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HomeMy Public PortalAbout5001 ENCINITA AVE_Plumbing__ D13S17 APPLICATION FOR PLUMBING PERMIT 1 DBS I� 'DIVISION OF BUILDING AND SAFETY Deportment of County Engineer County of Los Angeles ADDLID REISS �e) O� �' G !�JOHN A LAMBIE, COUNTY ENGINEERCASSATT D GRIFFIN SUP T OF BUILDING LOCALITY � iC Ia G FOR APPLICANT TO FILL IN NEAREST /� CROSS ST w P7 5 V 5�" �y OWNER r DISTRIC O GR/Oj�2 /JZyO�NE READY FOR INSPECTION MAIL ADDRESS LV V G � VE r II ' /I '^ INDUSTRIAL CITY —=I" 17%1 TEL NO WASTE APPROVAL PLUMBER 6&bV &4 .� �� � INSPECTION RECORD ADDRESS CITY TEL NO LICENSE NO L_J3 NUMB R TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) @ $100 $ ryry O BATH TUB @ $100 W. 00 SHOWER @ $100 LAVATORY (WASH BASIN) @ $100 OO KITCHEN SINK @ $1 00 DISHWASHER @ $100 LAUNDRY TUB OR TRAY @ $1 00 CLOTHES WASHER @ $100 00 E� WATER HEATER @ $1 00 00 GAS SYSTEM @ $1 00 APPROVALS DATE INSPECTOR S SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING PLUMBING FIXTURES 1HEREBY CERTIFY T 1 AM ROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REOUI LOS S C NTY AND STATE OF CALIFORNIA OR TH I AM LEGA NER OF TW ABOVE UTILITY CO NOTIFIED DESCRIBED RESIDEN A PR TY SIGNATURE p OF PERMITTEE FINAL ' v JOHN A LAMBIE, COUNTY ENGINEER LIDATION ROBERT A WOOD CHIEF PLBG INSPECTOR CK ' 0 CASH Gr, 3 2 2 8� JUL25 5 A 7.00 m D B 9-17 gond SETS 12-4v ' tit f /7 0 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING ' i Wm J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO GROUP I ZONE PERMIT NO. ROUGH FIXTURES COMPLETE j OU / t'QJ� ///U/� HEATER CESSPOOL SEPTIC TANK R •EIVED Y READY FOR DATE ISSUEfD — -�� FIRST INSPECTION �� Y 6A8 MISCELLANEOUS APPP-ICANT FILL JW,d HEAVILY OUTLINED PORTION ONLY JOB ' E NAME ,p �y� /�� i ADDRESS 1pi® , (/-7' ADDR�ESB O hY v L� , LOCALITY e�/L�f C� v C n J o NEAREST y_ IL CITYCITY�.,�R_s TEL No No CROSS ST COUNTY / / !` CERT No GB(� EXPIRES 'rJ �a: NAME LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 NORTH ADDRESS - CITY CITY TEL.No. AN! AM THE LEGAL POSSESSOR OF THE ABO llq LOSS ANGELES COUNTY CERTIFICATE ORICATE OR QUALIFICATIOl PLUNDER I AM THE LEGAL OW R OF THE PROPERTY DESCRIDSD ABOVE OWNER CORRECTIONS SOUTH a / DESCRIPTION OF WORK ATH TUB FURNACE y ROWER _DISHWASHER O LAVATORY REFRIGERATOR e KITCHEN SINK WATER SOFTENER --FLOOR SINK —_HAND TRAP LOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSP CTOR d NAME WATER HEATER DENTAL LAVATORY I ��o ROUGH PLUMBING —�METER-21—GAS —SODA FOUNTAIN OUTL GAS PIPING I I IJ GAS VENT I I CESSPOOL TOTAL NUMBER OF FIXTURES C)d SEPTIC TANK CESSPOOI_ SSEPTIC TANK SEWER UTILITY CO NOTIFIED TOTAL FEE ,�j�'•" ®� , l^ FINA 4 DBS-17 35141 SETS 8-48 ` APPLICATION FOR PERMIT ;APARTMENT OF BUILDING AND SAFETY PLUMBING - COUNTY OF LOS ANGELES WM.J. FOX.CHIEF ENGINEER NATURE OF INSTALLATION } DISTRICT O. GROUP _O E PERMIT NO. ROUGH FIXTURES _I COMPLETE HEATER CESSPOOL SEPTIC TANK K RECEIVED BY READY FOR DATE ISSUED — —. _�� FIRST INSPECTION `/Q AMISCELLANEOUSA�IIIIIIIIIIIIIIII 'l ` ro AP/PQL�ICANT FILL IN HEAVILY OUTLINED PORTION /ONLY JOB � p� E E NAM (1JiQ ,,G,-,pa3� _ q" A ADDRESS / ``' / (i IY � ADDRESS � ®$� �. ��L1 LOCALITY E14 P,4 E C +j A J NEAREST (� �9 L CITY �i�L No C40686T. eC /'[ COUNTY CERT NO EXPIRESw NAME LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL 3 / /�", 5 TA ADDRESS P /" V NORTH O CITY -r�/'I /7{E)T L(NO I AM THE LEGAL POSSESSOR OF THE ABOVE LOS . ANGELES COUNTY CERTIFICATE QUAL'IFICATiaN�. PLUMUER I AM THE LE (�AL OWNER OF THE PROPERTY DESCRIBED VE. ABO n 3 a - i OWNER CORRECTIONS SOUTH _ J DESCRIPTION OF WORD z z_ BATH TUB FURNACE 6 SHOWER a DISHWASHER Q —LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR BINK BAND TRAP SLOP BINK FLOOR DRAIN J WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR 8 NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING __________METER_GAS SODA FOUNTAIN OUTL 6A6 PIPING GAS VENT a I CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CE8SPOOL SEPTIC TANK a SEWER O S g UTILITY CO NOTIFIED TOTAL FEE FINAL COUNTY OF LOS ANGELES A-7318 APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY LUMBING WILLIAM J FOX, County Engineer DISTRICTNO. GROUP ZONE ER FOR APPLICANT TO FILL IN �I PLU..WNERAL INSTALLATION CO. RECEIVED BY READY FOR DATE ISSUED 311 E aOth STREET L A 3 I�N�\ FIRBLINSPECTION ADDRESS 13 NOWs NG CITY TEL No ADDREIBB 5001 Encinita Ave. COUNTY LOCALITY LICENSE NO, EXPIRES PERMIT FEES CROSS . Pentland St, NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER Irene Knowlton MAIL �+ WATER CLOSET(TOILET) a 050 $ Same am BATH TUB Oso CITY T=le City TEL No SHOWER @ 050 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 050 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY OR©INANCES KITCHEN SINK - Q O SO AND STATE LAWS REGULATING PLUMBING. 1CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 050 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS @ O SO SIGNATURE OF , WATER HEATER Q 050 PERMITTEE__ - SLOP SINK @ 050 INSPECTION RECORD FLOOR SINK a 050 FLOOR DRAIN @ 050 DISHWASHER @ 050 DRINKING FOUNTAIN @ 050 URINAL @ O 50 J Q _ HOUSE SEWER @ 050 Z Ell MISCELLANEOUS Vater Softener 100 0 APPROVALS DATE INBPECTOR•S NAME ROUGH PLUMBING GAB PIPING GAS VENT CESSPOOL 1130 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) 01.00 SEWER PERMIT 1.013 GAB TEST UTILITY CO.NOTIFIED _ / i TOTAL FEE 2 00 ' FINAL, 76A667 DBS} 17 10/52 76 A66'7-CE#817 10 67 APPLICATION FOR PLUMBIN PERM COUNTY OF LOS ANGELES ., DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION 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 150 MAIL _ BATH TUB 1 50 ADDRESS SHOWER 1 50 CITY TEL NO LAVATORY 1 50 CONTRACTOR SINK 1 SO ADDRESS DISHWASHER 1 50 C L NO CLOTHES WASHER 1 50 STATE LIC LICENSE NO CLASS SWIMMING POOL RECEPTOR 1 50 DISTRICTNQ GRP ZONE P OCESS BY LAWN SPRINKLER SYSTEM 2 00 a(� I CL O U WATER HEATER 1 50 INDUSTRIAL WASTE APPROVAL p GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD U OUTLETS OVER W 5 PER SYSTEM 30 N Z Plan check fee 25% of above See reverse PLUMBING PERMIT ISSUING FEE $ 2 00 TOTAL FEE APPROVALS DATE/' INSP CTOR S SIGNA URE Plan check applicant UNDER SLAB WORK O Name 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 J LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _ CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED R DENTI P P'PTY FINAL - SIGNATUREJACK R. ALLEN, SUPER VISIN CHANICAL ENG'R _ OF PERMITTEE PERMIT VALIDATION cK M o CASH PLAN CHECK VA I ATION crc M o ASH ( .a 4 5 D 5.00,' U WORKER5,COMPENSATION DECLARATION .APPLICATION FOR PLUMBING PERMIT i 76A666 DPW 4/87 ' ' I'heteby,�affirm that�l have a c@rhficatg,of cons®nt to self m- 76A667A a . sure,or a certificete of Workers'Compensation Insurance,pr 9 CE 817(REV,8/86) ce"rhfied copy thereof (Sec 3800, Lab C ) S° a ' — ''t- ' ! , r ` COUNTY OF LOS ANGELES , DEPT. OF PUBLIC WORKS, Policy No Company r _ ❑ Certified is urnise Cd cos hereby furnished FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING / iA/(!/ f. OCertified copy'is,filed with the county Building mspectior r ADDRESS d / � department NUMBER FIXTURE OR ITEM` Lal FEE n� ) �^ „ t LOCALITY -r` Date��' a Applicant, _ r WATER CLOSET_(TOILET) 0 ,NEAREST -re !'/��p � - O CROSS ST L CERTIFIDY %�C CATE OF EXEMPTION FROM WORKERS' BATH TUB V COMPENSATION INSURANCE , SHOWER <'/� OWNER �y UZ110Z, (This sectwn`rieed not be'completed if the work involved by J`� MgIL c ' the permit is for`one hundred,dollors (5100)or less) LAVATORY ADDRESS I certify that in the performance of the work for which this per- SINK ` 0� � mit is issued, I shall not employ any person+rn any manner so / CITY - > TEL NO as to become subject to the Workers Compensation Laws D DISHWASHER : .,, . CONTRACTOR Date Applicant "- a' CLOTHES WASHER s a, ADDRESS NOTICE TO APPLICANT If,'after making this Certificate S`�M of Ex- SWIMMING POOL RECEPTOR - emption,you should become subject to the Workers'Compen- ` sation`provisions of the Labor Code, you must forthwith comp- LAWN SPRINKLER SYSTEM CITY TEL NO ly with such provisions or,this permit shall be deemed revok- STATE LIC ed - ' , -_ WATER HEATER 77 50 LICENSE NO CLASS LICENSED CONTRACTORS,DECLARATION - I `15, TRICT NO OCES ED Y I hereby affirm that I am licensedFunder provisions of Chapter - GAS SYSTEM OUTLETS 0 , q� 9(commencing with Section 7000)of-Divis,on'3 of the Business OUTLETS OVER T� and Professions Code, and my'license is in full-force and ef- 5 PER SYSTEM a (J�/ FINAL ALID ION fect r "t 10DATE a License NumOber Lic Class - U - FINAL Contractor'' BY O - c (— I am exempt under Sec -_U�v _ U - W B'8P C for•this'reason �- _ W, a7 Plan check fee ,_ i.c-t,g " Date PLUMBING PERMIT ISSUING FEE $ 307 SignatureI L \ ' ' � �' TOTAL FEE , �� , SINGLE FAMILY T!-�TAL 69 � - HOME OWNER-BUILDER.DECLARATION Plan check applicant - CHIEft c� I hereby affirm that.l bm exempt from the Contractor's License, Name '. Law for the following reason (Section 703f 5, Business and LHt'thlGE _ at•}P! Professions Cade) - Address; i - t �, ' " I, as owner of the property, will c18thework and the City r , Tel No 7 structure is not intended or offered for sale(Section 7044, _ y !�'jt�I�—tuaG f ,., 0j L's3 Business and Professions Code) ' V`r ,7 R CONSTUCTION LENDING AGENCY ° r I hereby affirm that there is a coristruchon lendirig agency'for the performance of,the work for which this pefmit is issued (Sec 3097, Civ C ) Lender's Name Lender's Address / I cert,fy,that I have-read this applicationand state that the r Poo.above information is correct I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby Y authorize representatives of,this County to enter upon the , above-mentioned roperty for inspection purposes ` �� V - SEE REVERSE FOR EXPLANATORY LANGUAGE 1 ' Signature of Permittee k Date