HomeMy Public PortalAbout5328 LOMA AVE_Plumbing__ 76AW7-CE617 349
APPLICATION FOR- PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING �3 02
JOHN A. LAMBIE, County. En ineer ADDRESS d/fa a Ir It-
CASSATT D. GRIFFIN, Sup of Building �.
LOCALITY -e .w e if,
FOR APPLICANT TO FILL IN NEAREST r
CROSS ST. U 'F--
NUMBER FIXTURE OR ITEM ,, )
OWNER o VW� r W
r WATER CLOSET / MAIL
ADDRESS S3 , a"I G v e .
BATH TUB
SHOWER CITY e TEL. NO.
!e ��
LAVATORY CONTRACTOR W ✓t
14
SINS ADDRESS
DISHWASHER CITY TEL NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY
CLOTHES WASHER ./ DISTRICT NO. GRO ZONE m P CESSED BY
f WATER HEATER
-
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
T-, Cr-6-1.s TC' U N K�T, 1 IlvK,
o $1.00 PER ITEM I ��
OR FIXTURE $ rP APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
-E�
TOTAL FEE D ROUGH PLUMBING
CI GAS PIPING '
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING T HOWATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER-OF THE ABOVE
DESCRIBED RESIDENTIPROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITT FINAL
VALIDATInC-AS
v pal Y't
®r ' OBERT A. WOOD,
Cs. H.0. :� LJPERVISING
MECHANICAL.E:NG'R
( 559ASJM ?5 5h 8.00
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74A47A (CE-8,713( -477 p pyo q� �g (� np p pn� �p n,� p �I
APPL�OCA RON FOR If�ll�.�dtl�YBBONG PERIICfI M
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE I BUILDING ��
NUMBER FIXTURE OR ITEM ® FEE ADDRESS 33
WATER CLOSET LOCALITY CI
BATH TUB NEARESTCROSS ST
SHOWER OWNER
LAVATORY MAI L
ADDRESS
SINK CITY TEL NO. Q�
DISHWASHER �` CONTRACTOR
CLOTHES WASHER
ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL.NO
LAWN SPRINKLER SYSTEM
STATE LIC
WATER HEATER LICENSE NO CLASS
GAS SYSTEM OUTLETS I ICT NO G UP NE P ESSED
OUTLETS OVER Q GB ✓r ' CD
5 PER SYSTEM INDUSTRIAL V
WASTE APPROVAL
INSPECTION RECORD CD
H
_ U
W
d
N
Z
Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE
Plan cher applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel No GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE - GAS TEST
LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY UTILITY CO NOTIFIED
SIGNATURE 1pv
OFPERMITTE FINAL '
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M.o <ASH
2 2 3 Riff 14 5 U 1 Q,0 0 e3
76A667 Des 17 11-50APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY �'
.
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
//FOR APPLICANT TO FILL IN . GRJ3U NE ERMIT NEI.
PLUMBER[0 0 te t2 t R 6IVIED BY READY FOR DATE ISSUED
ADDRESS 1p�/ �a 1 pA v �Y�-''?y�,,�✓' FIRSJ INSPECTION
BUILDING
ADDRESS ✓ ('a .l
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES cRDaB aT.
NUMBER TYPE of FIXTLRE OR ITEM FEE OWNER /
WATER CLOSET(TOILET) 0.50 III ADDRESS
BATH TUB 0.50 CITY � j / TEL No. �^
SHOWER 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL•COUNTY ORDINANCES
KITCHEN SINK Q 0.50 AND STATE LAWS REGULATING PLUMBING.
1 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 OUTLETS O.SOOF
//y[J
WATER HEATER 0.50 SIGNATURE, PERMITTEE 4f '
SLOP SINK Q 0.50 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 0.50
DISHWASHER 0.50 _
DRINKING FOUNTAIN ® 0.50
URINAL 0.50 J
a
HOUSE SEWER 0.50 Z
MISCELLANEOUS CJ
O
APPROVALS
DATE INSPECTOW8 NAME
ROUGH PLUMBING
OAS PIPING
1
GAS VENT ,/
CESSPOOL @1.00 (f CESSPOOL ,F� Q—.o 0,17271
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1.00 GAS TEST
TOTAL FEE ,R.. ®7UTILITY CO.NOTIFIED
� ,
FINAL
D.B.S.17 25M SOTS 2-47 APPLICATION FOR PERMIT
JDEPARTMENT OF BUILDING AND SAFETY
" COUNTY OF LOS ANGELES
WM.J. FOX. CHIEF ENGINEER PLUMBING
NATURE OF INSTALLATION DISTRICT No. GR OUP ZONE PERWT NO.
ROUGH FIXTURESCOMPLETE ���
RMCE1VED BY READY FOR DA S ISS711D
HEATER CESSPOOL -I SEPTIC TANK 'f
FIRST INSPECTION D7
AS
MISCELLANEOUSmmamum
/ - �/
APPLICANT FILL IN HEAVILY OUTLINED PORTION
JOB, !P
L. NAME
ADDRESS e
m ' v
LDv y:
� ADDRESS � LOCALITY J
NEAREST /f
6 CITY Ji_'( A TEL.No. CROSS ST. il JL..
COUNTY
CERT.No. EXPIRES IK NAME V
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
3 ADDRES
NORTH O /4
CITY %0, EL.No.
1 AM THE LEGA,g POSHESSOR OF THE ABOVE LOS
ANGELES COUNTY LIERTIFICAT F QUALIF CAT10
PLUMB[R
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
N
• D
OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK z
z_
BATH TUB FURNACE
0.'
_SHOWER DISHWASHER Q
LAVATORY REFRIGERATOR
__KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
J
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAM¢
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I
METER GAS __CODA FOUNTAIN GAS PIPING
OUTL
GAS VENT f
CESSPOOL 17
TOTAL NUMBER OF FIXTURES SEPTIC TANK
__�4_CESSPOOI SSEPTICTANK SEWER
8
TOTAL FES I DO UTILITY CO.NOTIFIED
FINAL
D.6,f.-17 25M SETS•1146 APPLICATION FOR PERK"
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ` ' G
o WM. J. FOX.CHIEF ENGINEER .
NATURE OF INSTALLATION DISTRICT O. GROUP O /n RMIT NO.
ROUGH FIXTURES COMPLETE v /
HEATER CESSPOOL SEPTIC TANKREC IV��BY READY FOR DATE ISSUED
/ l G
A9 MISCELLANEOUSLaFIRST INSPECTION —4f
APPLICANT FILL IN HEAVILY OUTLINED PO ION ONLY
�q JOB
IK NAME /Td"���s�) ADDRESS Ate"
W �➢a
M
ADDRESS LOCALITY
NEAREST
d CITY TEL.No. CROSS ST.
COUNTY w�,, '
CERT.No. EXPIRES C NAME t.4. '-p
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS deo.•YR ILt �te®_
NORTH O t
CITY '1C ree TEL.No.
I AM THE LEG L POSSESSO OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPS TY DESCR BED
ABOVE. '
OWNER
CORRECTI NS
SOUTH J
DESCRIPTION OF WORK z
BATH TUB -Wo.-'FURNACE
• Q'
SHOWER DISHWASHER D
-LAVATORY REFRIGERATOR
/ 1TCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
J —WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I •-I
METER—f—GAS SODA FOUNTAIN GAS PIPING I 6�y/I v a -s
OUTL
GAS VENT I I
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOI SEPTIC TANSEWER
S '
TOTAL FEE p`
UTILITY CO.NOTIFIED
FINAL