HomeMy Public PortalAbout5654 LOMA AVE_Plumbing__ '76A667-CEA817 5/63.
APPLICATION FOR., PLUMBING PER I.T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY. ENGINEER
BUILDING AND'SAFETY DIVISION
FBUILDING
JOHN A. LAM BI E, COUNTY ENGINEER DRESS �5 /Z
WILLIAM A. JENSEN, SUPT OF BUILDING
CALITY G �?
FOR APPLICANT TO FILL IN ARESTOSS ST.
NUMBER FIXTURE OR ITEM EACH FEE - -
WATER CLOSET $1.25 OWNERMAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 �` CITY; �� 1 TEL. NO. T
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.2S CITY TEL. NO.
25 CONTRACTOR'S > STATE
LAUNDRY TUB 1. '
REGISTRATION NO. l 1/ -3 3 COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER. 1.50 u (7.p .G /
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL d
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
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APPROVALS DATE.
INSPECTOR'SISIGN ATURE
PERMIT $ 2 00 UNDER SLAB WORK #
ROUGH PLUMBING
TOTAL FEE _3 - S GAS PIPING
I D HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
ANSTATE 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 REGI ERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUN AND STATE OF GAS TEST k
CALIFORNIA OR THAT 1 A HE LEGAL OVED,AND INTEND TRESIDE IN,THE ABOVE D 'I.ED RESIDEy 'Tv. - UTILITY CO: NOTIFIEDSIGNATURE �L��*G' .C�G.+�
OF PERMITTE LGL l FINAL
LIDATION ROBERT A. WOOD
CK. M.o. CASH SUPERVISING MECHANICAL ENG'R
n� U 2 7 1 o" AUG 17 5 0 3,2 5—
76A667 OBS 17 v=eo .APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY-OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT NOR U ZONE
FOR APPLICANT TO FILL IN
PLUMBER VALLEY BOULEVARD PLUMBING CO. REDEDS JY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS AL100 EASI VALLEY BLVD.
02-2719 BUILDING
CITY ROSEMEAD TEL.N.. AT. 'ADDRESS
COUNTY NBE. NO. 93M 6-30•„5: LOCALITY
EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEMFEE 'OWNER /
g' MAIL
i� WATER CLOSET(TOILET) O.SO $ ADDRESS
BATH TUB 0.50 CITY TEL. No.
SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL'CO:UNTY ORDINANCES
KITCHEN SINK. @ 0.50 ANDSTATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.,
GAS SYSTEM - OUTLETS .@ 0.50 - a
SIGNATURE. OF
/ WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ O.Sb INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER ® O.SO
DRINKING FOUNTAIN Q O.SD
URINAL @ 0.50 - J
Q
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS - 2
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i.
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT t.DO GAS TEST •,-�
TOTAL FEE T
UTILITY CO.NOTIFIED
�j FINAL