HomeMy Public PortalAbout5218 ENCINITA AVE_Plumbing__ 76 A 667.-'CE 817 7-69
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APPLICATION FOR PLUMBING PE IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION fNEARFST
UILDING
JOHN A. LAMBIE, COUNTY ENGINEER DDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING OCA
LIT
FOR APPLICANT TO FILL IN (PR NT OR TYPE) ROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1.50
MAIL
BATH TUB 1.50 ADDRESS
SHOWER 1.50 CI TEL. NO.
LAVATORY 1.50 CONTRACTOR
SINK 1.5 o ADDRESS
DISHWASHER 1.50 CITY TEL. NO.
CLOTHES WASHER 1.50 STAT LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP NERO SSED BY
LAWN SPRINKLER SYSTEM 2.00 '_:� 0 /
WATER HEATER 1.50 INDUSTRIAL
WASTE APPROVAL O
GAS SYSTEM OUTLETS 1.50 ,5� INSPECTION RECORD Q�J
OUTLETS OVER 30
5 PER SYSTEM
tn
Plan check fee 25% of above. See reverse.
PLU BING E TQIT G FEE 8 2 00
17
APPROVALS DATE- INSPECTOR'S SIGNATURE
Plan ch k Pli t UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City, Tel. No. HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO )
RESIDE IN,THE•ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL 70
SIGNATURE .TACK R. ALLEN, SUPERVISING MECHANIC •L EN G'R•.\1
OF PERMITTEE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
r rnr 7 8 7tiuv27 5 'D 7.00- Q
76A667'CE817-8-57 .`
: Ib L
APPLICATION FO•R ':PLUMBING ' PERMIT .
COUNTY OF LOS ANGELES
DEPARTMENT OF-COUNTY ENGINEER BUILDING I Y
BUILDING AND,SAFETY DIVISION ADDRESS. G
JOHN A LAMBI E, COUNTY ENGINEER. • y�
CASSATT D GRIFFIN SUPT of BUILDING'L LOCALITY' 0 "
FOR APPLICANT TO TILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEMT
OWNER-
WATER CLOSEMAIL
BATH TUB ADDRESS `
SHOWER _ CITY TEL.NC!.
LAVATORY , CONTRACTOR W
SINS ADDRESS` -2 Cr'
DISHWASHERCITY C TEL.NO. t, 7
LAUNDRY TUB` CONTRACTOR'S C� STATE
REGISTRATION NO. S O 1 Ic COUNTY
CLOTHES WASHER
_ _ ¢ _,,DlSTRIC _ GROUP ZONEa� READY,FOR INSPECTION y
WATER HEATER A
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
/� = $1.00 PER ITEM DATE . INSP,ECTOR S' I�NATURE
/ OR FIXTURE $ ,,UNDER SLAB WORK Z,
l1I
ROUGH PLUMBING
PERMIT S 00 _
'GAS PIPING ' y
TOTAL FEE , 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',
W ITH'ALL COUNTY ORDINANCES AND STATE LAWS REGULATING FLUMBIfJG FIXTURES I '
PLUMBING - - -
I HEREBY•CERTIFY THAT I AM PROPERLY' REGISTERED.AND%OR: GAS TEST t 2
LICENSED AS REQUIRED,BY-LOS ANGELES COUNTY,IAND STATE OF - -
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE, UTILITY CO NOTIFIED '
DESCRIBED RESIDENTIAL P.RO ERTY -
SIGNATURE C '
OF•PERM ITTELtFINAL -
ROBERT,A W 60D.
` ALIDATION SUPERVISING MECHANICAL ENG R
,. CK M0 CASH -
�ACa,7:'08 '� .pec 1 5 a 9.� Q
"AB67-CE817,-11-V
APPLICATION FOR PLUMBING PERMIT-
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BU
OHN A. LAMBIE, County Engineer
C AIT D. GRIFFIN, Supt of Building LOCALITY
FOR APPLICANT TO FILL IN NEAREST
NUMBER IFIXTURE OR ITEM CROSS ST. Y
WATER CLOSET OWNER H19426410 y— v
BATH TUB ADDS '7,0?OZL c
SHOWER CITY NO,
LAVATORY CONTRA T 'TR
SINN A D S
DISHWASHER CITY —N
LAUNDRY TUB CONI = STAT ❑
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER DISTR O. GROIL!E I ZONE READY FOR INSPECTION
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
{ INSPECTION RECORD
APPROVALS
@ $1.00 PER ITEM w DATE INSPECTOR'S SIGNATURE
OR FDITURE $ f/�
UNDER SLAB WORK
PERMIT $ 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING ty
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE"TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING Q
PLUMBING. PLUMBING FIXTURES `I
1ICHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED i
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE
OF PERM ITTE FINAL "
ROBERTA WOOD �--�
OF VALIDATION SUPERVISING MECHANICALENG'R
CK H O CASH _
2'.3 2 Q 5 k 4.0,`0 ,