HomeMy Public PortalAbout5328 ENCINITA AVE_Plumbing__ ` DEPARTMENT OF COUNTY ENGIIVEER
PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING -
WILLIAM J. FOX., COUNTY ENGINEER ADDRESS < "F��.
LOCALty
,,FOR APPLICANT TO FILL IN NEAREST,
BUILDING �' CROSS ST. I
ADDRESS
� DISTRICT NO. GROUP ONE PERMITNO.
LOCALITY ^ J5 /
NEAREST �$ w '
CROSS ST. nn �/��' RE EIVED BY Ready for Inspection DATE ISSUED_
OWNER ahs pd r t 2.3
AMAILDDRESS J® 7 r _����j � t INDUSTRIAL
ar WASTE APPROVAL
CITY TEL.N0. ® �, t 4" INSPECTION RECORD
PLUMBER �} / � 4~�j �
- ADDRESJ'S8/` J1 C� / /Y A4I-,(_
aQb✓/ ( �`/
CITY 4 �9(��/ .cTEL.NO.
J� ❑STATE
LICENSE NO. }�j /* ff COUNTY '
PERMIT FEES ���� Q
NUMBER TYPE OF FIXTURE OR ITEM FEE L7
ATER CLOSET(TOILET) Q 0.80 $ �M e
BATH TUB- @ 080 V -��'��^ � r D
SHOWER @ 0.80 7
_AVATORY(WASH BASIN)' @ 0 80 / " A/ / - S r
KITCHEN SINK @ 080 ��� Y �/
LAUNDRY TUB OR TRAY @ 0 80 ® / F
N O
SLOP SINK @ 0 80
FLOORSINK @ 080
FLOOR DRAIN @ 0.80
DISHWASHER @ 0 80
DRINKING FOUNTAIN @ 0.80
URINAL @ 080
GAS SYSTEM-_-_..- .._OUTLETS @ 1.00 DO
.WATER HEATER @ 100 _LDS
ISCELLANEOUS
APPROVALS
DATE INSPECTTO,R'S SIGNATURE
UNDER SLAB WORK ///J A
PERMIT $ 1, 00 ROUGH PLUMBING
TOTAL FEE Q : Q GAS PIPING •V
I 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 I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST �� t.•
AND STATE OF CALIFORNIA OR THAT-1 AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED RE IDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE ���/j.fj� � .
OF PERM
ITTEE-...�i'L
_......--- _._._______�....._..._ FINAL 2/7;7.5 Y5� r'00J1.--
76A667 DBS 17 1/58