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HomeMy Public PortalAbout6138 LOMA AVE_Plumbing__ D B S.-17 25M SETS 6-46 ` APPLICATION FOR PERMITDEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES �L������ Wm.J. FOX.CHIEF ENGINEER NATURE OF INSTA TION DISTRICT NO. GROUP ZONE @/PE MIT ... ROUGH FIXTURES H COMPI.ETE � � r,3� C "'HEATER CESSPOOLSEPTIC TANK ,,-RECEIVED 9Y?'-, READY FOR DATB ISSUED p FIRST INSPECTION' AS NISCELLANEOUS APPLICANT17� C0_FILL IN HEAVILY OUTLINED PORTION ONLY JOB d, i NAM • • N® 1 INGgADS � DRES32 1 h- �... �p ADDRESI2123 N0. ClOver y Ave ! LOCALITY cj, v GtJ� IL CITY TEMPLE C --�;C�t.rs• NEAREST. COUNTY I� J' CERT.No. EXPIRES m NAME , y /)" U/ 77 LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH O CITY - TEL.No. I AM THE LEGAL POSSCSSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE-OF QUALIFICATION. PLUMBER 1 AM THE LEGAL OWNER OF THE PROPERTY DEQCRISED ABOVE. a f/ OWNER i CORRECTIONS SOUTH J DESCRIPTION OF-WORK z BATH TUB FURNACE 2 SOWER DISHWASHER q 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 METER GAS QODA FOUNTAIN CiA9 PIPING OUn 1 GAS VENT I CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK I I CESSPOOL_ SEPTIC TANK � SEWER UTILITY CO.NOTIFIED TOTAL FEE e�6 rd FINAL 76A667 DBS 17 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ' �'� COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER 0. 1R P FOR APPLICA�NT, TO FILL IN4 11NI i PLUMBERRECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS BUILDING CITY TEL No. ADDRESS COUNTY -_ A /� LOCALITY + ^'L� LICENSE NO. a� i EXPIRES ,,�10�`K 1'-?fl �p�• NEAREST N PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) @-13.50' fli � ADDRESS BATH TUB @ 0.50 CITY TEL No. SHOWER @ 0.50 SI 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 1 POSSESS THE ABOVE VALID L08 LAUNDRY TUB OR TRAY @ 0.50 ANGELES COON LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDE IAL PROPERTY R IS€D ABOVE. GAS SYSTEM OUTLETS @ 0.50 SIGNATURE OF �, 1 WATER HEATER @ 0.50 PERMITTE SLOP SINK @ 13.50 SPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 t DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 Q HOUSE SEWER @ 0.50 MISCELLANEOUS /'�_, ry��•rPa,i�3 L �7�7s'' T h//f Av I L) A/ ° APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING -7 GAS PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT I 1.DD GAH TEST TOTAL FEE UTILITY CO.NOTIFIED �' FINAL 76A667 (CE-817)-4/72 APPLICAT F R PLU BING MIT COUNTY OF LOS ANGEL S DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO ADDRESS 0G Qr' //� / _ HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY IL FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST NUMBER FIXTURE OR ITEM @ FEE OWNER WATER CLOSET 1.75 MAIL BATH TUB 1.75 ADDRESS SHOWER 1,75 CITY TEL NO. LAVATORY 1,75 CONTRACTOR SINK 1.75 ADDRESS DISHWASHER 1.75 CITY TEL NO (_ O 2� CLOTHES WASHER 1.75 STATE LIC LICENSE NO CLASS SWIMMING POOL RECEPTOR 1.75 DISTRICT NO GROUP ;—I-gNVJ FR CESSE B'Y LAWN SPRINKLER SYSTEM 1.75 WATER HEATER 1.75 INDUSTRIAL Lf� WASTE APPROVAL per_ GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD v OUTLETS OVER 5 PER SYSTEM .30 Q F— U W C/D Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE INSPECTOR 5 SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel NO GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT 1 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 PLUMBING GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALI FO RNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL SI GNA TU RE OF PERMITTEE �I YD PERMIT VALIDATIONM.0 CASH PLAN CHECK VALIDATION CK. M O CASH 2 'G X73JUL 1 3 .754 LN 76A667-CE817-8-57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION f ILDING DDRESS ( _ _ t��� JOHN A LAMBIE COUNTY ENGINEER CASSATT D GRIFFIN, SUP T-OF BUILDING CALITY FOR APPLICANT TO FILL IN AREST OSS ST. NUMBER FIXTURE OR ITEM - -OWNER WATER CLOSET MAIL �j BATH TUB ADDRESS( ` I�jC lntiL'�` SHOWER CIT `. EL.NO. � jy C 7 LAVATORY CONTRACTOR pa SINK ADDRESSQ DISHWASHER CITY TEL.NO. LAUNDRYTUB CONTRACTOR'S STATE REGISTRATION NO. COUNTY CLOTHES WASHER 'DIST> NO ROUP Z NE READY FOR INSPECTION WATER HEATER �D / GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD APPROVALS DATE INSPECTOR S SIGNATURE $1.00 PER ITEM OR FIXTURE $ UNDER SLAB WORK ROUGH PLUMBING PERMIT S 1100 GAS PIPING TOTAL FEE GAS VENT 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER ' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING P LUM_BING-FIXTURES - PLUMBING I HEREBY CERTIFY THAT 1 AM .PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED DESCRIB:.D RESIDENT AL PRO TY SIGNATURE _ _ ` OF PERMITTEE FINAL ROBERT A WOOD, ©� VALIDATION SUPERVISING MECHANICAL ENG R �C} M 0 CASH yL/ 'i 74 2 8R JUN 3 A ' 2.0-0 �. 76A667 (CE-817) - 1/75 APPLIC TION OR PLU BING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO, BUILDING C- ADDRESS HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY 4 FOR APPLICANT TO FILL IN (PRINT OR TYPE( NEAREST- CROSS STS ® em NUMBER FIXTURE OR ITEM2 @0 FEE OWNER Grh WATER CLOSET MAIL BATH TUB 200 ADDRESS G.O/h 19 SHOWER 200 CITY • • r4,,s/ �i�r TEL. NO ;(T2,/r y LAVATORY 2 00 CONTRACTOR ��L SINK 2 00 ADDRESS DISHWASHER 2 00 CITY TEL NO CLOTHES WASHER 200 STATE Pw-7 LIC LICENSE NO 1 CLASS — J SWIMMING POOL RECEPTOR 200 DISTRICT NO:j GROUP E PRO)CESSPP BY LAWN SPRINKLER SYSTEM 2 00 57-0B _ WATER'HEATER 2 00 INDUSTRIAL WASTE APPROVAL a GAS SYSTEM OUTLETS 200 3 0 INSPECTION RECORD U OUTLETS OVER y 5 PER SYSTEM .30 C'ff � O LLJ Z ' 1 Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE_ $ TOTAL FEE APPROVALS DATE INSPECTOR 9 SIGNATURE Plan Check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING -/2-76 City Tel NO GAS VENT I HEREBY ACKNOWLEDGE THAT'll HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES L l� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST Al -IZ 7,4 PLUMBING IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED AS REOU I RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM E LE AL OWNER OF, AND i-NTEND 70 / RESIDE IN THE ABOVE DES ED SID ENTIAL PAOPERTY. FINAL r I �fym (� iZ64 6 SIGNATURE / �1 I-I _ OF PERMITTEE PERMIT VALIDATION CK M.O. CASH PLAN CHECK-VALIDATION CK, M O CASH 2 1 J "APR 7 - 5 D '7.5 0 A�S6 WORKERS'COMPENSATION DECLARATION ,• ���I19��� tl ®� ,�®�,frL�lJd@lB��UiI� �k��0e9{1�� ' I hereby;affirm that.P•hd�e a cerirficate of consent to self 76A667A #' insure of o'certificate'of Workers'Compensation Insurance, CE 817(REV'8/86) or cicertifred_copy thereof (Sec '3800, LaCC y LJ COUNTY OF LOS AiVGELES _.t DEPT. OFiPUBLIC WORKS,,,,' Policy;No_ Company - u' ❑..Ceitifiea copy is hereby furnished _ DING r BUIL .FOR APPLICANT TO FILL IN(PRINT OR TYPE) Certified copy is filed with the,county building•inspec; ADDRESS hon department NUMBER FIXTURE OR ITEMFEE LOCALITY ���17,�r� �! Ddte Appligont WATER CLOSET - 6,Q� Q OSS SST •CERTIFICATE�OF EXEMPTION FROM WORKERS'` BATHTUB- CR - ' COMPENSATION INSURANCE,, /) OWNER SHOWER :(This section need not b`e,eompleted if the work involved by MAIL the`permit_is for one hundred,dollars(3100)or less:) LAVATORY O ADDRESS I,certify•that in th,e performance of the work for,whicli this i ' - , permit is issued, I shall not employ any person in dny manner 1 SINK CITY' ; TEL.NO so as to,bec'oine subject t/tfh�e orker's'Compensate aws �� �DISHWASHER CONTRACTOR.'-Date APCLOTHES WASHER_NOTICETO APPLICANT making this Certificate of ADDRESS s SWIMMING POOL RECEPTOR Exemption, you'shoulde su�blect, to the Workers' CITY TEL NO,pensationprovisionsLabor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with suchns or this permit shall be - STATE., LIC deemed revoked ATER HEATER LICENSE NO CLASS •LICENSED CONTRACTORS,DECLARATION - DISTRICT.NO ' �R ESSED BY I hereby affirm that,l om licensed under provisions of Chcpter 9 GAS SYSTEM OUTLETS00 ;'(commencing with Section,7000)of Division 3 of the'Busmess OUTLETS OVER and Professions Code,and,my license`is in full force and effect 5 PER SYSTEM FINAL VAL ATIOPI O , DATE_ 7�S�Z 0 License Number Lic'Class » FINALr�/ t O Contractor Dote BY ^/ { W ❑ I am exempt under Sec` A' 8 8P C for this reason y Plan check fee 'Date ' 7 5&•2"A P,LUMBING.PERMIT ISSUING FEE$ �' # a Signature �I °'O 4 Q TOTAL FEE 0 o - 4650,' Pldn check;apphcant, ' SINGLE FAMILY 0 7 3,1 $7 HOME OWNER-BUILDER DECLARATION, Name I hereby affirm that I am exempt from the Contractor's License Address P Law for the following reason-(Section 7031 5, Business and Professions Code)- City o •Tel No.1771 _I 1c-y I, as owner of the property, will do the work and the s structure is intended or offered for sale (Section r. 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY " Y P hereby affirm that there is a construction lending agency for _• `° "' the performance of the work for which this permit is-issued r - • V (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 State Idws regulating Plumbing, and hereby authorize representatives of this County to enter upon the a ' ove-mentioned pro ty for inspection purposes. - SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permit a Date