HomeMy Public PortalAbout5030 ENCINITA AVE_Plumbing__ BS7
D -17 12.54 APPLICATION FOR OR PI UMBING' PERMIT-
DIVISION
��-
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles
WM. J. FOX, COUNTY ENGINEER BUILDING t'~it �f �y �7n/C IN T JT ^ A�J
_ADDRESS V V V V �/ ( / -I`f !�d k
CA$SATT D. GRIFFIN, $UP'T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST Ap� j�
t_ , CROSS ST 0� _ B .PNAQ a A
OWNER dflJ 'ff DISTRICT NO GROUP
B e '�• _ZONE J.READY FOR INSPECTION
MAIL
ADDRESS �)) yg��DD�)) 7?-
/ �7 • - "'•
CITY ^ O�2 L— (' ^ 4-7 INDUSTRIAL
7TEL NO WASTE A,PPROVAL
PLUMBER /1my ' SE/? V)Gr INSPECTION RECORD
ADDRESS O �OdT A Yar - ,
CITY 1
A �O TEL NO ^�
l)
LI ENSE NO �1�d
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY r
CLOTHES WASHER -
TOTAL NO @ 080. APPROVALS
DATE INSPECTOR S SIGNATURE
roAS SYSTEM OUTLETS @ 100 [J GJ
,UNDER SLAB WORK
WATER HEATER @ 100 , - - s��---
SROUGH PLUMBI- NG Z.
PERMIT S 1 00 GAS PIPING
TOTAL FEE I 3 ,o _• 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
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY,REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED'BY LOS ANGELES COUNTY AND STATE OF 'UTILITY CO NOTIFIED
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESID NTIAL PROPERTY
SIGNATURE �-
OF PERM"E FINAL
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION
o0, 4 2;,0-19 M 10 3
BY
- - DEPUTY
DEPARTMENT OF COUNTY ENGINEER r
PLUMBING
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION -Hr
COUNTY OF LOS ANGELES
BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS
FOR APPLICANT TO FILL IN LOCALITY
BUILDING ��+ NEAREST
ADDRESS
�7 O �iNG/Jy/7.;4 Aya I CROSS ST.
DISTRICT NO. GROUP ZONE PERMIT NO.
LOCALITY TEM PL E C
NEAREST
CROSS ST I RECEIVED BY Ready for Inspection DATE ISSUED
OWNER Iwi ISR A � Q •
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL,No. INSPECTION RECORD
PLUMBER f�U/��4NY L136. ,50R V/
ADDRESS ` a0 S- Soy 41-4?0K7` .4
CITY TEL.N0. Y-9 .r
L� �{ STATE
LICENSE NO. �'7 -J �� ❑COUNTY
J
PERMIT FEES z
NUMBER TYPE OF FIXTURE OR ITEM FEE E3
WATER CLOSET(TOILET) @ 0.80 : 1101
O
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY (WASH BASIN) @ 0 80 O _
KITCHEN SINK @ 0 80
LAUNDRY TUB OR TRAY @ 0 80 r
SLOPSINK @ 0.80
FLOOR SINK @ 080
FLOOR DRAIN @ 080 --- �
DISHWASHER @ 0 80r�p DRINKING FOUNTAIN @ 0.80 -
URINAL
='.GAS-SYSTEM OUTLETS @ 1.00 00
WATER HEATER @ 1 00 ¢
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE a p GAS PIPING
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 FIXTURES
I HEREBY CERTIFY THAT IAM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES CDUN
TYt GAS TEST
AND STATE OF CALIFOR IA OR THAT I AM THE LEGAL OWN-
ER OF THE ABOVE DES IBED RE ENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE----• _....._.._......_.- _. ......_......_..----.--. --...-
FINAL
76A667 DBS 17 1/501