HomeMy Public PortalAbout4868 ENCINITA AVE_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS O//�� (mak
LOCALITY (� ell ,
FOR APPLICANT TO FILL IN NEAREST
BUILT"ADDRESS .4 868 Lnc finita CROSS ST
DISTRICT NO GROUP ZONE PERMIT NO
LOCALITY Temple City
NEAREST �uv 7—r6
CROSS ST RECEIVED�BY Ready for Inspection DATE'jISSSSUED
OWNER J• F. Stevens km
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MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL NO INSPECTION RECORD
PLUMBER Belvedere Plumbing Co. 7 S"' _
ADDRESS 11900 L. Garvey Blvd.
CITY El Monte TEL.NO Fo 89836
❑STATE
LICENSE NO 246 $1 COUNTI J
PERMIT FEES a
_z
NUMBER TYPE OF FIXTURE OR ITEM FEE (7
l WATER CLOSET(TOILET) 0 080 $ C80 �
l BATH TUB @ 080 80 O
SHOWER @ 080
LAVATORY(WASH BASIN) @ 0 80 8O
l KITCHEN SINK @ 0 80 480
1 LAUNDRY TUB OR TRAY @ 080 80
SLOP SINK @ 0 80
FLOOR SINK @ 080
FLOOR DRAIN @ 080
DISHWASHER @ 0 80
DRINKING FOUNTAIN @ 080
URINAL @ 080
GAS SYSTEM 3 OUTLETS @ 1 00 Z 00
WATER HEATER @ 1 00 1. 00
MISCELLANEOUS
APPROVALS
DATE INSPEC I SSIGNATURE
UNDER SLAB WORK '7/6 1J� ►a
PERMIT S 1 00 ROUGH PLUMBING
TOTAL FEE 7 00 GAS PIPING " I
1HEREBY ACKNOWLEDGE THAT 1 HAVE 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 IAM 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 RESID TIAL PRO/pPERTTY UTILITY CO NOTIFIED
SIGNATURE
OFPERMITTEE
FINAL
76A667 DBS 17 1/53 181 vI