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Home My Public Portal About6437 LOMA AVE_Plumbing__ D.D.S.17 25M SETS 7-4'7 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING 1COUNTY OF LOS ANGELES, WM.J. FOX.CHIEF ENGINEER L ';NATURE OF INSTALLATION DISTRICT GROUP ZONE PERMIT NO. ROUGH ` I I FIXTURES COMPLETE _s_ _RA-/ �l / fj 5—-Cl HEATER RECEIVED BY READY FOR DATE ISSUED __CESSPOOL SEPTIC TANK FIRST INSPECTION ` / 41-e AS MISCELLANEOUS -y' APP(�LICANT FILL IN HEAVILY TINED /PORTION ONLY /� JOB I I T e� ADDRESS �+�✓+ 6r,.p( -ADDRESY LOCALITY D NEAREST Age J �s 4 - CITY �„�,'� f�- TEL.No.7y/ rf�P CROSS ST. COUNTY CERT.No. Q• EXPIRES _-.301923 � NAME _ �O LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL yy 3 ADDRESS o4 d6.✓ /�6. ,4a ' NORTH O CITY �f^d w ..sxf6�Y_f°a TEL.No. IAM THE LEGAL POSSESSOR"OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OFF QUALIFIIiC�A�TION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. V N 3 fll, OWNER iI CORRECTIONS SOUTH J DESCRIPTION OF WORK z BATH TUB FURNACE 9 I IY TSHOWER DISHWASHER O TLAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR BINK SAND TRAP SLOP SINK FLOOR`DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE j INSPECTOfj'B NAME / WATER HEATER DENTAL LAVATORY ROUGH PLUMBING 1/1-1 METERS GASSODA FOUNTAIN GAS PIPING ( `v OUTL GAS VENT +,q CESSPOOL TOTAL NUMBER OF FIXTURES �' y ggpTlC TANK 1 CESSPOOL- SEPTIC-TANK SEWER S UTILITY CO.NOTIFIED I I TOTAL FEE FINAL D.B.S.17 2SM SETS 10-47 APPLICATION FOR .O PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WM. J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTR N . c o P ZONE PERMIT o. ROUGH FIXTURES COMPLETE _T /Q —/ HEATER CESSPOOL -I SEPTIC TANK I V IVSD BY READY FOR DATB ISSUED FIRST INSPECTION AS M18 ELLANEO APPLICANT FILL IN HEAVI OUTLINED PORTION ONLY JOB It NAME... �/•r G`^r;/��4J..!�d.�?7s.�,,,,�sY ?�� ADDRESS n ADDRES LOCALITYN EA R EST �t CL CITY val t �TEL.No. /(/i CROSS ST. 0 COUNTY l CERT.NO. EXPIRES K NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAI C� 3 ADDRESS �y NORTH O CITY L�Cs� d"I: tA � TEL.No t AM THR LE9A688 L PO/ 0R OF THE ABOVE LOS ANGELES COUNTY 4 IFI ATE OF QUALIFICATION. PLUMDRR 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. (� W OWNER _I CORRECTIONS SOUTH J DESCRIPTION OF WORK BATH TUB FURNACE SHOWER DISHWASHER O LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SANDTRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPILCTOR'S NAMC WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I i METER GAS aODA FOUNTAIN OUTL GAS PIPING GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK I I CEB$POOL TANK l SEWER I � UTILITY CO.NOTIFIED TOTAL FEE FINAL 76A667-CE8I7 6-60 } APPLICATION FOR PLUMBING PERMIT � COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER a Y32 WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY - FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL BATH TUB ADDRESS • CITY TEL NO. Q SHOWER CONTRA O LAVATORY -19 SDm ADDRESS DISHWASHER CITY TEL NO. CONTRACTOR'S STATE ❑ LAUNDRY TUB REGISTRATION NO. COUNTY CLOTHES WASHER DISTRICT NO. GROUP ECESSED BY WATER HEATER J E GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD 002 0 G w- a to $1.00 PER TEEM OR FI%TIJRE $ APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK TOTAL FEE 1-7-144 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 T T—[I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUI BY,�LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR T T 5HrEGAL,,?NNER OF THE ABOVEDESCRIBED RESIDE PUTILITY CO NOTIFIED ev SIGNATURE ' OF PERMI FINAL ®r VALIDATION ROBERT A WOOD, C6. !e 0. CASH SUPERVISING MECHANICAL,ENG'1i ��'0 3 i 7 71-05 GCT4 5 D 3 .0 0 M 76A667-CE#817 2-66 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER - BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W JENKINS SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN EARESOSS ST. 10 e —o • NUMBER FIXTURE OR ITEM EACH FEE / OWNER WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS G SHOWER 1.25 CITY TEL. NO. 7 3a— ool LAVATORY 1.25 CONTRACTO SINK 1.25 ADDRESS DISHWASHER 1.25 CITY TEL. NO. STATE LIC LAUNDRY TUB 1.25 LICENSE NO CLASS CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE IR9-qEp6ED BY WATER HEATER 1.50 1.50 INDUSTRIAL GAS SYSTEM_�OUTLETS `� WASTE APPROVAL CD OUTLETS OVER 5 PER SYSTEM .30 v INSPECTION RECORD z O F- U W cn Cn Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE cam! GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED LOS NGELES COUNTY AND STATE OF GAS TEST AA / CALIFORNIA OR THAT AM TH GAL OWNE F,AND INTEND TO RESIDE IN, TME ABOV DE E RE BEN L P OPERT UTILITY CO NOTIFIED SIGNATURE OF PERM TE FINAL VALIDA JACK R. ALLEN CK M O CASH SUPERVISING MECHANICAL ENG'R. [JCC,6 4 7- 7'�10) DEC2 3 5 D 3.5 Qce - +1IGA667-17 5-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZO E Q/PE/RMIT NO. PLUMBER Revere Service Corp. RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS 11811 Teale St. CITY Culver City TEL NO. EX-721 rl1 ADD EISS 803 N. Loma Ave. COUNTY �- C- LOCALITY TemAleCit.y LICENSE NO 6750 �� EXPIRES 3 51 CROSS ST. Emperor Ave. PERMIT FEES 77�� NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER M. �1 T . Schayan MAIL WATER CLOSET (TOILET) @ O 50 $ ADDRESS Same as above BATHTUB @ O 501 CITY TEL NO. SHOWER @ O So I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. KITCHEN SINK @ O 50 I CERTIFY THAT 1 P SS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LI SE. O I AM THE EG OWNER OF THE RESIDENTI PROPERT DESCRIBED B GAS SYSTEM OUTLETS @ O 501 SIGNATURE WATER HEATER @ O 501 PERMITTE SLOP SINK @ o Sol INSPECTION RECORD ' FLOOR SINK @ O 50 FLOOR DRAIN @ O 50 DISHWASHER @ O Sol DRINKING FOUNTAIN @ O 50 URINAL @ O 50I „J HOUSE SEWER @ O 501 Q Z MISCELLANEOUS I 0 1 1 Water Softener 50 It APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1 00I CESSPOOL SEPTIC TANK: I SEPTIC TANK DRAIN ( ) PIT ( ) @ 1 00 SEWER PERMIT . I 1 00 GAS TEST / 1 5o UTILITY CO NOTIFIED / TOTAL FEE $ FINAL 11h 1 PLUMBING � DEPARTMENT OF COUNTY ENGINEER ,� DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING WILLIAM J. FOX. COUNTY ENGINEER ADDRESS /FOR APPLICANT TO FILL IN LOCALITY BUILDING NEAREST ADDRESS lQ�c � �s a►7,�..�� CROSS ST. +� DISTRICT NO. GROUP ZONE PERMIT NO. LOCALITY NEAREST CROSS ST RECEIVED BY Ready for Inspection DATE�IiSSUED OWNER �� MAIL INDUSTRIAL ADDRESS WASTE APPROVAL CITY TEL,No. INSPECTION RECORD PLUMBE 7ENERAL INSTALLATION CO. ADDRESS 311 E. 80th STREET L. A. 3 PLeawnt 3.2541 CITY TEL.NO. Q STATE LICENSE NO. I-�7/fB 7 Q COUNT)- J PERMIT FEES a _z NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET(TOILET) @ 0.80 $ it O BATH TUB @ 080 SHOWER 0.80 LAVATORY(WASH BASIN) Q 0 80 KITCHEN SINK @ 0 80 LAUNDRY TUB OR TRAY @ 0 80 SLOP SINK @ 080 FLOOR SINK @ 080 FLOOR DRAIN @ 0.80 DISHWASHER @ 0 80 DRINKING FOUNTAIN Q 0.80 URINAL @ 0.80 GAS SYSTEM.............OUTLETS 0 1.00 WATER HEATER @ 1.00 MISCELLANEOUS APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE 471 GAS PIPING 1 HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLI- GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN. ER OF THE ABOVE DESCRIBED REST NTIALPR�. UTILITY CO.NOTIFIED SIGNATURE ` OFPERMITTEE----------_..---..__.._........... _. �---....___.__....__.. .._._._ FINAL 7GA667 DES 17 1/53 WORKERS' COMPENSATION DECLARATION ADPL ECA tl �ON FOR IT6UI1C7aBING PERMIT I hereby affirm that I have a certificate of consent to self 20-0026 DPW 6/87 insure, or a certificate of Workers' Compensation Insurance, 76A667A oPc ertified copy thereof (Sec 3800, Lob C ) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policf�o _?07&` Company EC � Certified copy is hereby furnished FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING � Certified copy is filed with the county building inspec- tion department NUMBER FIXTURE OR ITEM @ FEE ADDRESS LOCALITY Date C Applicant WATER CLOSET NEAREST ,�� CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST �//YV .Gd COMPENSATION INSURANCE OWNER , / L Q o-Lf (This section need not be completed if the work involved by SHOWER the permit is for one hundred dollars ($100)or less.) MAIL LAVATORY ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL NO Zg 7_ VY so as to become subject to the Workers'Compensation Laws DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT If; after making this Certificate of / Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITY kEL NO tO LAWN SPRINKLER SYSTEM l with comply with such provisions or this permit shall be STATE �� !� LIC C deemed revoked WATER HEATER LICENSE NO 7 CLASS LICENSED CONTRACTORS DECLARATION' / DISTRICT O OCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS f, Q (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER v�/ and Professions Code,and my license is in full force and effect 5 PER SYSTEM FINAL VALIDATION � Z ' 811:1- 4811:1- 4/,71,1' DATE ULicense Number�. Lic Class AL cI/,�/-7 Contracto Date ?d BY0 ElI am exempt under Sec (� 6sd B 8P C for this reason Plan check fee v� Date PLUMBING PERMIT ISSUING FEE$ CK 7-5 Signature TOTAL FEE Plan check applicant SINGLE FAMILY _t HOME OWNER-BUILDER DECLARATION Name , I hereby affirm that I am exempt from the Contractor's License I ^a Law for the following reason (Section 7031 5, Business and Address Professions Code) City Tel No I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY i_HE':K% 1 hereby affirm that there is a construction lending agency for jr- the performance of the work for which this permit is issued }AN E a-- (Sec. 3097, Civ C ) Lender's Name 0j€1„11-11'.111 Lender's Address I certify that I have read this application and state that the above information is correct I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the ve-mentione property for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE I Z Z&--`ll nature of Per ittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 01 UMBING E IT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS FPC-05087,0001060008 BUILDING AND SAFETY J LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: S PAID BUILDING ADDRESS: TR: 12504 LT: 30 -3-7"COMA%AV-- ---J FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: k C �C780832 ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: EMPEROR 5382-018-017 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: H1 LOCALITY: TEMPLE CITY 47 WATER HEATER(S) 1.00 WTH 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESS BY: PCW-T37: EXPIRES ON: 01/06/00 UT 07/04/00 OWNER: TEL. NO: FINAL DATE FINAL BY: CODE: NAGAI ALAN N;SUN 0 (818) 287-8930- 4'4 q-f-606 9.,�6rI 6437 LOMA AV 6 f-i1 TEMP 917801332 DESCRIPTION OF WORK CHANGE OUT OF WATER HEATER APPLICANT: TEL. NO: A L A P ASSOCIATES G P (818) 407-1247- 7229 VARNA ST. SPECIAL CONDITIONS: N. HOLLYWOOD, CA 'oGC LCS CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE A L A P ASSOCIATES G P (818) 407-1247- 7229 VARNA ST. LIC. NO UNDER SLAB WORK NORTH HOLLYWOOD, CA 91605 771905C36 O WATER,SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: TEL. NO: ROUGH P-L D-A 9 ING LIC. N0: / 1111111 L � GAS PIPING GAS VENT J-DII W0�K� HOT WATER TER L1 ��J L� ��./// ING FIXTURE O 0 � WN SPRINKLERS O ❑ GAS EST UTILITY COMPAY NOTIFIED Servace' CWV� GRAY WATER SYSTEM i I REPORT ID: DPR263 ROUTE TO: BS0508