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HomeMy Public PortalAbout6246 LOMA AVE_Plumbing__ 76A667A JCE 617BJ-4/77 APPLOC A ITOON FOR IGLU M B ONG PE RM O I`T' r BUILDING D SAFETY DIV( N FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM ® PEE ADDRESS lG WATER CLOSET LOCALITY NEAREST BATH TUB CROSS ST SHOWER 3 OWNER r C MAIL LAVATORY ADDRESS Q SINK CITY' TEL NO L� DISHWASHER CONTRACTOR ow j CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL NO LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER LICENSE NO CLASS GAS SYSTEM OUTLETS DISTRICT NO UPNE OCESSE BY a OUTLETS CD TE OVER V 5 PER SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD U p � W _ z el I d ; Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE Plan check applicant Name t�/ n p C_-r s c,� APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK / , / Address L0 M,-z V ROUGH PLUMBING VITT � City -7;' r t, Tel No 7 / Z GAS PIPING ° I HEREBY ACIINOWLEDGE THAT I 14AVE READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST ) LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY a�i UTILITY CO NOTIFIED SIGNATURE OF PERMIT? FINAL / Z PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION c M 0 CASH 327rAAJG 16 5 0 19.00A�16 7GA667 17 9-49 ® APPLICATION FOR PERNUT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I "ONE PERMIT NO� OR PLUMBER �, 1 RECEIVE B. � READY FOR\ �D���ED y� 9//// FIRST INSPECTION ADDRESS I O �Q T t EL- /J BUILD NG CITY F ` TEL NO. y fit Q�' ADDRESS S���' p,�d' Q�1,COUNTY LICENSE NO o ;- J� EXPIRES ® -a /�'�' LOCALITY �Ii 1 1 I— c� NEAREST PERMIT FEES CROSS ST. NUMBER I TYPE OF FIXTURE OR ITEM FEE OWNER CIO MAIL F WATER CLOSET (TOILET) Q O 50 I S I ADDRESS �I BATH TUB Q O 501 I CITY TEL NO. ISHOWER Q O Sol I 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS TlLAVATORY (WASH BASIN) Q O 501 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK Q O Sol STATE LAWS REGULATING PLUMBING 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUBO TRAY Q O 501 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OF THE RESIDENTIAL P ERTY DESC IBED ABOVE. LI GAS SYSTEM OUTLETS Q O 50 I SIGNATURE OF WATER HEATER Q O 501 PERMITTEE SLOPSINK Q O 501 INS TION RECORD FLOOR SINK Q O 50 I I FLOOR DRAIN Q O Sol DISHWASHER Q O 501 IDRINKING FOUNTAIN Q O Sol IURINAL Q O 501 „J HOUSE SEWER n O 501 I Z MISCELLANEOUS I I 0 O II Imo_ APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING / I I I GAS VENT CESSPCOL Q 1 00 I I CESSPOOL SEPTIC TANK- Il SEPTIC TANK I DRAIN ( ) PIT ( ) Q 1 00I I SEWER PERMIT . 1 00 GAS TEST ,oIM, p • / / ��l UTILITY CO NOTIFIED �-.. TOTAL FEE S C/.�� (/ FINAL ,L�76A667 17 11-49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT-TO FILL IN DI RIC GR P ZO PERMIT NO. BURKE-HO WARD PLUMBER RECEIVE Y READY FOR DATE ISSUED 2436 N. ROSEMEAD U°� FIRST INSPECTION ADDRESS ; BUILDING CITY TEL No. ADDRESS �0M COUNTY LOCALITY Tim-P4 R/-,C- Y LICENSE NO. EXPIRESNEARE ^ CROSS ST.T. oN�o� ' PERMIT FEES NUMBER - TYPE OF FIXTURE OR ITEM FEE OWNER Al_Q lL 14evmc 6N MAIL WATER CLOSET(TOILET) @ 0.50 Is ' ADDRESS BATH TUB @ 0.50 PITY TEL. No. SHOWER @ 0.501 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) -@ 0.50 I I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 I I AND STATE LAWS REGULATING PLUMBING. LAUNDRY TUB OR TRAY @ 0.50 I ( ANGLO ELESTID LOS COUNTY LICENSE,S OR I AM TESS THE BE VE GALL OWNER GAS SYSTEM OUTLETS t @ 0.50 OF THE RESIDENTIAL,PROPERTY HOWX D SIGNATURE OF BV1RK IWATER HEATER @ •0.50 PERMITTEE SLOP SINK @ D.50I 1 INSPECTION RECORD FLOOR SINK @ 0.501 FLOOR DRAIN @ O.sD 1 DISHWASHER @ 0.50 I IDRINKING FOUNTAIN @ O.So URINAL @ 0.50 Q HOUSE SEWER @ O.SO MISCELLANEOUS O I _ APPROVALS _ DATE INSPECTOR'S NAME • ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.00 6 Q CESSPOOL I - SEPTIC TANK: I SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.0o I SEWER PERMIT I I.DD GAS TEST +•'•.Wlr UTILITY CO.NOTIFIED TOTAL FEE $ © FINAL