The URL can be used to link to this page

Home My Public Portal About5210 ENCINITA AVE_Plumbing__ D 13.8.17 astir sers -ate i- APPLICATION FOR PERMIT DWARTMENT OF BUILDING AND SAFETY b COUNTY OF LOS ANGELES WM. J. FOX, CHIEF ENGINEER PLUMBING NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE /P/ RR7M/IT NO. ROUGH FIXTURES COMPLETE -4 RECEIVED BY READY FOR DATE ISSUED' HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION /J AS MIBCELLA EOUS &" APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY /tom K -NAME A0DRES9 141W III ADDRESSJ� LOCALITYNEAREST G CITY �/L L�//J TEL.No ;��/ CROSS ST. (, COUNTY LLy /)p - CERT.No. �7 �/ EXPIRES .� NAME LOCATION OF-SEPTIC TANK, OR.CESSPOOL z MAIL 3 ADDRESS NORTH O CITY !r/ ` TEL.No. AN!1 AM THE LEGAL P068E8 R OF THE ABOVE LOS LES COUNTY CERTIFICATE OF QUALIFICATION. . PLUMBHR-. I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. OWNER CORRECTIONS SOUTH • J DESCRIPTION OF WORK a z_ BATH TUB FURNACE [7 �f ROWER DISHWASHER p LAVATORY C�4 REFRIGERATOR -KITCHEN SINK v WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INNSSPRCTOR'S NAMQ _WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METE_R_3___GA8 SODA FOUNTAIN GAS PIPING OUTL GAS VENT I I CESSPOOL TOTAL NUMBER OF FIXTURES- SEPTIC TANK CESSPOOI 'SEPTIC TANK SEWER I I S TOTAL FEE UTILITY CO.NOTIFIEDI I 5- FINAL D.B. 17 25M 9ET9 1243• - ', APPLICATION FOR PERB l DEPARTMENT OF BUILDING'AND SAFETY,- •-COUNTY OF LOS ANGELESPLUMBING1 WM. J. FOX. CHIEF ENGINEER �1 NATURE OF INSTALLATION - DISTRICT,NO. GROUP ZONE �PERMI NO. f RbUGH - r FIXTURES COMPLETE -� ' (/ 1 Oo HATER CESSPOOL I-I SEPTIC TANK. RECEIVED BY READY FOR DATE,ISSUED FIRST INSPECTION 3A8 MIBCELLANEOU ' --� I - '• " APPLICANT FILL'IN HEAVILY •OUTLINED)"PORTION ONLY,Joe • � N ME Y /UY.GtL �t _ ADDRE86 w v m ADDRESS ' LOCALITY �M Y C ' I T v _ NEAREST ` CITY TEL-.NO. i CROSS ST. a. COUNTY t� • CERT.No. - 1 EXPIRES rt Of NAME I/{! ,��"�F/1 IE -rlI✓` -LOCATION OF SEPTIC,7'ANH OR CESSPOOL=—z- --MAIL=, - f 3 ADDRESS- NORTH O CITY TEL.No. P 1, AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. - PL'UM66R' I AM?HE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. OWNER CORRECTIONS, yyig�-/v SOUTH J 'DESCRIPTION OF WORK �� BATH TUB ;.--FURNACE,,, [7 - A gHOWER DISHWASHER p LAVATORY REFRIdERATOR - w KITCHEN SINK WA'TER.SOFTENER FLOOR BINK SAND TRAP „ SLOP SINK FLOOR DRAIN ;- 9-2F--WASH TRAY URINAL I I I APPROVALS WATER CLOSET' DRINKING FOUNTAIN' q I} DATE' INBP6CT0RR-8,NAM6 WATER HEATER DENTAL LAVATORY ROUGH PLUMBING' t-INI iiA/ MA. �{'q�,1 M_ETER_�GA9 SODA FOUNTAINPIPING OUTL - , GAS- GAS VENT CESSPOOL - TOTAL NUMBER OF FIXTURES, _j�` SD SEPTIC TANK I I CEBBPOO� 1QEPTIC TANK � ,SEWER I ' UTILITY CO.NOTIFIED I TOTAL FEE ' � S. ' FINAL el '76AIS67 CE�V-17 B-56 APPLICATION FOR PLUMBING PERMIT ILD1 -BUING AND SAFETY DIVISION - Department of County Engineer County of Los Angeles L. BUILDING `n -0 JOHN A. AMBIE,COUNTY ENGINEER CASSATTD GRIFFIN,SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN I NEARES T. ' .r OWNER CROSSDISTRICT NO. GROUP ��Z/p/� E READY FOR INSPECTION ADDRESS MAIL � e _ I f'-1-- WASTE y I ( • I INDUSTRIAL CITY TEL. O WAS'iE APPROVAL 7> PLUMBER •�"" INSPECTION RECORD ADDRESS ,P,� CITY '� /�` TEL. NO�' d t FS LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM YEE WATER CLOSET (TOILET) @ $1.00 $ BATH TUB @ '$1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $100 GAS SYSTEM @ $100 APPROVALS AT Er I E TOR'S S1 NATURE UNDER SLAB WORK LL PERMIT $ 1 00 ROUGH PLUMBING O GAS PIPING TOTAL FEE GAS VENT 1 PL D HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND WATER HEATER ANSTATE 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 _ CALIFORNIA OR THAT I AM THE LEGAL OWNE4,01F THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTLI PROPERTY. SIGNATURE OF PERMITTEE FINAL ROBERT A.W O , JOHN A. LAMBIE, COUNTY ENGINEER VAUDATIO SUPERVISING MECHANICAL ENG'R 1 CH. M.O.' CASH _ ,, COUNTY OF LOS ANGELES APPLICATION FOR PERMIT DSof County Engineer �' DIVISIONION OF OF BUILDING & SAFETY WILLIAM J. FOX, County Engineer FOR APPLICANT TO FILL IN DISTPICT NO. GROUP I ZONE PERMI PLUMBER �/1 RECEIVED BY f READY FOR I� Z DATISSUED L ADDRESS �J '/ J V �� FIRST INSPECTION J A. 6 CITY JQTEL No. BUILDING��?9 ADDRESS ��YtiG't/�0��.• G.�s"..�� COUNTY ✓� LOCALITY LICENSE NO. (�/ epJ EXPIRES NEAREST �p PERMIT FEES CROSS ST. NUMSlR TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) 0.50 $ ADDRESS BATH TUB 0.50 CITY TEL No. SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL P OPERTY DESCRIBED ABOVE. GAS SYSTEM-OUTLETS ® 0.50 Q d SIGNATURE OF WATER HEATER @ 0.50 PERMITTEE SLOP SINK @ 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER Q 0.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 '° - a Q HOUSE SEWER Q 0.50 / �d Z_ MISCELLANEOUS n A s, /✓o ri s M O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING OAS VENT CESSPOOL 7,013 CESSPOOL SEPTI TANK: SEPTIC TANK DRAIN ( ) PIT ( ) 1.00 SEWER J i•' PERMIT 1.00 GAS TEST UTILITY CO.NOTIFIED 1 TOTAL FEE ®� FINAL 76A667 DBS#17 10/62 WORKERS'COMPENSATION DECLARATION - PLUMBING PERMIT ' � - APPLICATION FOR Ihereby, affirm that I have a certificate of consent to self in 20-0026 DPW 4/90 76A667A sure,or a certificate of Workers'Compensatiornlnsurance,ora n . certified copy th;Rreef(Stec 3800, Lab C ) 'ILJII Policy No Company COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS ❑ Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING - ❑ Certified copy is filed with the county.bujlding inspection ADDRESS department- NUMBER FIXTURE OR ITEM @ FEE ' - LOCALITY Ddte Applicant WATER CLOSET(TOILET) NEAREST ` J' CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE` SHOWER ' WNER / r(f, 4,f S, Q (This section need not be completed if the work Involved by MAIL the permit is for one hundred dollars($100)or'less.) LAVATORY ADDRESS 7J 2 ��l ��?1 11 t ` I certify that the performance of ih'e work for which this per- C �� Q�� mit is issued,, I SINK CITY TEL NO shall not employ any person,in any manner so ` • � / , as to become subject to-the Workers'Compensation Laws DISHWASHER CONTRACTOR s� P� "-Date Applicant - CLOTHES WASHER ADDRESS �1 NOTICE TO APPLICANT If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR, emption,you should become subject to the Workers'Compen- CITY` _ TEL _NO sation provisions of the Labor Code, you'must forthwith comp- LAWN SPRINKLER SYSTEMS - ly with such provisions or'this permit shall,be deemed revok- STATE LIC �- ed WATER HEATER LICENSE NO CLASS LICENSED-CONTRACTORS-_ DECLARATION. _- DISTRICT NO PROCESSEb BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code, and my license is in full force and ef- 5 PER SYSTEM fect _ FINAL VALIDATION License HOSE BIB DATE Number _ Lic Class FINAL O Contractor DateBY U - 5 ' F-] 0 I am exempt under seg - - ACCToa U B 8P C for this reason Plan check fee 01— 3303 59.50 d Date PLUMBING PERMIT ISSUING FEE$ a Slgriature - 1 ITEMS FAMILY TOTAL FEE (,? TOTAL 59 .50 HOME OWNER-BUILDER DECLARATION Plan check applicant CK 59.50 ,.�c0 I hereby affirm that I am exempt from the Contractor's License Name t �c �� s�� Law-for the following reason (Section 7,031 5, Business and GE ID Professions Code) Address ' ❑ 1, as owner of the property, will do the work and the City T, Gr a Tel No Lts=2/ structure is not intended or offered for sale(Section 7044, Q��a1 3/2b/96 Business and Professions Code) e7 "5527 1 PM 125 CONSTRUCTION LENDING AGENCY - 'I hereby affirm that there is a construction lending agency for - the performance of the work for which this permit is issued (Sec 3097, Civ C ) Lender's Name Lender's Address I certify that I have read this appJication and'state'that the above information is correct I agree to comply with all County ordinances and State jaws regulating Plumbing, and hereby authorize representatives of this County to enter upon the ab a-menha roperty for inspection purposes SEE REVERSE FOR EXPLANATORY LANGUAGE ; XSig ature of Permittee Date