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Home My Public Portal About6034 LOMA AVE_Plumbing__ 76ASS7 0Bs 17 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES Pff L mum mmm Ems I N uAft A. - WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN S R N.�. R,OUP O N PERMIT NO. �- PLUMBER REC E BY READY FOR DATE ISS ED `6 //`: FIRST ECTION ADDRE$ - CITY 1. TEL. No. _ ADDRESS ® COUNTY LOCALITY LICENSE N0. EXPIRES �y NEAREST PERMIT FEES CROSS ST. �g OWNER NUMBER TYPE OF FIXTURE OR ITEM FEE MAIL WATER CLOSET(TOILET) @ 0.50 $ ADDRESS BATH TUB @ 0.50 CITY TEL. No. SHOWER @ 0.50 1 HEREBY AC NOWLEOGE 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 @ O.SO - AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I-AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM-OUTLETS @ 0.50 WATER HEATER @ 0.50 ,.q BIONATURE OF L/ PE SLOP SINK @ O.SQ $PECTION RECORD FLOOR SINK @ 0.50 (� FLOOR DRAIN @ 0.50 _ DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 URINAL* @ 0.50 J Q HOUSE SEWER @ 0.50 Z MISCELLANEOUS Q' O APPROVALS DATE I_N�S/PPECTOR•9 NAME ROUGH PLUMBING GAS PIPING �\ GAS VENT CESSPOOL @ 1;00 CESSPOOL SEPTIC TANK: - SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER \ "'::+.4•. PERMIT • I 1.00 GAS TEST UTILITY CO.NOTIFIED TOTAL FEE ¢ rFINAL 0.B.17 3-41 25M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT NO. _ ROUGH FIXTURES COMPLETE - HEATER CESSPOOLHSEPTICTANK RECEIVED BY FIRSTREADY OR ,f/DATE ISSUED GAS MISCELLANEOUS • f�� - .J APPLICANT FILL IN-HEAVILY OUTLINsE�DG�PORTION ONLY JOB � it NAME: /i��fr 6.s,•^".. ADDRESS W /— �L `�'J�"'� LOCALITY ' m ADDRESS IL CITY / � TE �1,7 6((�F CROSS ST.COUNTY CERT.No. � �"°� EXP IRES��D-1,//9 W NAME / /y91/�'A/M/f . LOCATION OF SEPIliC TANK, OR CESSPOOL 3 AMAIL DDRESS //�.�lJ� NORTH = O CITY v` TEL.No. I AM THE//_EGGA�1L POSSESSOR OF_,rTHE ABOVE LOS ANGELES COUNTY CERTIFICATEIOF QUALIFICATION. ' - - I �� PLLIMBER I AAA THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. F N W 3 m OWNER i CORRECTIONS J SOUTH a - Z DESCRIPTION OF WORD - BATH TUB FURNACE SHOWER DISHWASHER — i LAVATORY REFRIGERATOR KITCHEN.SINK WATER SOFTENER — FLOOR SINK SAND TRAP SLOP SINK — FLOOR DRAIN ® WASH TRAY _URINAL,. APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE iK SPECTOR•S NAME V WATER HEATER —DENTAL LAVATORY , ROUGH PLUMBING METER GAS SODA FOUNTAIN GAS PIPING OUTL t GAS VENT l CESSPOOL _4 TOTAL NUMBER OF FIXTURES SEPTIC TANK - SEWER CESSPOOL SEPTIC TANK UTILITY CO. NOTIFIED rt s TOTAL FEE I FINAL �� 76A667-CE 817468 APPLICATION FOR PLUMBING PERM117T COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY.DIVISION BUILDING ADDRESS �Ll L JOHN A.•LAM'BIE, COUNTY ENGINEER 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 - OWNER P&1 U / L 6 S WATER CLOSET 1.50 4' MAIL y' BATH TUB 1.50 -v ADDRESS �/� 2- /a (•!. _ SHOWER 1.50 CITY TEL. NO. LAVATORY. 1.50 CONTRACTOR, �_ " �° SINK 1.50 ADDRESS lleC DISHWASHER 1.50 CITY U - TEL. NO. CLOTHES WASHER 1.50 STATEr LIC LICENSE NO. `� �� .CLASS •'- SWIMMING POOL RECEPTOR 1..50 DISTRICT NO. GROUP ZONE PROCESSED BY LAWN SPRINKLER SYSTEM 2.00 a ,� i�/'�✓�'0 WATER HEATER 1..50 INDUSTRIAL WASTE APPROVAL z GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD �0 OUTLETS OVER 30 5 PER SYSTEM ALJ BSB d N z. Plan check fee 257, of above. See reverse. PLUMBING PERMIT ISSUING FEE 9 2 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 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 GAS TEST PLUMBING. 1 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 1 AM THE LEGAL OWNER OF,EARND INTEND TO RESIDE IN,THE AB DE GC BED RE IDENTIAL PROPTr. FINAL , SIGNATURE 1 JACK R. ALLEN, SUPE VIS NG MECHANICAL ENU'R. OF PERMITTE � - ' 111111180� PERMIT VALIDATION CK. M.O. FC ASH PLAN CHECK VALIDATION CK. M.O. ASH �. t l 6 5 0 6.50- r .5ON a D.B.17 3-41 25M . APPLICATION FOR. PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE ' PERMIT NO. ROUGH FIXTURES COMPLETE —i - RECEIVED BY ..READY FOR DATE ISSUED HEATER CESSPOOL -[� SEPTIC TANK FIRST 1 SPECTION GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION.—OONLYJO B (o E NAME ADDRESS � ,sem �" L d ' C!►�s""Y''�.CC_ W �✓(rte LOCALITY m ADDRESS �,,. �fa,l.2✓I d d•- ? J •TEL _CITY _� M".d ! .No. � �,�,,: CROSS T. .r �<* - .Elegy :kdSJa COUNTY I - / EXPIRES CERT.NO. W NAME i /11/1t-Iff,2 1/�A LOCATION OF SEPTIC TANK, OR CESSPOOL 3 MAIL ADDRESS NORTH O CITY ✓.,�"�Q�i✓-�I_, TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE, LOS ANGELES COUNTY CERTIFICA,T.E OF, QUXLIFICATIOIJ. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. f m U) D 3 to OWNER i CORRECTIONS SOUTH _I Q Z DESCRIPTION OF WORK — a BATH TUB FURNACE Q SHOWER DISHWASHER — 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 OUTL GAS PIPING GAS VENT ® CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK SEWER CESSPOOL SEPTIC TANK $ UTILITY CO. NOTIFIED TOTAL FEE I � �../•P`/? FINAL ,76A667 DBS 17 7-51 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY , COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRICT GROUP I ZONE PERMIT NO. FOR APPLICANT TO FILL INA.. ( �✓ PLUMBERREADY FOR " //.q../1 RECEIV D BY FIRST INSPECTION DATE ISSUED ADDRESS �V�.(1 At tp ,�, � �6.y'` BUILDING 1 CITY ,,�d`D�'y141.P/4S� TEL NO.jsf � (.�" ! ADDRESS t� +%n A vas:. IPENSE COUNTY � EXPIRES LOCALITY /��V PERMIT FEES ' CROSS s. /t.I/� (/J� '�i-�• NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER v / V> MAIL 7( WATER CLOSET(TOILET) f@ 0.50 $ ADDRESS �� At BATH TUB @ 0.50 CITY TEL NO. SHOWER @ 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 @ 0.50 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOB LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRISEDrABOVE. 1 GAS SYSTEM OUTLETS @ 0.50 SIGN WATER HEATER @ O.5D PERMITTEr SLOP SINK @ 0.513 INSPECTION RECORD FLOOR BINK @ 0.80 FLOOR DRAIN @ 13.50 DISHWASHER (@ 0:50 DRINKING FOUNTAIN @ 0.50 - URINAL @ 0.50 J Q HOUSE SEWER @ 0.50 Z MISCELLANEOUS - L7 CY NT ll O APPROVALS DATE INBPHOTO R'B NAME ROUGH PLUMBING •� /'9 [3A9I PIPING .. GAS VENT CESSPOOL @ 1.00 , CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) (L 1.00 SEWER PERMIT 1.00 GAS TEST / UTILITY CO.NOTIFIED TOTAL FEE FINAL �rl�s+�`� ��✓ D.B. 17 25M SETS-12-43 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING ANIS SAFETY COUNTY OF LOS ANGELES Wm.J. FOX. CHIEF ENGINEER PLUMBING NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE • �y Fos-® 3 HEATER CESSPOOL I-I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED GAS MISCELLANEOUS �bt. F'iib»l!C APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY ,1,X- roe 6g �[ NAE 1�i�' //�.!Gyi�!"Y/�/�� ADDRESS `7 /J m ' q a7 ADDRESS % L� //f'/ /�'�yl (�''vi LOCALITYNEAREST ' /.ol/l�.✓7�'J/J�!�.L� - �^�r..r/1 C CITY /ti /�/yy_ �-j d�-d EL'.No. CROSS SF. ` v COUNTY v vrr�� ^ "h• CERT.No. EXPIRES K '.NAME la LOCATION OF,SEPTIC TANK, OR CESSPOOL z MAIL (J 3 ADDRESS NORTH O CITY TEL.No. I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY,CERTIFICATE OF QUALIFICATION. 1-6 r PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. M 3 � OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORD: a Z BATH TUB FURNACE SHOWER DISHWASHER - LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I METER GAB SODA FOUNTAIN GAS PIPING OUTL I I GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK I I LC SEPTIC TANTK I SEWER I / py, UTILITY CO.NOTIFIED TOTAL FEE FINAL WORKERS' COMPENSATION DECLARATION20-0026 PW 4/87 APPLICATION FOR PLUMBING PERMIT Trhemay,iiffilRn that I have a certificate of consent to self in- 76A667A sure,or a certificate of Workers'Compensation Insurance,or a CE 817(REV. 8/86) QUI certified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company Certified copy is hereby furnished.` FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING O� - Certified copy is filed with the county building inspection ADDRESS (47 department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant WATER CLOSET(TOILET) Op NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB ¢s�- {2 DO CROSS SL B COMPENSATION INSURANCE R OWNER �e 71'//f (This section need not be completed if the work involved by ^� MAIL the permit is for one hundred dollars ($100) or less.) LAVATORY vo ADDRESS *� I certify that in the performance of the work for which this per- j SINK mit is issued, I shall not employ any person in any manner so CIT TEL.Al TEL. NO. �1 _ as to become subject to the Workers'Co ensation La s. DISHWASHER �� a` CONTRACTORDate O v v Applic I CLOTHES WASHER Q NOTICE TO APPLICANT: If, of r I ng this Certificate of Ex- ADDRESS em tion, you should become ect to the Workers'Com en- SWIMMING POOL RECEPTOR P Y I P CITY TEL. NO. sation provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEM ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. „' WATER HEATER O LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PR CESSED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS U 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER •J and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL J VAL ATION fect. DATE- 0 O License Number Lic. Class (� FINAL g Contractor Date BY /tj O I am exempt under Sec. LU f� B.&P.C. for this reason Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ 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 Law for the following reason.(Section 7031.5, Business and Professions Code): Address 0 6 2J A I, as owner of the property, will do the work and the City Tel. No. # 0 0 0 0 0 5 structure is not intended or offered for sale(Section 7044, ' 0 0 8 5 0 F�jsiness and Professions Code). CONSTRUCTION LENDING AGENCY ► 0 0 0 8 8.5 0 5 I hereby affirm that there is a construction lending agency for 0 9,08-88 the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lenderfs 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 ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the �above-m ioned p/roperty fo ec'on purposes. �`� SEE REVERSE FOR EXPLANATORY LANGUAGE S' nat re of Permittee ' Date