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Home My Public Portal About5658 LOMA AVE_Plumbing__ E G 1-T ; �.� TNi P - Y APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT T D COUNTY ENGINEER FNEAREST BUILDING AND SAFETY DIVISION �s✓ �� JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING FOR APPLICANT TO FILL IN NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET $1.25 OWNER MAIL BATH TUB 1.25 ADDRESS�, . SHOWER 1.25 CITY f� J1L F C/,;—, TEL. NO.. Q / LAVATORY 1.25 1 L CONTRACTOR SINK 1.25 ADDRESS Cis vi'4 L E� DISHWASHER 1.25 CITY �+J��/ /?j� TEL. NO.�j STATE LAUNDRY TUB 125 Y� CONTRACTOR'S �o C j COUNTY E❑ REGISTRATION NO. O CLOTHES WASHER 1.25 DISTRICT NO. GROUP I ZONE I PROICESSED BY WATER HEATER1.50 S Q p I — GAS SYSTEM OUTLETS 1.50 j Q INDUSTRIAL WASTE APPROVAL O OUTLETS OVER 5 PER SYSTEM .30. INSPECTION RECORD V DC O F V W Vf z APP OVALS DATE INSPECTOR'S S GNATURE t'B WORK ._PERMIT $ 2 00 UNDER ROUGH PLUMBING -TOTAL FEE /00 b GAS PIPING a 1f "-v I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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. 1- HEREBY CERTIFY THAT I AM PROPERy�Y-REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGE�L�E��u.COUNTY AND STATE OF GAS TEST CALIFORNIA OR T AT 1 AM TH LEGAL/O NER OF,AND INTEND TO RESIDE IN,THE CRIBE NTENTIALPROPERTY. UTILITY CO. NOTIFIED ,/ I PP La TEE Il FINAL `\ ALIDATION ROBERT A. WOOD cK_ M.0. CASH SUPERVISING MECHANICAL,ENG'R _ 9 2r O`.5Q AUG�2>2 5 D 1 0.07 `•r } . _.. ." � Fes_ _ . _. .. ,. 76A667 (CE-817) - 5/73 (/� APPLICATION FOR PL MBING "PERMIT'- COUNTY OF LOS ANGELES _ DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE,TO: ADDRESS �' a Sf ,f" 1 Cr .• HARVEY T. BRANDT, COUNTY ENGINEER. LOCALITY xu �' <-Z FOR-APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST _ [� NUMBER FIXTURE.OR ITEM @ FEE CROSS ST. ��. WATER CLOSET 1.75 OWNER '4 ' BATH TUB 1.75 ADDRESS ,J ��J �VF jLLCi SHOWER 1.75 CITY �•� TEL NO. Z� �• � LAVATORY 1,75 CONTRACTOR SINK 1.75 ADDRESS DISHWASHER 1.75 CITY TEL. NO. . CLOTHES WASHER 1.75 STATE 4 LIC ' SWIMMING POOL RECEPTOR 1.75 LICENSE NO. CLASS. DISTRICT N0. a UP NE CESSED BY LAWN SPRINKLER SYSTEM 1.75 O WATER HEATER 1.75 ! INDUSTRIAL WASTE APPROVAL a. GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD 0 5 PEROUTLSYSTEM OVER .30 5 PER SYSTEM C_ a2 -? � . / Lu . N Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS ' DATE INSPECTOR'S SIGNATURE Plan check applicant I? ZS UNDER SLAB WORK Hanle ROUGH PLUMBING - Address GAS PIPING City Tel. No. GAS VENT EBY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICATION HOT WATER HEATER TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES �� LL COUNTY ORDINANCES AND STATE LAWS REGULATING' G. GAS TEST. - ` EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED [L' AS REQUIRED BYLOSANGELES COUNTY AND STATE.OF NIA OR THAT IAM THE LEGAL OWNER OF, AND INTEND T0N THE ABOVE DESCRIBED RESIDENTIAL PROP(E��•jjjRTY. ^ FINALU REERM I TTEE / a+ti•' //J PERMIT VALIDATION CK. M.0. CASH PLAN CHECK VALIDATION CK. M.O. CASH 7 a., 5 0 8.2 5 L 76A667 (CE-817) - 5/73 _ APPLICATIO FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER . BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: FAU NG S,HARVEY T. BRANDT, COUNTY ENGINEERTY"FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEARET.. O �G�Y7" NUMBER FIXTURE OR ITEM @ FEE `- - - WATER CLOSET 1.75 OWNER � !/f �� BATHTUB 1.75 ADDRESS �f %f SHOWER 1.75 CITY TEL. NO. Y i'l I LAVATORY 1.75 CONTRACTOR SINK 1.75 ADDRESStJ /� DISHWASHER 1.75 r CITY C�C, / �"TEL. NO.��7%5� CLOTHES WASHER 1.75 STATE LIC. LICENSE'NO.' CLASS "{ SWIMMING POOL RECEPTOR 1.75 DISTRICT NO. , UP NE' ESSED BY LAWN SPRINKLER SYSTEM 1.75 a � saG WATER HEATER 1.75 INDUSTRIAL' WASTE APPROVAL p GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD OU E S OVER 5 ER YSTEM30 O LLJ z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE ;75- APPROVALS DATE INSPECTOR'5 SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING " ' City Tel. No. GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING'FIXTURES WITH ALL COUNTY ORDINANCES AND STATE , WS REGULATING PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY EGI5TERED AND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY—LbS ANGELES CO fY AND STATE OF ,/1, ..,� CALIFORNIA OR THAT IMAM T E LEGAL OWN OF, AND INTEND TO ,�6�97?— A/"v, SQL�� •��/ >"/' ;1. ` RESIDE IN THE ABOVE SCR E ITESMENTI PROPERTY, n/ FINAL 2z Z4,oz SIGNA TU RE �f OF PERMITT 111 PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH �^ I I-JUL 10 5 1) 4.7 5 7en661 VY l-as APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY " " COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. PLUMBER'ONTANA P1IMRING CONTRACT noc RECEIVED BY READY FOR DATEISSUED p�a„ FIRST INSPECTION ADDRESS 44' W. Garvey Monterey Park, C -lif ��r `6 •.+ ATlantic 2.4654 - C ADDRESS .��.�� ®• �`� CITY TEL. d?�erland .'1040 COUN LII CEN E N0. CA ® EXPIRES „? 3 1 LOCALITY a NEAREST � PERMIT FEES CROSS ST. s NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER oe1 /e�y MAIL WATER CLOSET (TOILET) @ 0.50 I S I,a Y/ ADDRESS �I BATH TUBa 0.50 I I CITY TEL. NO. �I SHOWER ` @ 0.501 I ppprcaipI HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS �1 LAVATORY (WASH BASIN) a 0.50 I_p APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND fit= AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK n 0,50P� STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY rr O.50 I _ ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL P PERTY ESCRIBED ABOVE. �I GAS SYSTEM OUTLETS of 0.50 I � ,� SIGNATURE OF _1 WATER HEATER @ 0.50 I Imo. PERMITTEE 1 SLOP SINK @ 0.5- INSPECTION RECORD J FLOOR SINK @ O.50 FLOOR DRAIN @ 0.501 DISHWASHER @ 0.501 DRINKING FOUNTAIN @ 0.501 1 URINAL @ 0.501 I J HOUSE SEW ER o 0.501 1 Q MISCELLANEOUS I I� 1 I APPROVALS IDATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING I (-- GAS VENT � CESSPOOL @ 1.00 I I CESSPOOL I _� SEPTIC TANK: I SEPTIC TANK I DRAIN ( ) PIT ( )_ @ 1.00 I I SEWER PERMIT . I 1.00 GAS TEST I TOTAL FEE Q� UTILITY CO. NOTIFIED$ e_ �® FINAL •76A667 DBS 17 11-50 - APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY Ift Aft COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT O. GROUP ZONE MIT NO. ,,ra--��t�� o X03 PLUMB BUWE-i'F1.39 ARD READY FOR ER RECEIVED FIRST INSPECTION DATE ISSUED ADDRESS 2436 N. RGS��'SA^ BLVD, CL MiUlNilt, C.fiL r*v')`.1 t BUILDING 7157g CITYTEL. No. ADDRESS COUNTY LOCALITY LICENSE NO. EXPIRES - - a NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) @ 0.50 $ ADDRESS BATH TUB @ 0.507r R CI TEL. NO. SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.513 APPLICATION AND STATE THAT THE ABOVE IS 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 LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE,LEGAL OWNER OF THE RESIDEN PROPERTY DES I ED ABOVE. GAS SYSTEM OUTLETS @ 0.50 SIGNATURE OF WATER HEATER @ 0.50, PERMITTEE SLOP SINK @ 0.50 INSPECTIO RE RD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 13.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 Q {HOUSE SEWER @ 0.50 ? 0 MISCELLANEOUS Ir 0 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING , GAS VENT CESSPOOL @ I.MO CESSPOOL SEPTIC TANK: SEPTIC TANK A✓ , •01 DRAIN ( ) PIT ( ) @ 1.00 I I SEWER PERMIT I 1.00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE $ v r WORKERS'COMPENSATION DECLARATION MP-Ptf'CATI N FOR PLUMBING PERMIT I heby,affirm that I have a certificate of'consent to self 76A667A r'I insure ora certificate of Workers' Compensation Insurance,- CE 817 (REV.8/86) C.itY Of Temple City T ILII or a certified copy thereof (Sec. 3800, Lab. C.) 201916• SCIF COUNTY.OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No Company 1227 65 Certified copy is hereby furnished: FOR APPLICANT TO FILL IN(PRINT OR TYPE). BUILDING Certified copy'is filed with the county building inspec- ADDRESS 5658, Loma, -Ave.. - NUMBER FIXTURE OR ITEM @ FEE tion department: LOCALITY,:. ' WATER CLOSET. Da -1=RB Applicant l• . NEAREST . CERTIFICATE OF.EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER (This section'need not be completed if the work involved by SHOWER Willard 'J SnellMAIL ; the permit is for one hundred dollars'($106)or,less.) ADDRESS LAVATORY' Same I certify that.in the performance of the work for.which this , perm.it'is issued;Isha'll not employ any person in any manner SINK CITY TIL:NO. 9 so 6s to become subject to*the Workers'Compensation Laws. 74-1153 DISHWASHER CONTRACTOR- General Installation Co. Date Applicdnt CLOTHE SHER. ADDRESS : NOTICE TO APPLICANT If 'after making,this Certificate of 6558 West Blvd4 Exemption, you* should become subject to the Workers' SWIMMINL RECEPTOR p y I CITY TEL. NO.. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLE..,Y TEM LOS ATl elves 753-2541 with comply with.such provisions or this permit 'shall be STATE, LIC. 'deemed revoked. l WATER HEATERLICENSE NO. 151839 CLASS C36 LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY. I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM' UT. TS (commencing with Section.7000)`of Division 3 of the Business OUTLETS OVER a and Professions Code,and my license-is in full force and effect. 5-PER SYSTEM FINAL /]v VALIDATION • _ DATE • '' z! V License Number 201916" ' Lic. Class x`36 FINAL ' l� ContractorW 00 Prc)yin Date 4—SS BY 1° ❑ LAI L). I am'exempt under Sec. `A. B.BP.C. for this reason Plan check fee Date: PLUMBING PERMIT ISSUING FEE$" 16,;50- Signature TOTAL FEE 1 Plan check applicant 7 2 5 A SINGLE FAMILY o 0.5 t HOME OWNER-BUILDER'DECLARATION Name # o •.o Thereby affirm that I.am exempt from the Contractor's License . Law for'.the•following reason (Section 7031.5, Business and Address tI .m o 5 0 Professions Code): City Tela No. aI, as owner of the property,..will do the work and'the a .e o 1 6.5 0 c=i structure is not intended or offered for sale (Section' - 7044, Business and Professions Code). r PP CONSTRUCTION LENDING AGENCY • 0-6, 1 5'&,-8 7 I hereby affirm that there is,a.construction lending agency for the performance of the work for which this permit is issued . (Sec. 3097, Civ. C.). Lender's Name. Lender's Address 1 certify that I have read this application and state that the above information is.correct.•I agree to comply with all County _. ordinances and'State lows regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned pro' ty inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE r • Signa ure o Permittee. Date �� WORKERS' COMPENSATION DECLARATION ' Ihereki eSffirm that have a certificate of'consent to self in=. 20-0026 DPW"4✓87• APPLICATIOnI .FOR PLUMBING PERMIT Y. 76A667A sure'ora certificate of Workers'Compensation,lnsurance,or a CE 817(REV:l8/86) certi'FCed copy thereof (Sec..'3800;'Lab C Policy No10=0489604 -.compan_y.,CI� Itisizrat ' Crtn�' COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS ' Certified copy is h reby furnished R: ._ >. BUILDING..56 >, , FOR APPLICANT'TO FILL IN OR TYPE) , Certified copy isfiled'withthe-counfy building inspection', ADDRESS 58 Loma " department. NUMBER FIXTURE;OR ITEM @ FEE LOCALITY Applicant le, Clt. pate , 2-5. 91 phcant 04Vei1.'Brcos "PIUIllblll 1 WATER CLOSET(TOILET)' ..SO 7 5O em NEAREST CERTIFICATE OE EXEMPTION,FROM WORKERS'' 1 _BATHTUB 7' 50 CROSS ST. .COMPENSATION INSURANCE OWNER SHOWER;. L. & W, lOIlleCenter , This section need not be corn leted if the work involved b 1 7 5O. ( P Y: MAIL the permit is for one hundred d6llars'(5100).or'less.) 1 LAVATORY• 7.50 ADDRESS :8812 E.. La i§.TUnaS Drive Lcertify'that m dl e performance'of the work for which this per mit is issued-Ishall not em to an person in an manner so ' . SINK :CITY TEL.NO: ,_ P Y' YP v San Gabrlei 287-1131 as'to become subject to the Workers' Compensation Laws DISHWASHER CONTRACT Date Applicant L~ CLOTHES WASHER B P NOTICE,,TO,APPLICANT: If,after making this'Certificate of Ex- ' ADDRESS 4265 ,N Baldwin Avenue emption,you should become subjectto the Woikers'Compen- SWIMMING POOL RECEPTOR a . _ w CITY - TEL. N0.44 — sahon;provrsions of.fhe Labor Code,:you must forthwith,comp- , •tAWN.SPRINKLER SYSTEM" � ' � El Monte 3 `0078 ly with,such provisions orthis permit shall be deemed revoIk STATELIG ed i WATER HEATER 7 50; LICENSE NO. 231, 741 CLASSC36-20-16 LICENSED,CONTRACTORS DECLARATION DISTRICTNs1. ' ROCESSED BY I hereby affirm that l am licensed under provisions of Chapter. GAS SYSTEM OUTLETS 9(commencing witH Section 7000)of.Division 3 of the B.Division OUTLETS OVER , and Professions Code, and my license is in full force and ef- FINAL feet, y O 5 PER SYSTEM. DATE VALIDATION License Number 231 -741 Lic. Class C36-26 16 FINA Contractor CW-n BYT-8 P11iTh_ Date 7-5_91. 0 , BY / I�om exempt under See! d , his reason - t/) Plan check fee B BP.0 fort .. Date:- `� _ PLUMBING PERMIT ISSUING FEE $ 1 OO' Signature ' SINGLE FAMILY TOTAL FEE .licanti. 50 50 HOME OWNER=. Plancheck a BUILDER DECLARATION PP •- I hereby offirm'that I am;exemptfrom the Contractor's License Name.. .t. Law for'the'-following reason (Section 7031.5, Business and H ¢ Professions Code):" ;Address 1 as'owner-of the:property, will do the work'and,the City No. Tel 'structure is not intended oroffeted�for sale'(Sectipn 7044; . . - -- ,.,. _ _ � ,,•�t;.�..' ` " 1if st :t Business acid Professions Code). ' UAL -50 CONSTRUCTION LENDING AGENCY, . o HE i,hereby affirm that there is a construction'"lending agency for ''=' t' the Performa ce of•the work which this permit is issued tts = r o !}:. (Sec: 3097, Civ. C.j. i.! , ll I Lender's Name t.I ti 97 Lender's Address i 't AI.certify that I have read this application and state that the . above'information'is correct. I;agree to comply,with all County d. •ormantes and State laws regulating.Plumbing,'and hereby au horize represer tati`ves of this County to enter-upon, the ave;,me ed prop fy 'in , spection purposes.. 2=5-91 " SEE REVERSE FOR EXPLANATORY LANGUAGE ` Si `oture of'Permitte Date