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Home My Public Portal About5674 LOMA AVE_Plumbing__ •76A667 OBS 17 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN —OTSTRI_6113. GROUP I ZONE PERMIT NO. o 8%lv�-�� PLUMBER 8€1R€CE-HOVb°L 1 RECEIVE'BY FIRST INSP/ION DAYE ISSUED 2°436 N. ROSSAEA� BL vo. "19v„/4�!/ � ADDRESS CL Prf NiL• BUILDING ��s+ CITY TEL NO. ADDRESS C COUNTY LOCALITY 3.nC L'• a LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER � MAIL � WATER CLOSET(TOILET) @ 0.50 $ ADDRESS ,+ BATH TUB @ 0.50 CITY'=✓C�jzi� TEL. No. SHOWER @ 0.50I HEREBY ACKNOWLE GE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 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. P CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGA OWNER OF THE RESIDENTI /PRGMIERTY�D's VE. AB'6VE. GAS SYSTEM OUTLETS @ 0.50f/� SIGNATURE OF WATER HEATER @ 0.50 PERMITTEE_ SLOP SINK @ 0.50 INSPECTIWRE�5 RD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER CCD 0.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 Q HOUSE SEWER @ 0.50 z MISCELLANEOUS APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING �,. GAS VENT CESSPOOL @ 1.4313CESSPOOL -J A r' SEPTIC TANK: SEPTIC TANK /! DRAIN ( ) PIT ( ) @ 1.013 I SEWER PERMIT . . . . 1.00 GAS TEST UTILITY CO. NOTIFIED / TOTAL FEE FINALS '� 76A667-(;E817 12/59 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING ANDE,SAFUNT DIVISION BUIADDRESS �, 7 JOHN A. LAM BI COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. A01,40(q L NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL BATH TUB ADDRESS CITY' - G �%/T TEL. NO. /�y '[17 � SHOWER LAVATORY 15 CONTRACTOR dU✓� C/ �/� SINK ADDRESS DISHWASHER CITY TEL. NO. CONTRACTOR'S , STATE ❑ LAUNDRY TUB REGISTRATION NO. COUNTY ❑ CLOTHES WASHER DIST ICT NO ( GZONE PROCES BY WATER HEATER �/' O GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD w O U a 0 F � U W a In z OR FIXTURE $ ,�� APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK TOTAL FEE ® ROUGH PLUMBING GAS PIPING 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 PLUMBING. HOT WATER HEATER I 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 I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL ERTY. UTILITY CO.NOTIFIED i SIGNATURE & �� JGLZ'LrJiZ(4-'-iv� OF PERMITTEE FINAL � t, OF VALIDATION ROBERT A. WOOD, CK. M.O. CASH SUPERVISING MECHANICAL ENG'R b 78A887 -CE#817 12-64 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPT OF BUILDING LOCALITY �L� �! FOR APPLICANT TO FILL IN CROSSSS .,3 �C c NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 MAIL BATH TUB 1.25 �j ADDRESS SHOWER 1.25 CITY TEL. NO., CONTRACTOR LAVATORY 1.25 SINK 1.25 ADDRESS//3? DISHWASHER 1.25 CITY Ufj 119' TEL. NO.33.;?CONTRACTOR'S STATE LAUNDRY TUB 1.25 REGISTRATION NO. c�D L3��.�i COUNTY p CLOTHES WASHER 1.25 DISTRICT NO., CwOUP ZONE PROCESSED BY WATER HEATER 1.50 tS V __2 G= it Qb2Z GAS SYSTEM OUTLETS 1.50 J INDUSTRIAL WASTE APPROVAL d OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD w L:6-0 Lu U) Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE O GAS PIPING 9 l 1 HEREBY ACKNOWLEDGE THAT 1 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. I HEREBY CERTIFY THAT 1 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,AND INTEND TO RESIDE I HE ABOVE DESCRIBED RESID TIAL PROPERTY. UTILITY CO. NOTIFIED S I GJys4rtT �d n O FINAL '.7 // /, u ALIDATION ROBERT !I\` OOD CK. M.0. CASH SUPERVISING MECHANICAL ENG'R L�9 9 1. 3 AUG 2 5 D 5.00- 76A607-CE817 10-60 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER` BUILDING AND SAFETY DIVISION BUILDING —d� JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ,.� WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY ��/� FOR APPLICANT TO FILL IN' CRA EST CROSS /0J- NUMBER FIXTURE OR ITEM' - OWNER WATER CLOSET MAIL BATH TUB ADDRESS SHOWER CITY j�f�l��- TEL. NO._ ---� � LAVATORY CONTRACTOR fro ntrac to Ks SINS ._ - ADDRESS [e . DISHWASHER CITY 1223 a Q1 CONTRACTOR'S LAUNDRY TUB REGISTRATION NO. y 12 5 -- COUNTTYY ❑ CLOTHES WASHER DIST NO. GROUP E ,FFf C SSE WATER HEATER Jr GAS SYSTEM INDUSTRIAL ! WASTE APPROVAL y. INSPECTION RECORD y 0 ^ O a z @ $1.00 PER ITEM JJ Pl OR FIXTURE $ I [i •^� APPROVALS DATE R'S SIGNATURE . PERMIT $ 2 OO" UNDER SLAB WORK /�// �j j,' TOTAL"FEE �/ o ROUGH PLUMBING /I r - /.1 ' :GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I-HAVE READ THIS.APPLICATION i _ 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 A PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LO ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM T E LEGAOWNER OF THE ABOVE - GAS TEST DESCRIBED RESIDENTIAL PRO TY. UTILITY CO. NOTIFIED SIGNATURE - OF PERMITTEE FINAL - �✓ `,i '`�-'''`� VALIDATION RoseRT A. vv000 cK. M.0. CASH SUPERVISING MECHANICAL ENG'R .ij•. _ -. 12.0 0 rY 76A867 17 9-49 ® APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY � � COUNTY OF LOS ANGELES ll WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. PLUMBEfO `� 1 AI A PLUMBING C®Itl�l'(til.1 QR� � RECEIVED BY READY FOR DATE ISSUED r� ^A^ FIRST INSPECTION ADDREsll49' W. Garvey Monterey Park. Calif. ?iTlantic 2-4654 NIT�pberland 3-1040" AD�RElss J 7 at CITY � TEL. O: i 6 COUNTYB ` LOCALITY LICENSE NO:/'}`+'G�g ®' EXPIRES PERMIT FEES CROSS ST. J OW NER a NUMBER I TYPE OF FIXTURE OR ITEM FEE . MAIL WATER CLOSET (TOILET) C 0.50 IS 1y; ADDRESS �J BATH TUB @ 0.501 1 CITY TEL. NO. �J SHOWER @ 0.501 1 . 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS � LAVATORY (WASH BASIN) APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND_I 0.50 ® AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND- _�1 KITCHEN SINK [@i 0.501 STATE LAWS REGULATING PLUMBING. i CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 11 0.50 1 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER �w OF THE RESIDENTIAL OPERTY •ESCRIBED ABOVE. GAS SYSTEM OUTLETS O.50 I cw11 :�' SIGNATURE OF (J I WATER HEATER 0.50 I PERMITTE �"x •�' 1 SLOP SINK 0.501 INSPECTION RECORD FLOOR SINK @O.SO _ I FLOOR DRAIN a 0.501 DISHWASHER a 0.50 Il 1 DRINKING FOUNTAIN @ 0.501 1 URINAL O.SOI I ..I HOUSESEWER' @ 0.501 1 Z 1 MISCELLANEOUS I 1 I I� APPROVALS - DATE INSPECTOR'S NAME ROUGH PLUMBING n 1 I 1 GAS PIPING 1 1 GAS VENT I CESSPOOL tr 1.00 4 CESSPOOL L 1 SEPTIC TANK: 1 I SEPTIC TANK I DRAIN ( ) PIT ( ) 1.(Y01� SEWER /J PERMIT . I 1.00 GAS TEST I j�' Q� TOTAL FEF.. UTILITY CO. NOTIFIED 1 J ^A V I �!s FINAL 78A887 -CE#817 12-84 ///_!•"„/ If GJ �G /%r,N/ APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. L'AMBIE, COUNTY ENGINEER ADDRESS 5674 NLoma Avenue COLEMAN W. JENKINS, SUPT OF BUILDING , LOCALITY Temple City FOR APPLICANT tO FILL IN NEAREST CROSS ST. G(! NUMBER FIXTURE OR ITEM EACH FEE OWNER Russell Edmonston WATER CLOSET $1.25MAIL L ,• BATH TUB 1.25 ADDRESS 567 . Ne LomaAvenue SHOWER 1.25 CITY Temple City TEL. NO. �® LAVATORY 1,25 CONTRACTORAntht5ny Pooley Inc. SINK 1.25 ADDRESS 5871 E. Firestone Blvd. DISHWASHER 1.25 CITY out to TEL. NO. SP 3-2210 CONTRACTOR'S STATE LAUNDRY TUB 1.25 EG STRAT ON NO. 190179- C53 COUNTY p CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZO E PROCESSED BY WATER HEATER 1.50 GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL d OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD 0 H V W N Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE 3 50 GAS PIPING IH ACKNOWLEDGE THAT I 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 HOT WATER HEATER PLUMBING. IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER AND INTEND TO RESIDE IN,THE ABOVE DES IBED RESIDENTIAL PERTY. UTILITY CO. NOTIFIED SIGNATURE OF PERMIT p� FINAL Lq ALIDATION ROBERT A. WOOD CK. M.0. CASH SUPERVISING MECHANICAL ENG'R �ti o 9 8 0 2� jUL 2 5 5, D 3.50- d WORKERS;CONWENSATION DECLARATION 7ei+e67A I hereby affirm that have a• certificate of consent to self c e sw (z-a(,) APPLICATION FO jPLUMBING .PERMIT., insure, or�a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) COUNTY OF LOS ANGELES % BUILDING AND SAFETY.- Policy AFETY .Policy No. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ❑ NUMBER FIXTURE OR ITEM ® FEE ADDRESS .� 1V � / Certified copy is filed with the county building inspection •lepartment. LOCALITY G,l Date Applicant WATER CLOSET NEAREST BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER 3' OWNER S S' Wuf;re LAVATORY MAIL }. (This section need not be completed if the•work involved ADDRESS � /*4 O by the permit is for one hundred dollars ($100) or less.) SINK CITYI /Jim of TEL. NO. 7 73, U I certify that in the performance of the work for which this DISHWASHER �— CONTRACTOR +� S, O permit is i sued, I shall note oy a y person in any manner ll �=[-C �� '►fr so as t ec a subject tot e W l ers' Co pensation Laws. CLOTHES WASHER ADDRESS U ..Date / Applican LU SWIMMING POOL RECEPTOR i� G. NOTICE 10 APPLICANT: If, after making this Certificate of CITY TEL. NO. CA Exemption, you' should become subject to the Workers' LAWN SPRINKLER SYSTEMSTATE Q/ LIC. z Compensation provisions of the Labor Code, you must forth- / WATER HEATER LICENSE NO. �.z � Y ?i CLASS with comply with such provisions or this permit shall be deemed revoked. GAS SYSTEM OUTLETS DISTRICT NO. P,R CESSED Y LICENSED CONTRACTORS DECLARATION OUTLETS OVER l5—"Ulf Ihereby affirm that I am licensed under provisions of Chapter. 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL r,2 VALIDATION ness and Professions Code, and my license is in full force and DATE effect., , p� FINAL License Nu 3 (�` � ' lass �ry BY Contra ; ❑ I am exempt from the licensing requirements as I am a Plan check fee -?Q licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE 37 Lic.or Reg.No. Date Plan check applicant HOME.OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address License Law for the following reason (Section.7031.5, Busi City a Tel.No. ness and Professions Code): I, as owner of the property, am exclusively contracting a' 6 9, 1 A' with licensed contractors to construct the project z O (Section 7044, Business and Professions Code). #'x`00005 CONSTRUCTION LENDING AGENCY - 2 37,0 0 I hereby affirm that there .is a construction lending agency for the performance of the work for which this permit is ,o 0'0 3 0 0 v' issued(Sec. 3097,Civ.C.). Lender's Name 0'R.0-T-.8 1." 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 SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances,and State laws regulating Plumbing, and hereby authori presentatives f this Cou ty to enter upon the ve-m coned rop for inspect' n Signature of Permittee Date urposes. .• r /.rel