HomeMy Public PortalAbout6442 LOMA AVE_Plumbing__ 76A667 (CE-817)-4/72
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO BUILDING
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER /
LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NEAR C
CROSS ST. Q
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1.75
MAIL
BATH TUB 1,75 ADDRESS
SHOWER 1.75 CITY ` /T L NO
LAVATORY 1.75 CONTRACTOR 04,5DllO�
SINK 1.75 ADDRESS,0"/,,-,9 d �a�a a//
DISHWASHER 1.75 CITY L �.� TEL N�$
CLOTHES WASHER 1.75 STA E LIC
LICENSE NO ��e CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO GROUP0Nkf----1)OCESSED BY
LAWN SPRINKLER SYSTEM 1.75 0� p
� O
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL y
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD V
OUTLETS OVER /
5 PER SYSTEM .30
W
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS QATE 15PECTOR 51.NATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTRED/OR UTILITY CO NOTIFIED
LICENSED AS REGUI RED BY LOS ANGELES COUNTY ANED 5D
CALI FO
RNIA OR THAT I THE LEGAL OWNER END TO
RESIDE IN THE ABOVE S RESIDENTIAL R P RTY
FINAL
SIGNATURE
OF PE RMI
TT• /
PERMIT V LID W/ OCKM.0 CASH
PLAN CHEC VA ATION CK M 0 CASH Q
8 1 2i.) JAN 3 0 5 D 8.2 cJ N
1 c' i
• ~._\�
',APPLICATION FOR PLUMBING PERMIT"
` ' COUNTY OF LOS' ANGELES
\ DEPARTMENT OF COUNTY ENGINEER /
BUILDING AND SAFETY DIVISION BUILDING
J L1 -Z
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING ILOCALITY
s
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET 1 50
MAIL
BATH TUB 1 50 ADDRESS _ +
SHOWER 1.50 CITY TEL. NO.
LAVATORY 1 50 CONTRACTOR
SINK 1.50 ADDRESS
DISHWASHER 1.50 'CITY _ �/1� TEL. NO. l("Z,j�(,
CLOTHES WASHER 1.50 STATE �L LIC ,,-,/
LICENSE NO 'T" ASS 'C.��Si�
SWIMMING POOL RECEPTOR 1 50 DISTRICT N GROUP ZpNE P
�. n
LAWN SPRINKLER SYSTEM 2.00 �'7� O
C)
WATER HEATER 1 50I INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD ~
OUTLETS OVER /` U
5 PER SYSTEM 30 r / A
LL
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
9 _
TOTAL FEE APPROVALS- DATE INSPECTOR'S SIGNATURE
Plan check applicant • UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No. HOT WATER HEATER -
1 HEREBY AC KNOWL T I AVE READ THIS APPLICATION _
AND STATE THAT T ABOV S COR ECT AND AGREE TO COMPLY PLUMBING FIXTURES .y
WITH ALL COUNT ORDINA S AN STATE LAWS REGULATING GAS TEST
LRESIDE
CE FY THAT PR ER REGISTERED AND/OR UTILITY CO NOTIFIED
S RE [RED BY O ANG ES COUNTY AND STATE OF -
OR 1 AM T LEGA O NER OF,AND INTEND TO 01
HE B E ESCRI D RE f N A PROPERTY FINAL aE • JACK R. ALLEN, SU PERVISIN HANKALENG'R
ITTE
Le
PER VALIDATION cK M O• CASH
PLAN CHECK VALIDATION CK M o CASH
-Lk-0;4 6-6- 44 MAY 1 3 5-0
;61enLl
� e
761 667-�O-I CE 817 8/68
,A9' Y LICATIO tl F®R 9 LIJMSSr G P2RMAT
'COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING el
• JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS. SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN(PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE �
OWNER
WATER CLOSET 1.50
MAIL ,
BATH TUB 1.50 ADDRESS
r t
SHOWER 1.50 CITY TEL. NO.
LAVATORY 1.5 0 CONTRACTOR
SINK 150 ADDRESS
DISHWASHER 1 50 CITY TEL. NO.
CLOTHES WASHER 1 50 STATE LIC
LICENSE NO - CLASS
SWIMMING POOL RECEPTOR 1.50 ,DISTRICTN GR ZONE P OC B
LAWN SPRINKLER SYSTEM 2 00o
a
r O
WATER HEATER 1.50 - INDUSTRIAL C7
WASTE APPROVAL Z
GAS SYSTEM OUTLETS 150 INSPECTION RECORD O
OUTLETS OVER v
5 PER SYSTEM 30 �
Z
Plan check fee 2r,% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
I'O'I'AL FEE
APPROVALS - DATE IN CTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK .117 A
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
'
City Tel No HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLJMBING FIXTURES
WITH ALL -COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING
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 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL �� L
r�
SIGNATURE ` JACK R. ALLEN, SUPERVISING ECH ANICAL ENG'R
OF PERMITTEE
PERMIT VALIDATIO cK M-o CASH
PLAN CHECK VALIDATION CK M O CASH A ('
43',SE 2g r.. 5 0
3.50
7 J•5 O`er V'