HomeMy Public PortalAbout5360 LOMA AVE_Plumbing__ l78A667 APPLICATION FORPLUMBING ,PERMIT 1
IDBS-17 9-38 -
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
i County of'Los Angeles
WM.J. FOX,-COUNTY ENGINEER ADD E'SS 5360 N. Loma Ave.
CASSATT D. GRIFFIN, SUP'TOF BUILDING Temple Cit
LOCALITY A Y '
FOR APPLICANT TO FILL IN NEAREST.
CROSS ST
OWNER Coleman DISTRICT NO GROUPtr]E READY FOR INSPECTION
MAIL' �
ADDRESS �TGr,
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBERBelvedere Plumbing Co. - INSPECTION RECORD
ADDRESS 11900 E. Garvey Ave*
CITY 191 Monte TEL NO FO $9g3b $_��_ SS
LICENSE NO 54932 • _
NUMBER TYPE OF FIXTURE OR ITEM FEE
1 WATER CLOSET (TOILET)
1 S dam' V
SHOWER
1 LAVATORY (WASH BASIN) �'�
1 KITCHEN SINK iz! k. L" �_A.V QA,
DISHWASHER
1 LAUNDRY TUB OR TRAY
CLOTHES WASHER _
dis-posal
6 TOTAL NO @ O eo L.180 APPROVALS .
DATE INSPECTORS SIGNATURE
GAS SYSTEM OUTLETS @ 1 00
UNDER SLAB WORK Iq
WATER HEATER @ 1 00
PERMIT,
ROUGH PLUMBING •1
� 7 00
GAS PIPING
TOTAL FEE 7.80 GAS VENT
I' HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE-ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING �/� (y
1 HEREBY CERTIFY THAT 1 AM PROPERLY- REGISTERED AND/OR GAS TEST q S'S c�..�&,c-
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE -LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED Ll
DESCRIBED RES IDENTI PAL.PROPERTY. e
SIGNATURE,
OF PERMITTEE FINAL
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION R.A.WOOD, CHIEF PLBG. INSPECTOR
_.jC0 6. 4'8 AUG 10 3 7.8 0 m
5,04 �;