HomeMy Public PortalAbout5340 LOMA AVE_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING I
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ,ADDRES
FOR APPLIQANT TO FILL IN LOCALITY
_ NEAREST '
BUILDIN
,� �I CROSS ST
ADORE .
x DISTRICT NO. GROUP ZONE PERMIT NO.
LOCALITY �i 5 "'e— / P e
NEAREST
CROSS ST. REC VE 4��r Ready for Inspection DAT Epl
OWNER
��
MAIL INDUSTRIAL
ADDRESS _C> i� WASTE AP VAL
L�' ;; INSPECTION RECORD
CITY TEL.NO.
PLUMBER �"�
ADDRESS
CITY T l P
❑STATE c 2�CJ
LICENSE NO. (� � n COUNTY J
PERMIT FEES � P a
4UMHER TYPE OF FIXTURE OR ITEM FEE ('
` WATER CLOSET(TOILET) @ 0.80 $ �� O
y BATH TUB @ 0.80 ti ce�
SHOWER @ 0.80 y�
LAVATORY(WASH BASIN) @ 0.80 SCG'
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80 �i
SLOP SI NK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ '0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80 �I
GAS SYSTEM._.3.......OUTLETS @ 1.00 C/
WATER HEATER @ 1.00
MISCELL EOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK n
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ T14IS APPLI• GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST pc rj d^AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED RESIDENT L PROPE UTILITY CO.NOTIFIED
f
SIGNATURE ���
OF PERMITTEE/j....S:. ._.` _... . . _ ..............
FINAL �� 1�t F'J�C�!^r•
76A667 DBS 1T Ob 2.53