HomeMy Public PortalAbout5036-5040 ENCINITA AVE_Plumbing__ 761667 ,
DBS-Ia12.54 �®`PPUCATION FOR PLUMBING PERMIT
t �
t DIVISION OF BUILDING AND SAFETY
Department of County Engineer °
County of Los Angeles }�/�//� / �y /� y
WM. J. FOX, COUNTY ENGINEER ADDREE �V !�D ' //li//y 17-/7 ,9yy^
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY /���/.�✓ ,6�^ / ( ��
FOR APPLICANT TO FILL IN NEAREST ��� ��� ��
�- s CROSS ST
OWNER kA �. S d DISTRICT NO. G(R/rP ZONE READY FOR INSPECTION
MAIL
ADDRESS ���� (.� I,J.I ♦] / - .y I �
r INDUSTRIAL'
CITY pA h �' EcvY'6 1 TEL. NO -4 A V WASTE APPROVAL
PLUMBER �¢� INSPECTION RECORD
J
ADDRESS q^.tpi�f I & 'pa)��77' �A ,/ ' Rrlf� Ls a �
TEL NO. 0A I's r1 AIT7
LICENSE NO AVG
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) '
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER '
LAUNDRY TUB OR TRAY
CLOTHES WASHER
F�
TOTAL NO (p 0 60 APPROVALS
. DATE INSPECTORS SIGNATURE
GAS SYSTEM�OUTLETS @ 100 B Q
UNDER SLAB WORK
WATER HEATER Q 1 00
- ROUGH PLUMBING
PERMIT S 1 00 GAS PIPING
TOTAL FEE I O GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 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
1HEREBY 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 RESIDENTIAL PROPERTY,
SIGNATURE
OF PERM ITTE1d7_'tA- �M1d� FINAL
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION
,31�'`FE810 3, 3-.6-0 m .
BY i
DEPUTY
PLUMBING
DEPARTMENT OF COUNTY •ENGINEER: ,.
1
DIVISION OF BUILDING AND SAFETY' PERMIT APPLICATION'
" COUNTY OF LOS ANGELES_ 'BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS`LOCATY
-
FOR APPLICANT TO-FILL"IN NEAREST
BUILDING CROSS ST.
ADORESS �S� N�//V DISTRICT N0. _ GROUP- `ZONE _ -PERMIT NO.
LOCALITY P L& C T /
NEAREST
CROSS ST. RECEIVED BY Ready for Inspection DATE ISSUED_
OWNER Z L
MAIL - INDUSTRIAL
ADDRESS -WASTE APPROVAL
CITY TEL.N0. INSPECTION RECORD-
PLUMBER �JUX N c� P�i L3 f Sle/ZY/�� a
ADDRESS S� SOL
CITY J�/�•.�,%�/ TEL.NO. -k_o1,57'/
`
-LICENSE'Nd. ,/ % O p 5' J ❑COUNTY t
' _ J
` r PERMIT FEES - Q
_Z
NUMBER , TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) @ 0.80 $ Q
BATH TUB - @ 0.80
SHOWER, @ 0.80
LAVATORY(WASH BASIN) @ 0 80
KITCHEN SINK @ 0 80
LAUNDRY TUB OR TRAY @ 0 80 ;
SLOP SINK @ 0 80
xy FLOORSINK @ 080 _ -
- -
FLOOR DRAIN w- @ 080 `
DISHWASHER @ 0 80
DRINKING FOUNTAIN @.0.80
URINAL @ 080
_GASSYSTEM-....- .--._OUTLETS @x1.00_ a pQ
WATER HEATER @ 1.00 ,
MISCELLANEOUS
- APPROVALS
I - DATE INSPECTOR'SSIGNATURE
UNDER SLAB WORK'
PERMIT - :.$ I 00 ROUGH PLUMBING
" TOTAL FEE -Q GAS'PIPING
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 1 AM' PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES.COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN=
ER OF THE ABOVE DES IBED R SIDENTIAL PROPERTY. UTILITY CO..NOTIFIED
SIGNATURE
OF PERMITTEE---_. . ......
....
' FINAL '
76A667-'DBS 17 1/541 ;