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HomeMy Public PortalAbout5665 LOMA AVE_Plumbing__ ya—Aec�r 1r -ag APPLICATION FOR PERMIT VEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. I GROUP ZONE PERMIT NO. PLUMBERFONTANA PLUMBING CONTRACTORS RECEIVED BY READY FOR DATE ISSUED O „�ef f`✓�'. FIRST INSPECTION ADDRESS344 W. Garvey - Monterey Park, Calif. hum CITY ATlantic 2-4654 TEL. IJO.Cumberland 3.1040 ADDRESS COUNTYt 9 A4 / LOCALITY LICENSE NO. /S r' EXPIRES /�O S NEAREST PERMIT FEES CROSS ST. NUMBER ( TYPE OF FIXTURE OR ITEM FEE OWN R 1e• pe MAIL —I WATER CLOSET (TOILET) @ 0.50 I S 1,��/ ADDRESS ' I AT.TUB n 0.501 I-,m_ CITY TEL. NO. �I SHOWER @ 0.501 1 J-0 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 1 (�_ APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND 1 KITCHEN SINK @ 0.50 I STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.501 1 ri2 ANGELES COUNTY LICESE. OR I AM THE LEGAL OWNER Or THE RESIDENTIAL P D SCRIBED ABOVE. _LI GAS SYSTEM--3—OUTLETS a 0.501 Ilcp- SIGNATURE OF WATER HEATER a 0.501 Ila PERMITTEE SLOP SINK @ O.SOI I INSPECTION RECORD FLOOR SINK @ 0.50 I FLOOR DRAIN a 0.501 DISHWASHER DRINKING FOUNTAIN t± 0.501 IURINAL @ 0.501 1 ,J I HOUSESEWER r+ 0.501 1 a MISCELLANEOUS o II L 1 APPROVALS DATE S INSPECTOR'S NAME 1I I ROUGH PLUMBING X `' GAS PIPING I ! //' � a GAS VENT �,Ii✓ �/ CESSPOOL a 1.00 I CESSPOOLy SEPTIC TANK: 1-1— SEPTIC TANK i DRAIN ( ) PIT ( ) @ 1.001 I SEWER �q f PERMIT 1.00 GAS TESTS ._,v e/ UTILITY CO. NOTIFIED TOTAL FEE I� 1 FINAL 4'76A667 DBS 17 11-511 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRICT O. GROUP ZONE PERMIT NO. FOR APPLICANT TO FILL IN � d) 1/0 3 o PLUMBER B11,1Wl-1-10W RD RECEIVED BY READY FOR DATE ISSUED `1 FIRST INSPECTION 2436 N. RiSS�JEA? f3 V0, ADDRESS CL /Y0011lit, l,A. t+ .i ie. BUILDING CITY TEL No. ADDRESS COUNTY LOCALITY LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS ST. �Xk- OWNER NUMBER TYPE OF FIXTURE OR ITEM FEE ' MAIL �7tVQ06 p_ WATER CLOSET(TOILET) @ 0.50 $ ADDRESS BATH TUB @ 0.50 CIT TEL. NO. SHOWER @ 0,50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ O,SO 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 COUNT9�,LIDENSE, OR I AM THE LEGAL OWNER OF THE RESIDENT PROP Ty DESC)31gtD ABOVE. GAS SYSTEM OUTLETS @ 0.50 ll��// bddd'' '_,��,c� SIGNATURE F a r-� �'�` WATER HEATER @ 0.50 PERMITT SLOP SINK @ O.SO INSPECTI if RBCO,-D FLOOR SINK @ O.SO FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 RINAL @ 0.50 Q HOUSE SEWER @ 0.50 Z O_ MISCELLANEOUS O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING / GAS VENT I!(C"� IL ' CESSPOOL @ 1.00 CESSPOOL � SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.001 SEWER PERMIT I 1.00 GAS TEST / UTILITY CO.NOTIFIED ./ TOTAL FEE $ ® FINAL 76A667C(CE 8". -A)• 11/76 .- APPLICATION FOR I' UM B IN PERM IT P' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ` NUMBER FIXTURE OR ITEM @ FEE ADDRESS (O C, WATER CLOSET LOCALITY 1300 NEAREST BATH TUB CROSS ST. SHOWER OWNER G�f �Y721 LAVATORY MAIL ADDRESS SINK CITY TEL.NO. DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL.NO. LAWN SPRINKLER SYSTEM _ STATE UC, WATER HEATER LICENSE NO. CLASS GAS SYSTEM OUTLETS DICT NO. GROUP ZONE PR SSED BY J OUTLETS OVER KJ 5 PER SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD V ag 1� iJ Pd1 w Plan check fee Z PLUMBING PERMIT ISSUING FEE$ (JZe TOTAL FEE Plan check applicant APPROVALS DATE INSPECTOR'S SIGNJIJURE Name \ �0 ells7ow, UNDER SLAB WORK Address JZ7 1 ROUGH PLUMBING City C Tel. No.,,2R7--(1-731 GAS PIPING 1 HEREBY ACKNOWLED E 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 CO AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST LEGAL OWNER OF.AND NO TO R IDE IN THEABOVE DESCRIBED RESIDENTIAL PROPERTY. se (cam/yam///�f UTILITY CO.NOTIFIED SIGNATURE //J,r�l%(L ✓41/�rl�" y �✓ OF PERM ITT ��VIII FINAL PLAN CHECK VALIDATION CK. M.0. cnsH PERMIT VALIDATION `` Lj"1 CK. M1 M.O. CASH 1 1 9c'-APR 24 5 D ) 2 8.0- 0 AWS 76A667-CE4617 4-¢7 FI� LJ APPLICATION FOR PLUMNG PER B COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING S / BUILDING AND SAFETY DIVISION ADDRESS J V rf� 1144 JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. / G NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS SHOWER 1.25 CITY _ _ C TEL. NO. -�V'16 LAVATORY 1.25 CONTRACTOR C SINN ADDRESS DISHWASHER 1.25 CITY TEL. NO. STATE LIC LAUNDRY TUB 1.25 LICENSE NO. CLASS CLOTHES WASHER 1.25 DISTRICT NO. GRO ZONE PROCES D�BY WATER HEATER 1.50 A f (�` CL GAS SYSTEM OUTLETS 1'50 a Q INDUSTRIAL C WASTE APPROVAL V OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD O F- U W 0_ N APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE G0 GAS PIPING =6' 1 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 1 AM PRRJ PE LY R ISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANELE U TY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LE AL O E OF,AND INTEND TO RESIDE IN,THE ABOV ESCR D R SIDE T A P PE TY. UTILITY CO. NOTIFIED SIGNATURE OF PERMITTE FINAL VALIDATION JACK R. ALLEN CK. M.0. CASH SUPERVISING MECHANICAL ENG'R. LACO2 9 8 8FEB 7 5 D 5,,00�' a 76A607-CE817 10-60 APPLICATION FOR PLUMBING PER IT' � COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING /( ,o JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS�s� A i�-'a'te WILLIAM A. JENSEN,.SUPT OF BUILDING- LOCALITY FOR APPLICANT TO FILL IN CRASS ST . �s .NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL BATH TUB ADDRESS CITY TEL NO. SHOWER LAVATORY CONTRACTOR SINS ADDRESS DISHWASHER CITY EL. O. CONTRACTOR'S COUNTY [ILAUNDRY TUB REGISTRATION NO. G7.� CLOTHES WASHER DISTRICT O. GROUP r0iNE / PROCES ED BY WATER HEATER �` O v'��1/ J��/ GAS SYSTEM INDUSTRIAL WASTE APPROVAL �. INSPECTION RECORD °- f O V o ne $1.00 PER ITEM / OR FIXTURE $ v " APPROVALS DATE INSPECTOR'S SIGNATURE -H PERMIT $ 2100 UNDER SLAB WORK TOTAL FEE ROUGH PLUMBING Du GAS PIPING IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS.CC AND AGREE TO COMPLY GAS VENT WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER y.. 1 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 1 AM THE LEGAL OWNER OF THE ABOVE tt DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED 1 L 1 ../�/ 'i /RI1/�lA ' SIGNATURE v ,I.A n M 1 //,A// /91� i.i I> I OF PERMITTE FINAL r C , .r I IV/ AM /1/ul/ VALIDATIO ROBERT A.'WOOD I l V.� CK. M.o. cnsH UPERVISING MLCHANICAL ENG'R L;'T 7490 vl2>6 5 0 3.00 r' 7BA607-CE817 10-60 t APPLICATION FOR PLUMBING. PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING L JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 5(365 N• Loma Ave® WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY Temple City FOR APPLICANT TO FILL IN NEAAREST CRST. NUMBER FIXTURE OR ITEM OWNER Reno CTali s s i s i WATER CLOSET MAIL BATH TUB ADDRESS Loma Aveis SHOWER cinTemple City TEL. NO. LAVATORY CONTRACTORAnfiony Pools! Inoy SINS ADDRESS 5671Firestone v ' ! DISHWASHER CITGouth Gate TEL. NOSP6:3221,O CORTRASTA LAUNDRY TUB REGISTRAATTION No190179 SCft53 COUNTY ❑ CLOTHES WASHER DISTRICT N OUP ZONE P O S BY WATER HEATER s a (Y GAS SYSTEM INDUSTRIAL WASTE APPROVAL >- INSPECTION RECORD a- 0 0 U Fresh water p%ping w to swim pool W a N Z @ $1.00 PER ITEM ` yam, 1 OR PER $ // 1/V APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK TOTAL FEE 3 0 ROUGH PLUMBING 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 1 HEREBY CERTIFY THAT I AM PROPERLY PEGG ISTTERED AND/OR PLUMBING FIXTURES J _ LICENSED AS REQUIRED,03Y LOS ANGELES COUNTIY AND STATE OF CALIFORNIA OR T. T i AM THE LEGAL OWNER OF THE ABOVE GAS TEST DESCRIBED RES E T L PROP UTILITY CO. NOTIFIED ' SIGNATURE OF PERNTLI^T. � FINAL 1� Kf �J` � ALIDATION ROBERT 7 770,D CK. M.0. CASH SUPERVISING MECHANICAL ENG'R DEC?2 5 D 3.G 0 �' } ORKERS'COMPENSATION DECL4\RATION 0 APPLICATION FOR PLUMBING PERMIT reay affirm that I.hove a certificate of'consent to self 20-0026 DPW 6/87 I ,insu;,e, or,,a certificate of Workers' Cdrapensation Insurance, 76A667A or a certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy.No, Company ❑ Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING �� Gertified copy is filed with the county building inspec- ADDRESS , NUMBER FIXTURE OR ITEM @ FEE �9 �l tion department. LOCALITY rVL Date Applicant WATER CLOSET O NEAREST p •T1,� CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. (��f� I TA� COMPENSATION INSURANCE OWNER htz Uv10 SK0"PI\ (This section need not be completed if the work involved by SHOWER the permit is for one hundred dollars ($100)or less.) qL LAVATORY MAIL ADDRESS /Ylyd- I certify that in the performance of the work for which,this permit is issued, I shall not employ any person in any manner SINK CITY 7efM#PLe TEL. NOd95,910 so as to become subject to the Workers'Compensation Laws. DISHWASHER )� ��y � ��� CONTRACTOR �o�� �Vj� SI�� x Date '7--dT Applicant i/l✓/�/ CLOTHES WASHER [� NOTICE TO APPLICANT: If, after' ADDRESS making this Certificate of � Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY D A� /`try TEL. NO —�73� with comply with such provisions or this permit shall be STATE [ C�/' (Cj LIC. deemed revoked. A WATER HEATER ^ LICENSE NO. /2 �0 t L[ CLASS f f LICENSED CONTRACTORS DECLARATION A•+► �J Dt.URICT NO. �POCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 1 GAS SYSTEM 3 OUTLETS J (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM r DA EL VALIDATION License Number J Lh t fs, Lic. Class Q0 IAC atW1D � �© FINAL r Contractor ate BY A Q ❑ 1 am exempt under Sec. B.&P.C. for this reason Plan check fee ► ¢�!b� Date: PLUMBING PERMIT ISSUING FEE$ Signature , TOTAL FEE Is CS Plan check applicant x' SINGLE FAMILY 5 . HOME OWNER-BUILDER DECLARATION Name 'zi► I hereby affirm that I am exempt from the Contractor's License Address ACMAT Law for the following reason (Section 7031.5, Business and 4630 I Professions Code): City Tel. No. V ❑ I, as owner of the property, will do the work and the 1 TM structure is not intended or offered for sale (Section 46.50- ^ V 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY OEC{ 46.50 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued .00 (Sec. 3097, Civ. C.). t �p Lender's Name n 1 �7/�24�80 Lender's Address 4621 1 191 8:06 1 certify that I have read this application and state that the above information is correct. I agree to comply with all County pool ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date