HomeMy Public PortalAbout5414 ENCINITA AVE_Plumbing__ 76A667A
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE( ADILDING
DRESS J l
NUMBER FIXTURE OR ITEM ® FEE
LOCALITY-le
WATER CLOSET NEAREST
BATH TUB CROSS ST I V
SHOWER OWNER 0 Nt
LAVATORYMAIL
ADDRESS dLA ``-
SINK ��A, CITY - L TEL NO a Ar 6 3 Sy
DISHWASHER CONTRACTORst, " CG
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR >
CITY w//1'9TEL NO 2!i 1_la 37
LAWN SPRINKLER SYSTEM STATELIC
WATER HEATER LICENSE NO 3L)f-'DW� CLASS
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
OUTLETS OVER
5 PER SYSTEM ROUGH PLUMBING -1 1�
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST
Plan check fee UTILITYCO NOTIFIED g
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE - FINAL
PLAN CHECK VALIDATION C/
Plan check applicant
Name
Address
City Tel No
I HEREBY ACKNOWLEDGE THAT I HAVE'READ THIS APPLICATION AND STATE —9 1 1 7,0 A
THAT THE ABOVE IS CORRECT'AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES I
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION # 0 O O O o5
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE 2 0 0 2 lC 0 0
LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL rn
PROPERTY
�I'µ' �Q � aQQ25�OOREU
SIGNATURE
OF PERMITTEE 0, "--'— I 1.06-78
DISTRICT NQ P ESSED BY
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INDUSTRIAL ^
WASTE APPROVAL
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76,667-CE817-8-58
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APPLICATION FOR PLUMBING PERMIT .
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDI
N
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JOHN A. LAMBIE, count Eng=eer ADDRESS _ �/7 �✓i" l
CASSATT D GRIFFIN,Sup t of Buildmg LOCALITY G
f
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
J1LJL3��'C� t
WATER CLOSET OWNER
MAIL
BATH TOB ADDRESS
SHOWER CITY TEL. NO.
' LAVATORY CONTRACTOR `i /.,t�j 27— /L)A'I,i rI/,,I
R SINK ADDRESS
DISHWASHER CITY TEL NO
CONTRACTOR S / / (� 1 STATE
LAUNDRY TUB REGISTRATION NO. / COUNTY ❑
A
CLOTHES WASIiER DISTRICT NO 11 GROUP � N$ PROCESSED BY
WATER HEATER
GAS SYSTEM R INDUSTRIAL
u WASTE APPROVAL
INSPECTION RECORD
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q " LF��'��� a
APPROVALS
@ $1.00 PER ITEM °
O8 FIXTURE $ J J� DATE UNDER S B WORK 5'2/sG INSPECTOR
NATURE
PERMIT 11 2 00 ROUGH PLUMBING C�Vl1! '0
TOTAL FEE GAS PIPING
k
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
PLUMBING PLUMBING FIXTURES
LDESCRIBED
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR n GAS TEST
NSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
FORNIA OR THAT I AM HE LEGAL OWNER OF THE ABOVE UTILITY CO NORESIDENTIAAL-.PR RTY PERMIT TE � � FINAL
OF ALIDATION S SOBERTA UPERVISING
P RVUs N MNICAL ENG R
CK m O CASH
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