HomeMy Public PortalAbout5505 LOMA AVE_Plumbing__ 76A667-CE#617 6-66 _ ��
APPUCATQ®N FOR E L� MBV N PERMM 6r
_
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER -
BUILDING AND SAFETY DIVISION BUILDING /
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS JJrO� fl �CQ
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 3 MAIL
BATH TUB 1,25 C] ADDRESS
SHOWER 1.25 CITY AlTEL. NO.
LAVATORY 1.25 d-f) CONTRACTOR
l SINK 1.25 S ADDRESS
DISHWASHER 1.25 CITY TEL. NO.333-,
LAUNDRY TUB 1.25 STATE L / LIC
LICENSE NO 3� (O CLASS Cj 3 Sp
CLOTHES WASHER 1.25 2- D TRICOT Nom. GROUP PNI P O EB D B
WATER HEATER 1.50 ✓f��
GAS SYSTEM--b—,OUTLETS I.50 go INDUSTRIAL CL
CL
WASTE APPROVAL
O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
O
r � ox, W
CL
N
Z
APPROVALS DATE INSPE OR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
• LICENSED AS REQUIRED BYqTL.GAL ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM OWNER OF,AND INTEND TORESIDE IN, THE ABOVE DECO RESIDENT L PROPE r UTILITY CO NOTIFIE
SIGNATURE
OF PERMITTEE
FINAL Q
/G4LIDATIOIV
CK / M O CASH
LAio 3 3 1 0 JUL 6 5 D 21.55,
76A667 (CE-817) - 5/73
�--I -� - - APPLICATION- -,R---FP--L--U ING=PERiVIIT- �- -
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION °
MAKE CHECKS PAYABLE TO - BUILDING_ ^
r ADDRESS 1
HARVEY T. BRANDT, COUNTY ENGINEER r, ;LOCALITY '
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS,ST f _
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET
1.75 A OWNER, : �c s �•
MAIL, „C,
BATH TUB' 1.75 'ADDRESS } '
SHOWER, 1,75 CITY. TELy N0
LAVATORY 1,75 CONTRACTOR yq P
/ �Y S
6VIM A-A
SINK 1,75 ADDRESSy/
DISHWASHER 1.75 CITY, ' pc TEL NO
CLOTHES WASHER 1,,75 STATELICn r
I LICENSE NO_ �f� C'L'AS' S '1 V..-.J:
SWIMMING POOLRECEPTOR 1,75
r DISTRICT NO' "GROUP 'ZONE' • • O�ESSED•BY
LAWN SPRINKLER SYSTEM 1,75
- INDUSTRIAL O r
WASTE APPROVAL
GAS SYSTEM' OUTLETS 1.75 SPE TION RE _ RD-'
OUTLETS,OVER, t +
5 PER,SYSTEM 90 - , -�-is CD
LW
s - _ •� Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3- 00
TOTAL FEE
Plan check applicant APPROVALS DATE NS PE C TOR 5 SIGNATURE
UNDER SLAB WORK
Name ROUGH PLUMBING
Address t GAS,PIPING
City Tel No GAS VENT
�. I'HERE�BY 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 ,,,��� �,✓ (,wj
'I HEREBY_'CERTIFIY THAT LOAM PROPERLY REGISTERED AND/OR v - V
r UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS,ANGELES COUNTY A STATE OF
CALI FORNI A,'OR.THAT I AM THE LEGAL OWNER OF, "ND INTEND TO
RESIDE IN THE ABOVE DESC 'BE RESIDENTIAL PRO RTY, FINAL
SIGNATU REt-
OF PERMITTEE -
PERMIT VALIDATION CC M O. CASH
,. PLAN CHECK VALIDATION 'CK. M 0 CASH'
6 0'1rJUN '19 5 D' 6.5 0 ®30