HomeMy Public PortalAbout6108 LOMA AVE_Plumbing__ 76A667 Des 17 11-SO APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY Lmmfim1
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER '
—D-VSTRI.CT NO GROUP ZONE PERM!jIY NEJ.
FOR APPLICANT.TO FILL IN S,� �
PLUMBER VM /y - RECEIVED BY READY FOR DATE ISSUED
gy
FIRST INSPECTION �.
ADDRESSCIO O L /3--(
.. is a ADDRESS /®V N10
BUILDING
CITY TEL No.
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST �A h&BA1 D/
PERMIT FEES ctxosH ST. � @� A �y /
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER FIs Tea �J OSI k.-
MAIL ®®k dam® �'4
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS & /��o
BATH TUB @ 0.50 CITY C TEL. ND/4/T'
l W/
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 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSBESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 Y� ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRI ED ABOVE.
GAS SYSTEM OUTLETS @ 0.50
SIGNATURE or
n
WATER HEATER @ 0.50 PERMITTEEEr
SLOP SINK @ 0.50 INSPECTION 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 M
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 I 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE $ / �
FINAL dy lAj/(,a
76A667 (CE-817)- 5/73-
1
APPLICATION ' , OR. PL BING -PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF,COUNTY'ENGINEER.,
BUILDING AND SAFETY DIVISION
MAKE CHECKS,PAYABLE TO. BUILDING
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEERiy
LOCALITY' (�
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75 1 '
MAIL /O
BATH TUB' 1;75 ADDRESS
SHOWER 1,75 CITY TEL: NO.� � �
LAVATORY 1.75 CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1;75 CITY EL.'N6.
CLOTHES WASHER 1.75 STATE ` LIC
SWIMMING POOL RECEPTOR 1.75 LICENSE NO. CLASS,
LAWN SPRINKLER SYSTEM 1,75 s
DISTRICT NO. " GROUP ZONE FROC SSE BY
Q,6 ;r-
WATER HEATER 1.75 INDUSTRIAL ,
WASTE APPROVAL d
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD
U
OUTLETS OVER 30
5 PER SYSTEM
O
V
W
Plan Check fee See Reverse
PLUMBING PERMIT ISSUING FEE"S 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant . UNDER SLAB WORK
Name ROUGH PLUMBING
Address - GAS PIPING
�Z
City Tel. No. GAS VENT '
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 P1 ��
PLUM BING. 'GAS TEST 1 7
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 1 AM THE LEGAL OWNER OF, AND INTEND TO -
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. rq
FINAL
SIGNATURE
OF PERMITTEE e� -
PERMIT VALIDATION cK.� M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
r HAY 14 5 0 4.75A4
\76A¢67—CE 817468 a� t _
APPLICATION FOR PLUMBING PERMIT
.COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS ,yam
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 �'+ cz 6z
—'�
WATER CLOSET - 1.50 MAIL
BATH TUB 1.50 ,Q' ADDRESS -
SHOWER 1.50 �j CITY TEL. NO.
LAVATORY 1.50 CONTRACTO a
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY I k TEL. NO. �f^
CLOTHES WASHER 1.50 LICENS NO.STATE -2— !/'t.� 6 CLASS O
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00 \ e g _ u
WATER HEATER 1.50 C �`�-� INDUSTRIAL
WASTE APPROVAL z
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD O
OUTLETS OVER G /G
5 PER SYSTEM '30 'J/'�p (y% G,* 73 %OR CIAJ,0i/1 r-L-0OLu
/et�SPr✓T/o�/� NoT� T � °d. Z
e"I• Qvl;dz.�r�J. a.
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE
APPROVALS D TE INS TO R'S SIGYIkTYRE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING I
Address GAS PIPING
GAS VENT
City. Tel. No. HOT WATER HEATER _
IH
ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION '�
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES ^
wR
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS 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 THAM THE LEGAL OWNER OF,AN INTEND TO
RESIDE IN, THE AB E EGCRIBED RESIDENTIAL PR PE Y. FINAL I�7/sGi C�
SIGNATURE JACK R. ALLEN, •SU PERVISIN E HANICAL ENG'R.
OF PERM ITTE
PERMIT VALIDATION CK. M.0. CASH
PLAN CHE6KNALIDATI07 CK. M.O. CASH
9 � 3 .5 18 5 Q
r, :� APR n