HomeMy Public PortalAbout6114 LOMA AVE_Plumbing__ 76A667-CES17 3-59
APPLICATION FOR PLUMBING PERMIT' �
COUNTY.OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County Engineer . ADDRESS
CASSATT D. GRIFFIN, Supt of Building )�
LOCALITY
FOR APPLICANT TO FILL-IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER r C/
WATER CLOSET MAIL
BATH TUB
ADDRESS
CITY. TEL. NO ele-rf 7, S
SHOWER
LAVATORY CONTRACTOR//
SINS
ADDRESS
DISHWASHER CITY TEL. NO 7-72 74'1-1'
CONTRACTOR'S )) STATE ❑
LAUNDRY TUB REGISTRATION NO.�o� 5 , �' COUNTY ❑
CLOTHES WASHER DISTRICTNO. GROUP ZONE PROCESSED BY
WATER HEATER L ,
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
$1.00 PER ITEM
08 FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
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 THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES Z/
LICENSED "AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE L AL 0 R OF TH A VE
DESCRIBED RESIDENTIAL PROPERTY UTILITY CO. NOTIFIED
SIGNATURE /J
OF PERMITTEP �)
FINAL •` (/– •-, l ( n
OF VALIDATION ROBERT A. WOOD,
cK. M.o: Cases SUPERVISING MECHANICAL,ENG'R
L.1't jJ. P„I�'� 5 A 3.0 0 . to
° ✓�
76A667-CE#817 5=61. ,
APPLICATION FOR PLUMBING PERM1I
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVLSION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING �r
LOCALITY
FOR APPLICANT TO FILL IN CROSSST.
NUMBER FIXTURE OR ITEM OWNER
r
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL NO
SHOWER Isi CONTRACTOR
LAVATORY ADDRESSSINS
DISHWASHER CITY LCONTRACTOR'S STATLAUNDRY TUB REGISTRATION NO. �/ Cf COUNTCLOTHES WASHER DIST�R/IC�T/NCO. GPr ZO E R S D
WATER HEATER - J � V Ct0.
O
GAS SYSTEM INDUSTRIAL u
WASTE APPROVAL
INSPECTION RECORD lw
`
CAIz
$1.00 PER ITEM
OR.FIXTURE' $ /.�� 'APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I 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. -
i HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES i
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -'GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OW E 'OF TH ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
,SIGNATURE ✓ f E` _ /F`"�A���l.�
OF PERMITTEE
,� ALIDATION ROBERT A.lWOOD
M.O. CASH SUPERVISING MECHANICAL ENG'R
Leo 0 2: �:1 NO Jutlt 14 5 -'D 3.5 O N
^�1 6 4
76A667-CE917 6-60
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES .
DEPARTMENT OF COUNTY ENGINEER
BUILDING
ANBEAFETY DGISION RSsHNA. AMICOUNTY ENGINEER ADDE6114 No Loma
WILLIAM A. JENSEN, SUPT OF BUILDING
LocALITY Temple City
FOR APPLICANT, TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAIL
ADDRESS Same
BATH TUB
CITY TEL. NO.
SHOWER
CONTRACTOR Al c ad ia.P lb . Co
LAVATORY
ADDRESS 11349 Miloann St
SINK
DISHWASHER ciTY Arcadia TEL NO•HI 67588
CONTRACTOR'S STATE'
LAUNDRY TUB REGISTRATION NO.17 912 2 COUNTY
CLOTHES WASHER DISTRICT NO. G ZONE rRE§RE;o BY
1 WATER HEATER Replacmenrt
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
J INSPECTION RECORD
t O
P41
U
$1.00 PER ITEM I /
OR FIXTURE $ •� D APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100
UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
.GAS PIPING
1 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 STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY T I. AM PROP Y GISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRE BY LOS ANG S CO NTY D STATE OF GAS TEST
CALIFORNIA OR THA '1 AM THE' AL N THE ABOVE
DESCRIBED RESIDEN AL P PERTY. UTILITY CO.NOTIFIED _
SIGNATURE'
OF PERMIT- FINAL I AVAO
®. ALIDATION ROBERT&jwo6B,
X.p. wki SUPERVISING MECHANICAL ENG'R
it 1 G 0 a !PR 1 F 5 D 3.50CO
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT -
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0612120004
BUILDING.AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 -
PHONE: (626) 285-0488 EXT: _
LEGAL ID: - FEES PAID BUILDING ADDRESS:
TR: 5904 LT: 259 6114' LOMA AV '
FEE DESCRIPTION:, QUANTITY: UOM: AMOUNT: TEMP CA 917801632
ASSESSOR INFORMATION NUMBER: - _ NEAREST CROSS 'STREST: LONGDEN
5384-012-004 01 PERMIT ISSUANCE FEE 2,7.7.5 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE•CITY, C
47 WATER HEATER(S) 1.00 WTH 16-$0
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
- 12/1.2/06 JK 06/10/07
OWNER: TEL. NO: _ - =- _ FINAL DATE FINAL BBY�:. � CODE:
HUANG HUI-MIAO (626) 287-3696- _ _ / Q
6114 LOMA AV -
TEMP 917801632 - - DESS CRIPTION OF.ORK 1�/
WATER HEATER CHANGE. OUT
APPLICANT: TEL. NO: 1
TEKAWA (310) 515-1311-
17111'S. BROADWAY SPECIAL CONDITIONS:
GARDENA, CA 90248
CONTRACTOR: TEL- NO: APPROVALS DATE INSPECTOR SIGNATURE
ACTION CONTRACTORS, INC. (310) 515-1311-
17111'S- BROADWAY - - LIC. NO - UNDER SLAB WORK
GARDENA, CA 91248 65253SBC36 -
WATER SERVICE
PLASTIC Y/N METAL-Y/N
ARCHITECT OR ENGINEER: TEL. NO: -
'ROUGH PLUMBING
LIC. NO:
GAS(PIPING
- -
GASr VENT
HOT WATER HEATER .
j - PLUMBING FIXTURES -
i
- LAWN SPRINKLERS
GAS TEST -
I .
i
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
,REPORT ID: DPR263 ROUTE TO: BS0508