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HomeMy Public PortalAbout5312 LOMA AVE_Plumbing__ 76A667 (CE-617) - 5/73 C�> APPLICATIO OR PLUG PERMIT V '+ .� - CCC/// .: : •, � ' 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 ��w�CCCC/ 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'