HomeMy Public PortalAbout6423 LOMA AVE_Plumbing__ 76A667 (CE-817) - 1/79
` APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO ADDRESBUILDINGS �v
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY P,y� lea
(FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST. FAV O U�-• e
NUMBER FIXTURE OR ITEM @ FEE
I
WATER CLOSET 200 OWNER
MAIL
BATH TUB 2 00 ADDRESS v O'►�'
SHOWER 200 CITY-T&,yl lE G1' TEL. NO,;1F7-Cj67 (�
LAVATORY 200 CONTRACTOR /MQ
SINK 2 00 ADDRESS /! �� rIC 0;-
DISHWASHER 2.00 CITY TEL NOP6,K--30
CLOTHES WASHER 200 STATE LIC
LICENSE NO o'"O a �� CLASS
SWIMMING POOL RECEPTOR .00
DISTRICT NO.GR15PZONE P CES D BY
_ LAWN SPRINKLER SYSTEM 200 05 00 _
WATER HEATER 2 00 " INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS ? 00 v 1NSPEC_1ION RECORD v
OUTLETS OVER /
5 PER SYSTEM .30 - --11116 p
• W
CL
f/J
Plan check fee See Reverse
r
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVALS DATE INSPECTOR 5 SIGNATURE
Plan check applicant UNDER SLAB WORK
LO
ROUGH PLUMBING
ss GAS PIPING
City
Tel NO. GAS VENT
HOT WATER HEATER
REBY ACKNOWLEDGE THAT I HAVE READ -THIS APPLICATION
ATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES �y_
LL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST y�
PLUMB NG
REBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED 'C_r�
D AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF { ,\�
NIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO ( /LIpJL/[f� YO ...IID '•'��✓�6a
IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINALTU REERMITTE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VA (DATION. CK M 0. CASH
4 4 0 AUG 3 5 U 1 0.5 0 &j8
Q
• COUNTY OF LOS ANGELES TEMPLE CITY '# 0508 - PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0710220026
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE- (626) 285-0488 EXT
LEGAL ID FEES PAID I BUILDING ADDRESS _
ITR 12504 LT: 28 1 .1 6423 LOMA AV 1
I IFEE DESCRIPTION. QUANTITY- UOM AMOUNT 1 -TEMP CA 917801332 I
(ASSESSOR INFORMATION NUMBER I _ - NEAREST.CROSS STREET 1
, 15382-018-015 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H1 LOCALITY TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1 00 FIX 16 20 I 1
ITENANT 113 DISHWASHER(S) 1 00 FIX 16 20 IISSUED ON PROCESSED BY PLAN BY EXPIRES ON 1
125 LAVATORIES/SINKS 2.00 FIX 32 40 110/22/07 SR 04/19/08
145 WATER CLOSET/URINAL 1.00 FIX 16 20 1 1
(OWNER TEL NO 147 WATER HEATER(S) 1.00 WTH 16 20 IFINAL DAIFa FINAL BY CODE 1
1ESTRADA, DAVID (626) 625-4033- 151 LOW PRS GAS 5 OUTLET 1-1 00 SYS 16 20 1 _
16423 LOMA AV TOTAL FEES 141 15 1 l
ITEMP 917801332 1 1DESCRIPTION OY W(5lkKulk=fmaf - 1
I (PLUMBING FOR NEW-BATHROOM AND -KITCHEN REMODEL
1APPLICANT TEL NO 1
1AZUKA EGUN (818) 968-0334-
19814 BEACHY AVE 1 ISPECIAL CONDITIONS.
1PACOIMA, CA 91331 1 1
I I
I
ICONTRACTOR: TEL. NO 1 (APPROVALS DATE INSPECTOR SIGNATURE I
IBAS ASSOCIATES CONSTRUCTION (818) 968-0334- 1 1 I
19814 BEACHY AVE LIC NO I 1UNDER SLAB WORK I I 1
IARLETA, CA 91331 610162 B 1 1 1 ' 1 1
I I IWATER SERVICE I I I
I 1PLASTIC Y/N METAL Y/N
1ARCHITECT OR ENGINEER TEL NO I I I I
I - I IROUGH PLUMBING
1 LIC NO: I I g
1 1 IGAS PIPING r 1 1
GAS VENT
I I (HOT WATER HEATER I 1
IPLUMBING FIXTURES I1 I
1 I ILAWN SPRINKLERS I I I
IGAS TEST I 1
(UTILITY COMPANY NOTIFIEDI I 1
I I 1CWV I I I
I 1GRAY WATER SYSTEM 1 I
I I I I I I
I I I I I I
I I I I I I
1 IREPORT ID DPR263 ROUTE TO BS0508 1 1 I 1
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