HomeMy Public PortalAbout6221 LOMA AVE_Plumbing__ APPLICATION FOR PLUMBI G PERMIT.
COUNTY OF LOS ANGELES
'
DEPARTMENT A� ,OF COUNTY ENGINEER
BUILDING A -EAFETY DIVISION $uILDIIQG - /
JOHN A. L MBI COUNTY NGINEER I�iDDRESS /V J L�
WILLIAM A JENSEN, SUPT OF BUILDING
LOCALITY "—'`, t.v,-
FOR-APPLI
-FOR-APPLICANT TO FILL IN NEAREST
CROSS ST, p A3
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET j Zi MAIL
j BATH TUB ADDRESS
J
CITY TEL NO.
SHOWER
LAVATORY CONTRACTOR (�
SINS ADDRESS 140
DISHWASHER CITY•- TEL NO. �j p� �-
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. n Lr� COUNTY ❑
` am—
CLOTHES WASHER „a.�� DISTRICT NO. GROUP ZONE I P ESSED BY
WATER HEATER Jo
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
y I INSPECTION RECORDP.
�+
U
U
, a W
a
0 $1.00 PER ITEM, / v
OR FIXTURE $ I .00
Ap S DATE INSP.F,CTOR:§rSI_GNATURE
O
PERMIT . � 2 00 UNDER y WORK Sit / l/ k 7 T�
ROUGH PLUMBING I b7- �p
TOTAL FEE .
GAS PIPING G
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT eI
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. .!
I HEREBY CERTIFY THAT I AM PROPERLY.REGISTERED AND/OR PLUMBING FIXTURES//
IrI�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE,
DESCRIBED RESIDENTIA PROPERTY. UTILITY CO.NOTIHIED
SIGNATURE V 1. 1]
OF PERM iTE
FINAL
®p �VALIDA N
M, ROBERT A. WOOD'
cs. ,0. �CrASN SUPERVISING MECHANICAL ENG'R
Lh�2, 3 0 1.'%a JtA30 5 D 1 5.00~ °
76A 66-/;CE '817.2 62
APPLICATION FORPLUM INN PERMIT -
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN. SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
e NUMBER FIXTURE OR ITEM EACH FEE '
OWNER A4 C
WATER CLOSET $1.25 MAIL
BATH TUB 1,25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS 0
DISHWASHER 1,25 r CITY 4141
COCTOR'S // TEL. NO. ,4Olp
STATE
LAUNDRY TUB 1.25 REGINSTRATRAi ON NO. to COUNTY
CLOTHES WASHER 1.25 DISTRICT NO� GRP ZONE P OCES Dv
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1'50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD 9-
d
O
V
OC
O
Lu
F-
W
a
S APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE ZLoZ� GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
1 HEREBY 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 I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDE N L PROPERTY UTILITY CO NOTIFIED
SIGNATURE I /M.4/(�R(/,
OF PERMITTEE FINAL \ I / — J
ALIDATION ROBERT A WOOD
CK M O CASH SUPERVISING,MECHANICAL ENG'R
1
r Ao 8 4 3 6 NO DEC 14 5 D 3.2 5N '
�•� v r
76A607-CE817 10.60
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER41
BUILDING AND SAFETY DIVISION BUILDING ,� OfYI i
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
E STT
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET bLqL
ADDRESS
BATH TUB
CITY TEL. NO.
SHOWER
LAVATORY CONTRACTOR
SINKr ADDRESS
DISHWASHER CITY A94 TEL. NO. 5 ���
CO CTOR'S d�/ C7 STATE
LAUNDRY TUB BEGISTRATION NO. COUNTY
t Y
CLOTHES WASHER DISTRICT N I GROUP ZONE` P SEED BY
WATER HEATER
' GAS SYSTEM •INDUSTRIAL
WASTE APPROVAL �.
INSPECTION RECORD a
O
o
z
a —
h
Q STOW PER ITEM
OR FIXTURE $ APPROVALS /D E INSPECTOR'�3 SIGNATURE
PERMIT $ 21
00 'UNDER SLAB WORK \xx� /_ 'f I
TOTAL FEE ROUGH PLUMBING
'GAS PIPING
I HEREBY ACKNOWLEDGE THAT t HAVE READ THIS APPLIC
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO CGAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULHOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED APLUMBING FIXTURES
LO
SED AS REQUIRED BY LOS ANGELES COUNTY AND STARNIA OR THAT I AM THE LEGAL OWNER OF THE GAS TEST 7 _
IBED RESIDENTIAL PROPERTY. UTILITY CO, NOTIFIED ��TURE //�PERMITTE id
FINAL \ 1/11///� cl
CVALIDATION ROBER A OODI f 'I
CK. M.0. CASH SUPERVISING MECHANICAL ENG'R
LA Co
- ,2747%"10 AUG 9 5 D 32 5f&
d
76A667-CE817 12/59
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING ,S AN EgTY 12IVISION BUILDING
JOHN A. L M 1 OUNTY NGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING rte'
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER � �-
WATER CLOSET FRAIL
ADDRESS
BATH TUB
SHOWER CITY TEL. NO.
LAVATORY CONTRACTOR
slNs
ADDRESS 527 W. Garvey Av.
DISHWASHER UITYMontere Par - NO-Cu 3-32 7
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. 113206 C 3 6 COUNTY ❑
CLOTHES WASHER DISTRICT NO. 'GROUP ZONE OCESSED BY
WATER HEATER S�8 1 Q
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
N
a
O
U
O
- F
U
• ki
' a
zN
_ F7
$1.00 PER ITEM
OR FIXTURE &X-6 APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEE C� C7 ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES •� /!
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STAT OF GAS TEST BVI "'
CALIFORNIA OR THAT I AM THE LEGAL OWNER, OF T E OVE
DESCRIBED RESIDENJJAL PROPERTY. 4 UTILITY CO.NOTIFIED - �r
SIGNATURE
OF PERM I'll FINAL
Or LIDATION ROBERT A. WOOD,
cH. H.0. CASH SUPERVISING MECHANICAL ENG'R
/ U
✓ :�✓' L1 Ln
•76A667A
CE 8171REV 6/78) i -
APP,LICATION FOR- P,L.I° M B I.N-C'PERM IT
COUNTY OF LOS'ANGELES BUILDI1 G AND SAFETY '
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
ADDRESS
NUMBER FIXTURE OR ITEM ® FEE ✓ '
WATER CLOSET LOCALITY
NEAREST
BATH TUB CROSS ST pC
�f
SHOWER 47A OWNER
VV ��
LAVATORY MAIL
ADDRESS
SINK CITY TEL NO
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR' /
LAWN SPRINKLER SYSTEM CITY TEL NO �%
STATE LIC
WATER HEATER LICENSE NO CLASS "�
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR S SIGNATURE
OUTLETS OVER UNDER SLAB WORK,
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING -
GAS VENT'
HOT WATER HEATER I®��
PLUMBING FIXTURES (A
GAS TESTt�A
PIOtI Ch@CIC f2@ UTILITYCO NOTIFIED
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE O/1 FINAL
Plan check applicant (/ PLAN CHECK VALIDATION
Name
Address
City Tel No
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE - $8 9,'6,A
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION # O -O I O O ci5
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS -
REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE 2 O O 1 /. 0,0
LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL ` L U
PROPERTY '
'0001 V.O.Ou
SIGNATUREZQ a v
OF PE RMI_ etj:d;kg��00' ! 0206-80
,�
DISTRICT NO RED BY
i
INDUSTRIAL
WASTE APPROVAL