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Home My Public Portal About4857 ENCINITA AVE_Plumbing__ 76AG67A (CE e17B) -4/77 "' I APPLICATION FOR PLUMBING PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPE( ADBUILDING '90 S 7 Arm c/W{ NUMBER FIXTURE OR ITEM ® FEE WATER CLOSET LOCALITY C NEAREST BATH TUB CROSS ST 1R,LQ SHOWER V� OWNER / S J'j�"' h gr A LAVATORY MAIL ADDRESS `! r 7 � ' /'D /1-/Y SINK Q�J CITY �t/f! l` �J TEL NO 7 ^S � DISHWASHER CONTRACTOR C) yj CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL NO LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER LICENSE NO CLASS / GAS SYSTEM -3 OUTLETS31 DISTRICT NO GROUP ZONE PR ESSED BY O T OUTLETS OV ER l V 5 PER SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD W z Plan check fee PLUMBING PERMIT ISSUING FEE$ S� TOTAL FEE 5 Plan check applicant APPROVALS DATE INSPECTOR 5 SIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING City Tel No GAS PIPING �� L IHEREBY 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 LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITYCO NOTIFIED SIGNATURE 1 OF PERMITTEE FINAL 7 I PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATIOCK M Q CASH 5 9 0 rFLB t3 J D 2.5 0 A-z', r 76A6 17 10 BB 87 DBS APPLICATION FOR PLUMBING PERMIT 1 DMSION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles BUILDING S 7 JOHN A LAMBIE COUNTY ENGINEER ADDRESS CASSATT D GRIFFIN,SUP T OF BUILDING LOCALITY r. FOR APPLICANT TO FILL IN I NEAREST .� - - CROSS ST OWNER DISTRICT NOj GROUP I O READY FOR INSPECTION MAIL ADDRESS CITY C - TEL NO INDUSTRIAL WOSTEAPPROVAL PLUMBER INSPECTION RECORD ADDRESS (�, ^I � �•1" \o'�l1 L-0;- CITY TEL No LICENSE NO �� U / olv" NUMBER TYPE OF FIXTURE OR TEM FEE � WATER CLOSET (TOILET) @ $100 BATH TUB @ $100 SHOWER @ $1 00 LAVATORY (WASH BASIN) @ $1 00 _ KITCHEN SINK @ $100 ¢ DISHWASHER @ $100 LAUNDRY TOB OR TRAY @ $1 00 i G CLOTHES WASHER, 1 @ $1 00 WATE %EATER } @ $100 GAS SYSTEM `" @ $1 00 APPROVALS DATE INSPECTOR S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE o GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING /I I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST '_'� LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF - CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITYCO NOTIFIED DESCRIBED RESIDENTIAL ROPERTY — SIGNATURE OF PERMITTEE FINAL 101, 1 JOHN A LAMBIE. COUNTY ENGINEER VALIDATION ROBERT A WOOD, CHIEF PLBG INSPECTOR tl O CASH LAC0 8 7 5 5 JUN 3 3 200 v)' 667—CE S 17 8/68 l APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DMSION ADDRESS S JOHN A LAMBIE, COUNTY ENGINEER 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 SHOWER 1 50 CITY TEL NO 6� LAVATORY 1 50 CONTRACTO � SINK 1 50 ADDRESS DISHWASHER 150 CITY_ O CLOTHES WASHER 1 50 STATE /y � �j ry LIC LICENSE NO / a CLASS SWIMMING POOL RECEPTOR 1 50 DISTRICT NO GROUP NE PR SEED BY > LAWN SPRINKLER SYSTEM 2 20 I✓�`� ' U WATER HFATER 1 50 j Ili'.,USTRIAL WASTE APPROVAL C= GAS SYSTEM OUTLETS 150 _ INSPECTION RECORD V L4.1 OUTLE SOVE a 5 PE YSr 3G Z I Plan check fee 25% of above See reverse PLUMBING PERMIT ISSUING FEE $ 2 00 TOTAL FEF S APPROVALS DATE INSPECTOR 5 SIGNATURE Plan check applicant UNDER SLAB WORK Naine ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel No HOT WATER HEATER I 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 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 I AM THE LEGAL OWNER OF AN INTEND TO RESIDE IN T ABOVE DEB IB! EBIDENTIA PRO E FINAL l 7v SIGNATURE JACK R ALLEN, SUPERVISIN CHANICAL ENG'R OF PERMITTEE PERMIT VALIDATION CK M O CASH PLAN CHECK VALIDATI CK M O CASH 3.5C7� 3 U I4 2�; 0_L1 0 5 � DDEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES PLUMBING WM.J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROU ZONE PERMIT o. ROUGH FIXTURES H COMPLETE HEATER CESSPOOLSEPTIC TANK REC6IVEEEppp�HHY READY FOR DATE ISS ED FIRST INSPECTION , GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB ce NAME l ADDRESS Wy� 01 ADDRESS fa LOC ALITY �tss g NEAREST .J CITY NO. CROSS ST. i COUNTY CERT No EXPIRES m NAME LOCATION OF SEPTIC TANK, OR CESSPOOL = MAILS 3 ADD S NORTH O CITY TEL No. I -AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICA*eOF QUALIFICATION. PLUMBER _ IAM THE LEGAL OWNER//F THE PROPERTY DESCRIBED " ABOVE. / > / OWNER CORRECTIONS SOUTH J DESCRIPTION OF WORK _z BATH TUB FURNACE Q' ROWER DISHWASHER 0 LAVATORY REFRIGERATOR KITCHEN BINK WATER SOFTENER FLOOR BINK SAND TRAP SLOP BINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE 'IN3PECTOR 8 NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING _ METER GAS SODA FOUNTAIN OUTL GAS PIPING GAS VENT I CESSPOOL TOTAL NUMBER O IXTURES SEPTIC TANK I I I CE88P00 - EPTIC TANKy V SEWER $ O, UTILITY CO NOTIFIED TOTAL FEE / wU FINAL D S B 17 25M SETS 7-47 4 APPLICATION FOR PERBU DEARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ♦ WM.J. FOX.CHIEF ENGINEER PLUMBING NATURE OF INSTALLATION DISTRICT No. GR o o E -_ PERMIT N ROUGH FIXTURESCOMPLETE HEATER CESSPOOL SEPTIC TANK RECEIV D BY READY FOR DATE 188 ED A8 MISCELLANEOUS FIR87 INSPF-CTION f -x — � wpmgp AP FILL IN HEAVILY OUTLINED PORTION ONLY JOB A E NAM ADORE" too o wp! dra W m ADDR n o LOCALITY D NEAREST 4 CITY CROSS ST COUNTY CERT No EXPIRES NAME LOCATION OF SEPTIC TANK, OR CESSPO 7 3 MAIADDIVS NORTH O CITY TEL No I AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION PLUMBER I AM THE LEGA N THE P OP TY DESCRIBED �p ABOVE. W D 3 OWNER ORRECTIONS c:2 U s- 7' - d SOUTH ,J _ DESCRIPTION OF WORK z BATH TUB FURNACE (Y SHOWER DISHWASHER O LAVATORY REFRIGERATOR I I KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY, URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN _ DATE IN SP ECTOR'S NAME WATERHFFFTTT��TER ^ENTALLAVATORY ROUGH PLUMBING METER TGAS SODA FOUNTAIN OUTL GAB PIPING I i GAS VENT I CESSPOOL TOTAL NUMBER OF FIXTURES ® SEPTIC TANK CESSPOOI SEPTIC TANK 1 SEWER IB UTILITY CO NOTIFIED 7 I Imo/ TOTAL FEE C.s� FINAL 76A667C (CE-8178) -9/7r APPLICATION FOR PLUMBING PERMIT BUILD( AND SAFETY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING S C.! WATER CLOSET T / ^ �C J J�/7 L'� NUMBER FIXTURE OR ITEM @ FEE LOCALITY �'^ � NEAREST BATH TUB CROSS ST (� SHOWER OWNER T< E17 y �E LAVATORY MAIL ADDRESS �J ✓ /�j� / N / �A SINK s" CITY /C C/ TEL NO 'f DISHWASHER CONTRACTOR LU n4r CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL NO LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER ? LICENSE NO CLASS p a� DISTRICT NO GROUPONEI� p�pCESSED BY V GAS SYSTEM 3 OUTLETS OUTLETS OVERF- 5PER SYSTEM INDUSTRIAL W WASTE APPROVAL kt J�INSPECTION RECORD Plan check fee PLUMBING PERMIT ISSUING FEE $ TOTAL FEE Plan check applicant Name APPROVALS DATE INSPj_CTOR 5 SIGNATURE UNDER SLAB WORK �Q-J'-25 f Address ROUGH PLUMBING k-7-/ ^., City Tel NO GAS PIPING w 16 V �t I HEREBY ACKNOWLEDGE THAT 1 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 I AM THE LEGAL OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL RO ERTY UTILITY CO NOTIFIED SIGNATU RE OF PERMITTEE FINAL PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CP M 0 CASH 51 a r OCT 5 �5 u 5 0 &9b WORKERS' Ct%APENSATION DECLARATION APPLICATION; FOR PLUMBING PERMIT . It'hereb �Ziffirm thcLt I hale d certrfi 20 0026 DPW 4/87 n y, � r,�rfe of consent to self in- 76A667A 'IUI ,. ."I -,brlio certificate of Workers'Compensation Insurance,or a CE 817(REV 8/86) S<, certified copy thereof (Sec 3800, Lab C ) r ' 'COUNTY OF LOS,ANGELES DEPT. OF PUBLIG.WORKS P61lcy,Ndt Company, ^ - I I I , Certified copy is hereby furnished , BUILDING L FOR APPLICANT TO FILL IN (PRINT,OR TYPE)h- r Certified copy is filed with the county building inspection ADDRESS T de artment NUMBER FIXTURE OR ITEM Ca 'L FEE 7 P LOCALITY r r WATER,CLOSET(TOILET) Date " Applicant - NEAREST r „ CERTIFICATE OF EXEMPTION FROM WORKERS ' BATH TUB CROSS Sr d Qr !7 U ^4' COMPENSATION INSURANCEy.` , SHOWER - ;`„� OWNED "r Sa N (This section need not-be completed if the work involved by` MAIL �l the permit ts'for one hundred dollars ($100)dr less")`` LAVATORY ADDRESS S ', I certify that in the performance of the work for which this Aer- H mit is issued, I'sholl not employ any person in ony,manner so SINK ,, CITY �- NO _C as to become sublecrto the Workers' ompensation Laws DISHWASHER'' r ` K CONTRACTOR T = Date l' J Applicant "��CS� t -CLOTHES WASHER ADDRESS } NOTICErTO,APPLICANT If,�after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption, you should become sublect.to the Workers'Com,pen- CITY TEL NO sation';provisions of the'Labor Code, you'must forthwith comp= r LAWN SPRINKLER SYSTEM s ly,with such provisions or this permit shall be deemed revok- STATE LIC ed 'y WATER HEATER' LICENSE NO CLASS,. f; LICENSED CONTRACTORS DECLARATION DISTRICT Np_/ PR GAS SYSTEM OUTLETS OCESSED BY I hereby affirm that I am licensed under provisions of Chapter "t (//J UX 9(commencing with Sechon 7000)of Division 3 of the Business OUTLETS OVERand : < 5 PER SYSTEM t fe Professions Code, and my license is in-full force and ef- �" FINAL Q� V ATION r E DATE —U O License Number Lic'Class V w FIN/ �8458A °C Contractor Date B f O I am exempt under Sec t # 0 a 0 o c 5 LU U "B1&P C f0r'this reasonPlan"check fee _ - c o ° 3 a,5 0 y K: ' e , - 2E y Date .PLUMBING PERMIT ISSUING FEE $ ' o 0 0 3 4,5 0 r' Signature TOTAL FEE L °' SINGLE FAMILY` d HOME OWNER-BUILDER DECLARATION ' = Plan check applicant 1 ( 3 O r I Hereby affirm that 1 am exempt from the Contractor's License Name Law for the following reason (Section 70315, Business and L a s .-'Professions Gode) Address I'"as owner'of the property, will do'the work and the City s A Tel No _,_ ' structure is not intended or offered for sale(Section 7044, Business and Professions Code)- K } CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency forthe performance of the work for which this permit is issued (Sec 3097, Civ 'C ) Lender's Name Lender's Address r 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 lows,regulating Plumbing, and hereby s ' authorize representatives of this County to'enter, upon the abo e-mentioned property for mspection-p rposes ,� jU -3, SEE REVERSE FOR`EXPLANATORY LANGUAGE 4 Signature of Permittee bate