HomeMy Public PortalAbout6166 LOMA AVE_Plumbing__ 76A667 -CE#617 2-62
PPLICATION FOR,-PLUMBING PERMIT
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COUNTY OF LOS ANGELES
DEPARTMENT -OF COUNTY ENGINEER BVILDiNG
BUILDING AND SAFETY DIVISION ADDRESS 616 '"No. -Lom
JOHN A. LAMBIE. COUNTY ENGINEER,,
WILLIAM A..JENSEN. SUPT OF BUILDING LOCALITY Temple
Git
FOR APPLICANT TO FILL IN NEAREST
RO SSST. r :�' /
NUMBER FIXTURE OR ITEM EACH. FEE
'OWNER Mrs . Edgeworth
WATER CLOSET $1.25 MAIL '
BATH TUB 1.25 ADDRESS Zb IVO. Loma
SHOWER 1.25 CITY•Tempie'--City, TEL. N0.28p-5833
LAVATORY 1.25 CONTRACTOR Arco Pli mbin & Heating
SINK 1,25 ADDRESS 5' 1 'West GarveyAve
DISHWASHER 1.25 CITY Monterey Pk., TEL. NO. cu 3-930
CONTRACTOR'S / STATE (9LAUNDRY TUB 1.25 REGISTRATION NO. 220351-C36 COUNTY :❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY.
1 WATER HEATER 1.50 1.50 ,`
1.50 INDUSTRIAL
GAS SYSTEM OUTLETS
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
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APPROVALS DATE INSPECTORS' IGNATURE '
PERMIT S - 2 .00 UNDER SLAB WORK l i
ROUGH PLUMBING
TOTAL FEE $3• 5a GAS PIPING
I D HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ._
ANSTATE THAT THE ABOVE IGAS VENT
S CORRECT AND AGREE TO COMPLY /0/9
p/J / IV
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER v//Y�J
PLUMBING. _ ^
I I4EREBY CERTIFY THAT I„AM PROPERLY 'REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE.OF GAS TEST , �„�_. ,�•.
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SI00,
GNATURE
OF
-
OF PERMITTEE
FINAL
ALDATION ROBERA. WOOD
cK. IM. T.o.'• CASH SUPERVISING MECHANICAL ENG'R
Lt 0 2"7 6.,4 Zp AUG 18 . 5 D 3.5 0 N.
76A667 -C EAS17 9/63APPLICATION .ION FOR PLUMBING ' PERMIT
EFSMiT
COUNTY OF LOS ANGELESzau
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FADDRE
_
JOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF Bu1LDING OSS
FOR APPLICANT TO FILL IN � CROSS v—^i 6 /a
NUMBER - FIXTURE OR ITEM. EACH FEE •4
OWNER P
WATER CLOSET 31.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
s,
LAVATORY 1.23 �S' CONTRACTOR
SIH% 1.25 \1. 1 ADDRESS 8
DISHWASHER 1.2S CITY e TEL. NO.�y�l�3L�
LAUNDRY TUB 1,25 CONTRACTOR' STATE
REGISTRATION NO. /( �' COUNTY ❑
CLOTHES WASHER - 1.25 DISTRICT NO. GROUP ZONE PROCESSE�D�BY",.
WATER HEATER 1:30
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL D_
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD V
0
V
a
v I
Z
APPROVALS DATE INSPECTOR'S SI'GNATU RE
PERMIT $ 2 00 UNDER SLAB WORK f�J
- - RO UGH'PLUMBING' /
TOTAL FEE O GAS PIPING
I .HEREBY .ACKNOWLEDGE THAT F HAVE. READ THIS APPLICATION GAS VENT '�.......-.�
AN STATE THAT.THE ABOVE IS CORRECT ANDAGREETO COMPLY
WITH' ALL COUNTY ORDINANCES AND STATE LAWS REGULATING' HOT WATER HEATER ,
PLUMBING. I
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR -PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES-COUNTY AND STATE OF i � -
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST tea•--� �
RESIDE IN,THE ABOVE DESCRIBED R SI DENTIA PROPERTY. - ,UTILITY CO. NOTIFIED �- *•
'SIGNATURE
t .
OF PERMITTEE
F I N A L p,: 4A
ALIDATION ROBERT A. WOOD-
M.O. - -CASH SUPERVISING MECHANICAL ENG'R
is o.6 0 0 5 ZZ N9V 18 5. 0 4.5 0