HomeMy Public PortalAbout6146 LOMA AVE_Plumbing__ ,ease, AP-PLICATION FOR PLUMBING PERMIT
DBS.I7'DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING 1 -
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN,SUPT OF BUILDING
LOCALITY G ,
FOR APPLICANT TO FILL IN NEAREST
CROSS ST l
L�' r
OWNER /_ DISTRICT NO GROUP ZONE READY FOR INSPECTION
MAIL
ADDRESS
-f" INDUSTRIAL
CITY C TEL NO7a74 WASTE APPROVAL
PLUMBER INSPECTION RECORD
ADDRESS
CITY TEL NO.
LICENSE-NO.
'NUMBER TYPE OF FIXTURE OR ITEM FEE �Al"��
WATER CLOSET (TOILET) @ $1 00 $
BATHTUB @ $100 :72R-p AfujT RE Adl=—D
SHOWER @ $100 ,/•RICO 010
LAVATORY (WASH BASIN) @ $1 00 /Y
KITCHEN SINK @ $1 00
DISHWASHER @ $1 00
LAUNDRY TUB OR TRAY @ $100
CLOTHES WASHER @ $1.00 '
WATER HEATER @ $I-00
GAS SYSTEM @ $100
A. 1 Cl k
APPROVALS
,v
DATE INSPECTORS SIGNATURE
1 UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE GAS VENT
I 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 PLUMBING FIXTURES
PLUMBING.
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THA I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDEN1 L P RTY ,,,.�
AI
SIGNATURE
OF PERMITTEE FINAL nmm
JOHN A. LAMB IE, CO TY ENGINEER VALIDATION ROBERT A.WOOD, CHIEF PLBG. INSPECTOR
CK. M.0. CAS.
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DBS-17 ®PPLIcAT:IO .FOR
PLUMBING�®�ER�-MtT,�
DIVISION OF BUILDING AND SAFETY s
Department of County Engineer Erl
County of Los Angeles - BUILDING LL ��((JJ
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS 141"414-111—
T
1" —111—
CASSATT_D GRIFFIN, SUP T OF BUILDING
LOCALITY, G•�..E''i
L FOR APPLICANT TO,FILL-IN' NEAREST
CROSS ST
OWNE19
/ PH -F i
G/
lk
DISTRICT N:Oj GROUP ZONE READY FOR INSPECTION
MAIL
ADDRESSjK!
INDUSTRIAL
CITY + Ci T rTEL N OF 7'/ -/ WASTE APPROVAL
PLUMBER,pl INSPECTION RECORD -
ADDRESSnn�ADQ,Al/51Now, T
,^, QR
Q ` /7� EL-NO✓/7' - 1V9 7 .. _
CITY T - ,
LICENSE NO t ,
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSE%T (TOILET) �@ $1 00 $ 44 `,4(',� AY15
BATH TUB - @ $1 00 ',f � ��
SHOWER - @ $I 00 [��'
LAVATORY (WASH BASIN) @ $1 00
KITCHEN SINK - @ $1 00
DISHWASHER - @ $1 00 Y - i•4- ;I
LAUNDRY TUB OR TRAY_ @ $1 00 -
CLOTHES WASHER, @ $1 00 '
WATER HEATER V V @ $1 00 -
GAS SYSTEM - - -@ $1 00
APPROVALS
DATE ! INSPECTOR'S SIGNATURE
sa _
" UNDER SLAB WORK'
PERMIT $ �� ROUGH PLUMBING '
GAS PIPING
TOTAL FEE' GAS VENT
I HEREBY ACKNOWLEDGE THAT-I HAVE READ3THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS.CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING. �.+• -
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST -
LICENSED AS REQUIRED BY LOSn ANGELES COUNTY AND STATE OF _
CALIFORNIA OR THAT 1 'AMTHE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL' PROPERTY,
/�n�
OF PERM ITT
SIGNATURE FINAL
JOHN K LAMBIE, COUNTY ENGINEER - VALIDATION ROBERT A.WOOD;`_CHIEF PLBG. INSPECTOR
- . t- •� • ? CK m 0. CASH
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