HomeMy Public PortalAbout5521 LOMA AVE_Plumbing__ 7sA'so7-ceai?Io-so .
COUNTY- OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING
_ LOCALITY 4 : �!
FOR APPLICANT TO FILL IN— CROSS ST.
NUMBER FIXTURE I ITEM OWNER
WATER CLOSET V �L _
BATH TUB A �' �� ADDRESS
CITY TEL.NO. .�-
SHOWER
LAVATORY CONTRACTOR I V M N V'—
SING ADDRESS � ,L V'IlI e J3/R(T jV L
DISHWASHER CITY w C' % TEL. NO.'O� _30 �
CONTRACTOR'S STATE
LAUNDRY TOB REGISTRATION NO. COUNTY
aRip
CLOTHES WASHER DISTRI NO. GROUP ZONE P CES 'BY
WATER HEATER 7'
GAS SYSTEM! INDUS
c WASTI( PROVAL / y_
eo s R J l' INSPECTION RECORD,
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t ig
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A �..
4ERITEM IL
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0 URE $ A ROVALS �y DATE �INSPECTORiS,SIGNAT,URE
PERMIT $ 2100 UNDER SLAB WORK /1 O� _� � ✓/ls�<✓.✓�
TOTAL FEE ROUGH PLUMBING �fi17
GAS PIPING
I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS AFIPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED.AS REQUIRED BY LOS GELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM T LEGAL OWNER OF THE ABOVE /
DESCRIBED RESIDENTIAL PROP UTILITY-CO NOTIFIED
SIGNATURE
f, OF PERMITTEV
FINAL
ALMATION ROBERT AWOOD
CK. .M.O. CASH SUPERVISING MECHANICAL ENG'R -'
LACO 2.72 0% AUG 8 5 D 7.2'S^'
76A667-CE817 3-59
APPLICATION FOR PLUMBING PERP �
COUNTY OF LOS ANGELESf
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County Engineer ADD
CASSATT D. GRIFFIN, Supt of Building
LOCALITY ,Q
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. �
NUMBER FIXTURE OR ITEM
OWNER �
WATER CLOSET
Iy
BATH TUB ADDRESS
CITY TEL. NO.
SHOWER
LAVATORY CONTRACTOR
SINS ADDRESS a/ S O
DISHWASHER CITY �O O UC TEL NO. &Z
CONTRACTOR'S ty STATE
LAUNDRY TUB REGISTRATION NO. 9P> 19 COUNTY
CLOTHES WASHER DISTRICT N87 GROUP ZONE P CESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
z ' 0 C&I14
441 '��S
e ,
/ 0 I.00 PER ITEM �1
�R FIXTURE $ /2• OK/3 APPROVALS DATE INSPECTOR'S SIGH/NATURE
PERMIT $ 2 00 r. UNDER SLA ORK -- ,Yy
TOTAL FEEp p ROUGH PLUMBING r
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 2 GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY pr
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFG,45 TEST •'�c�J G!
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. - UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTE FINAL O yp�fOr/ Q
OF v �NA MATION ROBERT A. WOOD,
ca. M.0. CASH SUPERVISING MECHANICAL ENG'R
6'7'9'x.' F023 5 A 14.00
- r
it#617 2-82
APPUCAT�ON FOR PLUMM PERIM9T
COUNTY OF LOS ANGELES r
DEPARTMENT OF COUNTY ENGINEER y_,y -
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS J
�
WILLIAM A JENSEN, SUP T OF BUILDING
' LOCALITY
FOR APPLICANT TO FILL IN NEAREST
ao 3 ST. �/ �/��
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET $1.25 OWNER
MAIL C�
BATH TUB 125 ADDRESS Cl
SHOWER 1.25 `TY7.
- .4 - 6 Te
TEL. NO.
LAVATORY L.25 CONTRACTOR
SINK 1.25 ADDRESS I_J�,a lC llcl
DISHWASHER 1.25 CITY - v r � TEL. NO.
ATE
LAUNDRY TUB 1.25 R GINSTRA ION NO. I (/ COUNTY
CLOTHES WASHER 1.25 DI QT GROUP ZO E =OE EP BY
WATER HEATER 1.50 CYT
INDUSTRIAL
1.50
GAS SYSTEM _OUTLETS o WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
O
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of
O
. F-
C7
W
a
N
z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A LIGATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REgUIRED BY LO ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM T EGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DE SCR RES I DENTI ROPER Y UTILITY CO NOTIFIED
SIGNATURE I
OF PERMITTEE /
FINAL /l/J
ALIDATION ROBERT A/ WOOD
cK M J CASH SUPERVISING MECHANICAL ENG'R
LACO 5 4 9 4m OCT 15 5 D 4-,75-