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