HomeMy Public PortalAbout5312 LOMA AVE_Plumbing__ 76A667 (CE-617) - 5/73 C�>
APPLICATIO OR PLUG PERMIT V
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COUNTY OF'LOS.ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE T,O' BU
ADDRESS=
HARVEY T. BRANDT, COUNTY ENGINEER ,, LOCALITY
FOR,APPLICANT TO FILL IN (PRINT OR TYPEI NEAREST
CROSS
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1,75
MAIL /
BATH TUB 1;75 ADDREss,.,:3, Z/
SHOWER 1,75 CITY -,7— . TEL NO.a Q �–
LAVATORY 1,75 CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1,75 CITY, TEL NO
CLOTHES WASHER 1.75 STATE V LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1,75
DIS ICT NO GROUP N FRO SSED V
LAWN SPRINKLER SYSTEM 1,75 _t
WATER HEATER 1,75 INDUSTRIAL
WASTE APPROVAL N
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD CD
OUTLETS OVER 30 �
5 PER SYSTEM
O
H
W
d
Plan Check fee See'Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR S,SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel No, GAS VENT
I, HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE Is CORRECT AND AGREE TO COMPLY , PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST F F/N
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR - UTILITY CO NOTIFIED
_ LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM 7 LEGAL OWNER OF, ND INTEND TO
RESIDE IN THE ABOVE DESC D RESIDENTIAL P ER,TY
FINAL f
SIGNATURE
OF PERMITTEE
PERMIT AIEIATION cK N1.0 CASH
PLAN CHECK VALIDATION c,, 'M 0 CASH /f
7 JUN 0 4.7 5,A-48
78A887 (CE-817( - 175 `
APPLICATION OR PLU SING PERMIT {�
COUNTY OF LOS ANGELES �J
DEPARTMENT OF COUNTY ENGINEER .41
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO, ADDRESS �o�
HARVEY T. BRAN DT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TY PE) -
NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET
2.00 OWNER
BATH TUB 200 ADDRESS_ ►Y fes/ G�
SHOWER 200 CITY TEL. NO.
1
1 LAVATORY 2.00 CONTRACTOR j2
t'tjV/—
III
SINK 200 r. ADDRESS ` (9Reg YQ
DISHWASHER 2 00 CITY TEL NO y W
CLOTHES WASHER 2.00 STATE I� (� LIC /
LICENSE NO V 7 CLASS (p
SWIMMING POOL RECEPTOR 2.00 -
DISTRICT NO GROUP ZONE CESSE BY
LAWN SPRINKLER SYSTEM 2 00 � U� L
WATER HEATER 200 INDUSTRIAL
WASTE APPROVAL i
GAS SYSTEM OUTLETS 2 00INSPECTION RECORD ov
OUTLETS OVER C
5 PER SYSTEM .30 p
H--
U
W
CL.
N
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVALS DATE INSPECTOR 9 SIGNATURE
Plan Check applicant UNDER SLAB WORK ��
s e
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 CERT AT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REO 'RED LOS ANGELES COUNTY AND TATE OF
CALIFORNIA OR T AT I AM TME LEGAL OWNER OF, A TEND TO rl
RESIDE IN THE AB VE DESC BED RESIDENTIAL iP AOPE ,TY` FINAL X76
SIGNATURE
OF PERMITTEE
PERMIT VALIDATIONCK. M.O. CASH
PLAN CHECK VALIDATION CK M.O CASH
9 0 9 12k,ar 24 5 u 1 9.5 0 ^�
�V
,76A667-CEO 817 6-65 //�/J
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APPUCATION FOR PLUMBeIN PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS _
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
l..
FOR APPLICANT TO FILL IN NEAREST -
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE /h _
WATER CLOSET $1.25 �� OWNER
, MAIL
BATH TUB 1.25 ADDRESS
SHOWER 125 _ CITY '� TEL. NO.
LAVATORY 1.25 -.�' CONTRACTOR _
SINK 1.25 ADDRESS �'—
DISHWASHER 1.25 v CITY j TEL. NO/ Z G
.STATE _ _ LIC
LAUNDRY TUB 1.25 LICENSE NO (f CLASS C
0
CLOTHES WASHER 1.25 DI R/IICT O. GROUP ZONE PROCESSED BY
L—JWATER HEATER 1.50 () (/ 1
GASSYSTEM OUTLETS 1.50INDUSTRIAL CL
—_ WASTE APPROVAL Q
OUTLETS OVER 5 PER SYSTEM •30 y y INSPECTION RECORD U
W
a.
G
Z
_el-
- er - e�
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WO
ROUGH PLUMBING --
TOTAL FEE j GAS PIPING
I HEREBY ACKNOWLEDGE THATC1HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS COGAS VENT
RRECT AND AGREE TO COMPLY ( P
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES W/ /
n LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST T�
CALIFORNIA OR THASjErCR'.BED
MHE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABO RESIDENTIAL P OPERTY UTILITY CO NOTIFIED -
SIGNATURE (
OF PER FINAL
LIDATION
CK M O CASH
L 7790 MAR 28 5 D 15.00- 4'