HomeMy Public PortalAbout5213 ENCINITA AVE_Plumbing__ 6'-71,'12.54 ■ Y
DBS-17 1APPLICATION FOR PL.UMBieVG ■ ERM.17
DBS-
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles,, F��
�13 ��.
4 A49
WM. J. FOX, COUNTY ENGINEER o./�J�+A� L' y
CASSATT D.GRIFFIN, SUF'7 of BUILDING - ALITY 7 ,�i�1'N PA G If f/ -FOR APPLICANT TO FII.L-IN css s /'4
OWNER DISTRICT-Nd. - GROUP ZONE READY FOR INSPECTION
AMAIL
DDRESS _A-ZE ce 4
C INDUSTRIAL
CITY '` TEL NO. - WASTE APPROVAL
PLUMBER ,c'F' INSPECTION RECORD
ADDRESS 2 Li l/
CITY A TEL. NO.
LICENSE NO
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
Feer' .c
TOTAL NO. @ 080 APPROVALS
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM OUTLETS @ 1.00
UNDER SLAB WORK
WATER HEATER- @ 100
ROUGH PLUMBING
PERMIT S 1 00 GAS PIPING
TOTAL FEE I GAS VENT
1 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. -
IHEREBY 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 1 AM LEGA OWNER OF THE ABOVE
DESCRIBED RESIDEN E Y.
SIGNATURE
OF PERMITTE 7T�� FINAL
WILLIAM J. FOXFCOUNTYCENG'INEERJ SERV'l1 VALIDATION
OF:S"6'6 R ,Jm 2.1 9 3
BY
DEPUTY
{
D.S. 17'25M SETS 12-43 PLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
�� 1 `
COUNTY OF LOS ANGELES
'
Wm.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT No.
ROUGH FIXTURES COMPLETE _
HEATER CESSPOOL —I SEPTIC TANK RECEIVED READY FOR DATE ISS ED
FIRST INSPECTION 4 _
GAS MISCELLANEOU °� � ' 9 lsllY'tci�" 0 -3 �I J
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB -
a, NAME A/ ADDRESS �..J
W
m ADDRESS _z_l LOCALITY AA «/
� V
NEAREST
(L
CITY / TEL.No. CROSS ST.
COUNTY ♦ �, �N/1� � (/D� k
CERT.No. EXPIRES
LOCATION OF SEPTIC TANK, OR CESSPOOL !j v
2 MAIL ..�y
3 ADDRESS
NORTH O CITY �3�v TEL.No..JrC" ,7X9[rA)
IAM THE LEGAL! POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER PERTY DESCRIBED
ABOVE.
CORRECTIONS
A
SOUTH
DESCRIPTION OF WORK Q
_ _z
BATH TUB FURNACE
SHOWER DISHWASHER Q
LAVATORY REFRIGERATOR 0 If
KITCHEN SINK WATER SOFTENER «,.
FLOOR SINK SAND TRAP t, r
J. ♦M n
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL / APPROVALS
WATER CLOSET DRINKING FOUNTAIN
_ DATE INSPECTOR'S NAME
WATER NEATER DENTAL LAVATORY ROUGH PLUMBING
I �� }
f
—METE GAS SODA FOUNTAIN In I v`
OUTL GAS PIPING !Y/ L
GAS VENT
CESSPOOL I iI
TOTAL NUMBER OF FIXTURES SEPTIC TANK I v
a
—CESSPOOL_------SEPTIC TANK SEWER
Ic
UTILITY CO.NOTIFIED !,
TOTAL FEE2L I
FINAL
DX.S.-17 25M SETS 6-46 APPLICATION-FOIL PERMT
DEPARTM- ENT OF BUILDING AND SAFETY,
COUNTY OF LOS ANGELES �`�
Wm.J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE /� v 7 O
HEATER CESSPOOL I-I SEPTIC TANK RECEtvgp gggyyy READY FOR ' - DATE ISSUED
FIRST INSPECTION
AS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB / c�
lz NAME -ADDRESS, CP J r 4Y✓i.
ADDRESS a /w"
� LOCALITY
• "J CITY �®� �l.tT!•.,@� (/ TEL.No. YV Y �17e NEAREST -
A CROSS ST.
COUNTY / NAME
u
LOCATION OF_SEPTIC TANK, OR CESSPOOL 2 MAIL
3_ ADDRESS
NORTH O
CITY TEL.No.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CER7161 E OF QUA FICATION.
PLUMBER
1 AM THE LEGAL OWNER OF.THE PROPERTY DESCRIBED
ymml _ ppDD11
ABOVE. -
j OWNER
i CORRECTIONS
SOUTH _J
DESCRIPTION OF WORK z_
BATH TUB FURNACE C7
SHOWER DISHWASHER 0
LAVATORY REFRIGERATOR
KITCHEN,SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY /RINAL APPROVALS
I
_WATER CLOSET DRINKING FOUNTAIN
�� DATE INSPECTOR'S NAME
__WATER N�,EA/TER DENTAL LAVATORY ROUGH PLUMBING U' Y�/
METER � `GAS/ SODA FOUNTAIN i
GAS PIPING
1OUTL IJ
GAS VENT 1
i ,CESSPOOL
40-TOTAL NUMBER OF FIXTURES �� SEPTIC TANK
V I I
CESSPOOL_______SEPTIC TANK SEWER
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL S i" �,��4> '2�f��J �•�.'