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Home My Public Portal About6251 LOMA AVE_Plumbing__ 76A667.(CE-817)-8-71 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS J LOCALITY L� FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST [NUMBER FIXTURE OR ITEM @ FEE OWNER 1 WATER CLOSIiT 1.75 MAIL ( BATH TUB 1 75 ADDRESS ,' L p,1�j / SHOWER 1 75 J CITY C TEL NO. / LAVATORY "1 75 ' CONTRACTOR SINK 1 75 ADDRESS DISHWASHER 1 75 CITY TEL. NO CLOTHES WASHER 1 75 STATE LIC LICENSE NO CLASS SWIMMING POOL RECEPTOR 1 75 DISTRICT NO GROUPZONE P CESSED BY LAWN SPRINKLER SYSTEM 1 75 �v (7' T OO _�L_ —/l WATER HEATER 1 75 INDUSTRIAL Q. WASTE APPROVAL G GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD u OUTLETS OVER 30 z 5 PER SYSTEM 9 P U UJI AL Vf z Plan check fee See reverse. PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE APPROVALS DATE .INS PECTO R;S SIGNATURE Plan check applicant UNDER SLAB WORK n? Name ROUGH PLUMBING Address GAS PIPING City Tel:No GAS-VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT I HAVE READ TH15 APPLICATION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING GAS TEST z I 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 I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE/E DESCRIBED RESIDENTIAL PROPERTY FINAL SIGNATUREOF P E R M I T T E PERMIT VALIDAT ' cK M O CASH PLAN CHECK VALIDATION CK M O CASH t -V 8 6'8 4-5' ' 1L 7 W 0 8.25- V' 6 7�_A667 (CE-817)-4/72 (/ APPLICATION FOR PLUMBING PER COUNTY OF LOS ANGELES ' . DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO BUILDING ADDRESS (�/2. / _ � o' (� HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY yLtf FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST NUMBER FIXTURE OR ITEM@ FEE CROSS ST OWNER WATER CLOSET 1.75 MAIL • ee ,,� � OATH TUB 1.75 ADDRESS �� /yr Lo m", SHOWER 1.75 CITYrAgZ $ E/, = TEL NO ws'— e" LAVATORY 1.75 CONTRACTOR SINK 1.75 .3 ADDRESS DISHWASHER 1.75 V17 CITY 'TEL NO CLOTHES WASHER 1.75 STATE LIC LICENSE NO CLASS SWIMMING POOL RECEPTOR 1.75 DIST ICT NO GROLX ZONE PR C D LAWN SPRINKLER SYSTEM 1.75 Ll 0 WATER HEATER 1.751T WASTETAPPROVAL a GAS SYSTEM OUTLETS1.75 7.5" INSPECTION RECORD V Q OUTLETS OVER 30 30 p 5 PER SYSTEM H v W CI N Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE S 3 00 TOTAL FEE D APPROVALS DATE INSPECTOR S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel NO GAS VENT HOT WATER HEATER 1 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 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 DESCRIBED RESIDENTIAL PROPERTY FINAL SIGNATU RE OF PERMITTEE PERMIT VALIDATION cK M 0 CASH PLAN CHECK VALIDATION CK. M 0 CASHLAW Q 0 0 0 N SEP 2 2 r5 D 13.80- 11 3.8ONcm `r 46A887-CE817,-11-5'/, P COUNTY O LOS ANGELES N FOR PLUMBING PERMIT DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUMDING JOHN A. LAMBIE, CountT.Engineer d ADDRESS 2 Q IFF 1446 CASSATT D. GRIN, Sup t of Building LOCALITY FOR APPLICANT TO FILL IN NEAREST NUMBER FIXTURE OR ITEM CAOS3 ST. O h J WATER CLOSET OWNER b iL- MAIL BATH TUB ADDRESS J tZ SHOWER CITY ( �/ TEL. NO. LAVATORY CONTRACTOR ISTATE SINK ADDRESS y / I GDISHWASHER CITY/3a CIu,i 11 aTEL. NO. CONTRACTOR'S /LAUNDRY TUB REGISTRATION NO. S k� / CLOTHES WASHER DISTRICT NO GRO/-UPS /ZONE J READY FOR INSPECTION WATER HEATER r GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD - J 7" n�eau f ►�� IV41 kq&r�07-- APPR0VAL& UR1 5� @ $1.00 PER IOR FIXTURE $ S� DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 00 ROUGH PLUMBING - -- cY�jtA11 TOTAL FEE `, GAS PIPING - IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT ' AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES IICHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST � A-" - LENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _ CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED -" DESCRIBED RESIDENTIAL PROPERTY 1 SIGNATURE FPERMITTE • FINAL ROBERT A.WOOD. OF VALIDATION SUPERVISING MECHANICAL ENG'R CK N O CASH LAC0 6 3 4 7 L NOV 5 5 A 7.0 0 76A667A ICE 817B)- 11/76 - p PERMIT 1 APPLOCATUON le"FLO 3-Ty BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING {� NUMBER FIXTURE OR ITEM ® FEE ADDRESS SI WATER CLOSET LOCALITY BATH TUB NEAREST CROSS ST SHOWER OWNER LAVATORY MAIL ADDRESS SINK CITY —r♦` . TEL N DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY K. 1^ Z I SIM x/!1 TEL NO LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER LICENSE NO 10 CL GAS SYSTEM OUTLETS DISTNO GRO ZONE P CESSECyBY OUTLETS OVER 5 PER SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD V ag i 0 N Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE �Q Plan check applicant APPROVALS DATE INSPECTOR S SIGNATURE Name UNDER SLAB WORK Address U ROUGH PLUMBING City Tel No GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE 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 VC- LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED SIGNATURE A.", 0FPERN1=EE FINAL 4/1 r PLAN CHECK IMIDATION CK MO CASH PERMIT VALIDATION CK M O CASH 0 9. o'to JAN 1� � 1 0.5 J a:,s Os