HomeMy Public PortalAbout5014 ENCINITA AVE_Plumbing__ 78A887 17 8'49 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE //PERMIT NO.
PLUMBER � - RECEIVED.RY READY FOR DATE ISSUED
_Y � � � FIRST INSPECTION
ADDRESS I
.�� BUILDING
TEL NO. ADDRESS
CITY
COUNTY 9/ $o LOCALITY
LICENSE NO 7� EXPIRES
' - NEAREST
PERMIT FEES CROSS ST. _
' f -
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
I� MAIL v
WATER CLOSET (TOILET) @ O 50 1L" ADDRESS
BATH TUB Q O 50
CITY TEL NO.
SHOWER @ O 501 - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
pialAPPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
LAVATORY (WASH BASIN) Q O 501 4010AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
STATE LAWS REGULATING PLUMBING
/ KITCHEN SINK @ O 50 I �® I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ O 501 ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM_aGOUTLETS Q O Sol SIGNATUREiOF
WATER HEATER @ O 501 �O PERMITTEE �r /
SLOP SINK_ @ o Sol INSPECTION RECORD
J-FLOOR SINK Q 0.501
FLOOR DRAIN @ O 501
DISHWASHER Q O 501
DRINKING FOUNTAIN @ 0 Sol
URINAL @ O 501 ..I
HOUSESEWER @ O 50'I I Q
MISCELLANEOUS I (�
I� APPROVALS
DATE INSPECTOR'S NAME
1 I I _� 1
ROUGH PLUMBING Gy
GAS PIPING II/'_ _..^"r I.•/
V
GAS VENT
CESSPOOL @ 1 00 I I CESSPOOL
SEPTIC TANK e. I I SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1 001 . I , SEWER
PERMIT 1 00 GAS TEST S
UTILITY CO NOTIFIED
TOTAL FEE
/ FINAL