Loading...
HomeMy Public PortalAbout6111 LOMA AVE_Plumbing__ 76A667 17 25M SETS 7-4B APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1 DISTRICT GROUP ZONEPERM N . FOR APPLICANT TO FILL IN P PLUMBER -14 ,0#AFC' dB/ READY FOR / RECEIVED Y DATE ISSUED FjIRSTi IQNS/PECTION ADDRESS CITY JOB ADDRE;S No (ol y�/I/t�t COUNTY OEXPIRES / " LOCALITYLICENSE NQ _ /! o I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NEARESTGI �� ANGELES COUNTY LICE E. CROSS ST. OWNER MAIL p ADDRESS 4 PERMIT FEE IS $1. FOR THE FIRST FIXTURE OR CITY TEL. No, ITEM LISTED BELOW, PLUS 50C FOR EACH ADDITIONAL I AM THE LEGAL OWNER OF THE RESIDENTIAL PROP- ITEM. FOR EACH SEPTIC TANK AND PIT OR DRAINFIELD ERTY DESCRIBED ABOVE. $1.00. MINIMUM FEE FOR ANY PERMIT $1.00. EACH GAS SYSTEM IS A SEPARATE ITEM. OWNER NUMBER TYPE OF FIXTURE OR ITEM ® WATER CLOSET (TOILET) CORRECTIONS e BATH TUB SHOWER 14YIS LAVATORY (WASH BASIN) KITCHEN SINK LAUNDRY TUB O.%TRAY GAS SYSTEM 46 WATER HEATER SLOP SINK J Fd � Q FLOOR SINK FLOOR DRAIN _O DISHWASHER a _ O DRINKING FOUNTAIN - URINAL MISCELLANEOUS APPROVALS I 7 DATE { INSPECTOR'S NAME J ROUGH PLUMBING -2-q'Jl•d /1 �'(a GAS PIPING - ei ✓ _ GAS VENT CESSPOOL Rae SEPTIC TANK - DRAIN ( ) PIT ( ) $ SEPTIC TANK CESSPOOL $ SEWER HOUSE SEWER $ �.� Ei" GAS TEST TOTAL FEE $ UTILITY CO. NOTIFIED ��FINAL �� mu A66'7 17 11-49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY IBM1 ILI 9% COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRICT O. GROUP ZONE PERMIT . FOR AP LICANT T FILL IN /� R� q 6o PLUMBER � y RECE48� FIR5TAIN�SPECTIjIN �'4TE/�BS�� ADDRESS ` CAM/ow Vf"� BUILDING CITY Zf9vL= TEL. No. ADDRESS COUNTY LOCALITY LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS sT. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) @ 0.50 $ ADDRESS BATH TUB @ D.SO 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 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, O 1 AM THE LE AL OWNER OF THE RESIDENTIA R Ee ES D BOVE. IGAS SYSTEM OUTLETS @ 0.50 SIGNATURE OF , WATER HEATER @ 0.50 PERMITTEE SLOP SINK @ 0.50 INSPECTION RECORD FLOOR SINK @ 13.501 FLOOR DRAIN @ O.SO F-I DISHWASHER @ O.'5D !' DRINKING FOUNTAIN @ D.SO URINAL y @ 0.50 J _ HOUSE SEWER p @ 0.50_ - _Z MISCELLANEOUS "'� I LS O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING iI GAS VENT CESSPOOL @ 1.00 CESSPOOL A SEPTIC TANK, SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT I 1.00 GAS TEST / ��7Vy UTILITY CO. MOTIFIED TOTAL FEE $ FINAL " t 76A667-CE#61 7 6-65 e\_.JA✓ � � ' APPLICATION FOR PLUMBING PERMI COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING III r— JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 1 ( s � OmA it COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY .� 1rMy°�E C FOR APPLICANT TO FILL IN CROSS ST. GR-A)li 1 Fl L D I NUMBER FIXTURE OR ITEM EACH FEE �' �� �,�,n r WATER CLOSET OWNER 51.25 L a nn ,, t g n _ MAIL BATH TUB 1,25 '�" ADDRESS (olJ. L©MA R �. SHOWER 1.25 CITY L i TTEL. N0. �? LAVATORY 1.25 's s 6 CONTRACTOR SINK 1.25 ADDRESS Aj ©M t DISHWASHER 1.25 CITY L` 1 TEL. NO. STATE LIC LAUNDRY TUB 1.2S LICENSE NO. CLASS CLOTHES WASHER 1.25 DISTRICT NO. GROUP ;;---Z�ONE PROCESSED BY WATER HEATER 1.50 S.(::> -T K DUSTRIAL GAS SYSTEM Z! OUTLETS 1'� �b WASTE APPROVAL--l—i0 OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U 0 E- V Lu (L V) Z n APPROVALS DATE )MISPECTOR'SISIGNATURE UNDER SLAB WORK PERMIT $ 2 00 '9 / _ ROUGH PLUMBING TOTAL FEE O GAS PIPING -- I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE 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 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED RESIDQRQIAL PROP TY. UTILITY CO. NOTIFIED SIGNATURE O� \JI-� OF PERMITTEE p FINAL VALIDATI CK. M.O. CASH Lt l' 0 7 8 7'410) FEB 18 5 0 -8.50M CE H 17(REV.6/76) APPLICATION F �RPLUM 1NG PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING , ADDRESS NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET LOCALITY NEAREST BATH TUB CROSS ST. .�C•-y�,.i., SHOWER OWNER LAVATORY MAILADDRESS SINK CITY TEL.NO. DISHWASHER CONTRACTOR CLOTHES WASHER 'ADDRESS SWIMMING POOL RECEPTOR CITY TEL.N . i i LAWN SPRINKLER SYSTEM STATE �" LIC. WATER HEATER LICENSE NO. CLASS GAS SYSTEM OUTLETS APPROVALS DATE INT R'S SIGNATURE OUTLETS OVER UNDER SLAB WORK �� S PER SYSTEM ROUGH PLUMBING GAS PIPING a 0 GAS VENT C3 HOT WATER HEATER Qp PLUMBING FIXTURES 6�J) GAS TEST It It a ^ Plan Check fee LITY CO.NOTIFIED PLUMBING PERMIT ISSUING FEE$ o TOTAL FEE s FINAL PLAN CHECK VALIDATION Plan check applicant Name L �n Address IYO 3 y S'Z City Tel.No. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION 93358A IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REOU IF ED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE If 0 O,o O 0 5 LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. 2 ! 0 300 00 SIGNATURE OF PERMIT E 0 0 0 1 3 0 0 2: DISTRICT NO. PRO SSED 03,21 21 7 n INDUSTRIAL WASTE APPROVAL I �I 76A667 - CE817 5/70 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING.12-DIES /���JOHN A. LeAMBIE, COUNTY ENGINEER ADDRESS J 1 ' `COLEMAN W:JENKINS. SUPT. OF BUILDING LOCALITYFOR APPLICANT TO FILL IN(PR NT OR TYPE) NEARESTr^R1CROSS ST. �J!1I`NUMBER FIXTURE OR ITEM EA H FEEn �p.OWNEREAJ!Z I O AR LWATER CLOSET 1. 0 MAIL BATH TUB 1. ADDRESS SHOWER 1 0 CITY L� O.LAVATORY 1 50 CONTRACTOR ADDRESSSINK 1 50 DISHWASHER 150 CITY O.CLOTHES WASHER 1 50 STATE ICLICENSE N LASS SWIMMING POOL RECEPTOR 1150 DISTRICT NO. GROUP ZONE PROCESSED BY LAWN SPRINKLER SYSTEM 2 0 C WATER HEATER 1. 0 WINDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1. 0 INSPECTION RECORD OUTLETS OVER .30 5 PER SYSTEM En Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE .8 ,3 00 TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name /v - ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. No. HOT WATER HEATER 1 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. IHEREBY CERTIFY THAT 1 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 DESCRIBED RESID TIAL PR PERTY. FINAL �I f / SIGNATURE • -OF PERMITTEE rJACK R. ALLEN, SUPERVISI Gf MJECH ANICAL EN mmmmommmmmeme OF PERMITTEE � PERMIT VALIDATIONV c M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH I � iU:-22 5 D 4.75w 76A667C (CE-8178) -975 APPLICATION FOR PLUMBING PERMIT BUILDIN ND SAFETY DIV( FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ,M/(�� NUMBER FIXTURE OR ITEM _FEE ADDRESS ' l g L(�p•11"/ Ur WATER CLOSET LOCALITY NEAREST /n� BATHTUB CROSS ST. A I /1 L SHOWER OWNER Ei C t S E- LAVATORY MAIL ADDRESS 1 SINK CITY Q'`' TEL. NO. .-.� DISHWASHER "" CONTRACTOR CLOTHES WASHER SWIMMING POOL RECEPTOR ADDRESS - CITY TEL. NO. LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER LICENSE NO. CLASS o DI ICT N GRO P Z E ES D BY c7 GAS SYSTEM OUTLETS :33�� �� OUTLETS OVER r 5 PER SYSTEM INDUSTRIAL w WASTE APPROVAL N INSPECTION RECORD Plan check fee PLUMBING PERMIT ISSUING FEE $ TOTAL FEE Plan check applicant Name APPROVALS DATE INSPECTORS SIGNATURE UNDER SLAB WORK Address ROUGH PLUMBING City Tel. No. GAS PIPING ]� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO _ RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROP//EE/RR/TY. UTILITY CO. NOTIFIED SIGNATU RE Q /� OF PERMITTEE FINAL PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M CASH 66 EN 22 5 D � � � nAb"I 76A667A ICE 8176)- 11/76 Qu APPLICATION FOR PLUMBING PERMIT d� 4 BUILDIN AND SAFETY DIVI N FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING n, I NUMBER FIXTURE OR ITEM @ FEE ADDRESS 6 G�Cf/J[ A WATER CLOSET LOCALITY NEAREST BATH TUB CROSS ST. ✓ J SHOWER OWNER (1 DI6,�55"qec LAVATORY MAIL j p �� ADDRESS 7 ( / , A 1!G— SINK CITY (' TEL.NO. � �3 DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL.NO. LAWN SPRINKLER SYSTEM STATE LIC. WATER HEATER LICENSE NO. CLASS GAS SYSTEM OUTLETS DISTRICT NO. GROUP I ZONE OCESSED BY OUTLETS OVER vt S PER SYSTEM INDUSTRIAL 9D. WASTE APPROVAL INSPECTION RECORD qp 99 u 0. Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE Plan check ap icant APPROVALS DATE INSPECTOR'S SIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING City Tel.No. GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. - HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY, UTILITY CO.NOTIFIED > SIGNATURE - '' L OF PERM ITT EE Jo, FINAL ,�d -A PLAN CHECK VALIDATION CK. M.0; CASHI V,.ALID 10 C M CASH ©5 WORKERS'COMPENSATION DECLARATION* 20-0026 PW 4/87 APPLICATION FOR PLUMBING PERMIT �-1 hereby affirm 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) certified copy thereof (Sec. 3800, Lab. C. COUNTY-OF LOS ANGELES DEPT. OF PUBLiC WORKS Policy No, -Company 0 Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING 0 Certified copy is.filed with the county building inspection ADDRESS 6111 A) Lomiq 4q department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY WATER CLOSET(TOILET) 1�P L'E 1 T Date Applicant NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB ~ CROSS Sr. �y( 4 �j A L A I COMPENSATION INSURANCE. SHOWER OWNER E�hdr t OF5AIle L " (This section need not be completed if.the'work involved by MAIL //� � gg rp � the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS tI/�' /V �—C Al Ar I certify that in the performance of the.work for which this per- . mit is'issued, I shall not employ any person*in,any�manner so SINK - CITY `�� pL I�— TEL. NO. -,,5,357 cis to become subject to the Workers Compensation Laws. DISHWASHER CONTRACTOR Date t Applicant a ov�c 1/�d s�rr CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- CITY TEL. NO. sati6n provisions of the Labor Code, you must forthwith corny- LAWN SPRINKLER SYSTEM ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS.DECLARATION. �Q DISTRICT NO. P OCESSED BY I hereby afffirm.ihat'I am licensed under provisionsofChapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the'Business OUTLETS OVER 1 Ocq � fed Professions Code, and my license is in full force and ef- .5 PER SYSTEM. FINAL ✓ ✓ VALIDATIO DATE O License Number Lic. Class U FINAL Contractor ' Date _ BY / O I am exempt under Sec. Q B:&P.C. for this reasonIL Rlan check fee 0 9 Q 9 A Date: PLUMBING PERMIT ISSUING FEE$ O O o a O 5 Signature TOTAL FEE S� SINGLE FAMILY •° - 1 6.5 0 E HOMOWNER-BUILDER DECLARATION Plan check applicant I hereby affirm that I am exempt from the Contractor's License Name ° ' o.1 b 50' Law for';the following reason (Section•7031:5, Business and 1 4-88 Professions Code): Address Q 1, as owner of the property, will do the'work and the City Tel. No. 'structure is not intended or offered fair sale(Section-7044, Business and ProfessionsCode). CONSTRUCTION LENDING AGENCY I'hereby'affirm that there is a construction lending agency for 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 ► ordinances and.Stcite laws regulating Plumbing, and 'hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. 3 SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date