HomeMy Public PortalAbout5004 ENCINITA AVE_Plumbing__ 76A667 (CE-817) - 5/73
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
HAKE CHECKS PAYABLE TO BUILDING ��
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER, LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) , NEAREST /
CROSS ST
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1 75
MAIL u �
BATH TUB 1 75 ADDRESS
SHOWER 1 75 CITY TEL NO J
/ LAVATORY 1 75 7 CONTRACTO r
/ SINK 1 75 -7� ADDRESS
DISHWASHER 1 75 CITY
TEEN ��
CLOTHES WASHER 1 75 STATE LIC /l-
LICENSE NO* a 3��- B CLASS v 3
SWIMMING POOL RECEPTOR 1 75
DIS ICT NO GROUP ZON PR CESS E BY
LAWN SPRINKLER SYSTEM 1 75 �
/ WATER HEATER 1 757� INDUSTRIAL e
WASTE APPROVAL pr
GAS SYSTEM OUTLETS 1 75 7 CD
INSPECTION RECORD
OUTLETS OVER - tr
5 PER SYSTEM 30 p
fn
j I• Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE a2
APPROVALS DATE INSPECTOR 5 SIf NATU RE �
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT
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
PLUMBING GAS TEST _
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED OS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I M T E LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE ES CRI ED RESIDENTIAL P ERTY FINAL
SIGNATU RE
f
OF PERMITTEE
PERMIT VALIDATION cK M o CASH
PLAN CHECK V LIDATION CK M D CASH
3 2 2 JUN 6 5 o 1 5.2 5 AtIu
76A667-CE#817 2-66
APPLICATION FOR PLUMBING PER T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS SUPT OF BUILDING LOCALITY �J
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE /
OWNER
WATER CLOSET $1 25 MAIL
BATH TUB 1 25 ADDRESS
CITY - �/ TEL NO
SHOWER 1 25
LAVATORY 125 CONTRACTOR
3[xg 1 2s ADDRESS c�/�D ® </!/
DISHWASHER 125 CITY %� TEL NO Z
LAUNDRY TUB 1 25 STATE +I G� LIC
LICENSE NO �, / CLASS
CLOTHES WASHER 1 25 DISTRICT NO GROUP ZONE P ME3V
WATER HEATER 1 50 �3
GAS SYSTEMOUTLETS 150 L+ INDUSTRIAL a
WASTE APPROVAL p
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD v
O
E—
U
W
V)
V)
Z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE CJ GAS PIPING Or
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION GAS VENT
S
AND TATE 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 ANG LES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEG OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DECCR IBED IDEN AL PROP Y UTILITY CO NOTIFIED ✓
SIGNATURE /
OF PERMITTEE
FINAL �
VALIDATIO I JACK R. ALLEN
CK M O CASH SUPERVISING MECHANICAL ENG'R
` LA60 5 3.1 5)Z2 OCT 17 5- D 350- Q
76,667 013817 11-50 APPLICATION FOR PERMIT
`DtEPA,RTMENT OFF LOS NG AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER mommBING
DISTRICT'PLum
FOR APPLICANT TO FILL IN /30
?
PLUMBER �- A EIVED BY READY FOR DAT
SBLIE
FIRST INSPECTION
ADDRESS47
BUILDINQ't/ m 1
CITY TEL NO ADDRESS,
COUNTY LOCALITY J / r l" d `
LICENSE NO EXPIRES
NEAREST
PERMIT FEES CROSS BT.
NUMBER TYPE DF FIXTURE OR ITEM FEE OWNER
MAIL _
WATER CLOSET(TOILET) 0 0.50 Ili ADDRESS
BATH TUB 49 O 50 CITY TEL. N0.
SHOWER 0 O SO 1 HEREBY -ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) D 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK O SO AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY (� O 50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
OF THE RESIDENT1 L PROPERTY DESCRI ED71,
VE.
OAS SYSTEM OUTLETS Q 050
SIGNATURE OF ^M
WATER HEATER C� O SO PERMITTEE _
SLOP SINK @ D sO INSPECTION RECORD
FLOOR BINK @ ().Sc)
FLOOR DRAIN 0 O 50
DISHWASHER @ 0.90
DRINKING FOUNTAIN (04 O 50
URINAL 0.50 -�
Q
HOUSE SEWER @ O 50 Z
MISCELLANEOUS
Q'
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL 00 CESSPOOL -y"
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 SEWER / �Kl�""� �'C�.6 f'9
PERMIT I 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
76A667 DBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY �'
•t - COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
13NE PERMIT NEI
FOR APPLICANT TO FILL IN /� `DISTRIL'T NO. GROUP I ^/ �� � .
`1
PLUMBER /� '.,, RECFIRST INSPECTION
IVED BY READY FOR DATE ISSUED
ADDRESS � �' L� .C'i�. r�' l L-7YM S
,( BUILDING ./
CITY ��/'-, Pull"- 1 l TEL. NO! ADDRESS _
-v
COUNTY 1 LOCALITY
LICENSE NO. EXPIRES ,
NEAREST,
PERMIT FEES CROSS ST. _
NUMBER TYPE-13F FIXTURE OR ITEM FEE OWNER ,0
r MAIL
WATER CLOSET(TOILET) 050 111 J ADDRESS .( i-lll�l�y�,
BATH TUB @ 0.50 CITY ¢nom 4u_lTEL. No
SHOWER a 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
N
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LAVATORY (WASH BASIN) @ O 50
y,r,_ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
lee KITCHEN SINK Q 050 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY O.SO ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
Al
GAS SYSTEM OUTLETS (9 O 50 r
WATER HEATER 0.50 SIGNPERMITUREZ rv�.
BLOP BINK @ o so INSPECTION RECORD
FLOOR SINK 0 O.SO
FLOOR DRAIN 0 0.50 �
DISHWASHER 0 0.50 G G.&-
DRINKING FOUNTAIN @ 050
URINAL Q 0.50
HOUSE SEWER 0.50 _Z
MISCELLANEOUS _O
O
APPROVALS
DATE INSPECTOR'S NAM[
ROUGH PLUMBING
GAS PIPING r
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 00 SEWER /
PERMITI 1.013 GAS TEST
• UTILITY CO O
NTIFIED
TOTAL FEE d
FINAL �.( �,® I G"�✓J