HomeMy Public PortalAbout5350 ENCINITA AVE_Plumbing__ 78A867-CEV817 9/63
APPLICATION FOR PLUMBING PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS L)P
WILLIAM A JENSEN, SUP T OF BUILDING LOCALITY -
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1 25 _ 'f
BATH TUB 1 25 ADDRESS SS �y-0
CITY � iTEL NO
SHOWER 1 25
LAVATORY 125 CONTRACTOR
SINE 125 ADDRESS
DISHWASHER 1 25CITY TEL NO a
�C$
STATE
LAUNDRY TUB 1 25 REGISTRATION NO f .3I CTOR Saa,� +-4f3 COUNTY ❑
CLOTHES WASHER 1 25 DISTRICT NO GRO O E PR
WATER HEATER 1 50 ,
GAS SYSTEM OUTLETS 1 50 iL INDUSTRIAL a
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM 30 U
INSPECTION RECORD
N
Z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT 5 2 00 UNDER SLAB WORK +
TOTAL FEE
ROUGH PLUMBING
GAS PIPING 6f
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT V
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
CEj
LINSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE A
OF PERMITTEE FINAL
VALIDATION ROBERT A" 'WOOD
cK M O CASH SUPERVISING MECHANICAL ENG R
- k) b03U APR15 5 D 3.50--
� - 1
7CA867 -CE*817 4-64
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDINGjSz
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A JENSEN, SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST +
CROSS ST
NUMBER FIXTURE OR ITEM EACH FEE OWNER �i
WATER CLOSET it 25 MAILSS
BATH TUB 125 ADDRESS S J� u+.J
SHOWER 125 CITY TEL NO
LAVATORY 125 CONTRACTOR
SINK 1 25 / ADDRESS
j DISHWASHER 125 CITY .6-yv�` TEL N .CO�' 7
O
LAUNDRY TUB 1 25 REGISTRATION NO /`9 7 y C Jr� STATE
COUNTY
CLOTHES WASHER 1 25 DISTRICT NO GROUP ZONE P ESSED BY
WATER HEATER 150
i
GAS SYSTEM OUTLETS 1 so INDUSTRIAL >1
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM 30 — INSPECTION RECORD V
_ O
H
V
W
O_
H
Z
APPROVALS DATE ���INSPECTOR S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING ' t,
LANDABY ACKNOW Lt DGE THAT I HAVE READ THIS AP LIGATION GAS VENT
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
LL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
G
EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURESD ASREQUIRED BY LOS ANGELES COUNTY AND STATE OFGAS TESTNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TON THE ABOVE DESCRIBED RESIDENTIAL P55MERTY UTILITY CO NOTIFIEDiURE RMITTE FINAL
LIDATION ROBERT AvWOOD v
cK M O CASH SUPERVISING MECHANICAL ENG R
Lkol 1'4AY11 5 D 4.50N
76 A 667—CE 817 468
APPLICATION FOR PLUMBING P RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING Q
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY `
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEARESTCR
T. (p/�
NUMBER FIXTURE OR ITEM EACH FEE
d f
WATER CLOSET 1.50 OWNER
MAIL
BATH TUB 1.50 ADDRESS
SHOWER 1.50 CITY - TEL. NO.
LAVATORY 1.50 CONTRACTOR 0.
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY TEL. NO. " �-7�y
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP ZONE PRIOCESSEDrBY'
LAWN SPRINKLER SYSTEM 2.00 'd --Z: ,� ��` '
WATER HEATER 1.50 INDUSTRIAL (�
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 (7 INSPECTION RECORD O
OUTLETS OVER
5 PER SYSTEM .30
PLO
f�
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE Q
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
L11'.. EREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONSTATE THAT THE ABOVEIS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TESTBING.
EREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
SED AS REQUIRED BY LO ANGELES COUNTY AND STATE OF
ORNIA ORTHATI AM T LEGAL OWN OF,AND INTEND TO
E IN,THE ABOVE DE ED RES NT 'PROPERTY. FINAL
ATURE JACK R. ALLEN, SUPERVISING MECHANICACASH)PERMITTEE
PERMIT VALIDATION CK. M.O.
PLAN CHECK VALIDATION CK. M.O. CASH