1.25 LICENSE NO CLASS
1 CLOTHES WASHER 1.25 ! ,J DISTRICT NO. GRIP ZONE PROCESSED BY
WATER HEATER 1.50
i1.50 INDUSTRIAL a.
a.
GAS SYSTEM OUTLETS WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD O
0
V
W
a
N
Z
f2-
APPROVALS DATE INSPECTOR'S SIGNATURE''
PERMIT S 2 00 UNDER SLAB WORK 5 � n
ROUGH PLUMBING ] ���
o TOTAL FEE GAS PIPING / v 4
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I TME LE A O F,A D INTEND TO GAS TEST
RESIDE IN,THE ABOVE E RIBED I P OP v UTILITY CO NOTIFIED
d2
SIGNATURE "q' e
OF PERMITTEGr r
NAL IY
LIDATION
CK M O CASH
LACo 9 2 8 2 JUN 2'7 5 D 16.25-
f-f'U 'ZZZ.cz�K/
D.B.&.17 25M BETS 12.44 _ • '. - APPLICATION FOR PERMIT
DEPARTMENT. OF BUILDING AND SAFETY • . . 'PLUMBING �• -
CO�TIQTY OF%t0S ANGELES
WM. J. FOX,CHIEF ENGINEER Y
NATURE OF INSTALLATION DISTRICT NO.' GROUP ' •ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE _
HEATER CESSPOOL -I BfiPTIC TANK RECEIVED BY READY F_OR DATE ISSUED d
FIRST INSPECTION
•GAS MISCELLANEOUS
APPLICANT{g� FILL IN HEAVILY-OUTLINED PORTION QNLYJOB
'
• NAME - .�' 'y/p - ADDRESS- J-2
1
ADDRESS LOCALITY q
001,
NEAREST 'U
IL CITY y -:•TEL.�Nb. CROSS BT. •
COUNTY- ..�,�° •r - `- _ "
CERT.No." /1i'' - EXPIRES - a! _ NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z' MAIL ,
3 ADDRESS
' NORTH O w.rr
CITY ! TEL.No'
1 AM--THE LEGAL. POSSESSOR OF THE ABOVE LOS.
ANGELES COUNTY CERTIFICATE OF QUALIFICATION:.
' - ,�' - - •" - 1 AM THE LEGAL OWIVfiR OF THE P�OPERTY DESCRIBED
h
ABOVE. •
• - :. -
-1 OWNER
CORRECTIONS
' l
(J� li;s ml 11 l�•1 f n.a ff�trF, L�,a c�.�f'
SOUTH
DESCRIPTION OF WORK
ATH TUB, WURNACE
ROWER DISHWASHER
LAVATORY• REFRIGffRATOR'
0 ITCHEN'BINK' - WATER SOFTENER
LOOR SINK SAND.TRAP
LOP SINK RLOOR DRAIN
W
WASH TRAY URINAL APPROVALS '
ATER CLOBET- DRINKING FOUNTAIN
' - - DATE +' INSPUCTOR'S NAME
WATER HEATER DENTAL LAVATORY
ROUGH PLUMBING 1
p METES - GAS . SODA FOUNTAIN
OUTL: GAS PIPING
• - GAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURE$ • SEPTIC TANK
0
CESSPOOLSEPTIC TANK SEWER
.4 UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
D.B.S.-17 25M SETS 12-45 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
r ' COUNTY OF LOS.ANGELES
r = WM. J. FOX. CHIEF ENGINEER 4,
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE I —t // e 5-01
HEATER CESSPOOL I—I SEPTIC TANK C 1 Bey] READY FOR DATE��,SSUED
�
FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
/00-!��a4ly� o b s/ A11REB8 ♦ ph
W ! E4
m ! •S♦ f
ADDRESS) /.51 JOG rt LOCALITYr�
DNEAREST
pJ, CITY/ 'o" (,..t TEL.No. CRO88 6T. ,•0
COUNTY `
CERT.NO. EXPIRES K NAME �7 51, G�
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRES , A eC
NORTH O
CITY r I TEL.NO.
1 AM THE L GAL POSSES OR OF THE ABOVE"LOB
ANGELES COUNTY CERTIFICA1 OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER F T E PROPS DESCRIBED
ABOVE.
OWNER
�(.. CORRECTIONS -�
3 ;t y>
SOUTH
d
DESCRIPTION OF WORK
BATH TUB FURNACE •0-4
--/—SHOWER DISHWASHER 0
LAVATORY REFRIGERATOR
ITCHEN SINK WATER SOFTENER
FLOOR BINK SAND TRAP
SLOP SINK FLOOR DRAIN' a
WASH TRAY URINAL 1i
, �PPROV'ALS
WATER CLOSET .DRINKING FOUNTAIN
DATE _ INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY I �f I f l�
ROUGH PLUMBING
— 4METER_.;_fGAS SODA FOUNTAIN GAS PIPING
OUTL
GAS VENT I I
/n CESSPOOL
L7 LUMBER OF FIXTURESy 0 SEPTIC TANK
0�- SEPTIC TANK _.S� O SEWER
eg-� O UTILITY CO.NOTIFIED
TOTAL FEE
1 FINAL
ysneer rr >3-$g ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND`SAFETY
COUNTY .OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN
DIST3!,CTNO. GROUPI ZONE PERM�TNO.
6
PLUMBER iti,./�II9� `""� RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTIONS"O„
tl 6�/Y bLl
ADDRESS vel
BUILDING F,,Yo y
CITY ��` G 4i; %' TEL. NO. ' ADDRESS d, C'''� /L LL LL 'I
COUNTY LOCALITYQ
LICENSE NO. EXPIRES NEAREST W 9
PERMIT FEES - CROSS ST. �G�♦ �)Q
NUMBER I TYPE OF FIXTURE OR ITEM - FEE OWNER O SAO Rte' RC9.Y/l4 7 i
J MAIL
WATER CLOSET (TOILET) Q 0.50 $�� � ADDRESS Ci i 0 LA G%1 "tI
BATH TUB` Q 0.501 I CITY �.I I. d �7 f'LIf S; TEL. NO. V
alpp I SHOWER Cd 0.501 :V,hoh 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
/F� 1 LAVATORY (WASH BASIN) 0.50 I I " APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 1 t? STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB PR TR,af Q 0.50 I ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
r, OF THE RESIDENTIAL PROPERTY.DESCRIBED ABOVE.
GAS SYSTEM OUTLETS 4_
SIGNATURE OF,
1 WATER HEATER Q 0.50 IPERMITTEE•.,
(.!
�s ',.//,� d .' + ''", Lm�=;•JG�. �-t ��
SLOP SINK @ 0.50 I� INSPECTION RECORD ,-JA
1 FLOOR SINK ® 0.50
FLOOR DRAIN
DISHWASHER 0.501
1 DRINKING FOUNTAIN Q 0.501
URINAL Q 0.501 A/:b
IHOUSE SEWER Q O.50 1 Z
MISCELLANEOUS I I w (7
b
1 APPROVALS
1 DDAp• E INSPECTOR'S NAME
1 1 ROUGH PLUMBING
GAS PIPING
GAS VENT
II I CESSPOOL ® 1.00 CESSPOOL
4
1 SEPTIC TANK: 1� SEPTIC TANK
I DRAIN ( ) PIT ( ) Q 1.00 I SEWER
PERMIT . 1.00 GAS TEST
1
$ �� UTILITY CO. NOTIFIED TOTA L'FE E
FINAL
76AS67•DFIB 17 11-50 �r - ,• APPLICATION.FOR PERMIT
DEPARTMENT OF BUILDING'AND SAFETY PLUMBING
COUNTYO,F L03;dANGELES
WILLIAM J. F0*,"HIE/ CNOINEER
—NO ZONE: PERMIT NU.
DIBTRICn GROUP
FOR APPLICANT_ TO FILL IN .
PLUMBER &A/002. w 7�j ., 4z RECEIVED BY READY FOR DATE ISSUED•
r'
FIRST INSPECTION
ADDRESS -
BUILDING leAf
'
CITY TIL No. �"r ADDRESS
COUNLOCALITY % .-
LICENSE NO. EXPIRES
ijl
PERMIT FEES coos EST.
NUMBER - TYPE OF FIXTURE OR ITEM FEE OWNER V
MAIL
WATER CLOSET(TOILET) 0.50 $ ADDRESS
BATHTUB 0.50 CITY •"�- TEL No.
(� 0.50 I HEREBY AC LEDGE THAT 1 HAVE READ THIS
SHOWER
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND TATE THAT THE ABOVE 19 CORRECT
_ AND AGREE TO C MPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 P09 SB THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENB OR I AM THE LEGAL OWNER
GAS SYSTEM OUTLETS 0.50 OF THE RESIDE TI ZRE RKC
EBCRIBE AS FSa
SIGNATURE OF /
WATER HEATER @ 0.50
PERMITTEE
q
BLOP SINK @ 0.50 INSPECTION RECORD
FLOOR BINK 0.50
FLOOR DRAIN 0.50
DISHWASHER ® 0.50
DRfNKING FOUNTAIN Q 0.50
URINAL 0.50OK J
a
HOUSE SEWER 0.50 .Z.
MISCELLANEOUS C)
Q'
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING -
GAS PIPING
OAS VENT
CESSPOOL @ 1:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK ry
DRAIN ( ) PIT ( ) 1.00 HEWER
PERMIT I t.00 GAS TEST J
t UTILITY CO.NOTIFIED
TOTAL FEE t8
FINAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 FPtUMBTNG"PERhIIT,
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL-0508_0006200030
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
EG ID: FEES PAID 'I G ADDRESS:
ON FILE 1,5304 LOMA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: tEMP-CA"917803001
ASSESSOR INFORMATION BER: NEAREST CROSS STREET: OLIVE
5388-008-024 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 ISSN 0PROCESSED BY: PLAN BY: EXPIRES ON:
06/20/00 UT 12/17/00
OWNER: TEL. NO: r FINAL DATE FINAL BY: CODE:
BAYER JOSEPH R;MARILYN J (626) 286-5348- 1307 20
5304 LOMA AV r
TEMP 917803001 DESCRIPTION OF WORK
WATER HEATER CHANGE OUT
APPLICANT: TEL. NO:
ALAP ASSOC. (818) 407-1247-
7229 VARNA ST. SPECIAL CONDITIONS:
NO. HOLLYWOOD, CA
LE c(o
CONTRACTOR: TEL. NO: ®� APPROVALS DATE INSPECTOR SIGNATURE
ALAP ASSOCIATES (818) 407-1247-
7229 VARNA ST LIC. NO UNDER SLAB WORK
NORTH HOLLYWOOD CA B/L RHE *
WATER SERVICE
/ PLASTIC Y/N METAL Y/N
ARCHITECT OR G EL. NO:
ROUGH PLUMBING
LIC. NO:
'I, � 1111;11 S PNG
GAENT
I r.• U � I I �� ��O��I��`� HOT WATER HEATER
PLUMBING FIXTURES
C1 o p I
O O A N IS
J � GAS TEST
_u_Tm TY COMPANY 0 FIED
®Q CWV ,
v cGRAY,WATER S ST
I
r,
I
i
i
v
I
i
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0901070023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID
BUILDING304LOOMA AVESS I
ON FILE I
IFEE DESCRIPTION: QUANTITY: UOM. AMOUNT TEMP CA 917603001 1
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
15388-008-024 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 596 GRID. H4 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 1 1
(TENANT- 125 LAVATORIES/SINKS 1.00 FIX 16.20 11SSUED ON. PROCESSED BY: PLAN BY: EXPIRES ON: I
145 WATER CLOSET/URINAL 1.00 FIX 16.20 101/07/09 SR 07/06/09 1
I 1 TOTAL FEES 76.35 1 1
10WNER: TEL. NO: I IFINAL FI CODE-
BAYER, MARILYN (626) 286-5348- 1 1 7•r�lif (,/� /W 1
5304 LOMA AV 4 � '
ITEMP 917803001 1 DE8CRIPTION'OF WORK
I
I I IPLUMBING FOR NEW BATHROOM 1
I I
1APPLICANT: TEL. N0: 1 1 I
(HOME CARE & DESIGN (888) 580-5557- 1 I I
110680 W PICO BLVD. 1 ISPECIAL CONDITIONS: 1
ILOS ANGELES CA 90064
I I I 1
1
ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE 1
IHOME CARE AND DESIGN (888) 580-5557- 1 1 1
110680 W PICO BLVD LIC. NO 1 1UNDER SLAB WORK
ILOS ANGELES/CA/90064 820230 1 I 11
I 1 IWATER SERVICE
I I I PLA.STIC Y/N METAL Y/N I I 1
(ARCHITECT OR ENGINEER: TEL. NO. I I 1 I
1 - 1 IROUGH PLUMBING 1
1 LIC. NO:
I I IGAS PIPING I 1
I I I
I 1 IGAS VENT I I 1
I I I
IHOT WATER HEATER 1
_ I I I
1 1 IPLUMBING FIXTURES I I I
I I I
1 1 ILAWN SPRINKLERS 1 1 1
I I I
GAS TEST
1UTILITY COMPANY NOTIFIEDI
ICWV I I I
GRAY WATER SYSTEM I I
I I I I I
I I I I I I
1 I I I I I
I I I I I I
I iREPORT ID: DPR263 ROUTE TO: B50508
I I I
I I I I
COUNTY OF LOS ANGELES TEMPLE CITY ,# 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0902100030
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 9661 LONGDEN AV
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT. ( TEMP CA 917801457
(ASSESSOR INFORMATION NUMBER: I NEAREST CROSS,,STREET: KAUFFMAN%
15383-015-030 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE- 596 GRID: J2 LOCALITY: TEMPLE CITY, Cl
I 147 WATER HEATER(S) 1.00 WTH 16.20
TENANT: I TOTAL FEES 43.95 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
102/10/09 SR 08/09/09
OWNER: TEL. NO �, _ J FINAL DATE FINAL BY: CODE:
1LOUDERBACK, MADELINE - I _
19661 LONGDEN AV
ITEMP 917801457 DnCRIrlrION qF WORK
REMOVE/REPLACE GAS WATER H TER LOCATION-GARAGE
(APPLICANT: TEL. NO. I 1
FAST WATER HEATER COMPANY (800) 454-8955- 1 1
112601 132 ND. AVE.NE I 1SPECLAL CONDITIONS:
IKIRKLAND, WA 98034 1 1
I I
I I
CONTRACTOR: TEL. NO: I _ - (APPROVALS DATE INSPECTOR SIGNATURE
IFAST WATER HEATER CO. (800) 454-8955- 1 - 1
112601 132 AVE. NE LIC. NO I 1UNDER SLAB WORK I
1KIRKLAND WA 98034 877489 C36 I I I I
I I IWATER SERVICE
IPLASTIC YIN METAL YIN
1ARCHITECT OR ENGINEER: TEL. NO: 1 I I I
1 I IROUGH PLUMBING I
LIC. NO: I I I
I IGAS PIPING
I I I
I IGAS VENT I I
I I I
IHOT WATER HEATER 1 I 1
I I I
I IPLUMBING FIXTURES I1
ILAWN SPRINKLERSI
I I I
(GAS TEST I
I I I
(UTILITY COMPANY NOTIFIED(
I I ICWV I
1 IGRAY WATER SYSTEM
I I I
I I I I I I
I I I I I 1
I I I I I I
I I I I I I
I (REPORT ID: DPR263 ROUTE TO: BS0508