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HomeMy Public PortalAbout5533 LOMA AVE_Plumbing__ v76AW-CE817 12/59 > - APPLICATION Fd PLLJIVII (NG PERMIT COUNTY, OF LOS ANGELES DEPARTMENT'OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ADDRESS � JOHN A. LAMBIE, COUNTY,ENGINEER '_ �, �w7. , G WILLIAM A. JENSEN; SUP'T'OF-BUILDINGFOR APPLICANT TO FILL IN ,y- NUMBER .FIXTURE OR ITEM OWNER WATER CLOSET Iy ADDRESS i BATH TUB, CITY TEL..NO. SHOWER +2 LAVATORY CONTRACTOR r � 10Z�r I/ SINS .ADDRESS e^' /� _cl, - DISHWASHER CITYSI/yetdj r3/�r� TEL. NO.,O�'IV j�3 CONTRACTOR'S STATE 19. LAUNDRY TUB REGISTRATION NO. z -3 COUNTY ❑- / CLOTHES WASHER DIS:LRIC O. I G I ZONE ,I PR SED BY WATER HEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD P, O dr w a . z ')ER-ITEM F'IKTURE _ - $ I }'/ Lt j."'f�' APPROVALS D TE INSPE fOR'S SIGNATURE - ffff - PERMIT $ ! 2100 UNDER S WORK , /G� TOTAL FEE l �3 'ROUGH PLUMBING rll_> ?.,// GAS PIPING \rte 1 HEREBY ACKNOWLEDGE THAT I HAVE,READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY �r 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 ASREQUIRED.BY LOS ANGELES COUNTY AND STATE OF GAS TEST - - CALIFORNIA. OR THAT I .AM THE-LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIALP. E�TY: UTILITY CO.NOTIFIED SIGNATURE �a, ) OF PERMITTED FINAL ®a VALIDATION ROBERT A. WOOD, C. M.O. CASH SUPERVISING MECHANICAL ENG'R 76 A667-C Ete8t7 10-67 „{i��/v APPLICATION FOR PLUMBING . PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST I/ CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET 1.50 ✓ MAIL �+ BATH TUB 1.50 ADDRESSI.:5-.5113 13 SHOWER 1.50 CITY �y.. -TEL:NO. LAVATORY 1.50 CONTRACTOR SINK 1.50 ADDRESS DISHWASHER 1.50 CITY / Cf TEL. NO. y y�©,$V-J CLOTHES WASHER 1.50 STATE LIC LICENSE NO. ,O7(G-.J CLASS. SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ONE P ESSED BY >_Qa LAWN SPRINKLER SYSTEM 2.00 , �7 I �G4r- O _ U WATER HEATER 1.50 INDUSTRIAL WASTE APPROVAL O GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD V OUTLETS OVER - '• - - W 5 PER SYSTEM •30 - _ N Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE �C APPROVALS DATE I S ECTOR'S SIGNATURE Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City. Tel. No. HOT WATER'HEATER - I HEREBY ACKNOWLEDGE-THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. ' 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. y,. FINAL SIGNATURE 49 JACK R. ALLEN; SUPERVISING MECHANIC - OF PERMITTE PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.0. CASH 1 .7r py 76A667 (CE-817) - 5/73 APPLICATION FOR PLUMBING -PERMIT' - COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: FNEAREST /-HA'RVEY.T. BRANDT, COUNTY ENGINEER (�•FOR APPLICANT TO,FILL IN (PRINT OR TYPE) Q_ oin A , NUMBER FIXTURE OR ITEM @ FEE OWNER ! I�� •��f�-� � WATER CLOSET 1.75 MAIL ^ BATH TUB 1.75 ADDRESS SHOWER 1.75 CITY TEL. LAVATORY 1.75 CONTRACTOR VT-1 r C 1 er's SINK 1:75 ADDRESS C�(lL �... `,CMCC 2 DISHWASHER 1.75 CITY rn � TE NOr CLOTHES WASHER 1.75 STATE )' (j(� LIC LICENSE NO. J /� ` CLASS. SWIMMING POOL RECEPTOR 1.75 D�IS�TRICT NO. GROUP ONE PR CESSED�BY LAWN SPRINKLER SYSTEM 1.75 ' 1 QQ ., WATER HEATER 1.75 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD O U OUTLETS OVER - ,30 CC 5 PER SYSTEM O W d C/J Z Plan Check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 `TOTAL FEE _ APPROVALS DATE INSPECTOR's SIGNATURE Plan Check applicant UNDER SLAB WORK Name i ROUGH'PLUMBING Address GAS PIPING GAS VENT City Tel. No. �� ��✓' •HOT WATER HEATER I\.Ct I HEREBY ACKNOWLEDGE THAT`I HAVE READ THIS APPLICATION f AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES A,�' J(� � 4 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING. - > f I HEREBY CERTIFY'TH AT LOAM PROPERLY REGISTERED AND/OR, UTILITY C'O. NOTIFIED •�� /l/ � LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF _ CALIFORNIA OR THAT I A THE LEGAL OWNER OF, AND INTEND TO RES DE IN THE ABOVE DE C IBED�ESIDE T AL PROPERTY. FINAL l � SI GNA TU-RE � - � ' (rP OF PERMITTEE - PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.0. CASH 5.'4 .5�.UCT .:50 5 '.:,U 4.7 5 eI I