HomeMy Public PortalAbout5671 LOMA AVE_Plumbing__ 76A661 - CEB17.5/70
APPLICATION FOR . PLU BING PERMIT
COUNTY OF LOS ANGELES _
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. I.AMBIE, COUNTY ENGINEER�� - ADDRESS
COLEMAN W: JENKINS. SUPT. OF BUILDING LOCALITY
;���'
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE '
GL �L L
WATER CLOSET 1.50 OWNERMAIL
BATH TUB 1.50 ADDRE
SHOWER 1.50 CITY �,if,.�j� TEL. NO.
LAVATORY 1.50 CONTRACTOR
SINK 1.50 ADDRE
,5237
DISHWASHER 1.50 CITY / TEL. NO;- 1,6—/ [�
CLOTHES WASHER 1.50 STATE L CENSE NO. � JC;7 CLASS e"'2 0
M mm-
SWIMMING POOL RECEPTOR 1.50 DIST�RICTNo. /' GR ZO P -�BY
LAWN SPRINKLER SYSTEM 2.00
WATER HEATER 1.50 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD
OUTLETS OVER .30
5 PER SYSTEM
en
Plan check fee 257. of above. See reverse.
PLUMBING PERMIT ISSUING FEE -S --�5 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No.
HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES j
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING. L
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ��
CALIFORNIA OR THAT I AM THE LEGAL OWNER NO INTEND TO
RESIDE IN,THE ABO V CRIBED RESIDE AL OP R7r. FINAL
SIGNATUREJACK R. ALLEN, SUPERVISIN ME5C ENG-R.
OF PERMITTE GCc' u
PERMIT VALIDATION c .o. CASH
PLAN CHECK VALIDATION CK. M.0. C{{ASH 7
`76A667 oes 17 11.513 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY �'
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
D STR NO. GRO P ONE RMT N
FOR APPLICANT TO
FILL IN e)S-ele?
PLUMBER BURKC-1LOoVA � RECEIVED BY READY FOR DATE ISSUED
FIRST INSP TION _
ADDRESS 2.5366 N. R^SSVEA!^ BVID. �-
BUILDING
CITY TEL. No. ADDRESS
COUNTY LOCALITY
LICENSE NO. EXPIRES NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE DWNE I
MAIL
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS/
BATH TUE @ 0.50 CITY`:" ��. TEL. No.
SHOWER @ 0.50 1 HEREBYACKNOWLEDGETHAT 1 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 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDEN.TIAL-P/�/2OPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50 SIGNATURE O -j�i
WATER HEATER @ 0.50 PERMITTE
SLOP SINK @ 0.50 INSPECT r RD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
RINAL @ 0.50 <
Q
HOUSE SEWER @ 0.50 ?
O
MISCELLANEOUS
(Y
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
el CESSPOOL @ 1,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 I SEWER
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE $ c�
FI NAL V
,-IBA 887 97-9-44
APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT O. I GROUP I ZONE PERMIT O.
PLUMBEFFONTANA CONT RAC TRECEIVED BY READY.FOR DATE ISSUED
f� n_l FIRST INSPECTION
ADDRESS,44 W. Garvey - Monterey Park Calif. _ _ _ s
BUILDING S�y
CITY ATlantic 2-4654 - TECNBi.berland 3-1040 ADDRESS to w p/®f
COUNTY ) `,� &/j Ao'4
LICENSE NO. / M EXPIRES _ LOCALITY
If- NEAREST
PERMIT FEES CROSS ST.
NUMBER I TYPE OF FIXTURE OR ITEM FEE
OWNER
MAIL
WATER CLOSET (TOILET) @ 0.50 I S I It?3
ADDRESS
BATH TUB 0.50 I CITY TEL. NO.
SHOWER @ 0.50 I I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 I I 5-p APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINE: @ 0,501 STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 6.501 11*10 ANGELES COUNTY LICENSE,POR.) AM THE LEGAL OWNER
�] OF THE RESIDENTIAL P OERTY DESCRIBED ABOVE.
y2
� I GAS SYSTEM -OUTLETS n 0.501
WATER HEATER @ 0.501 SIGNATURE OF
PERMITTEE - - -
SLOP SINK @ 0.50 I INSPECTION RECORD
FLOOR SINK @ 0.50
1 1
_ FLOOR DRAIN @ 0.50
DISHWASHER @ 0.501
DRINKING FOUNTAIN @ 0.501
URINAL @ 0.501 I ,J
HOUSE SEWER @ O.50 I Q
MISCELLANEOUS I V`
0
I
I I I
I I I
i I
APPROVALS
DATE INSPECTOR'S NAME
_ROUGH PLUMBING I /p
GAS PIPING g./I
GAS VENT �I
CESSPOOL @ 1.00 I I CESSPOOL ,
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( @ 1.001 I SEWER
PERMIT I 1.00 GAS TEST
IUTILITY CO. NOTIFIED
TOTAL FEE Is
1/ 5-0 / �I
® FINAL