HomeMy Public PortalAbout6443 LOMA AVE_Plumbing__ n ±'e
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 1
BUILDING AND SAFETY DIVISION BUILDING ADDRESS L/ % _I Q n-c.G � `'� ,
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY L /7 Pl— C—
FOR
FOR APPLICANT TO FILL IN NEAREST ' /�PC a
CROSS ST. /� �1
NUMBER FIXTURE OR ITEM EACH FEE OWNER 7 C-7DC7, f C �
WATER CLOSET $1.25
MAIL
BATH TUB 1,25 ADDRESS �
SHOWER 1.25 CITY �` CII TEL. NO.
LAVATORY 1.25 CONTRACTOR O, W �i3 d
SINK 1.25 _ ADDRESS I
DISHWASHER 1.25 CITY / TEL. NO., �/
LAUNDRY TUB 1.25 CONTRACTOR'S STATE ❑
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT N :rP Z E PR EyD BY
WATER HEATER 1.50 J r ( �'
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I 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.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 THE LEGAL O ER OF.AND INTEND TO
RESIDE IN, THE ABOVE DE RIBED fRE ST DEN AL I
PERTr. UTILITY CO. NOTIFIED
SIGNATURE ^GLG�X Filf
OF PERMITTEE -
FINAL
VALIDATION ROBERT A. WOOD
CCK. ( M.O. CASH SUPERVISING MECHANICAL ENG'R
- `- • ;� ,-
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APPLICATION FOR ' PL.QJM6 PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ' BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXOWNER
TURE OR ITEM EACH FEE
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS D
DISHWASHER 1.25 CIT TEL. NO. W
LAUNDRY TUB 1.25 CO CTOR' STATE
REGISTRATION NO. COUNTY p
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE ROCESSED BY
WATER HEATER 1.50 5, 01
I
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL a
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD U
ix
O
F-
U
W
a-
z Z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT $ 2 —Z
00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT v
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 THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES �1
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRI R DENT L P ERTY UTILITY CO NOTIFIED �
SIGNATURE /
OF PERMITTEE FINAL
/--VALIDATION ROBERT A WOOD
CK
MIC, CASH SUPERVISING MECHANICAL ENG'R
LGo 1 6 8 SEP 24 5 D 3.50
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APPLICATION FOR PLUMBING PERMIT 9
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND�SAFETY DIVISION BU'DRESG
JOHN A. L MBI COUNTY ENGINEER ADDRESS
OSS
WILLIAM A. JENSEN, SUPT OF BUILDING '!
LOCALITY
FOR APPLICANT TO FILL IN NEARESOSS T
NUMBER FIXTURE OR ITEM OWNERi r
r ed e rC SGf��-b e r-
WATER CLOSET
ADDRESS /q- d e,
BATH TUB
SHOWER CITY TEL. NO.
LAVATORY CONTRACTOR
SINS ADDRESS
DISHWASHER CITY TEL NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NCI COUNTY Eol
CLOTHES WASHER DISTRICT NO. GROUP E/ SSED BY
WATER HEATER �V 0 `
GAS SYSTEM INDUSTRIAL.
WASTE APPROVAL
INS ECTION RECORD
sr7 0
j U
a
$1.00 PER ITEM
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER-SL-AB-WORK-,�
TOTAL FEE ROUGH PLUMBING
GAS PIPING
I 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 WATERHEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWN F�t OF THE ABOVE
DESCRIBED RESIDENTIAL JOPERTY. // UTILITY CO.NOTIFIED
SIGNATURE SVA// ,1
OF PERMITTEE FINAL �nd/(*kyr _ rf
®� VALIDATION, ROBERT A. WOOD. 71
CK. M.G. CcA SUPERVISING MECHANICAL ENG'R
� o0E91 h � 5 D 5.00 � i
• COUNTY OF LOS ANGELES TEMPLE CITY ' # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1303260027
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT _
(LEGAL ID FEES PAID BUILDING ADDRESS
ITR 12504 LT 31 1 6443 LOMA AV 1
I IFEE DESCRIPTION. QUANTITY UOM- AMOUNT I TEMP CA 917801332 I
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET: EMPEROR
15382:018-018 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 596 GRID H1 LOCALITY TEMPLE CITY CAI
1 107 BATHTUBS/SHOWERS 1.00 FIX 16- 20 1 I
ITENANT I11 CLOTHESWASHER(S) 1 00 FIX 16 20 11SSUED ON: PROCESSED BY PLAN BY 1
I 113 DISHWASHER(S) 1 00 FIX 16 20 103/26/13 SR 1
1 125 LAVATORIES/SINKS 2.00 FIX 32 40 1 I
(OWNER- TEL NO 145 WATER CLOSET/URINAL 1.00 FIX 1620 IFI P.L DATE FINAL BY CODE 1
IWONG, STEPHEN (626) 278-3442- 160 DWV REPAIR OR ALTER 1.00 SYS 16 20 1 �11x
16443 LOMA AV 163 WATER PIPING BR/FIX 1.00 FIX 6-80 1 I
ITEMP 917801332 1 TOTAL FEES 148.00 I CRIPTION OF WORK v1
I 1 IBATHTUB/SHOWER, CLOTHESWASHER, DISHWASHER, LAVATORIE, SINK 1_
- I - IWATER CLOSET, DRAINAGE/VENT AND BRANCH FIXTURE 1
JAPPLICANT TEL NO I I
INGUYEN, Y V - (626) 287-1022- I I I
11321 ELM AVE UNIT G 1 - ISPECIAL CONDITIONS - 1
ISAN GABRIEL CA 91775 - I
ICONTRACTOR _ TEL NO 1 - I-APPROVALS DATE- INSPECTOR SIGNATURE 1
JAM CONTRUCTION CO (714) 622-0116- I 1 'I
18571 LANDERS DRIVE LIC NO I - (UNDER SLAB WORK I I
IMIDWAY CITY CA 92655 625479 I 1
I 1 IWATER SERVICE 1 I I
_ I IPLASTIC Y/N METAL Y/N I
(ARCHITECT OR ENGINEER TEL NO I I
I - 1 IROUGH PLUMBING I I
LIC NO 1 I I
' IGAS PIPING
I IGAS VENT I I
IHOT WATER HEATER I I
1 IPLUM13ING FIXTURES I I
1, ILAWN SPRINKLERS
- IGAS TEST I
I 1 (UTILITY COMPANY NOTIFIEDI I
I I ICwV I I
I I IGRAY WATER SYSTEM I I
I I I I I I
I I I I I I
I IREPORT ID DPR263 ROUTE TO BS0508
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