HomeMy Public PortalAbout6032 LOMA AVE_Plumbing__ 76AG67 DBS 17 7-51 APPLICATION,FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBINU
DIS
--TR— D. GROUP ZONE —PERMIT
FO APPLICANT TO FILL I �. J oma / �tf,
PLUMBER A/ t'�JRO. RECEIVE BY READY FOR DAT /ISSU D_
FIRST INSPECTION °
ADDRESST
. rBUILDING cf)
-7CITY ADDRESSTEL
COUNTY LOC YLICENSENO. f3 EXPIRES NEAREST
\l
PERMIT FEES I CROS.13 ST�.��'/j a 1
NUMBER TYPE'OF FIXTURE OR ITEM FEE OWNER' J J,vwif�.�iS1
1 MAIL f �g � / � /q�
WATER CLOSET(TOILET) 0.50 $, (/ ADDRESS (p �7 JV {liy�gf"t•—eA
BATH TU.B @ 0.80 �} CITY ` TEL.
No. `
SHOWER @. 0.50 1 HEREBY ACKNOWLEDGE THAT 1 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 q--•+ 6 AND STATE LAWS REGULATING PLUMBING.
- I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 'O.SO .�� ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVEf.
GAS SYSTEM
OUTLETS 0 O.SO 0 ,'
SIGNATURE OF WATER HEATER @,.0.50 '. PERMITTEQ
r�
SLOP SINK - @ O.So INSPECTION RECORD
FLOOR .SINK @ 0.90 -
FLOOR DRAIN 0.50 -
DISHWASHER 0.50
DRINKING FOUPITAIN @ 0.50
URINAL @ 0,50
Q
HOUSE HEWER @ 0.50 _Z
MISCELLANEOUS
C7
O
APPROVALS
DATE IN PETOR•e NAME
ROUGH PLUMBING
GAP PIPING
.GAS VENT
.CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.170 - ,SEWER - F #e'�j Jury Q
'
PERMIT. 1.CC GAS TEST V I#1, J//—/
,! UTILITY CO.NOTIFIED V A—,- 1.1-"I.
TOTAL FEE $ �i
FINAL
CE 817W7-69
761A667
APPLICATION ` FORPL.l1NI�Id�1C� Pp_ MIT
COUNTY-OF-LOS ANGELES
DEPARTMENT OF%COUNTY,.ENGINEER .
,BUILDING AND SAFETY DIVISION BUILDING /
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ��►;, -h�r ��^
COLEMAN W. JENKINS. S60-T. 6F_-BUILDING: LOCALITY
7
., FC R.APPLICANT TO FILL IN (PR NT• OR.TYPE)',- CROSS S
T• a JX fr
NUMBER'. FLXTU RE..O R,I T EM. EACH FEE
OWNER
;WATER'CLOSET, - „'.1.50
. MAIL
�U
BATH'TUB - :1.50
ADDRESS", `` ^
,SHOWER 't- 1.50 TY '' - 4 - (. �7� .. -
CI , TEL. NO
p LAVATORY .,'_: -' 1.50'•.'- _. ° "d� ' "1
CONTRACTOR ''
SINK I:50' '
ADDRESS.'
` DISHWASHER 1.50 - CITY-SQ-, ,� I EL. NO. �_
'CLOTHES WASHER •;. 1.50 - r
., STATE' � LIC.
LICENSE NO. CLASS ,
SWIMMING,P,OOI3 RECEPTOR 4.50., DISTRICT NO. :'GROUP ZONE ,ROCESSED BY-y
-LAWN SPRINKLER SYSTEM 2.00 10
�..
- WATER HEATER ` 1..50 -INDUSTRIAL _-
y WASTE APPROVAL , a r
GAS SYSTEM OUTLETS .1.50 / � - 'INSPECTION RECORD ,
OUTLETS OVER _ ,-_ -
5 PER:SYSTEM. •30 �- � �.•...
,
- -
Plan'check fee 25% of-above. See reverse,'
PLUMBING PERMIT ISSUING FEE l: 2 00 TOTAL-,FEE,
-i APPROVALS ` '; - DATE 'INSPECTOR'S SIGNATURE, ,
`Plan check a licant "•
PP .. UNDER SLAB"WORK,-
'Na 7r1@ - RO UGH PLUMBING -
Address, - GAS PIPING -
GAS YEN,T- "
City - Tel. NO. HOT WATER HEATER
I HEREBY. ACKNOWLEDGE-THAT I HAVE. READ THIS.APPLICATION
AND STATE THAT THE ABOVE IS'-CORRECT-AND AGREE TO'COMP-LY PLUMBING'FIXTURES_
WITH ALL" COUNTY' ORDINANCES..,AND STATE;_..LAWS. REGULATING' GiAS_TEST -
PLUMBING: - '_,.. - _ .
I� HEREBY'CERTIFY THAT I"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 OF,,AND INTEND,TO
RESIDE IN, THE ABOVE DE CRIBE RESIDENTIAL ROPE RTY:
FINAL 1A''s:EF••/ d. %.f r.G _S�YN"
-SIGNATURE `
OF PERNIITT '.PACK R:ALLEN SUPERVISING MECHANICAL ENG R.
PERMIT VALIDATION C,K ra-o ASH
PLAN (IilECK V'ALIDA_TION cK • o CASH
7,
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