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Home My Public Portal About5000 ENCINITA AVE_Plumbing__ i 76AS67 DBS 17 11-313 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING GOUNTY OF LOS ANGELES WILLIAM J. FOX. CHIEF ENGINEER jRWT NEI. FOR APPLICANT TO FILL IN PLUMBER RE IV D BY READY FORS DATE ISSUED FIRST//�1I,NBOECTION 12-19'_S..i/ ADDRESS WOW BUILDING a !� CITY TEL. No C D ADDRESS= �N i COUNTY LOCALITY LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) O 50 III ADDRESS BATH TUB O 50 CITY TEL. No. SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS O LAVATORY APPLICATIN AND STATE THAT THE ABOVE IS CORRECT (WASH BASIN) O 50 AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK 0 1350 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSEB13 THE ABOVE VALID LOS LAUNDRY TUB OR TRAY a 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER GAS SYSTEM OUTLETS @ 050 OF THE REBIDENTIAL P PERTY DESCRIBED ABOVE. SIGNATURE OF WATER HEATER 0 1350 PERMITTE SLOP SINK @ D sD INS CTION RECORD FLOOR BINK @ 0.50 FLOOR DRAIN @ O.sO DISHWASHER 0.80 DRINKING FOUNTAIN 0.50 p� URINAL @ 0.50 J HOUSE SEWER 0.50 AID MISCELLANEOUS C1 _ /2—1 ,5 -c!'0 O - APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING OAS PIPING GAB VENT CESSPOOL 0 1.00 CESSPOOL SEPTIC TANK: I SEPTIC TANK DRAIN ( ) PIT ( ) @ 1 00 SEWER G2.opo PERMIT I t GO GAB TEST UTILITY CO.NOTIFIED TOTAL FEE �myti FsI FINAL G��""" T"' /rte i t 76A667} 117 6-65 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING D JOHN A LAMBIE COUNTY ENGINEER ADDRESS COLEMAN W JENKINS SUP T OF BUILDING LOCALITY 1'yJ/IL� C FOR APPLICANT TO FILL IN NEAREST OA SSSST NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $12S MAIL BATH TUB 125 ADDRESS SHOWER 125 CITY TEL NO LAVATORY 185 CONTRACTOR SINK 125 ADDRESS d DISHWASHER 12S CITY TEL No a+ D STATE LIC LAUNDRY TUB 125 LICENSE NO ��yo[+ CLASS r CLOTHES WASHER 125 DISTRICT NO GROUP ZONE PROCESSED BY WATER HEATER 1 50 yor— GAS SYSTEM OUTLETS 150 INDUSTRIAL O WASTE APPROVAL OUTLETS OVER S PER SYSTEM 30 INSPECTION RECORD V i ix V Lu CL Z APPROVALS DATE INSjqjCTOR s IGNATU RE PERMIT S 2 00 UNDER SLAB WORK i ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT 1HAVE 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 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO GAS TEST r / RESIDC IN THE ABOVE CRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED SIGNATURE OF PERMITTEE FINAL / VALIDATION CK M O (`�CA�H� LAbo 2 4 6 9 UrUI,� 2 5 D 3.5 0 76A667-CEi'B17 6-66 APPLICATION FOR ,PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION 1B�UIDLDs O� JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUP T OF BUILDING LOCALITY 7 _� J FOR APPLICANT TO FILL IN NEARS ST NUMBER FIXTURE OR ITEM EACH FEE l -OWNER WATER CLOSET $1 25 Z J MAIL EATH TUB 125 ADDRESS �i HOWER 1 25 CI TEL NO S LAVATORY 125 ONTRACTOR t' J SINS 125 ADDRESS DISHWASHER 1 25 C TEL Nom !STATE LIC Q LAUNDRY TUB 1 25 LICENSE NO CLASS CLOTHES WASHER 1 25 DISTRICT NO GROUP ZONE I PROCESSED BY WATER HEATER 1 50 At7 W� GAS SYSTEM OUTLETS 1 50 INDUSTRIAL CL 0 WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD V 9= 0 H V w CL N Z APPROVALS DATE INS.4tFCTOR S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK �� r ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING i 1 HEREBY CERTIFY THAT 1 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 LEGA WNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RE E TIAL PROPERTY UTILITY CO NOTIFIED P SIGNATURE r OF PERMITTEE FINAL VALIDATI CK M O CASH LIC0 =3 8 4 AUG 1 \5 D 4.50- Vim-- 76A667,=CE8174-W } APPLICATION F PLIC l BI NG PERMIT COUNTY OF LOS ANGELES _ DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION xnnREss JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS SUP T OF BUILDING LOCALITY FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST CROSS 3S NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET 1 50 OWNERIL h BATH TUB 1 50 DDRESS 07rl D et SHOWER 1 50 CITY TEL �gc LAVATORY 1 50 CONTRACTOR-46� r SINK 1 50 ADDRESS DISHWASHER 1 50 CITY " TEL NO''r* CLOTHES WASHER 1 50 STATE LIC LICENSE NO CLASS l SWIMMING POOL RECEPTOR 1 50 DISTRICT NO GROUP ZONE PR ESSED BY LAWN SPRINKLER SYSTEM 2 00 �4 CL WATER HEATER 1 50 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD O OUTLETS OVER 5 PER SYSTEM 30 LJd O. N Z. Plan check fee 25% of above See reverse PLUMBING PERMIT ISSUING FEE 9 TOTAL FEE APPROVALS DATE INSPECTOR 5 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED I ICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO ESIDE IN THE ABOV;ZCRIB E I RESIDENTIAL ERTY FINAL 7 IGNATURE JACK R. ALLEN, SUPERVISING-MEC ANICAL ENG'R OF PERMITTEE PERMIT VALIDATION cK M o CASH PLAN CHECK VALIDA N CK M o CASH 1 N flf f 7.5 () AtZ 76AG67 17 11-49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DI TIS. GR U zgq Mi NU. FOR APPLICANT TO FILL IN PLUMBER Y Z F-7R CEIVED READY FOR DATE ISSUED t / pp j - FIRST INSPECTION J ADDRESS�/' i (� ,1'4L • _ BUILDING,* ' ADDRESS CITY TE O COUNTY Z? 6 4 2L LOCALITY LICENSE NO b� EXPIRES LJ . NEAREST PERMIT FEES CROSS ST NUMBER TYPE OF FIXTURE OR ITEM FEE DWNERIf MAIL Q WATER CLOSET(TOILET) @ O 50 $ I AD0REBS :35 �r- BATH TUB @ D 50 I CI TEL No (SHOWER @ 0501 F I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ ❑ 501 I APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ n 50I AND STATE LAWS REGULATING PLUMBING ( LAUNDRY TUB OR TRAY @ O,SO ANI CERTIFY THAT I POSSESS THE ABOVE VALID LOS O ELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBE ABOVE. GAS SYSTEM—�O UT LETS @ O 50 I Iy "' SIGNATURE OF WATER HEATER @ D 50 1 PERMITTE I SLOP SINK @ 0501 INSPECTION RECOR FLOOR SINK @ 0501 FLOOR DRAIN @ D 50 I� . DISHWASHER @ 0501 1DRINKING FOUNTAIN @ 0�500,J11 UR:IN AL _ Q HdLBE SEWER w O 501 Z 1MISCELLANEOUS - o I I APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT 1 ICESSPOOL @ 1 00 CESSPOOL SEPTIC TANK I SEPTIC TANK DRAIN ( ) PIT ( ) @ 1 OO I I SEWER PERMIT I 1 DD p GAB TEST UTILITY CO.NOTIFIED I r.► TOTAL FEE !� 1INAL S.�a �k RKERS' COMPENSATION DECLARATION " _ • .�- .'E 200026 DPW 4/87 APPLICATION FOR PLUMBING PERMIT • I hereby,-offirm that I have a certificate of consent to self m- 76A667A sure,or a ,ertif4cate of Workers'Compensate surance,or a 'CE 817(REV 8/86) certiftcd c0py'4e,;eof (Sec 3800, Lab ? • t '' COUNTY OF LOSgANGELES .DEPT. OF PUBLIC WORKS T Policy No Compan t w •,E i4 ;? 0 Certified copy is hereby rnished " a r I - FOR APPLICANT TO FILL IN (PRINT OR TYPE) _ BUILDING '� Certified copy is file ith the county building inspection ADDRESS �� department NUMBER FIXTURE OR ITEM @ FEE LOCALITY I _ � WATER CLOSET(TOILET)'' Date Applicant, NEAREST �� ' 5 a CROSj(�( CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB S ST " 1COMPENSATION INSURANCE ; OWNER SHOWER J (Thissection need not be completed if the'°work involved by MAIL 1 ^ y the permit is for one hundred dollars ($100)or less ) LAVATORY , ADDRESS�E330 vSA` f'� I cer,tif that in theerformance of the work for which the r mit is issued, I shall not' employ any person in any m er /. a SINK MO� C d CITY s TEL N '7 J� as Oto come ruble 1 the Workers' Com e La DISHWASHER _ !c� CONTRACTOR Dat '�v ApplicSnt CLOTHES WASHER_., NOTICE-TO APPLICANT ,If, after m king this Certificate of Ex- ADDR ES� _ i r SWIMMING POOL RECEPTOR emption,you should become,sublect to the Workers'Compen- CITY ` TEL NO - sation,provisions of the Labor Code, you must forthwith comp' LAWN SPRINKLER SYSTEM•- ly,with such provisions or,this permit sholkbe deemed revok- ` STATE _ UC ed ., LICENSE NO 6� CLASS r WATER HEATER „r LICENSED CONTRACTORS DECLARATION`'' ` DIST ICT NO P CES BY GAS SYSTEM OUTLETS I hereby affirm that I am licensed under provisions of Chapter 3 , 9(commencing with Sectiori 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is in full force and ef- I , 5 PER 1 - FINAL r rJ VALIDATION O feci l/J, c c G/ DATE License Numbreerrr Y � A'Lic Class ;/ C � y - 0 _Contractor I` l��' ��ate 9'' i O � `� I am exempt under Sec` r J-- W B&P C for this reason Plan check fee - y a1e PLUMBING PERMIT ISSUING FEE $41 pop ' _ Signature ^e _ x l � � _ TOTAL FEE Plan capplicant - SINGLE FAMIL Plheck appl HOME OWNER-BUILDER DCL ON a_ 'I hereby affirm that I am exempt from the Contractor s License Name - v - rr a Law for,the following reason (Section 7031 5, Business and r AyCTea Professions Code) ,4, Address ;. �., 3307 p� 100.5[ I, as owner of the property, will do the work and the City } Tel No 1 ITEM - ' structure is not intended or offered for sale(Section 7044, t µ - Busin'ess and Professions Code) ' a -IOTAL :100.50 _ 'CONSTRUCTION LENDING AGENCY` CACY, NJ I hereby offirmrthat there is a construction lending+agency for y 4 ,.t ~, r��uu--�� " 1 • the performance of the work for which this permit is"issued 4fiFUY57G (Sec 3097, Civ C )' _ Lender's Name0000✓�1 6Iigw9 y - Lender's Address -r t - 4262 1 AM11`16 I certify that I have read this application and state that the 45 ti • aboveimformation is correct I agree to comply with all County Poo._ K - _ ordinances and State laws regulating Plumbing,and hereby t authorize representatives o this County;to'enter upon the - „ above-mentioned r fo inspection urposes ` - c 2 SEE REVERSE FOR EXPLANATORY LANGUAGE j ' A ' Signa of Permittee _ Date