HomeMy Public PortalAbout5311 LOMA AVE_Plumbing__ 76A667-CE�i817 6-65 ^ e 6/7
APPLICATION FOR PLUMBING PERMIT
COUNTY OF'LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 66i
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS �3/-1 Lva�a vL
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY OAPL-6 1 C_�
FOR APPLICANT TO FILL IN NEARS TT . LJ
NUMBER FIXTURE OR ITEM EACH FEE CROSS
WATER CLOSET $1.25
OWNER C LJGL/ l�/� tic
2 l0
' BATH TUB 1.25 ADDRESS 2E , VA
j SHOWER 1.25 CITY ITEC. NO. -� U
2 LAVATORY 1.25 Z CONTRACTOR
SINK 1.25 ( Z� ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 STATE LIC
LICENSE NO CLASS
l CLOTHES WASHER 1.25 / DISTRICT NO GROUP Z E PROCESSED BY
1 WATER HEATER 1.50 5v 7
GAS SYSTEM 15OUTLETS 1.50 V INDUSTRIALCL
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
0
H
V
Lu
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N
Z
APPROVALS DATE INSPE R'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
G v ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
CE
o LINSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF /
CALIFORNIA OR THAT I AM THE LEGAL OWN GAS TEST
OF,AND INTEND TO /7� Yf
RESIDE IN,THE ABOVE D CRIBED D T R E UTILITY CO NOTIFIED
SIGNATURE zz
_
OF PERMITTEE p
r FINAL 1
,,,�LIDATION
CK M O CASH
LA
7 8 1 7- MAR 9 5 D 15-.00-
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 9911080009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 11218 LT: 51 BL: .001 5311 LOMA AV
FEE DESCRIPl ION: QUANTITY: UOM: AMOUNT: TEMP CA 917803002
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: BROADWAY
5388-007-027 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H4 LOCALITY: TEMPLE CITY, C
_ 25 LAVATORIES/SINKS 1.00 FIX 16.20
TENANT: 45 WATER CLOSET/URINAL 11.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 60.15 11/08/99 UT 05/06/00
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
STOHR PETER R;MERLINE B (626) 287-3823-
5311 LOMA AV -6L)
TEMP 917803002 ESCRIPTION OF WORK
PLUMBING FOR WORKSHOP
APPLICANT: TEL. NO:
MOTA (626) 806-6876-
452 N. SUNSET AVE. SPECIAL CONDITIONS:
AZUSA, CA 91702
CONTRACTOR: TEL. NO: ®� �/� APPROVALS DATE INSPECTOR SIGNATURE
LUIS M MOTA GENERAL CONTRACTOR 818969283
542 N SUNSET AVE LIC. NO UNDER SLAB WORK
AZUSA, CA 91702 623955 BMJ "7
WATER SERVICE
i PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. N0:
ROUGH PLUMBING
LIC. N0: 1111111 =��
GAS P P I N G
/��J n��J GAS VENT
LI )U g L C \11/111!O r�5 11�� HOT WATER HEATER
L� V V LLIi UUU 11 �`'J PLUMBING FIXTURES
O 0
A SPRINKLERS
GAS TEST
❑ ®gUTILITY-CMPANY NOTIFIED
s er VIC4r"Tho' GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508