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Home My Public Portal About5664 LOMA AVE_Plumbing__ 76 A 667—CE S17 S/68 APPLICATION FOR PLUMBI G PERM1 ` COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING S76 ,'/ ,'/ I n ,# , JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS i V V COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY C�e}`i - FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST ) CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE y r�� OWNER J V �w WATER CLOSET 1.50 IL BATHTUB 1.50 ADMADRESS S6(0 SHOWER 1.50 CITY /'� G j/ TEL NO. E LAVATORY 1.50 .CONTRACTOR SINK 1.50 ADDRESS DISHWASHER 1.50 CITY TEL. NO. CLOTHES WASHER 1.50 STATE LIC LICENSE NO. CLASS SWLMMING POOL RECEPTOR 1.50 DIST ICT NO. GRO ZONE PROBY a LAWN SPRINKLER SYSTEM 2.00 J v WATER HEATER 1.50 INDUSTRIAL o GAS SYSTEM OUTLETS 1'.50 WASTE APPROVAL INSPECT105 RECOpg tV OUTLETS OVER D- 5 5 PER SYSTEM .30 Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEF. R 2 00 TOTAL FEE 00 APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK _ Name � co exwa. r-7- ROUGH PLUMBING AddAddress /V, am�' GAS PIPING i Tel. No. r GAS VENT HOT WATER HEATER I HEREBY AC NOWLEDGE THAT I AVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS C RRECT 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 A THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DE RIBED RESIDE TIAL PROPERTY. FINAL /� �7 SIGNATURE ? .... JACK R. ALLEN, SUPERVISING MECHANICAL E OF PERMITTEE PERMIT VALIDATION CK. M.O. CASH PLAN CHECK ALIDATION CK. M.0. CASH I ? Ij14 5 D 5.00 14 4. 76A667 (CE-817)-8-71 APPLICATIO FOR P MBING PERMIT ••COUNTY OF LOS ANGELES ' DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING -` ADDRESS46 .9 LOCA LITYv V FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET 1,75 OWNERMAIL BATH TUB 1.75 ADDRE a � �> SHOWER 1 .75 CIT � TEL. NO. LAVATORY 1.75 CONTRACTOR SINK 1.75 ADDRESS r� i DISHWASHER 1.75 CIT EL. NO. /y (j CLOTHES WASHER 1.75 STATE LIC J !9� SWIMMING POOL RECEPTOR 1.75 LICENSE NO. CLASS DISTRICT NO. GROUP E PfrgCESSE-9 By LAWN SPRINKLER SYSTEM 1.75 �� WATER HEATER 1.75 INDUSTRIAL y WASTE APPROVAL 1 f GAS SYSTEM OUTLETS .75 J / S/ INSPECTION RECORD � OUTLETS OVER 5 PER SYSTEM .30 g u g Plan check fee See reverse. PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE S APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No. GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST -7 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 LEG L OWNER OF D INTEND TO RESIDE IN THE ABOVE DES D IDENTIA R Y. FINAL SIGNATURE OF PERMITTEE �'` PERMIT VALIDATION OCKM.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH 1,AC., 0961i r 7 5 D 4.75 . r y8A68T 5y 9-as��5 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY r. COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. cl✓ /`2' PLUMBER FONTANA PLUMBING CONTRACT01, RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION .. �� 344 W. Garvey Monterey Park, 12' x ADDRESS ` Y y ..�. /� 's- CITY ATlantic 2.4654 -TEL, &Tberland 3.104 ADDRESS S4(�No COUNTY e / � LOCALITYp,„:. LICENSE NO. EXPIRES{0 NEAREST � PERMIT FEES CROSS ST. ,. *: a �. a NUMBER 1 TYPE OF FIXTURE OR ITEM FEE OWNER 0 �/ I WATER CLOSET (TOILET) C 0.50 ® I�I jo MAIL ADDRESS BATH TUB c@ O.50 CITY TEL. NO. SHOWER @ 0.50 I _, 1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND � _ AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING KITCHEN SINK @ 0.501 . 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS S I LAUNDRY TUB OR TRAY @ 0.501 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL P ,,_SCRIBED ABOVE. I GAS SYSTEM--%R--OUTLETS 0.50 SIGNATURE OF JWATER HEATER @ 0.501 G.� PERMITTEE SLOP SINK CD 0.501 1 INSPECTION RECORD FLOOR SINK n 0.50 1 _ I FLOOR DRAIN @ 0.50 DISHWASHER Q 0.501 DRINKING FOUNTAIN t' 0.501 URINAL (a) 0.So I 1 I HOUSESEWER a 0.501 1 Q Z MISCELLANEOUS I 1 D ItO _ I I I 1 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING I f14 GI 1 I GAS PIPING —, GAS VENT CESSPOOL @ 7.001 I CESSPOOL SEPTIC TANK: I SEPTIC TANK DRAIN ( ) PIT ( ) tQ 1.001 I SEWER n PERMIT . I i.00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE I S ( I - /e FINAL ' 76AG67 DBS 17 11.50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ' 1 WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN GIST O. GROUP ZONE PERMIT N O. PLUMBER BURKE`tiO ARD READY FOR RECEIVED BY DATE ISSUED FIRST IN ION ADDRESS 2435 N. YiVJSEA-lrk�' (iVf'), /,w� tl SP/ __ (/ _ ;'v_-, _ ".,:Xlv� BUILDING CITY TEL. N0. ADDRESS706(0 COUNTY LICENSE NO. EXPIRES LOCALITY �' �" NEAREST v �Y PERMIT FEES CROSSST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER I MAIL ADDRESS �PGOIV WATER CLOSET(TOILET) @ 0.50 $ r BATH TUB @ 0.50 OI e- TEL. No. SHOWER @ 0.50 1 HEREBY ACKNOWL DGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ q.50 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. 1' CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LI,CEySE, OR 1 AM THE LEGAL OWNER OF THE RESIDEN .PAIS. OPERTY DESCRI ED ABOVE. GAS SYSTEM OUTLETS @ C.50 SIGNATURE OF �-- WATER HEATER @ 0.50 PERMITTEE - SLOP SINK @ 0.50 INSPECTI6i REb-bAD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 C-rHOUSE SEWER @ 0.50 z (� MISCELLANEOUS O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING f GAS VENT CESSPOOL @ 1,00 CESSPOOL SEPTIC TANK: SEPTIC TANKli�'* '1 DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT I 1.00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE . FINAL + VVDRKERS' COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I h7reby afi.Tn-"that I have S;certificate of consent to self 76A667A in'suf6,,or a cer�tflcaye of,Workers' Compensation Insurance, CE 817(REV. 10/81) ` of a certified f (Sec. 3800, L . ) COUNTY OF LOS ANGELES BUILDING AND SAFETY .,Policy No. Company ❑ Certified copy is hereby furnished. N FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING •, Certified copy is filed with the county building inspec- ADDRESS y tion par ment. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applican WATER CLOSET 00 NEAREST BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' Q COMPENSATION INSURANCE 7, SHOWER Q® OWNER (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY. 00 ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL. NO. so as to become subject to the Workers'Compensation Laws. DISHWASHER //'' CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' CITY:2� TEL. NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM 6 with comply with such provisions or this permit shall be STATE LIC. NO. B deemed revoked. / WATER HEATER LICENSECLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. Azzii I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS Q(� /f q (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER �J and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL VALIDAVI&N DATE 0-, License Numb Lic. Class 0 FINAL 0. ContractAS Date BY ❑ A O I am exempt under Sec. I-- 0 B.&P.C. for this reason W Plan check fee a,, Date: PoIll ;2497,6A 0 PLUMBING PERMIT ISSUING FEE$ `� Z Signature TOTAL FEE # o o o 0 0 5 Plan check applicant a o76,50 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name, /VC 0 0 0 7 65 05 I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and r 07. 08-86 Professions Code): City Tel. No. ❑ I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section , 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY 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 I 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 laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the ve- ention d erty for i 'ection purpos SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Da e