HomeMy Public PortalAbout6235 LOMA AVE_Plumbing__ 76A667 (CE-817)-4/72
APPLICATION
LU 1NG PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: FBUILDING /SS (oHARVEY T. BRANDT, COUNTY ENGINEER ITYFOR APPLICANT TO FILL IN (PRINT OR TYPE) ST ST. - Q
NUMBER FIXTURE OR ITEM @ FEE OWNERL/
WATER CLOSET 1.75
MAIL ��....��
74 r-
BATH TUB 1.75 ADDRESS '; •:J . DJ 1(/
SHOWER 1,75 CITY &_ kg `7 ° —Z`�c�
LAVATORY 1,75 CONTRACTOR
SINK 1.75 ADDRESS 'f9;R
DISHWASHER 1,75 CITY t✓lL TEL. NO.
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. CLASS _ y-
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP NE F CESSED BY
LAWN SPRINKLER SYSTEM 1,75 if rl- _I
WATER HEATER 1.75 Z INDUSTRIAL c•' L—
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD Com.)
OUTLETS OVER
5 PER SYSTEM .30 Q
H
U
W
a
N
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE r5
APPROVALS DATE INSPECTOR 5 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. 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 PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DES RIBED RESIDENTIAL PRO ER TY.
FINAL ` t a' �., nr •n
SIGNATURE °
OF PERMITTEE
PERMIT VALIDATION CK. M.O.
PLAN CHECK VALIDATION CK. M.O. CASH
8 8 4c"-'FEB 28 5 0 4.7 5 ,49B
2 ^
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0503080011
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 5904 LT: 245 6235 LOMA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801635
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET:
5384-009-021 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H2 LOCALITY: TEMPLE CITY, C
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TE ANT: TOTAL FEES 43.95 TSSUED ON: PROCESSED : PLAN BY: EXPIRES ON:
03/08/05 JK 09/04/05
OWNER: TEL. NO: FINtor"NEgFINAL BY: CODE:
FLORES SALVADOR L;SOCORRO M (626) 286-5895- F
6237 LOMA AV
TEMP 917801635 DESCRIPTION OF WORK
GAS LINE FOR AIR CONDITIONING AND HEATING SYSTEM
APPLICANT: TEL. NO:
PEREZ (323) 727-0266-
6634 SOUTHSIDE DR SPECIAL CONDITIONS:
LOS ANGELES CA 90022
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
CALIFORNIA INSTALLERS (323) 727-0266-
6634 SOUTH SIDE DRIVE LIC. NO UNDER SLAB WORK
LOS ANGELES, CA 90022 651597C20
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
H0. WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
cWV
GRAY WATER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508