HomeMy Public PortalAbout5638 LOMA AVE_Plumbing__ 76A6'7 oas of ,I-5o - APPLICATION FOR PERMIT`
DEPARTMENT OF BUILDING AND SAFETY
COUNTY.OF LOS ANGELES
WILLIAM J. FOX,CHIEF ENGINEER
R . O. SRO-UP I ZONE PERMIT NO.
FOR APPLICANT TO FILL IN
PLUMBER. VALLEY RECEIVED
/"BY READY FOR DATE ISSUED BOULEVARD . FIRST INSPECTION
�,VI��'
ADDRESS `� f
V BLVD. BUILDING / Q,• fg -yf'
CITY TEL. No. "�;� ADDRESS
COUNTY LOCALITY co,LICEN 9E NO. 98 PA EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER. TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
�f WATER CLOSET(TOILET) @ 0.50 "$ ADDRESS
♦/ BATH TUB - @ 0.50 CITY TEL. No.
SHOWER @ O.SO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID L09
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM Y OUTLETS @ 0.50
•� SIGNATURE Eio •;
WATER HEATER @ 0.50 - PERMiTTEV
SLOP SINK @ 0.50 INSPECTION RECORD .
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER - @ 0.50
DRINKING FOUNTAIN (ID 0.50
URINAL Q 0.50 J
Q
HOUSE SEWER @ O.SO Z
MISCELLANEOUS
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING v -
GAS PIPING /od✓'r.��
.. GAS VENT
CESSPOOL @ 1:00 CESSPOOL .
SEPTIC TANK: SEPTIC TANK -
DRAIN ( ) PIT ( ) @ 1..00 I SEWER /
PERMIT I 1.00
GAS TEST
• Com, UTILITY CO. NOTIFIED f
TOTAL FEE $ /yf/G� ®/7
FINAL �/
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76A667k(CE 8176) -4/77 _
APPLICATION FOR PLUMBING PERMIT
BUILDING A. SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPEI BUILDING
NUMBER FIXTURE OR ITEM @ FEE ADDR
/ LOCALLI T TY J
WATER CLOSET C
NEAREST
BATH TUB CROSS ST.
SHOWER OWNER
LAVATORY MAILI
/ ADDRESS . ��M�A,VI
SINK CITY �,� TEL.NO. �g7_31 + ?�
DISHWASHER 3 CONTRACTOR
/ CLOTHES WASHER
ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL.NO.
LAWN SPRINKLER SYSTEM
STATE LIC.
WATER HEATER LICENSE NO. CLASS
GAS SYSTEM OUTLETS DISTRICT NO. UP NE CES$ED BY y
'�•- UQ �i 3
OUTLETS OVER V
5 PER SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD v
W
G.
N
Z
Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE
Plan check applic t
APPROVALS DATE INSPECTOR'S SIGNATUR
Name
-UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel.No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST - OZ-",;, O1> 0 .(10
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL - -
PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE 1)'� !
OF PERMITTEE V' //Ai%...h/NN""'"' \ VVV/ FINAL •� - '
' PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION cnsr+
76A667-CE#817 1.0-62 ^"f:'+ Ii x a is [��-„_• � �,�,s�Vay.�r��e} -
: APPLICATION FOR PL UMBING ' PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS [
WILLIAM A. JENSEN„SUP'T OF BUILDING LOCALITY -
FOR APPLICANTTO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
CITY.' EL:NO.
SHOWER 1.25.:
LAVATORY, 1.25 CONTRAC
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITYLp
LAUNDRY TUB 1.25 CONTRACTOR'S STATE ❑
REGISTRATION NO. G L 'el COUNTY ❑
CLOTHES V SHER ,� 1.25 DISTRICT NO - Gr Z E P O SS Y
WATER' LSU � A D
1.50 INDUSTRIAL
GAS SYSTEM OUTLETS WASTE APPROVAL D.
O
OUTLETS OVER 5 PER SYSTEM .30 ♦ INSPECTION RECORD
� •y a V
s i s F�
x, u
�„ - W
CL
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 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
-,1 HEREBY CERTIFY THAT•I AM PROPERLY REGISTERED AND/OR PLUMBING.FIXTURES G �/"�� v •'O '� @
r
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST - r
CALIFORNIA.OR THAT I AM THE LEGAL OWNER O AND.INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTI oPERTY. - UTILITY CO, NOTIFIED' y/�. v
SIGNATURE -� `� 4 d _ It
OF PERMITTE FINAL
LIDATION ROBERT A. WOOD r
'CK. M.0. CASH - SUPERVISING MECHANICAL ENG'R
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A07AU07 0 7 JAN 1 5 D 3.50-