HomeMy Public PortalAbout5330 ENCINITA AVE_Plumbing__ COUNTY OF LOS.ANGELES APPLICATION FOR PERMIT
Department of County Engineer PLUMBING
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
DISTRICT NO. GROUP I ZONE PERMIT NO.
FOR APPLICANT TO FILL IN
PLUMBE r RE EIVED BY READY FOR DATE ISSUED
rIRBT INSPECTION
ADDREH 1 - eoll—
DLJ BUILDING /1
� CITY TEL. N .�7(( ADDRESS (f
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COUNTY LOCALITY
LICENB ri EXPIRES
if 4 NEAREST
PERMIT FEES CROSS ST. .9 04z
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL 4,
WATER CLOSET(TOILET) Q 0.30 $ ADDREB
BATH TUB @ 0.50 _ CITY / TE -ra
SHOWER ® 0.50 1 HEREBY AC WLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION A STATE THAT THE ABOVE IS CORRECT
AND AGREE TO OMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK ® 0.50 AND STATE LAWS REGULATING PLUMBING. '
I CERTIFY THAT I POSSESS THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LI ENSE, OR 1 AM THE LEGAL OWNER
GAS SYSTEM OUTLETS 0.50 OF THE RESIDENTI PpaPERTY DESCRLBED ABOVE.
SIGNATURE OF
WATER HEATER 0.50 PERMITTE
BLOT RINK 0.50 INSPECTION RECORD
FLOOR"BINK 0.50
FLOOR DRAIN - 4@ 0.50
DISHWASHER 0.50
DRINKING FOUNTAIN 0.50
URINAL @ 0.50 -J
r Q
HOUSE SEWER 0.50 Z
MISCELLANEOUS
Q.
O
APPROVALS
DATE INSP[OTOR'S NAME
ROUGH PLUMBING r
GAS PIPING
GAB VENT
CESSPOOL @ 1,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 7.00 SEWER
PERMIT l.Do GAB TEBT
TOTAL FEE � UTILITY CO.NOTIFIED
-
FINAL
76A667 DBS# 17 10/52
76A667-CE4817 6-66
APPLICATION FOR ,:PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNEAREST
�3 NC� /j /Q
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W JEN'KINS SUP T OF BUILDING
�/� L� r
FOR APPLICANT TO FILL IN d /k-)E
NUMBER FIXTURE OR ITEM EACH FEE (5
OWNEA
WATER CLOSET $1.25, MAIL
x a� ^ j
BATH TUB 1.25 ADDRESS' V J w C
SHOWER 1.25 CITY C� TEL. NO;
17
LAVATORY 1.25
CONTRACTOR
SINS t _�_ "1:25`- -ADDRESS--.. ----- - __ - -
DISHWASHER 1.25 CITY TEL. NO.
STATE LIC
LAUNDRY TUB 1.25 LICENSE NO CLASS
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER 1.50 '57, S 1
/ GAS SYSTEM_OUTLETS 1.50 INDUSTRIAL 0
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30. INSPECTION RECORD V
W
APPROVALS D TE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER-SLAB WORK
ROUGH PLUMBING '
TOTAL FEEki2-1GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A LIGATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE`TO COMPLY '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING. -
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTE TO
RESIDE IN,THE ABOVE EGCRIBED RE;;�RPR!PERTY UTILITY CO' NOTIFIED `
SIGNATURE , �OF PERMITTEE i _
FINAL
AIIDATION
CK M O CASH
L ri , ha �r� D - 4.75 .
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