HomeMy Public PortalAbout4911 ENCINITA AVE_Plumbing__ 7GA667 ,7 5-49 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
BUILDING
CITY TEL. NO. ADDRESS
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ 0.50 $ I ADDRESS
BATHTUB @ O.50 _ CITY TEL. NO.
SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) @ 0.50 AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.501
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50I
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50
HOUSESEWER @ 0.50I� _ Q
Z
MISCELLANEOUS
(Y
O
I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00I / CESSPOOL /
SEPTIC TANK: I SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.001� SEWER
PERMIT 7.00 GAS TEST
I
TOTAL FEE
UTILITY CO. NOTIFIED i - I$
FINAL
76 A 667—CE 817 8/68 1y
APPLICATION FOR P2LUMI33INeiP4ERMa1T
COUNTY OF LOS ANGELES '
DEPARTMENT OF COUNTY ENGINEER
B=ING AND SAFETY DMSION BUILDING
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 SO X. SyjVpR-Lpr
MAIL
BATH TUB 1 50 ADDRESS
SHOWER 150 CITY Tafsple C449: TEL NO 28?-6292
LAVATORY 1 50 CONTRACTOR
SINK 1 so ADDRESS 10920 E. Grand Ave.
DISHWASHER 150 CITY Ie City TEL NO
CLOTHES WASHER1 50 ATE LIC
LICENSE NO 211898 CLASS C-20
SWIMMING POOL RECEPTOR 1 50 DISTRICT N GR ZONE P SEED BY a
LAWN SPRINKLER SYSTEM 2 00 CD
WATER HEATER 1 50 0 INDUSTRIAL OZ
WASTE APPROVAL
GAS SYSTEM OUTLETS I So INSPECTION RECORD U
W
OUTLETS OVER 1 / d
5 PER SYSTEM 30 '�.� Z
Plan check fee 21% of above See reverse
PLUMBING, PERMIT ISSUING PEE a 2 00
a
• F01 4L FEF
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
I HEREBY ACKNOWLEDGE THAT 1 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
1 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 DESCRIB ESIDENTIAL PROPERTY FINAL
SIGNATUREJACK R. ALLEN, SUPERVISING CHANICAL ENG'R
OF PERMITTEE
wm zt PERMIT VALIDATION cK M o CASH
PLAN CHECK VALIDATION CK M o CASH
11;x, 2 725 =0 3.50
7GA667 17 a-49® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT O GROUP ZONE PERMIT NO
> y` '7 7 7 0
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
- f/ I 7
ADDRESS � ,
CITY ,/J�IrGJ�+YL1
,7.,TEL NO ,.d� �,�} ADDRESS
COUNTY Q O tp / / EXPIRES r 0' LOCALITY t!
LICENSE NO a r�
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE " OWNER
MAI L
WATER CLOSET (TOILET) @ O 50
ADDRESS
BATHTUB @ O 50 CITY �+ot./ TEL. NO AgoO
SHOWER @ 0 50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) O 50 SAPPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O 50 ,Sj STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 50 ANGELES COUNTY LICENSE,- 9R-)1 AM THE LIEGAL OWNER
C
OF THE RESIDENTIAPROPERBED ABOVE.
GAS SYSTEM--J—OUTLETS @ O 50 SIGNATURE OR
WATER HEATER @ 0 5o „� PERMITTE
SLOP SINK @ o so INSPECTION RECORD
FLOOR SINK @ O 50
FLOOR DRAIN @ O 50 c tl
DISHWASHER @ O s0 -�A `L4^`+''€'i"`P� "`""'° 1.•.�.✓-1..ii�
DRINKING FOUNTAIN @ 0 50
URINAL @ O 50 .j
HOUSESEWER @ O SOI Z
MISCELLANEOUS
a.
�a p
APPROVALS
DATE INSPECTOR S NAME
ROUGH PLUMBING �6--V"> <r ,S
GAS PIPING
GAS VENT
CESSPOOL @ 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 SEWER
PERMIT I 1 00 GAS TEST
UTILITY CO NOTIFIED
TOTAL FEE
FINAL