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Home My Public Portal About6019 LOMA AVE_Plumbing__ f 1 ICOUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer rOLUMBIMY FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZO� NE R RIT NO6 PLUMBER e-e �. RECEIVED ('FOR/ BY � ISSUED READ FIRST INSPECTION ADDRESS ;BUILDING CITY /6y TEL. No. .-�ADDRE55 "y ' couNTv s a LICENSE NO. I �I � EXPIRES �,/ �3�f"L'� ''LOCALITY 7 . e' _ NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEMFEE j OWNER - - MAIL WATER CLOSET(TOILET) @ 0.50 `$ ADDRESS BATH TUB @ 0.50 CITY TEL. NO. SHOWER @ 0.50 I HEREBY ACKNOWLEDGE 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 JrD AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY a 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER GAS SYSTEM-OUTLETS @ 0.50 OF THE RESIDENTIAL PROPERTY DESCRIBED ABOV OF WATER HEATER @ 0.SO BIONATURE ERMITTEF SLOP SINK @ 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50. DISHWASHER Q O.SO DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 I J Q HOUSE SEWER @ 0.50 i Z MISCELLANEOUS _ED O APPROVALS DATE /INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1:00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 1 1 SEWER PERMIT I 1.00 GAS TEST _ TOTAL FEE UTILITY CO.NOTIFIED L'j I FINAL 76AG67 DSS#t 17 6-52 D.S. 17 25M SETS 12-43 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFE COUNTY OF LOS ANGELES WM. J. FOX. CHIEF ENGINEER PLUMBING NATURE OF INSTALLATION DISTRICT NO. GROUPI ZONE �f PERMIT NO. ROUGH FIXTURESrCOMPLETE O - HEATER CESSPOOL ;;; I SEPTIC TANKRECEIVED BY READY FOR DATE ISSUED -, fC FIRST INSPECTION AS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB K NAME...KS't .Ol�.,�(' W�I ADDRESS �qsY g ADDRESS ��r�� + la'4sf6{apLOCALITY -I CITY TEL.No. CROSS ST. i& 0�, f � it sn`•COUNTY / CERT.No. EXPIRES W NAME .� ' LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL ADDRESSG�---s�L_ P � NORTH O CITY w TEL.No. 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. m 3 i OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORD z_ BATH TUB FURNACE Q' SHOWER DISHWASHER D LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN G+ WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN' DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER-GAS SODA FOUNTAIN GAS PIPING OUTL 1 GAS VENT I 1 .1 CESSPOOL I -�S�'ti�i'I w d6z TOTAL NUMBER OF FIXTURES SEPTIC TANK I I \ CESSPOOI SEPTIC TANK SEWER S / UTILITY CO.NOTIFIED TOTAL FEE ! I ..,_s=e-1 r. Y&e.-d i COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer PLUMBING DISTRICT NO, GROUP ZONE PERMIT NO. FOR A,P,PLIL-ICA/NT/ Q FILL IN ^ PLUMBER ( //,� _ R CEIVED gY READY FOR DATE ISSUEDr U C,../� FIRST INSPECTION ` , 14 hs ?� ADDRESS / fWl•` ' CITY TEL NO,4,e (p 4Ya7�: BUILDING - g r ADDRESS COUNTY d .a.a�Y1Orr' .. LICENSE NO. ID 7 EXPIRES/. •] LOCALITY NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER �"I MAIL WATER CLOSET(TOILET) Av O.SO III _ADDRESS ��ypq�Q BATH TUB (� 0.5q -� CITY �/ TEL. No. SHOWER AD 0.50 1 HEREBY ACKNOWLEDGE 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 Q 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER GAS SYBTEM__OUTLETS ® 0.50 OF THE RESIDENTIAL PROPERTY DESC IBED ABOVE. SIGNATURE OF WATER HEATER 0.50 PERMITTE t SLOP SINK D.sO INSPECTION RECORD FLOOR SINK 0411 0.50 FLOOR DRAIN @ 0.50 DISHWASHER 0.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 -J Q HOUSE SEWER 0.50 Z MISCELLANEOUS 3 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: --SEPTIC-TANK - 'DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT 1.00 GAS TEST UTILITY CO.NOTIFIED TOTAL FEE I K k FINAL / / 54�T ' I7GA667 DBS#17 6-52 76A667-CEI317 3-59 APPLICATION FOR PLUMBING PERMIT .. COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 'BUILDING AND SAFETY DIVISION BUILDING Lia Aqe' JOHN A. LAMBIE, County Engineer ADDRESS 6019 NO® o CASSATT D. GRIFFIN, Sup t of Building yOCALITY T FOR APPLICANT TO FILL IN NEAREST CROSS ST. - ✓ NUMBER FIXTURE OR ITEM OWNER J WATER CLOSET MAIL 6 amo ADDRESS 019 No, Loma Ave® BATHTUB SHOWER CITY T City _ TEL. NO. a 7-4-133 LAVATORY CONTRACTOR JosepbGarm3li p1ba. Co. SINS ADDRESS 7821 E GgmLgy DISHWASHER CITY So. Sari Gabrle2TEL. NO. AT 0-5349 CONTRACTOR'S STATE [ LAUNDRY TUB REGISTRATION NO. 335935 G-36 COUNTY [) CLOTHES WASHER DISTRICT.NO. GROOU'P� ONE CESSEDBY 1 WATER HEATER GAS SYSTEM IN[DUqwAT,WASTE APPROVAL h INSPECTION RECORD "'61J15 ;rtC'40 01V7- RY,I-A:0o_.1 R9 4 / o-P/4 7- @ @ $1.00 PER ITEM OR FIXTURE $ I 1000 APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2100 UNDER SLAB WORK -Ed TOTAL FEE -- 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 HOT WATER HEATER PLUMBING. 1 HEREBY CERTIFY T 7 I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSEDAS REQUIRE Y LOS ANGELES COU ND STATE OF GAS TEST - CALIFORNIA OR THA AM THE LEGAL O ER 0 THE AEAk DESCRIBED RESIDEN A PROPERTY. (/ UTILITY CO. NOTIFIED. . ' SIGNATURE 1 •, - , OF PERMITTE _ FINAL e4®. �f,'NA3l9 . ®e VALIDATION ROBERT A. WOOD; CK. M.O. CASH SUPERVISING-MECI-iANICAL EmG. � to5'42 � ,--JAN19 5 A' 30 m 76A667 (C.E-817) -_5/73 " APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS'ANGELES . DEPARTMENT OF COUNTY ENGINEER BUILDING AND'SAFETY DIVISION MAKE CHECKS PAYABLE TO:: BUILDING•, iADDRESS a HARVEY T. BRA,NDT,,COUNTY ENGINEER C- LOCA'LIT FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS.ST. NUMBER FIXTURE-OR ITEM @ FEE - - . OWNER `.•1 WATER CLOSET'. 1.75 .MAIL t BATH TUB 1.75 ADD'RESS'' ' SHOWER 1,75 CITY TEL. NO. LAVATORY 1-.75 CONTRACTO ' SINK - 1.75 ADDRESS DISHWASHER, 1.75 CLOTHES WASHER 1.75 STATE ` - LIC LICENSE O CLASS." SWIMMING POOL RECEPTOR 1.75 DISTRICT NO �'GR P Z NE =' FROC SSED..BY LAWN SPRINKLER SYSTEM 1.75 (/ Aa w WATER HEATER 1:75 INDUSTRIAL WASTE APPROVAL p" GAS SYSTEM OUTLETS 1.75' INSPECTION RECORD OUTLETS OVER 5PER SYSTEM '30 O C_;1 d Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00" TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City ' , Tel. NO. GAS VENT HOT WATERHEATER 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 I HEREBY CERTIFY.THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALI FORNIA OR THAT I AM THE LEGAL OWNER OF-, AND INTEND TO ' RESIDE IN THE ABOVE DE S CRIBED.RESIDENTI P PERTY. FINAL e SIGNATU RE , OF PERMITTE PERMIT VALIDATION cK M.O. cnsH PLAN CHECK VALIDATION CK. M.O. CASH . o 'AN: '26 5 0 4.' 5 A D.B.17 9M SETS 9-48 APPLICATION FOR-PERMIT DFPARTWNT OF BUILDING AND SAFETY COUNTY OF LOSANGELES UMBING I WM. J. FOX..CHIEF ENGINEER PL NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH ` FIXTURES COMPLETE �✓ ,+' :l.J�I® ` HEATER r CESSPOOL I-I SEPTIC TANK . R/ECEIVpED BY READY FOR FIRST INSPECTION DATE ISSUED GAS MISCELLANEOUS � AP�P�L�I/C/ANyT� FILL IN HEAVILY OUTLINED , PORTION ONLY p� �y JOB NAME ! '��9.P G-Sv'+�. RA .P 6 • tv 11,M,yl a ADDRESS .1$ 13• Al. �4 A W m ADDRESS ! \_ * 1,JJb, -ke..,S' L`-- .LOCALITY' _ AA D dNEAREST - .. a CITY - q9 :rpt ,� /CO TEL.No. Ll.//. �; / � CROSS ST. . CERT.NO. R q - EXPIRES �,(„j.COUNTY # [!y W NAME1.x..9I .�'� ! LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH O CITY TEL.NO. " 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFIC�A�TEE�O/F.QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. f4 D '$ 1 OWNER CORRECTIONS SOUTH DESCRIPTION OF WORK � � a BATH TUB FURNACE SHOWER DISHWASHER LAVATORY REFRIGERATOR I4� KITCHEN SINK -WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN ,v rl WASH TRAY URINAL _ AAPPROVALS . WATER CLOSET _ DRINKING FOUNTAIN } DATE INS-PECTO Ri",S NAMEP WATER HEATER DENTAL LAVATORY '� \ I _.� . H ROUGPLUMBING ",,, METER_ GAS SODA FOUNTAIN OUTL GAS PIPING - GAS VENT CESSPOOL SEPTIC TANK \. TOTAL NUMBER OF FIXTURES 00 CESSPOOI 'QEPTICTANKSEWER $ �G UTILITY CO.NOTIFIED �' TOTAL FEE ( - 1 4 IL_u vi �ltl L) WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby, affirm that I hove a certificate of consent to self in- A66�A PW 4/87 sure,or a certificate of Workers'Compensation Insurance,or a CE 817(REV. 8/86) certified copy thereof (Sec. 3800, Lab. C.) f' COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company "IJ �,-]y Certified copy isheehereby furnished. FOR APPLICANT TO Flk IN(PRINT OR TYPE) BUILDING I Certified copy is filed with the county building inspection tion ADDRESS ". department. NUMBER FIXTURE OR ITEM. FEE LOCALITY WATER CLOSET(TOILET) Date Applicanf` NEAREST BATH TUB CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' J �4. COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS I certify that in the performance of the work for which this per- SINK CITY TEL. NO. mit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- ` SWIMMING POOL RECEPTOR emption, you should become subject to the Workers'Compen- CITY TEL.NO, sation provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEM ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. y WATER HEATER LICENSE NO. !` CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS } 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER d and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL VALIDATION U fect. 2 DATE W. License Number"'W`<,' / ?{_'.�' Lic. Class _ J FINAL LL I� Contractar.4 ti 1 rte�` f�I, n a elf BY I am eitempt under Sec u _ - O B.&P.C. for this reason ► CL.Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ W t— Signature TOTAL FEE SINGLE FAMILY - HOME OWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name Low for the following reason (Section 7031.5, Business and Professions Code): Address I, as owner of the property, will do the work and the City Tel. No. structure is not intended or offered for sale(Section 7044, Business and Professions Code). Poo.CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for v, 0 a a • 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 I ordinances and State laws regulating Plumbing, and hereby i` authorize representatives of this Couniv to enter upon the above-mentioned property for insp n purposes. f ! r" SEE REVERSE FOR EXPLANATORY LANGUAGE i Dat Signature o('�ermifft6e ' ` e " WO COMPENSATION DECLARATION =' >, 20-0026 DPW 4787 �►.PPLICATIN FRLUA�ING PERMIT rti' ereb affil. .a't I have a certificate)of cor sent'to self in- Y• 76A667A " 'care,or'6'certificate of Workers"Compensation Insurance,or a:. CE 817'(REV:8786) c'ertified'copy thereof (Sec.:3800 Lab C.,) -- t $ Policy N OU o. Company" K. CNY O TF..LOS ANGEL ES DEPT OF PUBLIC WOR Certified cdpy.is,he_reby furnished :.; . . BUILDING ., FOR APPLICANT TO FILL IN(PRINT OR TYPE)• aCertified copy is filed with Ihe:county b'uiIdmgin§pectionc. ADDRESS t,;;��' /' 'deporimenArs' NUMBER•, . 'FIXTURE•OR ITEM,,, @ FEE' ` — z:' LOCALITY �� t'• Date , licant i WATER CLOSET(TOILET) App NEAREST BATH CERTIFICATE OF EXEMPTION FROM WORKERS . TUB CROSS ST ' COMPENSATION INSURANCE SHOWER OWNER (This section need::,not be:completed if the work involved b`y ;• MAIL the permrt is forron;e hundred dollars,(5100)or less.) LAVATORY•• : ADDRESS' I'certify'that,in the performance of,tfie.work#or which this per- " j miy'is.issued, Is not employ any person'=intany manner so_ SINK,,f CITY os`to!become subject to the'Workers' Gornpiensation laws:": -r CONTRACTOR " - ' .• DISHWASH,ER TEL. N Date_ 2k T A'pplicant's W CLOTHES WASHER r ADDRESS y's NOTICE'TO APPLICANT:xIf; after making this Certificate of'Ex- Q� em tion,,,' 1.ou shoulcfibecome sub eci•io the Workers',Com en SWIMMING POOL RECEPTOR p Y I P CITY _ _.TEL. NO cation provisions of'th-e,Labor'Code,-'ybb must forthwith comp R SYSTEM ' ply-wit h.such'provisions brthis permit shall;,be'deem'ed revok= Y LAWN$PRINKLE STATE ~'. LIC. ed. r WATER,HEATER LICENSE NO. CLASS 'LICENSED-CONTRACTORS DECLARATION DISTRICT NO: ,+ PROCESSED EY Thereby affirm tF at kam.li`cehsed'under proyisionssof CF apter.. GAS SYSTEM OUTLETS 9(commencing with Section 7000).of.Di ision"3'of the Business 4- OUTLETS OVER u and Professions"Code, and my license is -in force and ef- FINA' feet ,: C DATE SPER.SYSTEM A V TION License'•Number, "" ' ' Lic.`Class - 'FINA" E Contractor Date BY j• Q., H I am exempt under Sec w B BP:C for,:this reason; Plan check fee z Date. PL PERMIT-ISSUIF.EE.$" 8 .'5 UMBING P NG A O ® - Signature # ® OTAL FEE ,. T 005 SINGL'E:FAMILY, , > HgME`OWNER-BUILDER DECLARATION ..` Plan check applicdn't: Ia°" -3A Jr I hereby affirm tF at I am exempt from the;Cdntractor:s,License Name3 Q v Low for the following reason (Section 7031:5,•,.Business•and )v U 'J� Professions Code) Address g g I as.owner of the property,°will'do-the" ork`and the City' Tel. No •.O ,, � I p;2 7 structure.is not intended or.offered for'sale:(Section 7044,-,• T Business'.ond'Professions'Code). CONSTRUCTION LENDING AGENCY i . I-he eby Airm that there is,6 construction lending agency..for .. ihe;performance,of the work for which` his permit Is issued (Sec 3097,'Civ: C.:). Lender's Name.. , Cender's'Address" .. . . •- - ., - - I'certify-that I have read this application:gnd state..that the' above,information iscorrect:`I"agree"to comply withalLCourity ordinances and State,laws`regulating,Plumbing,-and hereby:' duth`oriierepresentatives,of this'County to enter-upon the above-mentioned roperty-for'inspection purposes'.*, : SEE REVERSE FOR EXPLANATORY LANGUAGE I Af t Signature Permittee Date• r