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HomeMy Public PortalAbout5016, 5010 ENCINITA AVE_Plumbing__ PLUMBING -1 DEPARTMENT OF COUNTY ENGINEER DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING WILLIAM J. FOX, COUNTY ENGINEER I ADDRESS FOR APPLICANT TO FILL IN LOCALITY / • G, L BUILDINGNEAREST /a - M CIM /EA CROSS ST. ADDRESS VV ( �/ DISTRICT N0. GROUP ZONE PERMIT NO. LOCALITY NEAREST m. / CROSS ST / /R�REECCEIVED BY Ready for Inspection DAT ISSUED /3 OWNER o o,, , MAIL Cc%,00CIA INDU E APPROVAL ADDRESS //3 3 �['j JJ rLj �j 'WASTE APPROVAL CITY/ LN l�N� F2 N TEL.N0.A / T� /A INSPECTION RECORD j f s/ PLUMBER GL f 1=/—O R ,� {� ,F.(//L 1 T_L Q� ADDRESS O O,rZ / .,S610/C/ A_1["t CITY E,0,5 EI'/Q40 TEL.N0. 7-:76STATE LICENSE NO. I R � / g.eefiNT)' PERMIT FEES p, ll NUMBER TYPE OF FIXTURE OR fTEM FEE \ ,f$' � Y Z WATER CLOSET(TOILET) @ 0.80 $ " a J Irl` BATH TUB @ 080 V11�_ ty 0 ` ��®�(1! 10// SHOWER @ 0.80 / d 1R LAVATORY (WASH BASIN) @ 0 80 '� V 1 LC4 I ' KITCHEN SINK @ 0 80 LAUNDRY TUB OR TRAY @ 0 80 i SLOP SINK @ 0.80 - FLOOR SINK @ 080 FLOOR DRAIN @ 0.80 DISHWASHER @ 0 80 DRINKING FOUNTAIN @ 0.80 URINAL @ 080 GAS SYSTEM--------------OUTLETS @ 1.00 WATER HEATER @ 1 00 MISCELLANEOUS AZ 725< 0/,�—_7 APPROVALS �-\ .P tc DATES tINSPE�CTOR'3 SIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI• GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES' I HEREBY CERTIFY THAT I AM PROPERLY REGISTEREDS<r' - AND/OR LICENSED AS REQUIRED BY LOS ANGELES OUNTY GAS TEST AND STATE OF CA RNIA R HAT I AM THE LE oww- ER OF THE ABOV D SCRIB ESID NZI�AL ROP Y. UTILITY CO.NOTIFIED SIGNATUREry'' _ �����r, OF PERMITTEE.- __ - - FINAL V�l A'A A'''�Gi.t'�"'7 76A667 DBS 17 -1/53 " / DEPARTMENT OF COUNTY ENGINEER PLUMBING 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES , BUILDING ,,`` WILLIAM J. FOX, COUNTY ENGINEER ADDRESS �v/ -FOR APPLICANT TO FILL IN LOCALITY BUILDING p ) r J' CRAB ST ST. x ADDRESS V/ 16 J lV C�/y / 7-A DISTRICT NO. ;GROUP ZONE �PERMIT NO. LOCALITY / J. 6 NEAREST CROSS ST ,BE VED BY Ready for Inspection DATE-ISSUED I V/l /L OWNER f� _ MAILINDUSTRIAL ADDRESS 'WASTE APPROVAL CITY TEL.N0./T/` q-9 5�4 INSPECTION RECORD PLUMBER �. a�= = T /7.�/ / Pt.. r.:Lov-'It* j ptj0m-9L- ADDRESS h F MI• f�^/�t'/�7 � - p 14 't'�✓� eo u lJ 1f C! s- CITY o E i4 TEL.N0. / ! % i 0. �7 ' n LICENSE N0. I [469�NT1 PERMIT FEES 3z,o r- _�.r zv -� z NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET(TOILET) @ 0.80 -$/ 40d BATH TUB @ 080 SHOWER @ 0.80 LAVATORY(WASH BASIN) @• 0 80 KITCHEN SINK @ 0 80 LAUNDRY TUB OR TRAY @ 0 80 SLOP SINK @ 0 80 . FLOORSINK @ 0.80 FLOOR DRAIN @ 0.80 DISHWASHER @ 0 80 DRINKING FOUNTAIN @ 0.80 URINAL @ 080 GAS SYSTEM......._.....OUTLETS @ 1.00 WATER HEATER @ 1.00_ MISCELLANEOUS APPROVALS DATE INSPECTOR'SSIGNATURE UNDER SLAB WORK PERMIT $ 1 00 ROUGH PLUMBING fp TOTAL FEE �' GAS PIPING /I r rI I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURESI HEREBY THAT I AM AND/OR LICENSED CERTIFY AS REQUIRED BYPROPERLY LOS ANGELES REGISTERED SOUNTY GAS TEST AND STATE OF CA FORNIA 0 THAT I AM THE LEG OW - ER OF THE ABOV ESOR RESIDENTIAL PROPE Y. UTILITY CO.NOTIFIED SIGNATURE OF PERMITTEE. --.---___ __.__.........-....._......._.-..-..�.__ FINAL i Lr.v/ 78A887 DBS 17- 1/53