HomeMy Public PortalAbout5327 ENCINITA AVE_Plumbing__ DBS-S•17 B7 12.34
DAPPL ICAT9ON FOR PL.lJMBING PERM-IT - • -- - _
,
DIVISION OF BUILDING-AND SAFETY �-3
Depw eat of County,Engineer
County of Los Angeles _ BUILD
NG
WM.J. FOX, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY• •/ - -
FOR'APPLICANT-TO FILL IN NEAREST4
CROSS ST.
OWNER ( J, DISTRI�O. GROUP I ONE READY FOR INSPECTION
MAILADDRESS
"y'� •�j/�llr", r'
INDUSTRIAL
CITY 'n'',''•`""� TEL. NO. - -WASTE APPROVAL
PLUMBERT`/�y INSPECTION'RECORD
ADDRESS /,�pp` '�' Q°�
CITY ( TEL. NO. r7D
LICENSE NO.
NUMBER TYPE OF,FIXTURE OR ITEM -FEE' - -
WATER CLOSET•(TOILET)
BATHTUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK -
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER -
11 2 S S� J
1KI C. .Cara .(
TOTAL NO.- . @ 0,60 APPROVALS 1�•''��
DATE - INSP GTOR'S SIGNATURE
GAS SYSTEM OUTLETS @ 1.00
WATER HEATER • •,@ 11.00 : #� UNDER SLAB WORK
ROUGH PLUMBING
PERMIT. S' 11 00 GAS PIPING
TOTAL FEE 0 GAS VENT
I HEREBY- ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER _
AND STATE THAT THE ABOVE AS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY- ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING,
IHEREBY CERTIFY THAT 1' AM PROPERLY REGISTERED AND/ GAS TEST '
LICENSED AS REQUIRED BY LOS 'ANGELES AND STATE OF UTILITY CO. NOTIFIED '
CALIFORNIA OR THAT 1 AM THE- LEGAL''OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. - -
SIGNATURE J -
OF PERMITTEE FINALII
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION
2%0: 2 6,5:R, MV 23 3 2.0 O
BT
DEPUTY ,
DEPARTMENT OF COUNTY ENGINEER
PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES
BUILDING �v� w'/�
' WILLIAM J. FOX, COUNTY ENGINEER ,ADDRESS �7 ,a�
FOR APPLICANT TO FILL,
LOCALITY L F C
BUILDING-5 3 pC���; � NEAREST kI
ADDRESS ` CROSS ST. � � pv
DISTRICT NO. GROUPZONE PERMIT N0.
LOCALITY I _Zlp 9NEAREST fly .j -413
CROSS ST. ��L (C sy/ RECEIVED BY Reedy for Inspection DATE ISSUED
t s
OWNER J
MAILINDUSTRIAL WASTE APPRADDRESS J a�
OVA
CITY TEL.No. INSPECTION RECORD
PLU BER/,-e7,,e_-e,4
y�
ADDRESS
CITY Pv � L.N .
❑STATE
LICENSE No n COUNTY :J
PERMIT FEES a
_z
JUMSER TYPE OF FIXTURE OR ITEM EEE
WATER CLOSET(TOILET) @ 0.80 S
O
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
FLOOR SINK @ 0.80 c
FLOOR DRAIN @ 0.80
DISHWASHER @ 0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM.__--5,-_0UTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE OZ 00 GAS PIPING J {
IHEREBY 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 I AM PROPERLY REGISTERED
AND/OR LICENSED A UIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALI IA OR THAT I AM THE LE AL OWN-
ER OF THE ABOVE ED RESIDENTI R TY. UTILITY CO.NOTIFIED
SIGNATURE '
FINAL
76A667 DBS 17 CA )2-53
'?6 A 667—CE 817 8/68
. AP,PLICATION• FOR PLUIVIBI ' C, PER _
COUNTY OF LOS' ANGELES
DEPARTMENT OF -COUNTY ENGINEER
BUILDING AND SAFETY DMSION '' BUILDING 1 .
(' JOHN'A. LAMBIE. COUNTY ENGINEER ADDRESS �• GAl I
COLEMAN W. JENKINS. SUPT OF BUILDING LOCALITY ,_ Z di
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS'ST. d
NUMBER FIXTURE OR ITEM EACH FEE -
'WATER CLOSET 1.50 OWNERMAIL -
BATH TUB 1.50 •ADDRESS' '
SHOWER 1.50 CITY TEL. NO.
LAVATORY1.50
CONTRACTOR -7t/C—.
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY .147G° TEL. NO. ;?o'6 e,;Zl Z
CLOTHES WASHER 1.50 STATELIC
LICENSE NO. � _' CLASS
SWIMhIING POOL RECEPTOR 1.50 DISTRICT N : GROU ZONE PR C BY CL.
LAWN SPRINKLER SYSTEM 2.00 ` > v
WATER HEATER - 1.50 INDUSTRIAL
WASTE APPROVAL
GAS'SYSTEM •CUTLETS 1.50 _ v
INSPECTION RE A W
OUTLETSOVER / CL-
S
5 PER SYSTEM .30 :� ',Z
4,17 0
0*1
Plan check fee 25% of above. See reverse. ,.
PLUMBING PERMIT ISSUING FEF, S. 2 00
TOTAL FEE
.APPROVALS ,DATE INSPECTOR'S SIGNATURE
Plan check applicantUNDER SLAB'WORK
Name, ROUGH PLUMBING
f�(I(Ire SS - GAS PIPING
GAS VENT
City Tel. Nq. HOT W, TER,HEATER
I HEREBY, ACKNOWLEDGETHAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 19 CORRECT AND AGR EE'TO COMPLY PLUMBING FIXTURES `
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST `� 0
PLUMBING'
I HEREBY CERTIFY THAT I AM PROrER V REGISTERED AND/OR UTILITY'CO. NOTIFIED
LICENSED AS REQUIRED BY LOS-ANGELE COON AND STATE OF
CALIFORNIA OR THAT,I AM THE LEGAL WNER AND INTdND TO J Y 1
RESIDE'IN, THE ABOVE D SCRIBED RE ENTIA OPER T FINAL
SIGNATURE - JACK R. ALLEN, SUPER V ISIN,G ECHANICAL ENG,R.
OF PERMITTEE
•PERMN K.IT VALIDATION Ko CASH
.PLAN CHECK VALIDATION Mo. SH
.s;NflU 2 , 5; D `5.0-,0~
dk
i6A6f;—CE 817468
APPLICATION FOR PLG UMBINP RMIT u
i T -COUNTY OF LOS ANGELES u
" DEPARTMENT OF COUNTY ENGINEER
BUILDING, AND SAFETY DIVISION BUILDING.5-
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST. -
NUMBER FIXTURE OR ITEM EACH FEE
OWNER 2 /' N
3 WATER CLOSET 1.50 MAIL
Z BATH TUB 1.50 3 Oo 'ADDRE3S b G n V
SHOWER 1.50 50 •CITY �' TEL. NO� Z�9
LAVATORY 1.50 6 OD CONTRACTOR a tl
Z SINK 1.50 U•O ADDRESS z 3 fy/�
DISHWASHER 1.50 �r D CITY L TEL. NO.,,?, 0 6 3 7
CLOTHES WASHER" 1.50 /� ,y Q 'STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.5,0 Iff
DISTRICTN GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2.00 �• Com,.
WATER HEATER 1.50 .rO INDUSTRIAL V
APPROVAL
GAS SYSTEM —'OUTLETS 1.50 / 1 D INSPECTION RECORD ' O
OUTLETS OVER .30 - 0
5 PER SYSTEM
W
O.
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 9 2 00
TOTAL FEE. �r d
APPROVALS - DATE- -INSPECTOR'S SIGNATURE
Plan check applicant - UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No.
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES PB�'�=�� P.�t1:+..er-r.�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST t,
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPER RE ISTERED AND/OR UTILITY CO. NOTIFIED '
LICENSED AS REQUIRED BY LOS ANGELE COU Y AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL NE F,AND NTEND TO
RESIDE IN,THE ABOVE DEiCR OED RES �NTIA ROP Ri FINAL
SIGNATURE f JACK R. ALLEN, SUPERVISIN • CHANICAL ENG'R.
OF PERMITTEE ,
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION 8 r,