HomeMy Public PortalAbout5505 ENCINITA AVE_Plumbing__ -15A667J CE#817 2 62
APPLICATION FOR ,PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE. COUNTY ENGINEER ADDRESS O�
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 $125 MAIL
BATH TUB 1 25 ADDRESS
016t o4AA4
CITY TEL NO
SHOWER 125
LAVATORY 1 CONTRACTOR
SINE 1 25 ADDRESS
DISHWASHER 1 25 CITY TEL NO C-p ^.;2e
CONTRACTOR'S �/ J / / STATE
LAUNDRY rUB 1 25
REGISTRATION NO (d(O,(�J COUNTY
CLOTHES WASHER 1 25 DISTRICT NO GROUP [,PN P SED BY
J
WATER HEATER 1 50
GAS SYSTEM/ 151 INDUSTRIAL OVAL
OUTLETS
WASTE APPR
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD 0
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APPROVALS DATE INSPECTOR-S SIGNATURE/
PERMIT $ Q 00 UNDERI,SLAWWORK D iw') '
ROUGH PLUMBING f
TOTAL FEE -GAS PIPING p
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM H LEGAL OWNE OF AND INTEND TO
RESIDE IN THE ABOVE DE RI D RESIDENT/ PR'OPERT UTILITY CO NOTIFIED
SIGNATURE I �••ndLe�
OF PERMITTEE FINAL
x _
VALIDATION ROBERT A WOOD
cK M J CASH SUPERVISING MECHANICAL ENG R
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DBS 17 12 54APPLICATION FOR PLUMBING PERMIT
DBS 17 �
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles J�+ C.
WM J. FOX. COUNTY ENGINEER ADDREISS
CASSATT D GRIFFIN. SUPT OF BUILDING �7`'�'
LOCALITY / �1
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
OWNER / fY DISTRICT NO I GROUP I ZONE' I READY FOR INSPECTION
MAIL to /rte"
ADDRESS A
INDUSTRIAL
CITY TEL NO WASTE APPROVAL
PLUMBER SJ p a4 - ^/vINSPECTION RECORD
�y Al
ADDRESS i"f. t ® t'i l�.' +p'SS JON AK.S h� �♦C3 Vsa,
CITY ir1
.� /��T,,EL NO .tJ
LICENSE NO o/ 2 r
NUMBER TYPE OF FIXTURE OR ITEM FEE I " V
WATER CLOSET (TOILET) $ r
BATH TUB
i S�q L/ �1 C t�
SHOWER
LAVATORY (WASH BASIN) 4` ;a Te
KITCHEN SINK
DISHWASHER '
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO @ 080 APPROVALS
DATE INSPECTOR S SIGNATURE
GAS SYSTEM3�OUTLETS @ 100 ®6
WATER HEATER @ 1 00 (i UNDER SLAB WORK ({{{
9 ROUGH PLUMBING
PERMIT S I 1 00 GAS PIPING
TOTAL FEE Z 6 e GAS VENT Q
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER ` S
AND STATE THAT THE ABOVE IS CQ
RRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING t
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST f --
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO NOTIFIED
CALIFORNIA OR THAT AM AE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT! PR RTY
W
SIGNATURE �
ITTEE FINAL
OF PERM
WILLIAM J F COUNTY ENGINEER VALIDATION
_TD2 7 2,8S M 18 3 7.0 0
BY
DEPUTY
O rr��
76A667A
CE 817(REV 6/78) V
®S
' . APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS
5565 N. Encinita Ave.
Temple City
WATER CLOSET LOCALITY
NEAREST
BATH TUB CROSS ST
SHOWER OWNER Grace Reilly
MAIL
LAVATORY
ADDRESS
Fpcindta Ave-
SINK CITY Temple City TEL NO 286-1677
DISHWASHER CONTRACTOR Universal Plumbing
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR CITY SO. El Monte TEL N0575-3460
LAWN SPRINKLER SYSTEM STATE LIC
WATER HEATER LICENSE N38 6 6 7 8 CLASS C36&20
GAS SYSTEM OUTLETS 21 eY) APPROVALS DATE INSPECTOR S SIGNATURE
OUTLETS OVER VV UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPING
GAS VENT
6t6
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST N
Plan check fee UTILITYCO NOTIFIED
PLUMBING PERMIT ISSUING FEE$ 61-0 .o
TOTAL FEE FINAL
Plan check applicant PLAN CHECK VALIDATION
Name b-)V G
Address
City Tel No
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE :20565A
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION # O 01 O O O 5
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY D STATE OF CALIFORNIA OR THAT I AM THE I 2 O O 1 0.00
LEGAL OWNER OF AND ZE IN THE All VE DESCRIBED RESIDENTIAL
PROPERTY O O O 1 a 0 0 U
SIGNATURE 06 t 0 2 p(J 0
OF PERMITTE L
DISTRI T N PRO SED B
INDUSTRIAL
WASTE APPROVAL
76AB67-CE817-8-58
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY D VISION sUILDING
cA BATT D:MBIE,N Sup 4! E gmeerBudch �DaEss 0 No. End ni to Ave. 8
LOCALITY Tnmiple C i t
FOR APPLICANT TO FII.I. IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OwNERM. E. G tenby & Helen Toluv
WATER CLOSET
MAIBATH TUB ADDRESS 5505 No• Encini to Ave.y
SHOWER CITY Temple CitY TEL NO.
LAVATORY CONTRACTOR All t hony Bros I no.
sum ADDRESS 5871 F it e s t one B1.9
DISHWASHER crrYSo Gate TEL. NO. SP-32210
— CONTRACTOR'S STAT
LAUNDRY TUB REGISTRATION NO.117013 SC-53 COUNTY❑
CLOTHES WASHER DISTR�S-[�l0 GROUP ZONE X
OCESS BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
Fre-diwater Piping to
swim pool _7- Calms
APPROVALS
@ $1 00 PER ITEM
OR FIXTURE $ �tDATE INSPECTOR'S SIGNATURE
I UNDER S B WORK
PERMIT $ 2100 ROUGH PLUMBING
TOTAL FEE 00 GAS PIPING
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
I HEREBY CERTIFY THAT I AM PROPERLY REGI R D AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUN AN STATE OF
CALIFORNIA OR TH I THE LEGAL R OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDE 1 L ROPERTY
SIGNATURE OF PERM ITT -
ROBERT A WOOD
Or V4ffiDATION SUPERVISING MECHANICAL ENG R
M 0 CASH
�r� 2 AAY 6 5 a 3 .0 0