HomeMy Public PortalAbout6012 LOMA AVE_Plumbing__ 764667 (CE-817) - 5/73
APPLICATION O-R PLUNK' r'1•NG P•E'RM1Trt .
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ,
BUILDING AND SAFETY DIVISION
hiAtiE CHECKSPAYA(3LE TO: BUILDING
ADDRESS l �:
. ' HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY art
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS;ST.
NUMBER FIXTURE OR ITEM @ FEE _ `�d
4 pIOWNER ri�IaAfi
WATER CLOSET 1.75' f
MAIL- /�
BATH TUB 1.75 'ADDRESS,6(/12— 4,01'4.
SHOWER 1.75 CITY r�r� C� +( jTEL. NO.Z�
LAVATORY 1.75 :CONTRACTOR 1 '
:SINK 1.75S ADDRESS
DISHWASHER 1.75
__CITY
- - TEL.�NO.
CLOTHES WASHER 1.75 STATE LIC
LIC ENSE'NO'. .0LASS''
SWIMMING POOL RECEPTOR 1.75
DISTRICT N0. `GROUP NE,. PROCESSED BY _
LAWN SPRINKLER SYSTEM 1.75 ; ,
1
WATER HEATER 1.75 INDUSTRIAL /
,WASTE.-APPROVAL p
GAS:SYSTEM OUTLETS 1.75 INSPECTION RECORD ov
OUTLETS OVER
5 PER SYSTEM •30 _ O
C-1
d
Plan check fee See Reverse '
PLUMBING PERMIT ISSUING FEE S' .3 00
TOTAL FEE
"APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant n UNDER SLAB WORK / .F
Name ��/II� (r J V Li ROUGH PLUMBING
Address �Q `.� /�i/�e• GAS'PIPING �•_ °yt
City ^,.G'. Tela No: ���% G'AS VENT
HOT WATER HEATER
. 1 HEREBY-A T KNOWLEDGE AT I,HAVE READ THIS APPLICATION c
AND STATE'T AT THE ABOVE IS CORRECT AND AGREE TO COMPLY .PLUMBING FIXTURES `- 3•'�'I-7J
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. r - - GAS TEST
I HEREBY CERTIFY THAT [,AM PROPERLY 'REGISTERED AND/OR_, 'UTILITY•C0. NOTIFIED
. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF.,
.,.CALIFORNIA OR THAT AM THE LEGA NER OF, AND INTENDTO
.RESIDE IN THE ABOVE DE C (BED R E T AL PROPERTY.
FINAL s s.
SIGNATU RE. - -
OF��PERMITTEE
PERMIT VALIDATION" CK__ O.: CASH
PLAN CHECK VALIDAON CK. ' M.O. hcn.SH�� ;
(.D"�:','4•-DEG. 4 5 -D 8.2.5 ,& 8
76A667 (CE-817)-4/72
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APPLICATION _FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: ADDRESS Qom'
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY,
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75
MAIL
BATH TUB 1.75 ADDRESS d
SHOWER 1,75 CITY L; NO.
LAVATORY 1.75 CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY TEL: NO.
C LOTHES WASHER 1.75 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUPNE ROCESSED BY
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75NSPECTION RECORD V
OUTLETS OVER 30
5 PER SYSTEM
O
V
W
a
h
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE ?'
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan Check appl cant UNDER SLAB WORK
Name ROUGH PLUMBING
Address Zo GAS PIPING
City
Tel. NO. GAS VENT
HOT WATER HEATER
711
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 LAWS REGULATING
PLUMBING. GAS TEST
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQU IRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBE RESIDENTIAL PROPER,ZY. FINAL
SIGNATURE
OF PERMITTEE -
PERMIT VALIDATION cK. �nn.o. cnsH
PLAN CHECK VALIDATION CK. M.O. CAS
1 'i ` 3 2 8 573 SEP 21 5` fJ 4 .7 5 A �*
r
u ,
76A667-CE#817 10-62
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT. OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN. SUPT OF BUILDING .LOCALITY '� _
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE.OR ITEM EACH FEE
.OWNER
WATER CLOSET $1.25 MAIL
BATH'TUB 1.25 ADDRESS
CITY TEL. N
SHOWER 1.25
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY "— Z- 9
LAUNDRY TUB 1.25 CONTRACTOR'S STATE El
REGISTRATION NO. D !i/ COUNTY ❑
CLOTHES WASHER 1.25' DISTMCT NO GROUP ZONE PRO ESS •'13
WATER HEATER 1.50 O S O
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL C
WASTE APPROVAL O
OUTLETS OVER 5 PER SY M .30 INSPECTION RECORD u
O
w
� N
APPROVALS DATEINSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK y� _ ..�
T ROUGH PLUMBING
d
TOTAL FEE GAS PIPING 611r�ro`
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION n "` `'✓• y nd" r V
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. -
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES Y
- LICENSED,AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFgjJ
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO GAS.TEST
ED ill''// � �� / �(I/L a'" A•
RESIDE IN,THE ABOVE DESCRIBRESIDE NTI IROPERTV,� ! UTILITYCO. NOTIFIED
'SIGNATURE 'J/J/� 9
OF PERMITTEIF'/ .� FINAL.
V _LIDATIO ROBERT A. WOOD'I
CK, M.O. cnSH UPERVISING MECHANICAL ENG-R.,
LAL10 2 4 .8 8- AUG 11 5 D 3507
78A887 -GE*81;.7 9/63 `
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION enDaEss 12-
WILLIAM
L
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING - ,
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS sT. as a/3A`O. A v e-'.
NUMBER FIXTURE OR'ITEM EACH FEE OWNER (o✓/� 4—d-Lf S
WATER CLOSET $1.25 MAIL,
BATH TUB 1.25 ADDRESS Z G®
SHOWER 1.25 CITY j -e,.0 TEL. NO. O (� /� O
LAVATORY 1.25' CONTRACTOR 0 G 2
SINK 1.25 ADDRESS vl`o
DISHWASHER 1.25 CITY L C r TEL. NO. �� (�sF ��
LAUNDRY TUB 1.25 CONTRACTO STATE ❑
` REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT? P Z E PR S :BY
WATER HEATER 1.50
-GAS SYSTEM OUTLETS . 1.50 INDUSTRIAL Dom.
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 U
� INSPECTION RECORD
a
4
F
� w
kIRZF3OVALSDATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDERfSffkB WORK W/3 ///,C � J
ROUGH PLUMBING
TOTAL'FEE + �
GAS.PIPING � V rg,-•k� -
I HEREBY ACKNOWLEDGE THAT.1 HAVE READ THIS A PLICATION GAS VENT
AND STATE THATTHEABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. - +�✓
IHEREBY CERTIFY THAT I AM PROPERLY. REGISTERED• AND/OR. PLUMBING FIXTURES v*
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I-AM THE LEGAL OWN E F,AND INTEND TO GAS TEST
RESIDE IN, THE ABOVE DES IBI RESI NTIA P PERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
'VALIDATIO ROBERT A. WOOD
CK. M.o. CASH SUPERVISING MECHANICAL ENG'R
4 6 1 9-0 OCT 7 5 D 7.25-