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HomeMy Public PortalAbout6156 LOMA AVE_Plumbing__ DBS-17 APPLICATION FOR PLUMBING PERMI 1 DBS-17 OF BUILDING AND SAFETY �j ��� '1 Department of County Engineer County of Los Angeles BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS '� CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY r FOR APPLICANT TO FILL IN t r NEAREST �v CROSS ST. C OWNER DISTRICT NO. GROUP N EADY FOR INSPECTION MAIL ®� ADDRESS' Va., INDUSTRIAL CITY t TEL. NO. WASTE APPROVAL PLUMBER �� �, . i INSPECTION RECORD ADDRESS CITY (, "-i TEL. NO. LICENSE NO. �� J'S� NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $1.00_$ c r`6ATH TUB @ $1.00 1- SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 / KITCHEN SINK @ $1.00 - DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ S1.00 Ct WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 APPROVALS DATE INSPECTORS SIGNATURE UNDER SLAB WORK - PERMIT $ 1 Ob ROUGH PLUMBING `/ GAS PIPING TOTAL FEE Y ) 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 PLUMBING. PLUMBING FIXTURES _ I HEREBY CERTIFY THAT I 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 DESCRIBED RESIDENTIAL RRTfi, - SIGNATURE 1" _ — ---- - OF PERMITTEE \ f-- - << <'—'� FINAL JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR 0. CASH 7 , "I -7 76A667-CE817 6-60 ti APPLICATION FOR PLUMB[ C PERMIT � COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSIONBUILDING / JOHN A..LAMBIE. COUNTY ENGINEER, ADDRESS 112 �(O �-??�L+-• WILLIAM A. JENSEN. SUPT OF BUILDING - LOCALITY FOR APPLICANT TO FILL IN NEAREST / CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL �p ADDRESS BATH TUB C TEL. NO. SHOWER LAVATORY CONTRAC R C er SINK ADDRESS DISHWASHER CITY TEL CONTRACTOR' STATE LAUNDRY TUB REGISTRATION NO. / c5 7 6 COUNTY CLOTHES WASHER DISTRICT NO. GROUP ZONE CESSED BY WATER HEATER Sr I/ (� GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD a O U- tq O H U W, a $1.00 PER ITEM I ` OR FDITUBE $ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2, 00 UNDER SLAB WORK TOTAL FEEROUGH PLUMBING GAS PIPING 7-7 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 PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED A9 REQUIRED BY L09 ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENT! PROPERTY. ` UTILITY CO. NOTIFIED r SIGNATURE �e p_ _ OF PERMITTE a_ -�W FINAL D. ®r VALIDSUUPERV SING MECHANICALcs. M.o.. HANICAL ENG'R ' cAsu UU 9 9 1 2 -JUL l 2 5 Q 5.L 0 ` 76 A 667 CE 817. 7-69 APPLICATION FOR PLUMBING PERMIT_ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 6 /� 4_oN g-i COLEMAN W. JENKINS. SUPT OF BUILDING LOCALITY �� q�PL�,•" �� �- FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST I -CROSS ST. l (3JL NUMBER FIXTURE OR ITEM EACH FEE ' OWNER,— ,q-WATER CLOSET. 1.50 MAIL ' BATH TUB 1.50 ADDRESS M/Q SHOWER ' 1.50 CITY TEL. NO. LAVATORY - 1.50 CONTRACTOR A SINK 1.50 ADDRESS 1 4-(, EI /'1")V--- ' Pei.F—r-. DISHWASHER _ 1.50 CITY C 1.. TEL. NO.STATE LIC CLOTHES WASHER y 1.50 LICENSE NO Z,S Q -o CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE JkPROCESSED BY LAWN SPRINKLER SYSTEM 2.00 WATER HEATER 1.50 INDUSTRIAL d 1�'E eD to T TWASTE APPROVAL GAS SYSTEM OUTLS, 1.50 $-Z1 SPECTIO RECORD OUTLETS OVER 30 4 •` 5 PER SYSTEM Plan check fee 25% of above. See reverse. PLUMBING-PERMIT ISSUING FEE $ 2 00 TOTAL FEE APPROVALS DATE' INSPECTOR'S SIGNATURE 'Plan check applicant UNDER SLAB•WORK Name - ROUGH PLUMBING Address - GAS PIPING GAS VENT City Tel• No. 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 GAS TEST - PLUMBING. a �' 1 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 RESIDENT L PROPERTY. FINAL kJ SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL ENG-R. OF PERMITTEE - PERMIT VALIDATION cK. M.o. CASH -PLAN CHECK VALIDATION CK. M O. CASH 4 5'2.7R -AR 16 _0 -3.5 0 . COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0208130011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL BUILDING ADDRESS: TR: 5904 LT: 264 6156 LOMA AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801632 ASSESSOR 0 R: NEAREST CROSS STREET: GARIBALDI 5384-012-010 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY 56 GAS REGULATOR 1.00 REG 16.20 TOTAL FEES 43.95 ISSUED 0 SE L . EX PTWET-011 08/13/02 JK 02/09/03 OWNER: TEL. NO: FIN �AT FINAL BY: CO E: ALONZO;GUSTAVO (626) 285-6907- 6156 LOMA AV TEMPLE CITY 91780 DESCRIPTION INSTALL AUTOMATIC GAS SHUTOFF VALVE PL . SAME AS OWNER _ SPECIAL CONDITIONS: CONTRACTOR: TEL. N0: ��,N �� \�� APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER LIC. NO � � IIA6€R SLAB WORK WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT 0 ENGINEER: L. ������ t � LIC. N0 ROUGH PLUM NG �--_1 1 11'1 ���, GAS PIPING - - ------ -- - - - - -- ---- -- -- - GAS VENT '1 1 SWAT R HEATER - - - - - - - --- --- - - PLUM81NG FIXTURES LAWN SPRINKLERS GAS TEST UTILITY COMPANY NOTIFIED CwV GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: SS0508