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HomeMy Public PortalAbout5635 LOMA AVE_Plumbing__ 76KG6� 17 11-80 19 APPLICATION FOR PERMIT 'DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELESPLUMBING I WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRIF,NO. GROUP ZONE PERMIT NO. Co. -{1 � (O ( Lo PLUMBER Po sabell Plumbing Vo c - RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS 4'` 1A,G York Blvd'. - � �J �✓ !� Los Anpeles Q BUILDING 6 CITY G TEL. NO. �s'laQl_1 ADDRESS 5635 Loma .eve. COUNTY K���.m 6-30-52 LOCALITY Temple City LICENSE NO. J EXPIRES •p - NEAREST B . idwell St. . PERMIT FEES cRoss sT. n7,, OWNER Chris Redondo NUMBER .,,1 'TYPE OF FIXTURE OR_ITEM ' .� FEE I7I Gr 0MAIL 'WATER CLOSET (TOILET) - AD RESS 10106 Mallison Ave.. 1 �fBATHTUB 0.501 1_50CITYSouth Cate TEL. NO. ' Lo .914. 56 1 -ySHOWER @ 0.501 _�)ur�_ '1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS <. y LAVATORY (WASH BASIN) @ 0.501 1 ��/ APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND Y0�•y STATE LAWS REGULATING PLUMBING. v KITCHEN SINK @ 0.50 � 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 I �_.t ANGELES COUNTY LICENSE. OR 1 AM THE IfGAL OWNER 1 I S© OF THE RESIDENTIAL ROPERTY DESG IBE9-y01LE. GAS SYSTEM—OUTLETS @ 0.501 NATURE OF 1 WATER HEATER @ 0.50 1SIGNATURE 1 SLOPSINK @ 0.501 1 / NSPECTION RECORD FLOOR SINK @ O.50I �/ZL7/S"Z 1 FLOOR DRAIN @ 0.501 1 DISHWASHER @ 0.501 c:7�tv. 1 DRINKING FOUNTAIN @ 0.501 GrGm..••cfsa..J 1 URINAL @ 0.501 v 1"HOUSE SEWER @ 0.501 1 MISCELLANEOUS I� 0 1 APPROVALS 1 DATE INSPECTOR'S NAME ROUGH PLUMBING 1 GAS PIPING GAS VENT 1 CESSPOOL . @ 1.00 I CESSPOOL 1 SEPTIC TANK: 1 SEPTIC TANK DRAIN ( ) PIT ( @ 1.001 SEWER I A I PERMIT . I 1.00 GAS TEST iYt o "�_ <. 3h- UTILITY CO. NOTIFIED / TOTAL FEE I $ 5 150FINAL f• 70:6(i i7+� s-so ® APPLICATION FOR PERMIT DEPARTMENT. OF BUILDING AND SAFETY COUNTY OF LOS-ANGELES. rUmMmOING 1. WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO'FILL IN DISTRICT O. GROUP ZONE PERMIT NO. PLUMBER Rosab�ell P1i.zmhing Cop RECEIVED BY READY•FOR- DATE ISSUED FIRST'INSPECTION ADDRESS 4440 York Blvd6 t Al. BUILDING 5635 Loma Ave. (.garage ) CITY Los Angeles '- TEL. NO. A 01'11 ADDRESS t5 COUNTY q r LOCALITY TP.=l t*__ City LICENSE NO. 503—M EXPIRES 6-3o. 52NEAREST a �1 CROSS ST. Bidwell �t p PERMIT FEES OWNER Chris' 'Redondo NUMBER TYPE OF FIXTURE OR ITEM FEE MAIL WATER CLOSET (TOILET) @ 0.50 S 1 ADDRESS 10106 Mallison Ave, BATHTUB @ 0.50I I CITY south Gate TEL. NO. Lto. 71456 ISHOWER @ 0.50:. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.501 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND 1 STATE LAWS REGULATING PLUMBING. KITCHEN SINK @ 0.501 t CERTIFY THATUNTYi I POSSESS THE ABOVE VALID LOS 1 LAUNDRY TUB OR TRAY @ 0.50 1 OF THE R SANGELES OIDEN�T)AC ROPERTOYR DESC BED I AM 'THE LEGAL OWNER GAS SYSTEM OUTLETS @ 0.501 1 SIGNATURE OF 1 WATER HEATER @ 0:50'1 PERMITTEE 1 SLOP SINK @ 0.501 INSP CTION RECORD 1 FLOOR SINK @ 0.501 1 / 1 FLOOR DRAIN @ 0.501 1 1 DISHWASHER @ 0.50I� DRINKING FOUNTAIN @ 0.501 1 URINAL @ 0.501 1 `I 1 HOUSESEWER @ 0.501 1 Q Z MISCELLANEOUS. 1 1 2 I I II 1 0 l�1 1 APPROVALS ' D TE .INSPECTOR'S NAME ROUGH PLUMBING I 1 GAS PIPING GAS VENT . ICESSPOOL @ 1.001 CESSPOOL 1 SEPTIC TANK: 1 SEPTIC TANK Ir DRAIN ( ) PIT ( ) @ 1.001 I SEWER PERMIT . I 7:00 GAS TEST j UTILITY CO. NOTIFIED / TOTAL FEE S 1 50 FINAL 76A867-CE#817 4-64 .� , N-J APPLICATION FOR PLUM ING PERMI ;�' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND .SAFETY DIVISION BUILDING j 3a� Orn-w C JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN,.SUP'T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAILII BATH TUB 1.25 D (sDRESS G S� -dL l" SHOWER 1.25 CITY TEL. NO. rj LAVATORY 1.25 CONTRACTOR v SINS 1.25 ADDRESS DISHWASHER 1.25 CITY TEL. NO. LAUNDRY TUB 1.25 CONTRACTOR'S STATE El REGISTRATION.NO. COUNTY ❑ CLOTHES WASHER 1.25 DISTRICTy N G E D / WATER HEATER 1.50 1.50 Q INDUSTRIAL GAS SYSTEM _OUTLETS WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD r. U / o W OV ! y 1144441" ,i1" „ G APPROVAL�' 1 PATpE. INSPECTOR'S SIGN _ PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT _ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ( LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL O.\VNER OF,AND INTEND TO /� y RESIDE IN, THE ABOVE�DESCRlewL PROPERTY. UTILITY CO. NOTIFIEDSIGNATUREOF PERMITTEE GGG// ��. FINAL VALIDATION ROBERT A. WOOD CK. M.O. CASH SUPERVISING MECHANICAL ENG'R r �� 05972 r,rP15 J D 625 76A667 WORKERShat I have aAcerN,DECLARATION CE81n APPLICATION ION FOR 'h�U'I BI.NC, P.ER I.IT, I hereby affirm that I have a certificate: of consent to self ce sr7 (z=ao) :insure, or a certificate of,Workers'Compensation Insueance,of " a certified copy thereof(Sec. 3800;Lab ) Y •• •. , . COUN T OF LOS ANGELES ��1 "BUILDING AND SAFETY ,Policy No. Company TEW ( F C 'Certified,copy_is'hereby furnished. FOR APPLICANT TO FILL„IN (PRINT OR TYPE) . BUI:LDIN ADDRESS Ce of o e:county buildi .inspection N BER FIXTURE OR ITEM ® FEE LOCALITY Jp'Y},� /)i ER CLOSET NEAREST' WATER - - Dat ,' PP• BATHTUB CROSS ST.. L '�CJI ©L7�t� I lvlr .' CERTIFICATE OF EXEMPTION FROM WORKER,S'- COMPENSATION INSURANCE SHOWER OWNER COQ�t"12- MAIL - - LAVATORY . (This section need ,not be completed if”the work involved ADDRESS CL I O by-the permit is for one hundred dollars($100) of less.) SINK TEL,NO. 0 CITY Q &� Q . I certify that in the performance of the work for which.this DISHWASHER permit-is issued; I'shall not employ any person in any,manner CONTRACTOR Ph1Gl '�? 0 so astobecome subject to the Workers',Compensation Laws. CLOTHES WASHER r n ADDRESS 92G. .. .Q�p . .� W .Date Applicant SWIMMING POOL RECEPTOR O. CITY TEL. NO. lA NOTICE TO APPLICANTr If; after making this Certificate of. J W fir! 2s�0� z Exemption, you should.become subject 'to the Workers' LAWN SPRINKLER SYSTEM. STATE /� Q _ Compensation provisions of the Labor Code, you must forth- LICENSE NO.,a 8/ LIC. / with comply with such provisions-or this permit shall be WATER HEATER CLASS 5/ deemed revoked. GAS SYSTEM OUTLETS '.. DISTRICT N jOY. PRO ESSED BY LICENSED CONTRACTORS DECLARATION_', OUTLETS OVER i OY I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section,7000) of Division 3 of the Busi- FINAL VALIDATION ness and Professions-Code, and my license is in full force and DATE L ® �" � effect. ' FIN License'Numbe Lic.Class r BY Am'r `--' L Contractor �✓ Date ❑; I am exempt;from the licensing' requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE.$ acting,in my .professional capacity (Section 7051, Bus- ' iness and Professions Code). 4 TOTAL FEE Q Lic.or Reg.No. Date Plan check applicant HOME OWNER'-BUILDER DECLARATION. , - Name Address r. . I hereby .affirm that I am exempt `from the Contractor's- License Law for the; following.reason (Section.7031,5, Busi= City Tel.No. ness and Professions'Code): O 1,as owner of the property, am exclusively contracting With licensed contractors'to' construct,' the project (Section 7044, Business and Professions Code). - CONSTRUCTION LENDING AGENCY. z Z I hereby affirm that there is a construction lending agency NAL y MR I CTI b 1,9 R for 'the performance of rhe Work„for which this permit is issued(Sec. 3097,Civ:C.). #'o'.0 0 0,a 5° Lender's Name 2001'00.0 L'ender's Address , 0 a 0 1, O v 0,0. , 1 certify.that•I have read,this application and state"'that the b above information is correct.I'agree to comply with all'County ordinances and State laws regulating Plumbing, and hereby SEE-REVERSE FOR EXPLANATORY'LANGUAGE 0,1 5.. 8',0 authorize represen��inSPeCti-hPP County�,�o.enter,upon he - • aGave n ' ned oses.': , Signature of Permittee, Date'